In Washington State, anyone who has reasonable cause to believe that a child has suffered abuse or neglect can, in good faith, report. Mandated reporters are required by law to report concerns to the local Children’s Administration office, Child Abuse Hotline or law enforcement. A partial list of mandated reports includes: medical practitioners, professional school personnel, social services workers, coroners, medical examiners, licensed pathologists, registered pharmacists, licensed or certified child care providers, Department of Social and Health Services employees, Department of Early Learning employees, juvenile probation officers, law enforcement personnel, Department of Corrections, staff of responsible living skills programs, Guardians ad litem (GALs), and Court Appointed Special Advocates (CASAs).
The nation's major program for providing health and long-term care coverage to low-income people under Title XIX of the Social Security Act is known as Medicaid, and is a state-administered health insurance program that is jointly funded by the federal and state governments. Medicaid is an open-ended entitlement program, with states receiving federal reimbursement for the eligible claims they submit. The federal matching rate depends on the state's per capita income. Medicaid can also be used by states for certain services and activities related to child welfare, including targeted case management and rehabilitative services. States can also claim Medicaid dollars for transportation to and from providers, and administrative costs associated with these activities. Medicaid is a health care safety net for millions of low-income children. Medicaid provided health care to 40.4 million low-income people in 1998-2007 million children, 8.6 million adults in families, 4.1 million elderly, and 7 million individuals who were blind or disabled.