WAC 388-438-0110 Alien medical programs.

1. To qualify for an alien medical program (AMP) a person must: 

(a) Be ineligible for medicaid or other DSHS medical program due to the citizenship/alien status requirements described in WAC 388-424-0010;

(b) Meet the requirements described in WAC 388-438-0115, 388-438-0120, 388-438-0125; and

(c) Meet categorical eligibility criteria for one of the following programs, except for the social security number or citizenship/alien status requirements:

(i) WAC 388-475-0050, for an SSI-related person;

(ii) WAC 388-505-0220, for family medical programs;

(iii) WAC 388-505-0210, for a child under the age of nineteen;

(iv) WAC 388-462-0015, for a pregnant woman;

(v) WAC 388-462-0020, for the breast and cervical cancer treatment program for women; or 

(vi) WAC 388-523-0100, for medical extensions.

2.  AMP medically needy (MN) coverage is available for children, adults age sixty- five or over, or persons who meet SSI disability criteria.  See WAC 388-519-0100 for MN eligibility and 388-519-0110 for spending down excess income under the MN program.

3.  The department does not consider a person's date of arrival in the United States when determining eligibility for AMP.

4.  The department does not consider a sponsor's income and resources when determining eligibility for AMP, unless the sponsor makes the income or resources available.

5.  A person is not eligible for AMP if that person entered the state specifically to obtain medical care.

6.  A person who the department determines is eligible for AMP may be eligible for retroactive coverage as described in WAC 388-416-0015.

7.  Once the department determines financial and categorical eligibility for AMP, the department then determines whether a person meets the requirements described in WAC 388-438-0115, 388-438-0120, or 388-438-0125.