Current through Register Vol. 24-18, September 15, 2024
(1)
Changes in tailored supports for older adults (TSOA) household and family
circumstances described in subsection
(2) of this section must be reported to the
medicaid agency or the agency's designee within thirty days of the date of the
change.
(2) The following changes
must be reported:
(a) A change in residential
or mailing address, including if the TSOA recipient moves
out-of-state;
(b) When the TSOA
recipient admits to an institution, as defined in WAC
182-500-0050, and is likely to
reside there for thirty days or longer; or
(c) When the TSOA recipient dies.
(3) Effective date of changes.
(a) When TSOA terminates because the
recipient dies, the effective date is the date of death.
(b) When TSOA terminates because of one of
the following reasons, the effective date is the first day of the month
following the advance notice period described in subsection (4) of this
section. The TSOA recipient:
(i) Is admitted
to an institution as defined in WAC
182-503-0050, and is expected to
reside there for thirty days or longer;
(ii) Is approved for coverage under a home
and community-based waiver program;
(iii) No longer meets nursing facility level
of care under WAC
388-106-0355; or
(iv) Becomes eligible for categorically need
(CN) or alternative benefits plan (ABP) apple health coverage. The recipient
may continue to receive authorized services through the medical alternative
care (MAC) program under WAC 182-513-1600. The person may also apply for other
long-term services and supports available under chapters 182-513 and 182-515
WAC.
(4) The
advance notice period:
(a) Begins on the day
the letter about the change is mailed; and
(b) Is determined according to the rules in
WAC 182-518-0025.
(5) When a law or regulation
requires a change in TSOA, the date specified by the law or regulation is the
effective date of the change.
Reviser's note: The typographical error in the
above section occurred in the copy filed by the agency and appears in the
Register pursuant to the requirements of
RCW
34.08.040.
