WAC 182-515-1513 How does the department determine if I am financially eligible for DDD waiver service medical coverage if I am not eligible for Medicaid under a categorically needy program (CN) listed in WAC 388-515-1512 (1)?

If you are not eligible for Medicaid under a categorically needy program (CN) listed in WAC 388-515-1512 (1) we must determine your eligibility using institutional Medicaid rules. This section explains how you may qualify under this program. You may be required to pay towards the cost of your care if you are eligible under this program. The rules explaining how much you have to pay are listed in WAC 388-515-1514.  To qualify, you must meet both the resource and income requirements. 

1. Resource limits are described in WAC 388-513-1350 If you have resources which are higher than the standard allowed we may be able to reduce resources by your unpaid medical expenses described in WAC 388-513-1350.
2. You are not subject to a transfer of asset penalty described in WAC 388-513-1363 through 388-513-1365.
   1. Not have a home with equity in excess of the requirements described in WAC 388-513-1350.
3. Your gross non excluded income must be at or below the special income level (SIL) which is three hundred percent of the federal benefit rate (FBR). The department follows the rules in WAC 388-513-1325, 388-513-1330 and 388-513-1340  to determine available income and income exclusions.
4. Refer to WAC 388-513-1315 for rules used to determine countable resources, income and eligibility standards for long-term care services.
5. Current income and resources standards are located at: http://www.dshs.wa.gov/manuals/eaz/sections/LongTermCare/LTCstandardspna.shtml