WAC 182-505-0211 Washington apple health -- Foster Care.

WAC 182-505-0211 Washington apple health -- Foster Care.

Effective January 1, 2023.

1. A client under the age of 18 is eligible for Washington apple health foster care coverage when they:
   1. Are in foster care as determined by the department of children, youth, and families (DCYF) under the legal responsibility of the state, or a federally recognized tribe located within the state; and
   2. Meet Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525.
2. A client age 20 or younger is eligible for coverage when the client meets:
   1. Washington residency requirements as described in WAC 182-503-0520 or 182-503-0525;
   2. Citizenship or immigration status requirements as described in WAC 182-503-0535;
   3. Social Security number requirements as described in WAC 182-503-0515; and
   4. One of the following requirements:
      1. Is in foster care, or is eligible for continued foster care services as determined by the children's administration, under the legal responsibility of the state, or a federally recognized tribe located within the state; or
      2. Receives subsidized adoption services through the children's administration; or
      3. Is enrolled in the unaccompanied refugee minor (URM) program as authorized by the office of refugee and immigrant assistance (ORIA); or
      4. Is living in a community facility (as defined in WAC 110-700-005) operated or contracted by DCYF's juvenile rehabilitation.
3. A client age 18 or older but under age 26 is eligible for Washington Apple Health coverage when a client:
   1. Was in foster care under the legal responsibility of any state or a federally recognized tribe located within any state.
      1. On the client's 18th birthday; or
      2. At such higher age as to when the state or tribe extends foster care coverage; and
   2. Meets residency, Social Security number, and citizenship requirements as described in subsection (2) of this section.
4. A client described in subsections (1) through (3) of this section is not eligible for full-scope coverage if the client is confined to a public institution as defined in WAC 182-500-0050, except:
   1. If the client is under age 21;
   2. Resides in an institution for mental disease (IMD); and
   3. Meets the institutional status requirements in WAC 182-513-1320, 182-514-0250, or 182-514-0260.