reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0285 - Who is a qualified provider of behavior management? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0285, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0285, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0290 - Are there limits to behavior management? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0290, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0290, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0300 - What is parent and sibling education?

Current through Register Vol. 24-14, July 15, 2024
(1) Parent and sibling education is training
				  for parents and siblings who have a family member with a developmental
				  disability offering relevant topics. Training may include coping with family
				  stress, addressing a child's behavior, managing the family's daily schedule, or
				  advocating for a child with a developmental disability.
(2) The provider of parent and sibling
				  education must be providing a service in your person-centered service plan
				  (PCSP), contracted with DDA, and licensed, registered, or certified as:
(a) An audiologist;
(b) An American Sign Language
				  instructor;
(c) A certified
				  dietician;
(d) A licensed practical
				  nurse;
(e) A marriage and family
				  therapist;
(f) A mental health
				  counselor;
(g) A
				  nutritionist;
(h) An occupational
				  therapist;
(i) A physical
				  therapist;
(j) A
				  psychologist;
(k) A registered
				  counselor;
(l) A registered
				  nurse;
(m) A sex offender treatment
				  provider;
(n) A social worker;
				  or
(o) A speech and language
				  pathologist.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0305 - Who are qualified providers for parent/sibling education? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and
						71A.12.161. 10-07-124, §
						388-832-0305, filed 3/23/10, effective 4/23/10. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0305, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0308 - How is parent/sibling education paid? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0308, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0308, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0310 - Are there limitations to parent/sibling education? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0310, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0310, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0315 - What are recreational opportunities?

Current through Register Vol. 24-14, July 15, 2024
(1) Recreational opportunities are
				  activities, such as summer camps, day trips, or typical activities available in
				  your community.
(2) Recreational
				  opportunities may include memberships in civic groups, clubs, crafting classes,
				  or classes outside of K-12 school curriculum or sports activities.
(3) Recreational opportunities may be a
				  reimbursable expense through a developmental disabilities administration (DDA)
				  contract.
(4) The following limits
				  apply to recreational opportunities:
(a)
				  Recreational opportunities must occur in your community or an out-of-state
				  bordering city under WAC
				  388-832-0333.
(b) DDA does not pay for recreational
				  opportunities that may pose a risk to you or the community at large.
(c) DDA does not pay for supplies or
				  materials related to recreational opportunities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0320 - How are recreational opportunities paid for? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0320, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0320, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0325 - Are there limitations to recreation opportunities? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0325, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0325, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0330 - Do I have a choice of IFS program services? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0330, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0330, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0331 - May I receive IFS program services out-of-state? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0331, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0332 - May I choose my provider? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0332, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0332, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › SERVICES › Section 388-832-0333 - What limits apply to state-funded IFS program services?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to the state-funded individual
					 and family services (IFS) program:
(1)
				  State-funded IFS program services are limited to available funding.
(2) A state-funded IFS program service must
				  address an unmet need identified in your person-centered service plan
				  (PCSP).
(3) Any item reimbursed
				  with state funds under the IFS program must not duplicate or replace items
				  provided to you under private insurance or medicaid.
(4) State-funded IFS program services are
				  authorized only after you have requested and have been denied other resources
				  available to you through private insurance, school, the division of vocational
				  rehabilitation, child development services, medicaid, including personal care
				  and community first choice, and other supports.
(5) All state-funded IFS program service
				  payments must be agreed to by you and the developmental disabilities
				  administration (DDA) in your PCSP.
(6) To receive reimbursement for goods or
				  services purchased for a DDA client, the purchaser must have a reimbursement
				  contract with DDA.
(7) DDA does not
				  pay for treatment that is experimental or investigational under WAC
				  182-531-0550.
(8) DDA does not cover vitamins or
				  supplements.
(9) Your choice of
				  qualified providers and services may be limited to the most cost-effective
				  option that meets your assessed need.
(10) Services must not be provided after a
				  client's death.
(11) DDA's
				  authorization period begins when you have agreed to be in the state-funded IFS
				  program and your PCSP is effective.
(12) If you have not accessed a state-funded
				  IFS program service at least once per plan year, DDA will disenroll you from
				  the state-funded IFS program.
(13)
				  The state-funded IFS program must not pay for psychological evaluations or
				  testing, or DNA testing.
(14) You
				  may receive state-funded IFS program services in a recognized out-of-state
				  bordering city on the same basis as in-state services. Recognized bordering
				  cities include:
(a) Coeur d'Alene, Moscow,
				  Sandpoint, Priest River, and Lewiston, Idaho, and
(b) Portland, The Dalles, Hermiston, Hood
				  River, Rainier, Milton-Freewater, and Astoria, Oregon.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › ONE-TIME AWARDS › Section 388-832-0335 - What is a one-time award?

