This section describes the employment requirements for the
basic coverage group (BCG) and the medical improvement group (MIG) for the
apple health for workers with disabilities (HWD) program.
(1) For the purpose of the HWD program,
employment means a person:
(a) Gets paid for
working;
(b) Has earnings that are
subject to federal income tax; and
(c) Has payroll taxes taken out of earnings
received, unless self-employed.
(2) To qualify for HWD coverage as a member
of the BCG, a person must be employed full or part time.
(3) To qualify for HWD coverage as a member
of the MIG, a person must be:
(a) Working at
least forty hours per month; and
(b) Earning at least the local minimum wage
as described under section 6 of the Fair Labor Standards Act (
29
U.S.C.
206) .
(4) For a person who is self-employed, the
examples described in the
Social Security Administration Program
Operations Manual System (POMS) provide guidance when determining
whether someone meets the HWD work requirements. (See SSA POMS Section SI
00820.200,
http://secure.ssa.gov/poms.nsf/lnx/0500820200).
The guidelines described in POMS for determining the existence of a trade or
business may also be used when making this determination. (See SSA POMS Section
RS 01802.010,
https://secure.ssa.gov/apps10/poms.nsf/lnx/0301802010).
Notes
Wash. Admin.
Code §
182-511-1200
Amended by
WSR
19-23-063, Filed 11/15/2019, effective
1/1/2020
11-24-018, recodified as WAC 182-511-1200, filed 11/29/11,
effective 12/1/11. Statutory Authority:
RCW
74.08.090, Section 1902(a)(10)(A)(ii) of the
Social Security Act, and 2001 c 7 § 209(5), Part II. 02-01-073, § 388-475-1200,
filed 12/14/01, effective 1/14/02.