167-193

Reason code Reason code description WAC references - Classic Medicaid Free form text - Classic Medicaid WAC references - MAGI-based Medicaid Free form text - MAGI-based Medicaid 167 TSOA - Invalid Waiver You need an approved plan before we can help you and your caregiver. See WAC rule (Washington Administrative Code): 182-513-1610 None required 168 TSOA – Client Active in a Different AU You can’t receive services under this program when you are eligible for certain Medicaid programs. 182-513-1615 None required 187 Individual Already Received CN Medicaid In Another AU For This Benefit Month - For Administrative Use Only None None required 182-503-0510 None required 188 Medical Review Not Completed Your medical disability review was not completed in time. This is because: We did not get updated medical information; or We got your medical information but it is still being reviewed. 388-511-1105 Specify person who is being terminated. 190 Non-Federally Qualified Individual Becomes Federally Qualified You are now eligible to receive health care coverage under a federally-funded program. 182-503-0535 None required 191 Federally Qualified Individual Changed to Non-Federally Qualified You are no longer eligible to receive health care coverage 182-503-0535 None required 193 Alien Emergency Medical Requirement You don't meet the requirements to receive Washington Apple Health Alien Emergency Medical coverage. 182-507-0110 None required