Washington offers more than one route to care outside a nursing facility. HCA points to Home and Community Services waivers, Developmental Disabilities Administration waivers, and Community First Choice as the main Apple Health options that let someone stay home with paid assistance. Which pathway fits depends on functional eligibility, financial eligibility, age or disability status, the care setting, and which program is administering the benefit.
For SSI-related applicants seeking a home-and-community-based waiver, Washington compares gross countable income to the special income level — though certain HCS-authorized programs may apply a higher threshold when income exceeds that level but net income still falls under the medically needy income limit.
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