Medically Needy Program Eligibility

 

Is my child eligible for Medicaid?

If a youth was eligible for Medicaid prior to admission to CLIP, they will continue to be eligible during their treatment at LIP. If a child was not eligible for Medicaid prior to their CLIP admission, they will be eligible now due to the “Medically Needy Program (MNP)” Chapter 182-519 WAC for more information regarding eligibility for the MNP.

How is eligibility determined?

Eligibility is determined based on income under the child's name and the need for longer-term treatment. CLIP treatment is very costly. The average monthly charge ranges from $14,000- $25,000. Most youth stay in treatment for at least six months. Very few families can afford this level of care to the National Medicaid rules allows children to be edible for Medicaid due to their need for longer-term inpatient psychiatric treatment and income under the child's name regardless of the families’ income. Together federal and state governments share the total cost of the child's treatment based on his or her eligibility for Medicaid. The federal government decide that any income of the child (not the family) must help to pay towards this total cost.

 

What are examples of income under a child's name?

  • Supplemental Security Income (SSI) payments in the child’s name
  • Social Security Disability Survivor Benefits in the child’s name
  • Child support payments
  • The child’s portion of a parent’s Social Security Disability Claim-this is called a dependent child benefit
  • Trust funds or other investments that are in the child’s name
  • What if I already use the child’s income to pay for other crucial household expenses?
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What if I already use the child’s income to pay for other crucial household expenses?

We ask you to take a close look at your household budget and think about what you can cut in order to follow the federal rules. If you would lose your housing or your child's discharge will be affected because of this payment, please talk to your primary contact at the CLIP program. WE may be able to work out a payment arrangement or find ways to help with the child's participation amount.

Questions? Call 206-588-2985

contactclip@clipadministration.org

 

2940 Westlake Ave N. #301

Seattle, WA 98109

P: 206-588-2985 | F: 206-859-6432

Children's Long-term Inpatient Program (CLIP)