- (1) A person may be determined presumptively eligible for tailored supports for older adults (TSOA) services upon completion of a prescreening interview.
(2) The prescreening interview may be conducted by either:
- (a) The area agency on aging (AAA); or
- (b) A home and community services intake case manager or social worker.
(3) To receive services under presumptive eligibility (PE), the person must meet:
- (a) Nursing facility level of care under WAC 388-106-0355;
- (b) TSOA income limits under WAC 182-513-1635; and
- (c) TSOA resource limits under WAC 182-513-1640.
(4) The PE period begins on the date the determination is made and:
- (a) Ends on the last day of the month following the month of the PE determination if a full TSOA application is not completed and submitted by that date; or
- (b) Continues through the date the final TSOA eligibility determination is made if a full TSOA application is submitted before the last day of the month following the month of the PE determination.
- (5) If the person applies and is not determined financially eligible for TSOA, there is no overpayment or liability on the part of the applicant for services received during the PE period.
- (6) The medicaid agency or the agency's designee sends written notice as described in WAC 182-518-0010 when PE for TSOA is approved or denied.
- (7) A person may receive services under presumptive eligibility only once within a twenty-four-month period.
- (8) If the department of social and health services establishes a waitlist for TSOA services under WAC 388-106-1975, then PE does not apply.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 21-10-037, § 182-513-1620, filed 4/28/21, effective 5/29/21; WSR 19-11-123, § 182-513-1620, filed 5/22/19, effective 6/22/19. Statutory Authority: RCW 41.05.021, 41.05.160, 2016 1st sp.s. c 36 § 213 (1)(e), section 1115 of the Social Security Act, and 42 C.F.R. §§ 431.400 through 431.428. WSR 17-12-019, § 182-513-1620, filed 5/30/17, effective 7/1/17.]