Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-513 - Client not in own home-Institutional medical
Section 182-513-1630 - Tailored supports for older adults (TSOA) - Rights and responsibilities
Universal Citation: WA Admin Code 182-513-1630
Current through Register Vol. 24-18, September 15, 2024
(1) A person applying for or receiving tailored supports for older adults (TSOA) has the right to:
(a) Have TSOA rights and
responsibilities explained and provided in writing;
(b) Be treated politely and fairly without
regard to race, color, political beliefs, national origin, religion, age,
gender (including gender identity and sex stereotyping), sexual orientation,
disability, honorably discharged veteran or military status, or
birthplace;
(c) Get help with the
TSOA application if requested;
(d)
Have an application processed promptly and no later than the timelines
described in WAC
182-503-0060;
(e) Have at least ten calendar days to give
the medicaid agency or the agency's designee information needed to determine
eligibility and be given more time if asked for;
(f) Have personal information kept
confidential. The agency or the agency's designee may share information with
other state and federal agencies for purposes of eligibility and enrollment in
other Washington apple health programs;
(g) Get written notice, in most cases, at
least ten calendar days before the agency or the agency's designee denies,
terminates, or changes eligibility for TSOA;
(h) Ask for an appeal if the person disagrees
with the agency or the agency's designee's decision. A person can also ask a
department supervisor or administrator to review the decision or action without
affecting the right to a fair hearing;
(i) Ask for and get interpreter or translator
services at no cost and without delay;
(j) Ask for voter registration
assistance;
(k) Refuse to speak to
an investigator if the person's case is audited. If the person does not want to
let the investigator enter their home, there is no requirement to do so and the
person may ask the investigator to come back at another time. Such a request
will not affect a person's eligibility for TSOA; and
(1) Get equal access services under WAC
182-503-0120 if
eligible.
(2) An applicant or
recipient of TSOA is responsible to:
(a)
Report changes in household or family circumstances as required under WAC
182-513-1650;
(b) Provide the
agency or the agency's designee with any information or proof needed to
determine eligibility. If the person has trouble getting proof, the agency or
the agency's designee helps get the proof needed or contacts other persons or
agencies for it;
(c) Provide a
valid Social Security number or immigration document number in order to verify
identity, citizenship, immigration status, date of birth, and whether the
person has other health care coverage. This information is not shared with the
department of homeland security;
(d) Complete renewals when requested;
and
(e) Cooperate with quality
assurance when requested.
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