Change in copayment

Official source

(1) A consumer's SCC program copayment could change when:

(a)DEL makes a mass change in subsidy benefits due to a…#

(a) DEL makes a mass change in subsidy benefits due to a change in law or program funding;

(b)The consumer's family size increases and causes the…#

(b) The consumer's family size increases and causes the copayment to decrease;

(c)DSHS makes an error in the consumer's copayment…#

(c) DSHS makes an error in the consumer's copayment computation;

(d)The consumer did not report all income, activity and…

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Change in copayment

Official source

(1) A consumer's SCC program copayment could change when:

(a)DEL makes a mass change in subsidy benefits due to a…#

(a) DEL makes a mass change in subsidy benefits due to a change in law or program funding;

(b)The consumer's family size increases and causes the…#

(b) The consumer's family size increases and causes the copayment to decrease;

(c)DSHS makes an error in the consumer's copayment…#

(c) DSHS makes an error in the consumer's copayment computation;

(d)The consumer did not report all income, activity and…

#

(d) The consumer did not report all income, activity and household information at the time of application and reapplication; or

(e)The consumer is approved for a new eligibility period.#

(e) The consumer is approved for a new eligibility period.

(2) If a consumer's copayment changes during the eligibility period, the change is effective on the first day of the month immediately following the date the copayment change was made.

(3) DSHS does not prorate the copayment.

(4) DSHS does not increase a consumer's copayment during the current eligibility period when countable income remains at or below the maximum eligibility limit as provided in WAC 170-290-0005 .