Add Washington Apple Health for Kids and Expansion programs

changelog_entry.yaml

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+- bump: minor
+  changes:
+    added:
+      - Add Washington Apple Health for Kids and Apple Health Expansion programs.

policyengine_us/parameters/gov/states/wa/hca/apple_health/expansion/eligibility/in_effect.yaml

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+description: Washington provides Apple Health Expansion coverage for eligible adults.
+metadata:
+  unit: bool
+  period: year
+  label: Washington Apple Health Expansion program in effect
+  reference:
+    - title: WAC 182-525-0300 - Apple Health expansion coverage
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-525-0300
+    - title: HCA Apple Health Expansion Overview
+      href: https://www.hca.wa.gov/about-hca/programs-and-initiatives/apple-health-medicaid/apple-health-expansion
+    - title: ESSB 5187 Section 211(83) - 2023-2025 budget proviso
+      href: https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/Session%20Laws/Senate/5187-S.SL.pdf
+
+values:
+  2020-01-01: false
+  2024-06-21: true

policyengine_us/parameters/gov/states/wa/hca/apple_health/expansion/eligibility/income_limit.yaml

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+description: Washington sets this income limit for Apple Health Expansion as a fraction of FPL.
+metadata:
+  unit: /1
+  period: year
+  label: Washington Apple Health Expansion income limit as fraction of FPL
+  reference:
+    - title: WAC 182-525-0300 - Apple Health expansion coverage
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-525-0300
+    - title: HCA Income Standards (HCA 19-0096)
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2024-06-21: 1.38

policyengine_us/parameters/gov/states/wa/hca/apple_health/expansion/eligibility/min_age.yaml

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+description: Washington requires this minimum age for Apple Health Expansion.
+metadata:
+  unit: year
+  period: year
+  label: Washington Apple Health Expansion minimum age
+  reference:
+    - title: WAC 182-525-0300 - Apple Health expansion coverage
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-525-0300
+
+values:
+  2024-06-21: 19

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/eligibility/age_limit.yaml

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+description: Washington sets this maximum age for Apple Health for Kids.
+metadata:
+  unit: year
+  period: year
+  label: Washington Apple Health for Kids maximum age
+  reference:
+    - title: RCW 74.09.470 - Medical care for children
+      href: https://app.leg.wa.gov/rcw/default.aspx?cite=74.09.470
+    - title: WAC 182-505-0210 - Children's eligibility
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0210
+
+values:
+  2019-01-01: 19

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/eligibility/in_effect.yaml

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+description: Washington provides Apple Health for Kids coverage for eligible children.
+metadata:
+  unit: bool
+  period: year
+  label: Washington Apple Health for Kids program in effect
+  reference:
+    - title: RCW 74.09.470 - Medical care for children
+      href: https://app.leg.wa.gov/rcw/default.aspx?cite=74.09.470
+    - title: HCA Apple Health for Children
+      href: https://www.hca.wa.gov/free-or-low-cost-health-care/i-need-medical-dental-or-vision-care/children
+
+values:
+  2019-01-01: true

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/income_limit/free.yaml

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+description: Washington sets this income limit for free Apple Health for Kids coverage as a fraction of FPL.
+metadata:
+  unit: /1
+  period: year
+  label: Washington Apple Health for Kids free coverage income limit as fraction of FPL
+  reference:
+    - title: WAC 182-505-0100 - Income standards (210% FPL statutory)
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0100
+    - title: HCA Income Standards (HCA 19-0096) - operational thresholds with 5pp disregard
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2019-01-01: 2.15

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/income_limit/tier_1.yaml

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+description: Washington sets this income limit for Apple Health for Kids Tier 1 as a fraction of FPL.
+metadata:
+  unit: /1
+  period: year
+  label: Washington Apple Health for Kids Tier 1 income limit as fraction of FPL
+  reference:
+    - title: WAC 182-505-0225 - Premium requirements (260% FPL statutory)
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0225
+    - title: HCA Income Standards (HCA 19-0096) - operational thresholds with 5pp disregard
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2019-01-01: 2.65

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/income_limit/tier_2.yaml

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+description: Washington sets this income limit for Apple Health for Kids Tier 2 as a fraction of FPL.
+metadata:
+  unit: /1
+  period: year
+  label: Washington Apple Health for Kids Tier 2 income limit as fraction of FPL
+  reference:
+    - title: WAC 182-505-0100 - Income standards (312% FPL statutory)
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0100
+    - title: HCA Income Standards (HCA 19-0096) - operational thresholds with 5pp disregard
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2019-01-01: 3.17

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/premium/tier_1_household_max.yaml

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+description: Washington sets this maximum household premium for Apple Health for Kids Tier 1.
+metadata:
+  unit: currency-USD
+  period: month
+  label: Washington Apple Health for Kids Tier 1 household maximum premium
+  reference:
+    - title: WAC 182-505-0225 - Premium requirements (no more than 2 children)
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0225
+    - title: HCA Income Standards (HCA 19-0096)
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2019-01-01: 40

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/premium/tier_1_per_child.yaml

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+description: Washington sets this per-child premium for Apple Health for Kids Tier 1.
+metadata:
+  unit: currency-USD
+  period: month
+  label: Washington Apple Health for Kids Tier 1 premium per child
+  reference:
+    - title: WAC 182-505-0225 - Premium requirements ($20/child for 210-260% FPL)
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0225
+    - title: HCA Income Standards (HCA 19-0096)
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2019-01-01: 20

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/premium/tier_2_household_max.yaml

