Access Washington Home
STATE OF WASHINGTON
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
AGING AND DISABILITY SERVICES ADMINISTRATION
PO Box 45600 ( Olympia, WA 98504-5600
H09-018 - Information
May 18, 2009
|TO: |Home and Community Services (HCS) Division Regional Administrators |
| |Area Agency on Aging (AAA) Directors |
|FROM: |Bill Moss, Director, Home and Community Services Division |
|SUBJECT: |Adding Clients in the Healthcare for Workers with Disabilities (HWD) Program to HCS Home and Community-based |
| |Services (HCBS) Waivers |
|Purpose: |To notify HCS and AAA staff that those clients who are enrolled in the HWD Medicaid program may now be |
| |eligible for the COPES waiver |
|Background: |The Ticket to Work Incentives Improvement Act (TWIIA) of 1999 (Public Law 106-170) was passed by Congress to |
| |support the competitive employment of people with disabilities who want to work. As a result of that |
| |legislation, Washington State has implemented two Medicaid coverage programs to enable individuals with |
| |disabilities who work to obtain Medicaid coverage via a premium buy-in. The two coverage groups are the Basic|
| |Coverage Group and the Medical Improvement (MI) Group. Individuals are first enrolled in a basic group and |
| |then continue in the MI group. |
|What’s new, changed, or |Prior to 4/1/2009 HCS clients on HWD could receive services only through Medicaid Personal Care (MPC). |
|Clarified |Effective 4/1/2009, CMS approved HWD as an eligibility group for the COPES waiver so these clients can be |
| |served under either MPC or the COPES waiver. |
| | |
| |In order to qualify for the HWD program, individuals must: |
| |Be a resident of Washington State; |
| |Be age 16 through 64; |
| |Have net income under 220% of the federal poverty level (see the website link below for computation of net |
| |income); |
| |Meet federal disability requirements; and |
| |Be employed full or part-time (including self-employment). |
| | |
| |To receive a Medicaid card, the client must pay a monthly premium, the amount of which varies based on |
| |income. |
| | |
| |Clients eligible for HWD can have gross income over Medicaid special income level (SIL) of $2,022 and still |
| |be eligible for the COPES waiver. |
| | |
| |Clients eligible for HWD do not participate toward personal care but will pay their HWD premium. Clients |
| |living in an Adult Family Home or Boarding Home will continue to pay the ADSA room and board standard which |
| |is currently $611.21. |
| | |
| |The service authorized by HCS (MPC or COPES) will be indicated on the S08 HWD medical coverage group in ACES |
| |on the INST screen. HWD clients on COPES will not be on the C01 medical coverage group. |
|ACTION: |As a reminder: |
| |Each HCS region has an HWD specialist assigned to determine financial eligibility for the program. Working |
| |clients should be referred to the HWD specialist to determine if HWD is beneficial for the client. |
| |All potential HWD clients must be informed of the importance of paying the HWD premium monthly. If a person |
| |does not pay four consecutive monthly premiums, the person is not eligible for HWD coverage for the next four|
| |months and must pay all premium amounts owed before HWD coverage can be approved again. |
| |Financial workers must notify the social worker/case manager of HWD eligibility. |
|Related |WAC 388-515-1507 has been filed as an emergency WAC to include HWD as an eligibility group. |
|REFERENCES: | |
| |WAC 388-475-1000 through 388-475-1250 Healthcare for Workers with Disabilities (HWD) |
| | |
| |EAZ Manual Working Clients on Long-term Care Programs |
| | |
|ATTACHMENT(S): |HWD Handout HWD Handout for Financial Workers: |
| |For Social Workers: |
| |[pic] [pic] |
|CONTACT(S): |Marilee Fosbre Lori Rolley |
| |COPES Waiver Manager Financial Policy Analyst |
| |(360) 725-2536 (360) 725-2271 |
| |FosbrMA@dshs. rollelj@dshs. |
-----------------------
HCS MANAGEMENT BULLETIN
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- home access financial
- home access financial llc
- home access center kalamazoo public schools
- kps home access center
- home access center kalamazoo
- kalamazoo public schools home access center
- ms access home inventory template
- access pc on home network windows 10
- vice president home in washington dc
- access office 365 home account
- home access scranton school district
- access my ebay home page