WAC 388-438-0110 Alien medical programs.

                   

1. To qualify for an alien medical or long-term care (AMLTC) program a person must: 

 (a) Be ineligible for medicaid or other DSHS medical program due to the citizenship or 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, citizenship, or 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.  AMLTC 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 programs.

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

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

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

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

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