Current through Register Vol. 24-14, July 15, 2024
(1) A
				  one-time award is a payment that must be used for architectural or vehicle
				  modifications, or specialized medical equipment and supplies.
(2) You may be eligible for a one-time award
				  if:
(a) You have a one-time, unmet
				  need;
(b) You are not currently
				  authorized for the state-funded individual and family services (IFS) program or
				  home and community based services waiver in your person-centered service plan
				  (PCSP);
(c) You are at least three
				  years old and live with family;
(d)
				  The need is critical to the health or safety of you or your caregiver;
				  and
(e) You and your family have no
				  other resource to meet the need or your resources do not cover all of the
				  expense.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › ONE-TIME AWARDS › Section 388-832-0340 - Who is eligible for a one-time award?

Current through Register Vol. 24-14, July 15, 2024
You are eligible to be considered for a one-time award
					 if:
(1) You are not currently
				  authorized for IFS program services in your ISP;
(2) You meet the eligibility for the IFS
				  program;
(3) The need is critical
				  to the health or safety of you or your caregiver; and
(4) You and your family have no other
				  resource to meet the need or your resources do not cover all of the
				  expense.
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0340, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0340, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › ONE-TIME AWARDS › Section 388-832-0345 - Are there limitations to one-time awards?

Current through Register Vol. 24-14, July 15, 2024
(1) One-time awards are limited to
				  individuals and families on the IFS request list.
(2) One-time awards are limited to
				  architectural/vehicular modifications or specialized equipment.
(3) One-time awards cannot exceed six
				  thousand dollars in a twenty-four month period.
(4) One-time awards must be approved by the
				  DDD regional administrator or designee.
(5) Eligibility for a one-time award does not
				  guarantee approval and authorization of the service by DDD. Services are based
				  on availability of funding.
(6)
				  One-time awards will be prorated by the number of other members in the
				  household who use these modifications or specialized equipment.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and
						71A.12.161. 10-07-124, §
						388-832-0345, filed 3/23/10, effective 4/23/10. Statutory Authority: RCW
						71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. 09-11-054, §
						388-832-0345, filed 5/13/09, effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0345, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › ONE-TIME AWARDS › Section 388-832-0350 - How do I request a one-time award?

Current through Register Vol. 24-14, July 15, 2024
If you have a need for a one-time award, you may make the
					 request to your case manager.
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0350, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0350, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › ONE-TIME AWARDS › Section 388-832-0353 - Do I need to have a DDD assessment before I receive a one-time award?

Current through Register Vol. 24-14, July 15, 2024
You need to have a DDD assessment before receiving a
					 one-time award.
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0353, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0353, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › EMERGENCY › Section 388-832-0355 - What is an emergency service?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Emergency services are respite care, nursing services, or positive behavior
				  support and consultation in response to a single incident, situation, or
				  short-term crisis.
(2) You may be
				  eligible for emergency services if you are age three or older, live with your
				  family, and:
(a) You lose your caregiver due
				  to caregiver hospitaliza-tion or death;
(b) There are changes in your caregiver's
				  mental or physical status resulting in your caregiver's inability to perform
				  effectively for you; or
(c) There
				  are significant changes in your emotional or physical condition that require
				  emergency services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › EMERGENCY › Section 388-832-0360 - What situations qualify for emergency services?

