Clarifying information

Eligibility for medical assistance is now "delinked" from receipt of cash assistance. Assistance unit rules for MAGI-based eligibility for children is described in WAC 182-506-0010 . Assistance unit rules for Non-MAGI eligibility programs are found in chapter WAC 182-506-0015 .

For children who are not eligible for MAGI-based coverage under this section, refer to the following categories: SSI-related Medical for children who may meet SSI disability criteria services and are ineligible for any other medical program; Pregnancy for medical programs for pregnant individuals; Emergency Assistance: Alien Emergency Medical Program for an alien child who is related to a Medicaid program, including the aged, blind, and disabled; Long Term Care for children requiring nursing facility or home and community-based services; Medical Extensions for a family who has an increase in earned income, spousal support, or child support; Spenddown for a child, pregnant individuals, or an SSI-related child whose income exceeds program standards. They may be eligible to receive Medically Needy (MN) coverage.

Children found eligible for a categorically needy scope of care medical program are continuously eligible for Categorically Needy (CN) medical for 12 months regardless of changes; except for aging out of the program, moving out of state, incarceration, or death (See WAC 182-504-0125 ). The scope of coverage is identical for these programs regardless of the source of funding.