Determining eligibility for noninstitutional coverage in an alternative living facility (G03 or L52 group C and D)

This program is used for SSI-related people receiving a long-term service and support (LTSS) such as Medicaid Personal Care (MPC)(G03) or Community First Choice (CFC) when countable income is over the CNIL, but under the Special Income Level (SIL) and state-contracted rate.

CFC clients using these rules are under medical coverage group L52.

This program is used for Regional Support Network (RSN) placements in alternate living facilities (ALF). (G03).

This program is used for SSI-related people paying privately in a state-contracted ALF under medically needy (CN) G95, G99.

For more information, visit the long-term services and supports authorized under Washington Apple Health overview .