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+description: Washington sets this maximum household premium for Apple Health for Kids Tier 2.
+metadata:
+  unit: currency-USD
+  period: month
+  label: Washington Apple Health for Kids Tier 2 household maximum premium
+  reference:
+    - title: WAC 182-505-0225 - Premium requirements (no more than 2 children)
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0225
+    - title: HCA Income Standards (HCA 19-0096)
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2019-01-01: 60

policyengine_us/parameters/gov/states/wa/hca/apple_health/kids/premium/tier_2_per_child.yaml

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+description: Washington sets this per-child premium for Apple Health for Kids Tier 2.
+metadata:
+  unit: currency-USD
+  period: month
+  label: Washington Apple Health for Kids Tier 2 premium per child
+  reference:
+    - title: WAC 182-505-0225 - Premium requirements ($30/child for 260-312% FPL)
+      href: https://app.leg.wa.gov/wac/default.aspx?cite=182-505-0225
+    - title: HCA Income Standards (HCA 19-0096)
+      href: https://www.hca.wa.gov/assets/free-or-low-cost/income-standards.pdf
+
+values:
+  2019-01-01: 30

policyengine_us/tests/policy/baseline/gov/states/wa/hca/apple_health/costs/wa_apple_health_cost_if_enrolled.yaml

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+- name: Eligible child - Apple Health for Kids
+  period: 2024
+  absolute_error_margin: 1
+  input:
+    households:
+      household:
+        state_code: WA
+        members: [child]
+    people:
+      child:
+        age: 10
+        medicaid_income_level: 2.0  # 200% FPL - below 317% threshold
+  output:
+    wa_apple_health_cost_if_enrolled: 3_643.43  # 3,188,000,000 / 875,000
+
+- name: Eligible expansion adult - undocumented
+  period: 2025
+  absolute_error_margin: 1
+  input:
+    households:
+      household:
+        state_code: WA
+        members: [adult]
+    people:
+      adult:
+        age: 35
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.2  # 120% FPL - below 138% threshold
+        is_pregnant: false
+  output:
+    wa_apple_health_cost_if_enrolled: 8_792.99  # 7,773,000,000 / 884,000
+
+- name: Ineligible - adult citizen (not expansion eligible)
+  period: 2024
+  absolute_error_margin: 0.01
+  input:
+    households:
+      household:
+        state_code: WA
+        members: [adult]
+    people:
+      adult:
+        age: 35
+        immigration_status: CITIZEN
+        medicaid_income_level: 1.2
+  output:
+    wa_apple_health_cost_if_enrolled: 0
+
+- name: Ineligible - child over income threshold
+  period: 2024
+  absolute_error_margin: 0.01
+  input:
+    households:
+      household:
+        state_code: WA
+        members: [child]
+    people:
+      child:
+        age: 10
+        medicaid_income_level: 4.0  # 400% FPL - above 317% threshold
+  output:
+    wa_apple_health_cost_if_enrolled: 0

policyengine_us/tests/policy/baseline/gov/states/wa/hca/apple_health/costs/wa_apple_health_group.yaml

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+# Tests for Washington Apple Health spending group
+
+- name: Apple Health Kids eligible maps to CHILD group
+  period: 2024
+  input:
+    age: 10
+    medicaid_income_level: 2.0  # 200% FPL
+    state_code: WA
+  output:
+    wa_apple_health_group: CHILD
+
+- name: Apple Health Expansion eligible maps to EXPANSION_ADULT group
+  period: 2025
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_group: EXPANSION_ADULT
+
+- name: Ineligible person maps to NONE group
+  period: 2024
+  input:
+    age: 30
+    immigration_status: CITIZEN
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_group: NONE

policyengine_us/tests/policy/baseline/gov/states/wa/hca/apple_health/expansion/eligibility/wa_apple_health_expansion_eligible.yaml

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+# Tests for Washington Apple Health Expansion eligibility
+
+- name: Undocumented adult with low income eligible in 2025
+  period: 2025
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: true
+
+- name: Undocumented adult at income limit eligible
+  period: 2025
+  input:
+    age: 45
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.38  # 138% FPL (at limit)
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: true
+
+- name: Undocumented adult with income above limit NOT eligible
+  period: 2025
+  input:
+    age: 35
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.5  # 150% FPL (above 138% limit)
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false
+
+- name: US citizen NOT eligible regardless of income
+  period: 2025
+  input:
+    age: 30
+    immigration_status: CITIZEN
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false
+
+- name: Legal permanent resident NOT eligible
+  period: 2025
+  input:
+    age: 30
+    immigration_status: LEGAL_PERMANENT_RESIDENT
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false
+
+- name: DACA recipient NOT eligible (pending HCA clarification)
+  period: 2025
+  input:
+    age: 25
+    immigration_status: DACA
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false
+
+- name: Pregnant undocumented adult NOT eligible (must use pregnancy programs)
+  period: 2025
+  input:
+    age: 28
+    immigration_status: UNDOCUMENTED
+    is_pregnant: true
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false
+
+- name: Undocumented child NOT eligible (must use Apple Health for Kids)
+  period: 2025
+  input:
+    age: 15
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false
+
+- name: Program NOT in effect before June 2024
+  period: 2023
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false
+
+- name: 19-year-old eligible (at minimum age)
+  period: 2025
+  input:
+    age: 19
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: true
+
+- name: 18-year-old NOT eligible (below minimum age)
+  period: 2025
+  input:
+    age: 18
+    immigration_status: UNDOCUMENTED
+    is_pregnant: false
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: WA
+  output:
+    wa_apple_health_expansion_eligible: false