266-299

Reason code Reason code description WAC references - Classic Apple Health Free form text - Classic Apple Health WAC references - MAGI-based Apple Health Free form text - MAGI-based Apple Health 266 Noncooperation With TPL We did not get your form about other coverage for your medical bills. You cannot get medical benefits from DSHS until we have the information. Your children can still get medical assistance. See WAC rule (Washington Administrative Code): None required 182-503-0540 None required 275 No Longer Receiving SSI You no longer get SSI (Supplemental Security Income). 182-510-0005 182-510-0001 None required 276 DSHS doesn't define your medical condition as an emergency. HPF No Medical Emergency for AEM Your medical condition does not meet the emergency medical requirements for Washington Apple Health Alien Emergency Medical coverage. 182-507-0115 182-507-0110 182-507-0120 None required 279 QMB Start Date - Administrative Use Only None None required 280 Not Entitled to Medicare Part A DSHS cannot pay for your Medicare Part B premium because you are not eligible for Medicare Part A. If you have questions about your Medicare coverage, call your Social Security Office. See WAC rule (Washington Administrative Code): 182-517-0300 None required 281 Waiver Not Approved You need an approved plan of care before we can help pay for your care provider. See WAC rule (Washington Administrative Code): 182-515-1505 182-515-1510 182-515-1506 182-515-1511 We do not have a plan of care for your type of home or community based (HCB) program). 284 Failed To Meet Spenddown Requirement You didn't give us enough medical bills to meet your spenddown. You can reapply for medical at any time. See WAC rule (Washington Administrative Code): 182-519-0100 None required 288 Ineligible ESLMB Already Receiving MA You are not eligible for the Qualified Individual (QI-1) Program because you are receiving Medicaid Benefits. You are eligible for the State-funded Buy-In Program. We will pay for your Medicare Part A premiums, if you have any, as well as your Part B premiums, coinsurance, and deductibles. See WAC rule (Washington Administrative Code): 182-517-0300 None required 295 Dependent Has Creditable Medical Coverage (CHIP) Your child/children have other medical coverage. See WAC rule (Washington Administrative Code): HPF Your child/children have other creditable medical coverage. N/A 182-505-0215 None required 298 AU Stopped Employer Sponsored Health Care Coverage (CHIP) You stopped your employer sponsored health care coverage for your child/children. If you had a reason for stopping the coverage, contact us at Customer Service Support so we can determine if you meet the Good Cause reason for stopping the coverage. N/A 182-505-0215 None required 299 Premiums Not Paid (CHIP) You are losing CHIP coverage because you have not paid the premiums for 4 months or more. To keep CHIP, your past due premium must be paid before the ending date listed above. Mail your payment to the Office of Financial Recovery, PO Box 3951, Olympia, WA 98503. See WAC rule (Washington Administrative Code): N/A 182-505-0215 None required