Medicaid Client Participation During the Public Health Emergency

Medicaid Client Participation During the Public Health Emergency

DSHS issued the following release this week regarding Medicaid client participation.  To view the release, you can visit here.

“Under the COVID-19 Public Health Emergency (PHE), the Department has maintained the amount clients pay towards their cost of care if a change would have caused an increase. On the client letter this is called participation. Participation is calculated based on income and allowable deductions. (Chapter 182-515 WAC and WAC 182-513-1380).

The Federal Government published a new regulation which permits states to adjust participation during the COVID-19 Public Health Emergency. 42 C.F.R. § 433.400(c)(3). This rule is effective on 11/3/2020.

In response, the department will be reviewing and adjusting the participation clients are responsible to pay based on current income and allowable deductions.   On cases where there is a change, a letter will be issued to reflect the client responsibility towards their cost of care.

During the PHE, Medicaid will continue unless a client is no longer a Washington state resident, the client requests termination, or is deceased.”




David Carter | Director, Health Care Finance & Policy

C 360.888.5702

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