Determining income eligibility and copayment amounts

(a) Family size as described in WAC 110-15-0015 ; and

(b) Countable income as described in WAC 110-15-0065 .

(2) The department calculates consumers' copayments as follows: If the household's income is: Then the household's maximum monthly copayment is: At or below 20 percent of the SMI Waived Above 20 percent and at or below 36 percent of the SMI $65 Above 36 percent and at or below 50 percent of the SMI $90 Above 50 percent and at or below 60 percent of the SMI $165 At reapplication, above 60 percent and at or below 65 percent of the SMI $215 An applicant between 60 percent and 75 percent of the SMI for families participating in a state-registered apprenticeship $215

(3) Active recipients of the supplemental nutrition assistance program are income eligible and the copayment will be determined using the income standards in subsection (2) of this section.

(4) The department does not prorate copayments when consumers use care for only part of a month.

(5) The department waives copayments for eligible consumers who meet one or more of the following:

(a) Age 21 years or younger who attend high school or are working towards completing a high school equivalency certificate;

(b) Employed by, as confirmed or verified in the department's electronic workforce registry: