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Washington Revised Code Title 74. Public Assistance § 74.39A.326. In-home personal care or respite services to family members--Department not authorized to pay--Exceptions--Enforcement--Rules

Current as of January 01, 2025 | Updated by Findlaw Staff

(1)(a) Except as provided under (b) of this subsection, the department shall not pay a home care agency licensed under chapter 70.127 RCW for in-home personal care or respite services provided under this chapter, Title 71A RCW, or chapter 74.39 RCW if the care is provided to a client by a family member of the client. To the extent permitted under federal law, the provisions of this subsection shall not apply if the family member providing care is older than the client.

(b) The department may, on a case-by-case basis based on the client's health and safety, make exceptions to (a) of this subsection to authorize payment or to provide for payment during a transition period of up to three months. Within available funds, the restrictions under (a) of this subsection do not apply when the care is provided to: (i) A client who is an enrolled member of a federally recognized Indian tribe; or (ii) a client who resides in the household of an enrolled member of a federally recognized Indian tribe.

(2) The department shall take appropriate enforcement action against a home care agency found to have charged the state for hours of service for which the department is not authorized to pay under this section, including requiring recoupment of any payment made for those hours and, under criteria adopted by the department by rule, terminating the contract of an agency that violates a recoupment requirement.

(3) For purposes of this section:

(a) “Client” means a person who has been deemed eligible by the department to receive in-home personal care or respite services.

(b) “Family member” shall be liberally construed to include, but not be limited to, a parent, child, sibling, aunt, uncle, cousin, grandparent, grandchild, grandniece, or grandnephew, or such relatives when related by marriage.

(4) The department shall adopt rules to implement this section. The rules shall not result in affecting the amount, duration, or scope of the personal care or respite services benefit to which a client may be entitled pursuant to RCW 74.09.520 or Title XIX of the federal social security act.

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Cite this article: FindLaw.com - Washington Revised Code Title 74. Public Assistance § 74.39A.326. In-home personal care or respite services to family members--Department not authorized to pay--Exceptions--Enforcement--Rules - last updated January 01, 2025 | https://codes.findlaw.com/wa/title-74-public-assistance/wa-rev-code-74-39a-326/

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