Title 74 — Title 74 PUBLIC ASSISTANCE
41 chapters · 927 sections in this title.
RCW 74.09.790 Definitions.
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Unless the context clearly requires otherwise, the definitions in this section apply throughout RCW 74.09.760 through 74.09.820 and 74.09.510:(1) "At-risk eligible person" means an eligible person determined by the authority to need special assistance in applying for and obtainin…
RCW 74.09.800 Maternity care access program established.
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The authority shall, consistent with the state budget act, develop a maternity care access program designed to ensure healthy birth outcomes as follows:(1) Provide maternity care services to low-income pregnant women and health care services to children in poverty to the maximum …
RCW 74.09.810 Alternative maternity care service delivery system established—Remedial action report.
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(1) The authority shall establish an alternative maternity care service delivery system, if it determines that a county or a group of counties is a maternity care distressed area. A maternity care distressed area shall be defined by the authority, in rule, as a county or a group …
RCW 74.09.820 Maternity care provider's loan repayment program.
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To the extent that federal matching funds are available, the authority or the department of health shall establish, in consultation with the health science programs of the state's colleges and universities, and community health clinics, a loan repayment program that will encourag…
RCW 74.09.825 Donor human milk—Standards—Federal funding.
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(1) The authority shall provide coverage under this chapter for medically necessary donor human milk for inpatient use when ordered by a licensed health care provider with prescriptive authority or an international board certified lactation consultant certified by the internation…
RCW 74.09.830 Postpartum health care coverage.
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(1) The authority shall extend health care coverage from 60 days postpartum to one year postpartum for pregnant or postpartum persons who, on or after the expiration date of the federal public health emergency declaration related to COVID-19, are receiving postpartum coverage pro…
RCW 74.09.835 Postdelivery and transitional care program—Contracting—Funding.
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(1) By no later than January 1, 2026, the authority shall create a postdelivery and transitional care program that allows for extended postdelivery hospital care for people with a substance use disorder at the time of delivery. The authority shall:(a) Allow for up to five additio…
RCW 74.09.837 Maternity support services program—Updates—Rule making.
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(1) Subject to the amounts appropriated for this specific purpose, the authority shall update the maternity support services program to address perinatal outcomes and increase equity and healthier birth outcomes. By January 1, 2026, the authority shall:(a) Update current screenin…
RCW 74.09.839 Apple health pregnancy coverage.
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By November 1, 2024, the income standards for a pregnant person eligible for Washington apple health pregnancy coverage shall have countable income equal to or below 210 percent of the federal poverty level.[ 2024 c 213 s 3.]
RCW 74.09.840 Prior authorization.
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(1) Beginning January 1, 2024, the authority shall require each managed care organization to comply with the following standards related to prior authorization for health care services and prescription drugs:(a) The managed care organization shall meet the following time frames f…
RCW 74.09.850 Conflict with federal requirements.
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If any part of this chapter is found to conflict with federal requirements which are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this chapter is hereby declared to be inoperative solely to the extent of the conflict, and such fi…
RCW 74.09.860 Request for proposals—Foster children—Integrated managed health and behavioral health care—Continuation of health care benefits following reunification.
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(1) The authority shall issue a request for proposals to provide integrated managed health and behavioral health care for foster children receiving care through the medical assistance program. Behavioral health services provided under chapters 71.24 and 71.34 RCW must be integrat…
RCW 74.09.865 Postinpatient housing program for young adults.
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(1) Subject to the availability of amounts appropriated for this specific purpose, the postinpatient housing program for young adults is established to provide supportive transitional housing with behavioral health support focused on securing long-term housing for young adults ex…
RCW 74.09.870 Regional service areas—Establishment.
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(1) Upon receipt of guidance for the creation of common regional service areas from the adult behavioral health system task force established in section 1, chapter 338, Laws of 2013, the authority shall establish regional service areas as provided in this section.(2) Counties, th…
RCW 74.09.871 Behavioral health services—Contracting process.
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(1) Any agreement or contract by the authority to provide behavioral health services as defined under RCW 71.24.025 to persons eligible for benefits under medicaid, Title XIX of the social security act, and to persons not eligible for medicaid must include the following:(a) Contr…
RCW 74.09.875 Reproductive health care services—Prohibited discrimination.
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(1) In the provision of reproductive health care services through programs under this chapter, the authority, managed care plans, and providers that administer or deliver such services may not discriminate in the delivery of a service provided through a program of the authority b…
RCW 74.09.880 Z code collection—Incentives and funding.
