WAC 388-513-1320 Determining institutional status for long-term care (LTC) services



1. Institutional status is an eligibility requirement for long-term care services (LTC) and institutional medical programs.  To attain institutional status, you must:
   1. Be approved for and receiving home and community based waiver services or hospice services; or
   2. Reside or based on a department assessment is likely to reside in a medical institution, institution for mental diseased (IMD) or inpatient psychiatric facility for a continuous period of:
      1. Thirty days for if you are an adult eighteen and older;
      2. Thirty days if you are a child seventeen years of age or younger admitted to a medical institution; or
      3. Ninety days if you are a child seventeen years of age or younger receiving inpatient chemical dependency or inpatient psychiatric treatment.
2. Once the department has determined that you meet institutional status, your status is not affected by:
   1. Transfers between medical facilities; or
   2. Changes from one kind of long-term care services (waiver, hospice or medical institutional services) to another.
3. If you are absent from the medical institution or you do not receive waiver or hospice services for at least thirty consecutive days, you lose institutional status.