50B.04.120 – Appeal of determinations.
RCW 50B.04.120 Appeal of determinations. (1) Determinations made by the health care authority or the department of social and health services under this chapter, including determinations regarding functional eligibility or related to registration of long-term services and supports providers, are subject to appeal in accordance with chapter 34.05 RCW. In addition, the standards and procedures […]
50B.04.130 – Medicare data and waiver—Report.
RCW 50B.04.130 Medicare data and waiver—Report. The department of social and health services must: (1) Seek access to medicare data from the federal centers for medicare and medicaid services to analyze the potential savings in medicare expenditures due to the operation of the program; (2) Apply for a demonstration waiver from the federal centers for […]
50B.04.020 – Duties—Health care authority, department of social and health services, office of the state actuary, employment security department.
RCW 50B.04.020 Duties—Health care authority, department of social and health services, office of the state actuary, employment security department. (1) The health care authority, the department of social and health services, the office of the state actuary, and the employment security department each have distinct responsibilities in the implementation and administration of the program. In […]
50B.04.030 – Long-term services and supports trust commission—Investment strategy subcommittee.
RCW 50B.04.030 Long-term services and supports trust commission—Investment strategy subcommittee. (1) The long-term services and supports trust commission is established. The commission’s recommendations and decisions must be guided by the joint goals of maintaining benefit adequacy and maintaining fund solvency and sustainability. (2) The commission includes: (a) Two members from each of the two largest […]
50B.04.040 – Long-term services and supports council—Benefit unit adjustment.
RCW 50B.04.040 Long-term services and supports council—Benefit unit adjustment. (1) The long-term services and supports council is established. The council includes the members identified in RCW 50B.04.030(2) (a) through (e) and the director of the office of financial management, or the director’s designee. (2) On an annual basis, the council must determine adjustments to the […]
50B.04.050 – Qualified individuals.
RCW 50B.04.050 Qualified individuals. (1) Except as provided in subsection (2) of this section, the employment security department shall deem a person to be a qualified individual as provided in this chapter if the person has paid the long-term services and supports premiums required by RCW 50B.04.080 for the equivalent of either: (a) A total […]
50B.04.055 – Exemptions—Voluntary exemptions—Criteria, rules, and procedures—Discontinuing—Notification.
RCW 50B.04.055 Exemptions—Voluntary exemptions—Criteria, rules, and procedures—Discontinuing—Notification. (1) Beginning January 1, 2023, the employment security department shall accept and approve applications for voluntary exemptions from the premium assessment under RCW 50B.04.080 for any employee who meets criteria established by the employment security department for an exemption based on the employee’s status as: (a) A veteran […]
50B.04.060 – Eligible beneficiaries—Determination—Services and benefits.
RCW 50B.04.060 Eligible beneficiaries—Determination—Services and benefits. (1) Beginning July 1, 2026, approved services must be available and benefits payable to a registered long-term services and supports provider on behalf of an eligible beneficiary under this section. (2) Beginning July 1, 2026, a qualified individual may become an eligible beneficiary by filing an application with the […]
50B.04.070 – Payment of benefits.
RCW 50B.04.070 Payment of benefits. (1) Benefits provided under this chapter shall be paid periodically and promptly to registered long-term services and supports providers. (2) Qualified family members may be paid for approved personal care services in the same way as individual providers, through a licensed home care agency, or through a third option if […]
50B.04.080 – Premium assessment—Rate—Collection.
RCW 50B.04.080 Premium assessment—Rate—Collection. (1) Unless otherwise exempted pursuant to this chapter, beginning July 1, 2023, the employment security department shall assess for each individual in employment with an employer a premium based on the amount of the individual’s wages. The initial premium rate is .58 percent of the individual’s wages. Beginning January 1, 2026, […]