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To improve health outcomes and address health inequities, the authority shall evaluate incentive approaches and recommend funding options to increase the collection of Z codes on individual medicaid claims, in accordance with standard billing guidance and regulations.[ 2022 c 215…
RCW 74.09.885 Apple health and homes program—Definitions.
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The definitions in this section apply throughout RCW 74.09.886 and 74.09.888 unless the context clearly requires otherwise.(1) "Community support services" means active search and promotion of access to, and choice of, appropriate, safe, and affordable housing and ongoing support…
RCW 74.09.886 Apple health and homes program—Establishment—Eligibility—Services.
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(1) Subject to the availability of amounts appropriated for this specific purpose, the apple health and homes program is established to provide a permanent supportive housing benefit and a community support services benefit through a network of community support services provider…
RCW 74.09.888 Apple health and homes program—Authority duties—Funding—Reports to legislature.
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(1) To establish and administer RCW 74.09.886, the authority shall:(a)(i) Establish or amend a contract with a coordinating entity to:(A) Assure the availability of access to eligibility determinations services for community support services benefits and permanent supportive hous…
RCW 74.09.890 Medicaid program integrity—Administrative oversight—Strategic plan—Best practices.
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(1) The authority shall provide administrative oversight for all funds received under the medical assistance program, as codified in Title XIX of the federal social security act, the state children's health insurance program, as codified in Title XXI of the federal social securit…
RCW 74.09.892 Medicaid program integrity—Managed care organizations—Contracts—Best practices.
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(1) Beginning January 1, 2024, the authority's contracts with managed care organizations must clearly detail each party's requirements for maintaining program integrity and the consequences the managed care organizations face if they do not meet the requirements. The contract mus…
RCW 74.09.900 Other laws applicable.
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All the provisions of Title 74 RCW, not otherwise inconsistent herewith, shall apply to the provisions of this chapter.[ 1959 c 26 s 74.09.900. Prior: 1955 c 273 s 22.]
RCW 74.09.920 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
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For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to …
RCW 74.09A.005 Findings.
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The legislature finds that:(1) Simplification in the administration of payment of health benefits is important for the state, providers, and health insurers;(2) The state, providers, and health insurers should take advantage of all opportunities to streamline operations through a…
RCW 74.09A.010 Definitions.
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For the purposes of this chapter:(1) "Authority" means the Washington state health care authority.(2) "Computerized" means online or batch processing with standardized format via magnetic tape output.(3) "Health insurance coverage" includes any policy, contract, or agreement unde…
RCW 74.09A.020 Eligibility and coverage information—Provision to health insurers.
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(1) Health insurers shall share all beneficiary eligibility and coverage information with the authority for the purpose of identifying joint beneficiaries. The authority shall use this information to identify joint beneficiaries. The authority shall use this information to improv…
RCW 74.09A.030 Duties of health insurers—Providing information—Payments—Claims—Costs and fees.
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Health insurers, as a condition of doing business in Washington, must:(1) Provide, with respect to individuals who are eligible for, or are provided, medical assistance under chapter 74.09 RCW, upon the request of the authority, information to determine during what period the ind…
RCW 74.09A.900 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
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For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to …
RCW 74.12.010 Definitions.
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For the purposes of the administration of temporary assistance for needy families, the term "dependent child" means any child in need under the age of eighteen years who is living with a relative as specified under federal temporary assistance for needy families program requireme…
RCW 74.12.030 Eligibility.
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In addition to meeting the eligibility requirements of RCW 74.08.025, as now or hereafter amended, an applicant for temporary assistance for needy families must be a needy child who is a resident of the state of Washington.[ 1997 c 59 s 17; 1971 ex.s. c 169 s 6; 1963 c 228 s 19; …
RCW 74.12.035 Additional eligibility requirements—Students—Exceptions.
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(1) Children over eighteen years of age and under nineteen years of age who are full-time students reasonably expected to complete a program of secondary school, or the equivalent level of vocational or technical training, before reaching nineteen years of age are eligible to rec…
RCW 74.12.240 Services provided to help attain maximum self-support and independence of parents and relatives.
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The department is authorized to provide such social and related services as are reasonably necessary to encourage the care of dependent children in their own homes or in the homes of relatives, to help maintain and strengthen family life and to help such parents or relatives to a…
RCW 74.12.250 Payment of grant to another—Limited guardianship.
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If the department, after investigation, finds that any applicant for assistance under this chapter or any recipient of funds under this chapter would not use, or is not utilizing, the grant adequately for the needs of his or her child or children or would dissipate the grant or i…
RCW 74.12.255 Teen applicants' living situation—Criteria—Presumption—Protective payee—Adoption referral.
