Post-eligibility index
This section describes the process that is used to determine participation. This is also called the post-eligibility treatment of income (PETI). PETI only applies to institutional long term care services and Home and Community Based (HCB) Waivers.
Participation in a Medical Facility
Determining a client's financial participation in the cost of care for long-term care (LTC) services
WAC 182-513-1380. This section describes the post-eligibility treatment of income (PETI) process for determining participation for individuals residing in a medical institution such as a nursing home or DDA RHC.
Participation for HCB Waivers
How does the department determine how much of my income I must pay towards the cost of my care if I am only eligible for home and community based (HCB) services under WAC 182-515-1508?
HCS HCB Waiver. WAC 182-515-1509. This section describes the post-eligibility treatment of income (PETI) process for determining participation for individuals receiving a HCB Waiver authorized by HCS.
How does the department determine how much of my income I must pay towards the cost of my DDA waiver services if I am not eligible for Medicaid under a categorically needy program (CN) listed in WAC 182-515-1512
DDA HCB Waiver WAC 182-515-1514.This section describes the post-eligibility treatment of income (PETI) process for determining participation for individuals receiving a HCB Waiver authorized by DDA.
Additional participation references and links
- Allowable medical expenses used to reduce participation and MN spenddown
- Dependent family allocation used in HCB Waiver or Institutional Participation calculation
- Guardianships - deductions to participation, room and board
- HCS services in residential settings, Room and Board, ETRs and bed holds
- Medicare and Long-term care
- Medicare D guidance from CMS
- Spousal Impoverishment-CMS
- 1619B and Deemed SSI eligible clients
- WAC 388-106-0325 (social services WAC) How do I pay for COPES services?