Current through Register Vol. 24-14, July 15, 2024
The following situations qualify as an emergency:
(1) You lose your family caregiver due to
				  caregiver hospitalization, or death;
(2) There are changes in your caregiver's
				  mental or physical status resulting in your family caregiver's inability to
				  perform effectively for you; or
(3)
				  There are significant changes in your emotional or physical condition that
				  require emergency services.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0360, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › EMERGENCY › Section 388-832-0365 - Who is a qualified provider of emergency services?

Current through Register Vol. 24-14, July 15, 2024
The provider of the service you need to meet your emergency
					 must meet the provider qualifications required to contract for that specific
					 service per the following:
(1) Respite
				  per WAC 388-832-0155.
(2) Behavior management per WAC
				  388-832-0285.
(3) Nursing per WAC
				  388-845-1705.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0365, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › EMERGENCY › Section 388-832-0366 - What limitations apply to emergency services?

Current through Register Vol. 24-14, July 15, 2024
(1) Emergency services may be granted to
				  individuals and families who are on the IFS wait list and have an emergent
				  need.
(2) Funds are provided for a
				  limited period not to exceed ninety days.
(3) All requests are reviewed and approved or
				  denied by the regional administrator or designee.
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0366, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0366, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › EMERGENCY › Section 388-832-0367 - What if the client or family situation requires more than ninety days of emergency service?

Current through Register Vol. 24-14, July 15, 2024
If the client or family situation requires more than ninety
					 days of emergency services, DDD will conduct an administrative review of DDD
					 services to determine if the need can be met through other
					 services.
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0367, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0367, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › EMERGENCY › Section 388-832-0369 - Do I need to have a DDD assessment before I receive an emergency service?

Current through Register Vol. 24-14, July 15, 2024
You do not need to have a DDD assessment before receiving
					 an emergency service; however the regional manager/designee may request a DDD
					 assessment for a client at any time.
Statutory Authority: RCW 71A.12.30 [71A.12.030],
						71A.12.040, and Title 71A RCW. 09-11-054, § 388-832-0369, filed 5/13/09,
						effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0369, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › GRANTS › Section 388-832-0370 - What are community service grants?

Current through Register Vol. 24-14, July 15, 2024
Community service grants are grants to agencies or
					 individuals to promote community-oriented projects that benefit families.
					 Community service grants may fund long-term or short-term projects that benefit
					 children, adults, or both.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0370, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › GRANTS › Section 388-832-0375 - How does a proposal for a community service grant project qualify for funding?

Current through Register Vol. 24-14, July 15, 2024
Community service grants are limited to available funding.
					 To qualify for funding, a proposed project must be approved by the assistant
					 secretary or designee and:
(1) Address
				  one or more of the following topics:
(a)
				  Provider support and development;
(b) Parent helping parent; or
(c) Community resource development for
				  inclusion of all.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › HEARINGS AND APPEALS › Section 388-832-0460 - How will DDD notify me of decisions? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and
						71A.12.161. 10-07-124, §
						388-832-0460, filed 3/23/10, effective 4/23/10. Statutory Authority: RCW
						71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. 09-11-054, §
						388-832-0460, filed 5/13/09, effective 6/13/09. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0460, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-832 - Individual and family services program › HEARINGS AND APPEALS › Section 388-832-0470 - What are my appeal rights under the state-funded individual and family services program?

