As of 2022, up to $3,435 a month can be transferred to the community spouse to bring his or her income up to this level. However, in some cases, the applicant spouse can transfer a portion of their monthly income to their non-applicant spouse (also called a community spouse). For married couples with just one spouse applying for Medicaid, income of only the applicant is considered. When both spouses are applying, each spouse is allowed an income of $2,523 a month. In 2022, Washington Apple Health Medicaid waivers have an individual monthly income limit of $2,523. This is a complicated process involving a review of a couple’s or individual’s income, bank accounts, investments, and properties. Individuals also must be financially qualified for Medicaid. Seniors must require assistance with two or more Activities of Daily Living, such as bathing and getting dressed, and need a nursing home level of care. These supports include coverage for home modifications to increase the resident’s safety and access, durable medical equipment to increase one’s independence, and transportation assistance to get to medical appointments and for other errands.Įligibility Guidelines General RequirementsĪpplicants must be at least 65 years of age or be disabled and between the ages of 18 and 64. This Home and Community Based Services program provides not only care, but also other supports to enable a successful transition to independent living or assisted living. COPES, for short, is a Washington State Medicaid (Apple Health) waiver program designed to enable individuals who require nursing home level care to receive that care in their home or alternative care environment, such as an assisted living residence. Thousands of Washington state seniors benefit from the Community Options Program Entry System. It does this through Medicaid Waivers, which are also called Home and Community Based Services (HCBS) Waivers or Waiver Funded Services. For those who wish to live at home or in assisted living, sometimes Medicaid will pay for care in those locations if it can be obtained at a lower cost than in a nursing home. See their webpage here or call 36.For persons with limited financial resources, Medicaid pays for nursing home care. You can also contact the Washington State Department of Health, which regulates hospitals.Learn more about how to understand your hospital bill by downloading this brochure or this Word template.If you don’t have health insurance at all, contact There are a broad variety of plans available, and if you qualify for the state’s Apple Health program, you may be able to get coverage for bills already incurred-even though you didn’t have insurance at the time you were in the hospital.Every hospital in Washington State is required to offer charity care contact them directly for their policies and application. You may qualify for financial support that will reduce your bill. If you need help paying a hospital bill, there are things you can do:Ĭontact the hospital billing office and ask for information about financial assistance and charity care. Washington’s hospitals are committed to ensuring patients get the hospital care they need regardless of their ability to pay for that care. Providing health care to those that cannot afford to pay is part of the mission of Washington’s hospitals, and state law requires hospitals to provide free and discounted inpatient and outpatient care.
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