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Long Term Care

Revised August 28, 2008

Purpose: Long Term Care Eligibility

Long-term Care WAC Index Long Term Care WAC Index

Overview Overview (Long Term Care)

Definitions Definitions (Long Term Care and Medical Definitions)

Long Term Care Standards and Personal Needs Allowance Charts Long Term Care Medical Standards-Personal Needs Allowance (PNA) charts

Eligibility (LTC) Non-Institutional SSI related clients living in an adult family home or boarding home (G03)                                                                                                       Eligibility Requirements                                                                               Institutional Status                                                                                     Available Income                                                                                      Income Exclusions and Disregards                                                            Available Resources                                                                                 Transfer of an Asset                                           Participation                                                                                             Medically Needy                                                                                     Other Facilities (fraternal, religious or benevolent)                                     Hospice    Guardianships    Hardship Waivers for long-term care (LTC) services   Lump sums and long-term care Short Stays in Medical Institutions (Temporary Admissions)

Waiver Services COPES/New Freedom/PACE/MMIP and WMIP   (HCS CN-P Waiver)                                                                                                                             DDD Waivers (DDD CN-P Waivers) Medically needy in-home waiver (MNIW) (HCS MN-P In-home Waiver)                                                                                                             Medically Needy Residential Waiver Program (MNRW) Financial and Functional Processes Resources Income Determining Cost of Care and Client Responsibility Participation Limits and Waiting Lists Scenarios

Medicaid Personal Care (MPC) Medicaid Personal Care

Roads to Community Living (RCL) Roads to Community Living (RCL) Program

Necessary Supplemental Accomodation (NSA) and HCS Services NSA and HCS Services.

Trusts, Annuities and Life Estates Medical - Trusts, Annuities and Life Estates - Definitions   How Annuities Affect Eligibility for Medical Programs   How Life Estates Affect Eligibility for Medical Programs   How Trusts Affect Eligibility for Medical  Programs

Appendix Appendix 1 - Institutional Program and Coverage Groups   Appendix 2 - Determining the Value of Life Estate   Appendix 3 - Summary Chart for Institutional Income Eligibility Process   Appendix 4 - VA Benefits Chart  (Including information on VA benefits)   Appendix 5 - Individual Life Expectancy Annuity Tables

Adult Abuse and Neglect Reporting-Adult Protective Services (APS) Adult Abuse and Neglect Reporting-Adult Protective Services (APS)

SSI related Medicaid links SSI-related Medical-General SSI related Medical-Resources SSI related Medical-Income SSI related Medical-Financial responsibility (WAC 388-506-0620) SSI and State supplemental payment SSI Facilitation and Home and Community Services

Other Long-term care Procedures and links Managed Care Information Estate Recovery Information Aging & Disability Services Administration Internet site SSA's Program Operations Manual System (POMS) (Federal site for policy on SSI related programs) HCS Financial LTC Training Modules Questions and Answers on the COPES program from Washington LawHelp Questions and Answers on Medicaid for Nursing Home Residents from Washington LawHelp

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Modification Date: August 28, 2008

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