Current through Register Vol. 24-14, July 15, 2024
(1) You have the
				  right to an administrative hearing under chapter 388-825 WAC.
(2) If the developmental disabilities
				  administration (DDA) ends your state-funded individual and family services
				  (IFS) program services, you will receive written notice of the decision
				  explaining your administrative hearing rights.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.040, and 2007 c 283.
						08-16-121, § 388-832-0470, filed 8/5/08, effective
						9/5/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0005 - Definitions

Current through Register Vol. 24-14, July 15, 2024
"
Crisis
" means a set of circumstances or events
				  that:
(1) Put a participant at risk of
				hospitalization, institutionalization, or loss of residence;
(2) Exceeds a participant's individual
				ability to cope/ remain stable; or
(3) Exceeds the ability of the participant's
				caregivers to provide necessary supports.
"CRM/SW/SSS"
means the DDA case resource
				  manager, DDA social worker, or DDA social service specialist assigned to an
				  individual or participant in the intensive habilitation services (IHS) for
				  children program.
"Developmental disabilities administration"
or
"DDA"
means the developmental disabilities administration within
				  the department of social and health services.
"IHS review team"
means DDA staff who review
				  referrals to the IHS for children program.
"Individual"
means a person who has a
				  developmental disability as defined in
				  RCW
				  71A.10.020(5) who also has
				  been determined eligible to receive services by the administration under
				  chapter 71A.16 RCW. Other terms used in the field include "client" and
				  "resident."
"Participant"
means the individual who is
				  accessing the intensive habilitation services.
"Participant team"
means individuals who work
				  together to provide formal and informal supports to a participant. A typical
				  team includes IHS staff, the CRM/ SW/SSS, the participant's family/legal
				  representative(s), and service providers working with the participant.
"Regional clinical team"
means DDA staff who may
				  respond to crisis situations by providing assessment, training, behavior
				  support and consultation as well as behavioral health stabilization services to
				  DDA enrolled individuals.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0010 - What is the purpose of the intensive habilitation services for children program?

Current through Register Vol. 24-14, July 15, 2024
The purpose of the intensive habilitation services for
				  children program is to provide short-term behavioral health supports to
				  participants who are in crisis.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0015 - Who is eligible for the intensive habilitation services for children program?

Current through Register Vol. 24-14, July 15, 2024
A person is eligible for the intensive habilitation services
				  for children program if:
(1) The
				person is eligible for DDA services under chapter 388-823 WAC;
(2) The person is eligible for medicaid
				services;
(3) The person or their
				legal representative voluntarily consents to intensive habil-itation
				services;
(4) The person is age
				eight or older but under age twenty-one;
(5) The person has no pending investigations
				of abuse or neglect with the department of children, youth, and families;
				and
(6) DDA determines the person
				needs the level of service provided in the intensive habilitation services for
				children program.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0020 - How long may a participant receive services from the intensive habilitation services for children program?

Current through Register Vol. 24-14, July 15, 2024
The participant may receive services for a maximum of one
				  hundred eighty consecutive days per admission, from the date of admission to
				  the program.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0025 - How does an individual access intensive habilitation services for children?

Current through Register Vol. 24-14, July 15, 2024
The individual or family/legal representative may request
				  intensive habilitation services for children through the
				  CRM/SW/SSS.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0030 - How is a decision made for participation in the intensive habilitation services for children program?

Current through Register Vol. 24-14, July 15, 2024
(1)
				Placement in the intensive habilitation services (IHS) for children program is
				only considered when there are no other DDA services available that can safely
				and appropriately meet the individual's needs.
(2) Through a referral process, review and
				discussion, the IHS review team determines whether the individual needs the
				level of service provided in the program. When there are multiple clients
				requesting the IHS program services, placement is offered at the sole
				discretion of the IHS review team to the client who currently demonstrates the
				greatest need for services.
(3) DDA
				and the family/legal representative must be in agreement about the need for IHS
				and that placement in the program is in the client's best interest.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0045 - What are the expectations of family/legal representative when their child is in the intensive habilitation services for children program?

