Children's Medically Needy Program (F99)

Created on: 
Jul 12 2017

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.

Who processes F99 (Medically Needy (MN) Children with Spenddown) Assistance Units (AUs)?

F99 AUs are processed by Health Care Authority (HCA) users and are assigned to Region 9 in one of the following Modified Adjusted Gross Income (MAGI) Community Service Offices:

  • 181 - Houses MAGI AUs that belong to Region 1 geographical/zip catchment.
  • 182 - Houses MAGI AUs that belong to Region 2 geographical/zip catchment.
  • 183 - Houses MAGI AUs that belong to Region 3 geographical/zip catchment.

HCA users have the ability to screen in or reinstate F99 AUs if needed.

Who is eligible for F99 (Medically Needy (MN) Children with Spenddown) Medical?

Children under the age of nineteen are eligible for Medically Needy (MN) medical assistance when they meet citizenship immigrant status, social security number requirements and have income over 312% of the Federal Poverty Level (FPL). For more information, see Apple Health eligibility manual - WAC 182-505-0210 - Washington apple health - Eligibility for children.

Can a client receive F99 (Medically Needy (MN) Children with Spenddown) medical coverage while incarcerated?

When a client is active or approved under some medical coverage groups while incarcerated, they can still be eligible to receive medical assistance in a suspended status. For more information, see Suspended Medical – State Bill (SB 6430).

How long is the F99 (Medically Needy (MN) Children with Spenddown) certification period?

F99 assistance units default to a six-month certification period but can be shortened to three-month certification periods. For more information, see Apple Health eligibility manual – WAC 182-519-0110 Spenddown of excess income for the medically needy program.

 

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.