Revised Code of Washington

Wash. Rev. Code § 74.39A.170 (2026)

✓ current as of May 2026
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(1) All payments made in state-funded long-term care shall be recoverable as if they were medical assistance payments subject to recovery under 42 U.S.C. Sec. 1396p and chapter 43.20B RCW, but without regard to the recipient's age.
(2) In determining eligibility for state-funded long-term care services programs, the department shall impose the same rules with respect to the transfer of assets for less than fair market value as are imposed under 42 U.S.C. 1396p with respect to nursing home and home and community services.
(3) It is the responsibility of the department to fully disclose in advance verbally and in writing, in easy to understand language, the terms and conditions of estate recovery to all persons offered long-term care services subject to recovery of payments.
(4) In disclosing estate recovery costs to potential clients, and to family members at the consent of the client, the department shall provide a written description of the community service options.
(5) The department of social and health services shall develop an implementation plan for notifying the client or his or her legal representative at least quarterly of the types of services used and the cost of those services (debt) that will be charged against the estate. The estate planning implementation plan shall be submitted by December 12, 1999, to the appropriate standing committees of the house of representatives and the senate, and to the joint legislative and executive task force on long-term care.
[ 1999 c 354 s 1; 1995 1st sp.s. c 18 s 56.]

Notes:

Conflict with federal requirementsSeverabilityEffective date1995 1st sp.s. c 18: See notes following RCW 74.39A.030.
Recovery for state-funded long-term careLegislative intent: RCW 43.20B.090.
Notes of Decisions
Cited in 1 case (1 in the last 5 years), 2023–2023 · leading case: Est. Of David Lynch, App V. Washington Healthcare Auth., Resp (Wash. Ct. App. 2023).
Est. Of David Lynch, App V. Washington Healthcare Auth., Resp (Wash. Ct. App. 2023). “[a]ssign rights to the Medicaid agency to medical support and to payment for medical care from any third party.” 42 C.F.R. § 435.610 . In addition, the legislature has instructed DSHS to recover costs of state-funded long term care services from a person’s estate.”
— Wash. Rev. Code § 74.39A.170(1) — 1 case
Est. Of David Lynch, App V. Washington Healthcare Auth., Resp (Wash. Ct. App. 2023). “[a]ssign rights to the Medicaid agency to medical support and to payment for medical care from any third party.” 42 C.F.R. § 435.610 . In addition, the legislature has instructed DSHS to recover costs of state-funded long term care services from a person’s estate.”
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