Current through Register Vol. 24-14, July 15, 2024
Family/legal representatives retain custody of their child
				  at all times when the child is receiving services in the intensive habilitation
				  services (IHS) for children program. Family/legal representative
				  responsibilities include, but are not limited to, the following:
(1) Maintain ongoing and regular contact with
				their child;
(2) Agree to work
				cooperatively with their child's DDA CRM/SW/SSS, and other DSHS staff and
				persons caring for the child;
(3)
				Participate in decision making for the child;
(4) The right to make all nonemergency
				decisions about medical care, enlistment in military service, marriage and
				other important legal decisions for the person under eighteen years of age;
				and
(5) Agree that if their child's
				IHS placement disrupts, their child will return to the parents physical care
				until a new placement is developed.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0050 - Who pays for the participant's care when they are in the intensive habilitation services for children program?

Current through Register Vol. 24-14, July 15, 2024
A combination of state and federal funds cover the cost of
				  the participant's care while in the intensive habilitation services for
				  children program. The family/legal representative is encouraged to support the
				  participant with typical items or activities, e.g., presents, clothing, special
				  items, special outings which are not supported by state or federal
				  funds.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-833 - Community crisis stabilization service program › Section 388-833-0055 - What appeal rights do I have?

Current through Register Vol. 24-14, July 15, 2024
(1) You
				have the right to appeal decisions made by DDA in accordance with WAC
				388-825-120
				through
				388-825-165.
(2) Once the one hundred eighty day maximum
				stay is reached, the intensive habilitation services (IHS) have been completed
				and terminating the service and returning the participant to another
				residential placement is not considered a termination, denial, or move to a
				different type of residential service as described in WAC
				388-825-120.
(3) A participant may appeal eligibility for
				the IHS program but participation in the program is determined by WAC
				388-833-0030
				and is dependent on bed and funding availability. There is no appeal right to
				an IHS participation determination.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0001 - What is the purpose of this chapter?

Current through Register Vol. 24-14, July 15, 2024
This chapter explains the duties of the developmental
				  disabilities administration (DDA) and the rights of individuals regarding
				  "preadmission screening and resident review" (PASRR). PASRR is a process
				  required by federal law to ensure that individuals with serious mental illness
				  or intellectual disability are not inappropriately admitted to
				  medicaid-certified nursing facilities (NF or nursing facility), and to ensure
				  that when such individuals are appropriately admitted they receive the
				  specialized services they require.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0005 - Who is affected by the rules in this chapter?

Current through Register Vol. 24-14, July 15, 2024
The rules in this chapter affect individuals who are:
(1) Being referred to a medicaid-certified
				nursing facility who have, or may have, an intellectual disability or related
				condition as defined in this chapter; and
(2) Individuals who have been determined to
				have an intellectual disability or related condition and who are residing in a
				medicaid-certified nursing facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0010 - "Appropriate placement"

Current through Register Vol. 24-14, July 15, 2024
"Appropriate placement"
is the placement of an
				  individual with mental illness and/or intellectual disability or related
				  condition in a NF when the individual's needs meet the minimum standards for
				  admission to a NF and do not exceed the level of services which can be
				  delivered in the particular NF to which the individual is admitted. A
				  particular NF is not an appropriate placement either when its normal nursing
				  services are inadequate to meet the needs of the individual, or when the
				  individual is unable to access necessary specialized services at that
				  facility.
"DDA PASRR assessor
" is a DDA employee who
				  performs PASRR level II evaluations, as described in section 388-834-0020
				  WAC.
"Intellectual disability or related condition"
means a condition that meets the criteria listed in
				  42 C.F.R.
				  §483.102 (b)(3) and
				  42 C.F.R.
				  §435.1010. A client enrolled in DDA is
				  already determined to have a condition meeting these criteria, but eligibility
				  for DDA is not required for a determination that an individual has an
				  intellectual disability or related condition.
"PASRR level I screening"
means a screening that
				  is completed when an individual is referred to a medicaid-certi-fied nursing
				  facility by a physician, hospital, or other referring entity or when a NF
				  resident experiences a significant change of condition.
"PASRR level II evaluation
" means an evaluation
				  that is completed when a possible intellectual disability or related condition
				  or serious mental illness is identified by the PASRR level I screening. The
				  level II determines whether the person: has an intellectual disability or
				  related condition, needs nursing facility care, and needs specialized services
				  for intellectual disability or related condition or serious mental illness
				  while in the nursing facility.
"Specialized service"
means a service or device,
				  in addition to nursing facility care, required by a nursing facility resident
				  who has an intellectual disability or related condition to function with as
				  much self-determination and independence as possible and/or to preserve or
				  increase the individual's functional status per
				  42 C.F.R.
				  §483.120.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0015 - When is a PASRR level I completed?

