WAC 388-418-0025 Effect of changes on medical program eligibility.

1. You continue to be eligible for medical assistance until the department determines your ineligibility or eligibility for another medical program.  This applies to you if, during a certification period, you become ineligible for, or are terminated from, or request termination from:

   1. A CN Medicaid program;

   2. A program included in apple health for kids; or 

   3. Any of the following cash grants:

      1. TANF;

      2. SSI; or

      3. GA-X.  See  WAC 388-434-0005  for changes reported during eligibility review.

2. If you become ineligible for refugee cash assistance, refugee medical assistance can be continued through the eight month limit, as described in  WAC 388-400-0035(4).

3. If you receive a TANF cash grant or family medical, you are eligible for a medical extension, as described under WAC 388-523-0100, when your cash grant or family medical program is terminated as a result of:

   1. Earned income; or

   2. Collection of child or spousal support.

4. A change in income during a certification period does affect eligibility for all medical programs except:

   1. Pregnant women's medical programs;

   2. A program included in apple health for kids,  except as specified in subsection (5);

   3. The first six months of the medical extension benefits.

5. For a child receiving premium-based coverage under a program included in apple health for kids as described in WAC 388-505-0210 and chapter 388-542 WAC, the department must redetermine eligibility for nonpremium-based coverage when the family reports:

   1. Family income has decreased to less than two hundred percent Federal Poverty Level (FPL);

   2. The child becomes pregnant;

   3. A change in family size; or

   4. The child receives SSI.