Wash. Rev. Code » Title 74 · Chapter 74.04

Wash. Rev. Code § 74.04.050

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(1) The department is designated as the single state agency to administer the following public assistance programs:
(a) Temporary assistance for needy families;
(b) Child welfare services; and
(c) Any other programs of public assistance for which provision for federal grants or funds may from time to time be made, except as otherwise provided by law.
(2) The authority is hereby designated as the single state agency to administer the medical services programs established under chapter 74.09 RCW, including the state children's health insurance program, Titles XIX and XXI of the federal social security act of 1935, as amended. As the state's medicaid agency, the authority is responsible for providing reasonable oversight of all medicaid program integrity activities required by federal regulation. The authority shall establish and maintain effective internal control over any state agency that receives medicaid funding in compliance with federal regulation.
(3) The department and the authority are hereby empowered and authorized to cooperate in the administration of such federal laws, consistent with the public assistance laws of this state, as may be necessary to qualify for federal funds.
(4) The state hereby accepts and assents to all the present provisions of the federal law under which federal grants or funds, goods, commodities, and services are extended to the state for the support of programs referenced in this section, and to such additional legislation as may subsequently be enacted as is not inconsistent with the purposes of this title, authorizing public welfare and assistance activities. The provisions of this title shall be so administered as to conform with federal requirements with respect to eligibility for the receipt of federal grants or funds.
(5) The department and the authority shall periodically make application for federal grants or funds and submit such plans, reports and data, as are required by any act of congress as a condition precedent to the receipt of federal funds for such assistance. The department and the authority shall make and enforce such rules and regulations as shall be necessary to insure compliance with the terms and conditions of such federal grants or funds.
[ 2023 c 439 s 2; 2011 1st sp.s. c 15 s 64; 1981 1st ex.s. c 6 s 3; 1981 c 8 s 3; 1963 c 228 s 3; 1959 c 26 s 74.04.050. Prior: 1955 c 273 s 21; 1953 c 174 s 6; 1939 c 216 s 6; RRS s 10007-106a.]

Notes:

Intent—Finding—2023 c 439: "(1) The legislature intends to ensure that the medicaid program is operating under sound fiscal stewardship. This requires dedicated program integrity efforts focused on paying the right dollar amount to the right provider for the right reason. Strengthening program integrity efforts helps to ensure that every medicaid dollar stretches as far as possible for those insured through medicaid.
(2) The legislature finds that the health care authority is responsible for overseeing all of Washington's medicaid programs, including those administered by other state agencies. Effective oversight by the health care authority will advance the legislature's objective of ensuring that the right services are delivered to the right person at the right time with measurable outcomes." [ 2023 c 439 s 1.]
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
Effective date—Severability—1981 1st ex.s. c 6: See notes following RCW 74.04.005.
Notes of Decisions
Cited in 14 cases (2 in the last 5 years), 1981–2026 · leading case: Davis v. Department of Social & Health Services
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Davis v. Department of Social & Health Services (2008) washctapp “031; RCW 74.04.050; ch. 26.44 RCW (statutory authority for WAC 388-15-009(5)).”
Green v. DEPT. OF SOCIAL & HEALTH SERVICES (2011) washctapp · cites it 3× “§§ 2011-2036 ; [3] former RCW 74.04.050 (1981); RCW 74.04.500; former WAC 388-400-0040(2).”
Samantha A. v. Dept. of Social Svcs. (2011) wash “shall not be less in amount, duration, or scope than the medical assistance made available to any other such individual.”
Dunakin v. Quigley (2015) wawd “See RCW 74.04.050. On September 25, 2014, DSHS described the PASRR process as it relates to individuals with intellectual disabilities or related conditions in guidance it issued to all Washington nursing facilities as follows: PASRR is a long-standing federal requirement (42…”
Samantha A. v. Department of Social & Health Services (2011) wash “¶16 The federal Medicaid comparability provision mandates that a state Medicaid plan must provide “that the medical assistance made available to any individual . . . shall not be less in amount, duration, or scope than the medical assistance made available to any other such…”
State v. Thompson (1981) wash “Amendments promulgated by DSHS to WAC 388-96-719(3) and (4), 388-96-735(2)(d) and 388-96-743 filed June 29, 1979, July 3, 1979, September 26, 1979, and October 3, 1979, and adopted November 21, 1979, were declared void as in excess of authority authorized DSHS by RCW 74.04.050,…”
M.R. v. Dreyfus (2011) wawd “Only some categories of “medical assistance,” such as inpatient and outpatient hospital care, are mandatory for participating States, while others, such as in-home “personal care services,” are optional.”
Green v. Department of Social & Health Services (2011) washctapp · cites it 3× “§§ 2011-2036 ; 3 former RCW 74.04.050 (1981); RCW 74.04.500; former WAC 388-400-0040(2).”
SAH Ex Rel. SJH v. DEPT. OF SOCIAL & HEALTH SERV. (2006) washctapp “RCW 74.04.050; RCW 74.09.500. DSHS is authorized by statute to make rules and regulations consistent with the spirit and purpose of the program and to compel compliance with those rules and regulations.”
S.A.H. ex rel. S.J.H. v. Department of Social & Health Services (2006) washctapp “RCW 74.04.050, 74.09.500. DSHS is authorized by statute to make rules and regulations consistent with the spirit and purpose of the program and to compel compliance with those rules and regulations.”
Chehalis Children's Clinic, P.s. v. Washington State Health Care Authority (2018) washctapp “RHCs are clinics located in rural areas that engage in primarily outpatient or ambulatory care typically provided in a physician’s office or an outpatient clinic.”
In Re The Guardianship Of Marguerite Rogers v. Dshs (2018) washctapp “"22 There was no evidence that any of Wamba's fees were incurred as a requirement for Rogers to receive Social Security income. Wamba does not cite any legal support for the proposition that the superior court can dictate to the Department or the HCA what income they can and…”
Show all 14 citing cases →
— Wash. Rev. Code § 74.04.050(1)(b) — 1 case
J.M.I. v. State (2026) wash
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