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(1) The department shall determine, after consideration of all relevant factors and in consultation with the applicant, the most appropriate living situation for applicants under eighteen years of age, unmarried, and either pregnant or having a dependent child or children in the …
RCW 74.12.260 Persons to whom grants shall be made—Proof of use for benefit of children.
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Temporary assistance for needy families grants shall be made to persons specified in RCW 74.12.010 as amended or such others as the federal department of health, education and welfare shall recognize for the sole purposes of giving benefits to the children whose needs are include…
RCW 74.12.280 Rules for coordination of services.
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The department is hereby authorized to adopt rules that will provide for coordination between the services provided pursuant to chapter 74.13 RCW and the services provided under the temporary assistance for needy families program in order to provide welfare and related services w…
RCW 74.12.290 Suitability of home—Evaluation.
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The department of social and health services shall, during the initial and any subsequent determination of eligibility, evaluate the suitability of the home in which the dependent child lives, consideration to be given to physical care and supervision provided in the home; social…
RCW 74.12.300 Grant during period required to eliminate undesirable conditions.
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If the home in which the child lives is found to be unsuitable, but there is reason to believe that elimination of the undesirable conditions can be effected, and the child is otherwise eligible for aid, a grant shall be initiated or continued for such time as the state departmen…
RCW 74.12.310 Placement of child with other relatives.
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When intensive efforts over a reasonable period have failed to improve the home conditions, the department shall determine if any other relatives specified by the social security act are maintaining a suitable home and are willing to take the care and custody of the child in thei…
RCW 74.12.320 Placement of child pursuant to chapter 13.04 RCW.
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If a diligent search reveals no other relatives as specified in the social security act maintaining a suitable home and willing to take custody of the child, then the department may file a petition in the appropriate juvenile court for placement of the child pursuant to the provi…
RCW 74.12.330 Assistance not to be denied for want of relative or court order.
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Notwithstanding the provisions of this chapter a child otherwise eligible for aid shall not be denied such assistance where a relative as specified in the social security act is unavailable or refuses to accept custody and the juvenile court fails to enter an order removing the c…
RCW 74.12.340 Day care.
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(1) The department is authorized to adopt rules governing the provision of day care as a part of child welfare services when the secretary determines that a need exists for such day care and that it is in the best interests of the child, the parents, or the custodial parent and i…
RCW 74.12.350 Child's income set aside for future needs—Irrevocable trusts—Educational accounts.
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The department of social and health services is hereby authorized to promulgate rules and regulations in conformity with the provisions of Public Law 87-543 to allow all or any portion of a dependent child's earned or other income to be set aside for the identifiable future needs…
RCW 74.12.361 Supplemental security income program—Enrollment of disabled persons.
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The department shall actively develop mechanisms for the income assistance program, the medical assistance program, and the community services administration to facilitate the enrollment in the federal supplemental security income program of disabled persons currently part of ass…
RCW 74.12.400 Reduce reliance on aid—Work and job training—Family planning—Staff training.
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The department shall train financial services and social work staff who provide direct service to recipients of temporary assistance for needy families to:(1) Effectively communicate the transitional nature of temporary assistance for needy families and the expectation that recip…
RCW 74.12.410 Family planning information—Cooperation with the superintendent of public instruction.
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(1) At the time of application or reassessment under this chapter the department shall offer or contract for family planning information and assistance, including alternatives to abortion, and any other available locally based unintended pregnancy prevention programs, to prospect…
RCW 74.12.450 Application for assistance—Report on suspected child abuse or neglect—Notice to parent about application, location of child, and family reconciliation act.
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(1) Whenever the department receives an application for assistance on behalf of a child under this chapter and an employee of the department has reason to believe that the child has suffered abuse or neglect, the employee shall cause a report to be made as provided under chapter …
RCW 74.12.460 Notice to parent—Required within seven days of approval of application.
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The department shall make reasonable efforts to notify the parent under RCW 74.12.450(2) as soon as reasonably possible, but no later than seven days after approval of the application by the department.[ 1995 c 401 s 3.]Notes:Severability—1995 c 401: See note following RCW 74.12.…
RCW 74.12.470 Monthly diaper subsidy—Rules—Outreach.
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(1) Subject to funds appropriated for this specific purpose, to assist with child-related necessities such as diapers, the department may make additional monthly payments to recipients with children under the age of three who are otherwise eligible for and receiving temporary ass…