Current through Register Vol. 24-14, July 15, 2024
When an individual is referred to a medicaid-certi-fied
				  nursing facility, a PASRR level I screening is completed to determine if the
				  individual has a serious mental illness, an intellectual disability or related
				  condition, or both.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0020 - Is a PASRR level I or level II required for a readmission or interfacility transfer?

Current through Register Vol. 24-14, July 15, 2024
(1) A
				readmission occurs when an individual is readmitted to a nursing facility from
				a hospital to which he or she was transferred for the purpose of receiving
				care. Readmissions are not subject to preadmission screening if the PASRR
				process was completed upon the initial admission and the information remains
				accurate.
(2) An interfacility
				transfer occurs when an individual is transferred from one NF to another NF,
				with or without an intervening hospital stay. Transfers are not subject to
				preadmission screening if the PASRR process was completed upon the initial
				admission and the information remains accurate. The sending facility is
				responsible for ensuring that copies of the resident's most recent PASRR and
				resident assessment reports accompany the transferring resident.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0025 - When is a PASRR level II completed?

Current through Register Vol. 24-14, July 15, 2024
(1) If a PASRR level I screening indicates
				that the individual either has or may have a serious mental illness, an
				intellectual disability or related condition, or both, the screener must refer
				the individual to a contracted mental health PASRR evaluator (for serious
				mental illness) and/or a DDA PASRR evaluator (for intellectual disability or
				related condition) for a PASRR level II evaluation.
(2) If a person meets the criteria for both
				serious mental illness and intellectual disability or related condition, both
				evaluations must be completed.
(3)
				If a NF resident who has a serious mental illness or an intellectual disability
				or related condition experiences a significant change of condition, a new level
				II evaluation is completed.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0030 - How is the PASRR level II evaluation completed for screenings indicating an intellectual disability or related condition?

Current through Register Vol. 24-14, July 15, 2024
When an individual is referred to a DDA PASRR evaluator for
				  a level II evaluation, the DDA PASRR evaluator reviews the individual's records
				  and speaks with the individual and others who have relevant information. The
				  DDA PASRR evaluator determines:
(1)
				Whether the individual does in fact have an intellectual disability or related
				condition;
(2) If so, whether
				nursing facility placement is appropriate to meet his or her needs;
				and
(3) If so, whether the
				individual will require specialized services while at the nursing
				facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0035 - Can an individual be admitted to a nursing facility before the PASRR level II evaluation is completed?

Current through Register Vol. 24-14, July 15, 2024
(1) If a level I screening does not identify
				a possible serious mental illness or intellectual disability or related
				condition, the individual may be admitted to a nursing facility
				directly.
(2) If a level I screener
				has referred an individual for a level II evaluation, the individual cannot be
				admitted to a nursing facility until the level II evaluation is completed,
				except when:
(a) The individual is admitted
				directly from a hospital after receiving acute inpatient care;
(b) The individual requires nursing facility
				services for the condition for which he or she received care in the hospital;
				and
(c) The individual's attending
				physician has certified in the PASRR level I that the individual is likely to
				require fewer than thirty days of nursing facility services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0040 - What is the process when a DDA PASRR evaluator determines that nursing facility placement is appropriate for an individual and that the individual requires specialized services?

