WAC 182-513-1396

Effective January 1, 2013

WAC 182-513-1396 Clients living in a fraternal, religious, or benevolent nursing facility

This section describes how the department determines eligibility for long-term care (LTC) services for a client living in a fraternal, religious, or benevolent nursing facility.  

  1. For a client living in a licensed nursing facility operated by a fraternal, religious, or benevolent organization, who meets all other eligibility requirements, the department approves institutional  services and noninstitutional medical assistance, if:

    1. Any contract between the client and the facility excludes such benefits on a free or prepaid basis for life; or

    2. The facility is unable to fulfill the terms of the contract and has:

      1. Voided the contract; and

      2. Refunded any of the client's existing assets to the client.

  2. For a client described in subsection (1), the department denies institutional services and noninstitutional medical assistance, if the client:

    1. Signs a contract with the organization that includes such benefits on a free or prepaid basis for life; and

    2. Surrenders income and/or resources to the organization in exchange for such benefits.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.