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Effective December 3, 2025
A client is financially eligible for home and community based (HCB) waiver services authorized by developmental disabilities community services (DDCS) if: The client is receiving coverage under one of the following categorically needy (CN) medicaid programs: Supplemental security income (SSI) program under WAC 182-510-0001 . This includes SSI clients under 1619(b) status; or Health care for workers with disabilities (HWD) under chapter 182-511 WAC; or SSI-related noninstitutional (CN) program under chapter 182-512 WAC; or The foster care program under WAC 182-505-0211 and the client meets disability requirements under WAC 182-512-0050 . The client does not have a penalty period of ineligibility for the transfer of an asset as under WAC 182-513-1363 ; and The client does not own a home with equity in excess of the requirements under WAC 182-513-1350 .
A client eligible under this section does not pay toward the cost of care, but must pay room and board if living in an alternate living facility (ALF) under WAC 182-513-1100 .
A client eligible under this section who lives in a department-contracted ALF described under WAC 182-513-1100 : Keeps a personal needs allowance (PNA) under WAC 182-513-1105 ; and Pays towards room and board up to the room and board standard under WAC 182-513-1105 .
A client who is eligible under the HWD program must pay the HWD premium under WAC 182-511-1250 , in addition to room and board if residing in an ALF.
Current resource, income, PNA and room and board standards are found at www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/program-standard-income-and-resources .
This is a reprint of the official rule as published by the Office of the Code Reviser . If there are previous versions of this rule, they can be found using the Legislative Search page .