As of 2021, for married couples with one spouse as a nursing home Medicaid applicant or a HCBS waiver applicant, the community spouse (the non-applicant spouse) can retain half of the couple’s joint assets, up to a maximum of $130,380 as the chart indicates above. When a state did not report a measure or used non-Core Set specifications, the measure is not included below or in the count of measures reported by the state. The Medicaid program is jointly funded by the federal government and states. For a single applicant, the home is exempt if he / she lives in it or has “intent” to live there, and his / her home equity interest is not more than $603,000 (in 2021). For example, family caregivers may be taught to inject insulin or change catheters. Jul 1, 2016 … State for Medicaid, the children's health insurance program (CHIP), and state-only funded … Renamed the Injectable Drug Fee Schedule. As of July 2020, this figure is $2,155 / month. For Medicaid eligibility purposes, any income that a Medicaid applicant receives is counted. The State Overviews provide resources that highlight the key characteristics of states’ Medicaid and CHIP programs and report data to increase public transparency about the programs’ administration and outcomes. Encounter rates. Further complicating eligibility is that the eligibility rules vary for a single individual versus a married couple, and that Washington offers multiple pathways towards eligibility. Senate Bill 6676, sponsored by Sen. David Frockt and Sen. Emily Randall, increases the Medicaid reimbursement rates for primary care providers to at least 15 percent above the medical assistance rates in effect on Apple Health (Washington Medicaid) covers the cost of nursing home care for all state residents who have a functional need and meet the financial criteria. Due to COVID-19, HCA’s lobby is closed. This brief analyzes Medicaid enrollment and spending trends for FY 2020 and FY 2021 based on data provided by state Medicaid directors as part of the 20th annual survey of Medicaid … Those reports can be found on the Reports page. This, in Medicaid speak, is referred to as the Community Spouse Resource Allowance (CSRA). (Equity interest is the amount of the home’s value owned by the applicant). Copyright © 2021 All rights reserved. The income and asset limit for this program is the same as the Regular Medicaid / Aged Blind and Disabled: $794 / monthly income for a single individual and $2,000 in assets, and $1,191 / monthly income for a married couple and $3,000 in assets. However, in the case of a married couple with one spouse applying for Aged Blind and Disabled Medicaid, the non-applicant spouse’s income is not disregarded. Our free spend down calculator is invaluable in assisting persons in determining if they might have a spend down, and if so, providing an approximate figure. Every state’s Medicaid and CHIP program is changing and improving. Rates and program information for hospitals serving Medicaid clients using the Washington State Medicaid Prospective Payment System (PPS fee-for-service). Medicaid personal care (MPC) is a state-plan benefit available to a client who is determined: Functionally eligible for MPC services under WAC 388-106-0200 through 388-106-0235 ; and Financially eligible for a noninstitutional categorically needy (CN) or alternative benefits plan (ABP) Washington apple health (medicaid) program. 2) Medicaid Planning – the majority of persons considering Medicaid are “over-income” or “over-asset” or both, but still cannot afford their cost of care. How to apply for Medicaid.. Read more or connect with a Medicaid planner. Services are provided at home or adult day care. Washington also has a program called the Nurse Delegation Program, which provides medical training for family caregivers to enable them to perform some of the procedures that might otherwise require a nurse visit. To clarify, this income can come from any source. (1) To the extent funds are appropriated to pay a capital add-on rate to AL contractors, beginning July 1, 2006 and every July 1 thereafter, the department will pay a capital add-on rate to AL contractors that have a medicaid occupancy percentage that equals or exceeds sixty percent as determined in accordance with subsection (2) and (3) of this section. These rates are for Washington state residents who are NOT a Public Employees Benefits Board (PEBB) member (PEBB members must enroll directly with the HCA). Two complementary surveys informed the analyses: (1) a survey of This report summarizes by month the most current totals of Medicaid days and Medicaid payments paid to Nursing Facilities. 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