Statutes, codes, and regulations
Washington Administrative Code
Title 182 - Health Care AuthorityWASHINGTON APPLE HEALTH
Chapter 182-543 - Medical equipment, supplies, and appliances
Section 182-543-1100 - Client eligibility

Wash. Admin. Code § 182-543-1100

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Current through Register Vol. 24-23, December 1, 2024
Section 182-543-1100 - Client eligibility
(1) Refer to the table in WAC 182-501-0060 to see which Washington apple health programs include home health services, including medical equipment and related services, in their benefit package.
(2) For clients eligible under an alien emergency medical (AEM) program, see WAC 182-507-0115.
(3) Clients who are eligible for services under medicare and medicaid (medically needy program-qualified medicare beneficiaries) are eligible for medical equipment and related services.
(4) Clients who are enrolled in a medicaid agency-contracted managed care organization (MCO) must arrange for medical equipment and related services directly through the client's agency-contracted MCO. The agency does not pay for medical equipment or services provided to a client who is enrolled in an agency-contracted MCO, but chose not to use one of the MCO's participating providers.
(5) For clients who reside in a skilled nursing facility, see WAC 182-543-5700.
(6) Clients enrolled in the alternative benefits plan (defined in WAC 182-500-0010 ) are eligible for medical equipment when used as a habilitative service in accordance with WAC 182-545-400.

Wash. Admin. Code § 182-543-1100

Amended by WSR 14-08-035, filed 3/25/14, effective 4/25/2014
Amended by WSR 18-24-021, Filed 11/27/2018, effective 1/1/2019
Amended by WSR 20-03-072, Filed 1/10/2020, effective 2/10/2020

11-14-075, recodified as §182-543-1100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.04.050. 11-14-052, § 388-543-1100, filed 6/29/11, effective 8/1/11; 07-17-062, § 388-543-1100, filed 8/13/07, effective 9/13/07. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.530, and 74.09.700. 06-24-036, § 388-543-1100, filed 11/30/06, effective 1/1/07. Statutory Authority: RCW 74.04.050, 74.04.57 [74.04.057], and74.08.090 . 05-21-102, § 388-543-1100, filed 10/18/05, effective 11/18/05. Statutory Authority: RCW 74.08.090, 34.05.353. 03-12-005, § 388-543-1100, filed 5/22/03, effective 6/22/03. Statutory Authority: RCW 74.08.090, 74.09.530. 02-16-054, § 388-543-1100, filed 8/1/02, effective 9/1/02; 01-01-078, § 388-543-1100, filed 12/13/00, effective 1/13/01.