WAC 388-513-1320 Determining institutional status for long-term care (LTC) services

Institutional status is an eligibility requirement for LTC services.   

1. To attain institutional status, a client must:

   1. Be approved for and receiving waivered or hospice services; or

   2. Reside or be likely to reside in a medical facility for a continuous period of:

      1. Ninety days for a child seventeen years of age or younger receiving inpatient chemical dependency and/or inpatient mental health treatment; or

      2. Thirty days for:

         1. An SSI-related client;

         2. A child not described in subsection (1) (b) (i); or

         3. A client related to medical eligibility as described in WAC 388-513-1315 (10), (11), or (12).

2. A client’s institutional status is not affected by a:

   1. Transfer between medical facilities; or

   2. Change from one kind of long-term care services to another.

3. A client loses institutional status when the client:

   1. Is absent from the medical facility for at least thirty consecutive days; or

   2. Does not receive waivered or hospice services for at least thirty consecutive days.