Current through Register Vol. 24-14, July 15, 2024
When a DDA PASRR evaluator determines through a level II
				  evaluation that a nursing facility is an appropriate placement for an
				  individual, and that the individual will require specialized services while
				  residing in the nursing facility, the evaluator:
(1) Informs the individual and his or her
				family or guardian (as appropriate) of the determinations and the individual's
				appeal rights;
(2) Provides the
				nursing facility with a copy of the PASRR level II evaluation; and
(3) Coordinates with the individual, nursing
				facility, and service provider to ensure that the recommended specialized
				services are provided.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0045 - How does DDA provide notice of PASRR determinations?

Current through Register Vol. 24-14, July 15, 2024
(1) DDA provides written notice of all PASRR
				determinations to the following entities:
(a)
				The evaluated individual and his or her legal representative;
(b) The admitting or retaining nursing
				facility;
(c) The individual or
				resident's attending physician; and
(d) The discharging hospital, unless the
				individual is exempt from preadmission screening as provided for at
				388-834-0035 (1), (2), or (4).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0050 - What appeal rights does an individual have related to PASRR?

Current through Register Vol. 24-14, July 15, 2024
(1) Individuals who
				have been evaluated by a DDA PASRR evaluator have the right to an
				administrative hearing to dispute the following determinations by the
				evaluator:
(a) That nursing facility
				placement is not appropriate to meet the individual's needs;
(b) That the individual does not require
				specialized services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-834 - Preadmission screening and resident review (PASRR) › Section 388-834-0055 - Are there any other rules related to PASRR?

Current through Register Vol. 24-14, July 15, 2024
PASRR requirements for medicaid-certified nursing facilities
				  may be found in chapter 388-97 WAC, as well as in 42 C.F.R. §483 Subpart C
				  483.100 - 483.138.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-835 - ICF/ID program and reimbursement system › PURPOSE › Section 388-835-0005 - What is the purpose of this chapter?

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose of this chapter is to
				  establish rules authorized by Title 71A RCW, Developmental disabilities that:
(a) Regulate the purchase and provision of
				  services in intermediate care facility for those with an intellectual
				  disability (ICF/ID); and
(b) Assure
				  adequate ICF/ID care, service, and protection are provided through licensing
				  and certification procedures; and
(c) Establish standards for providing
				  habilitative training, health-related care, supervision, and residential
				  services to eligible persons.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-835 - ICF/ID program and reimbursement system › DEFINITIONS › Section 388-835-0015 - What is a "beneficial owner"?

Current through Register Vol. 24-14, July 15, 2024
A beneficial owner is any person who:
(1) Has or shares, by contract, arrangement,
				  understanding, relationship, or otherwise, the power to:
(a) Vote or direct the voting of an ownership
				  interest; and/or
(b) Invest,
				  including the power to dispose of or direct the disposition of an ownership
				  interest.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-835 - ICF/ID program and reimbursement system › DEFINITIONS › Section 388-835-0020 - What is a "change in ownership"?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  A "change in ownership" is a change in the individual or legal organization
				  responsible for the daily operation of an ICF/ID facility.
(2) Types of events causing a change in
				  ownership include but are not limited to:
(a)
				  Changing the form of legal organization of the owner, such as a sole
				  proprietorship becomes a partnership or corporation;
(b) Transferring the title to the ICF/ID
				  enterprise from the provider to another party;
(c) Leasing the ICF/ID facility to another
				  party or an existing lease is terminated;
(d) When the provider is a partnership, any
				  event that dissolves the partnership;
(e) When the provider is a corporation and
				  the corporation:
(i) Is dissolved;
(ii) Merges with another corporation which is
				  the survivor; or
(iii) Consolidates
				  with one or more other corporations to form a new corporation.