reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1705 - What services may I receive under supportive housing?

Current through Register Vol. 24-14, July 15, 2024
(1) The services
				  you may receive under supportive housing include but are not limited to
				  activities that assist you to:
(a) Identify
				  appropriate housing;
(b) Prepare
				  for and transition to housing;
(c)
				  Connect with direct and collateral services;
(d) Maintain your housing; and
(e) Develop and maintain a positive
				  relationship with your landlord and other tenants.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1710 - Where may I receive supportive housing services?

Current through Register Vol. 24-14, July 15, 2024
(1) You may receive supportive housing
				  services in:
(a) Your place of residence;
				  or
(b) The community setting where
				  the authorized service occurs.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1715 - Who may provide supportive housing services?

Current through Register Vol. 24-14, July 15, 2024
To provide supportive housing services, supportive housing
					 providers must meet minimum qualifications as established by DSHS supportive
					 housing contract language and pass a DSHS criminal history background
					 check.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1720 - Am I eligible for supportive housing funded services?

Current through Register Vol. 24-14, July 15, 2024
You are eligible for supportive housing services if you
					 meet the following criteria:
(1) Meet
				  functional eligibility as defined in WAC
				  388-106-0210,
				  388-106-0277,
				  388-106-0310,
				  388-106-0338,
				  or
				  388-106-1410;
(2) Meet financial eligibility as defined in
				  chapters 182-513 and 182-515 WAC;
(3) Have a planned discharge or diversion
				  from Eastern or Western State Hospital; or
(4) You meet one or more of the following
				  criteria:
(a) Chronically homeless;
(b) History of frequent or lengthy
				  institutional stays;
(c) History of
				  frequent or lengthy adult residential care or treatment stays;
(d) Experienced frequent turnover of in-home
				  caregivers or providers;
(e) A
				  PRISM risk score of at least 1.5.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1725 - When do supportive housing services begin?

Current through Register Vol. 24-14, July 15, 2024
Your supportive housing services begin on the date the
					 department authorizes your supportive housing services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1730 - How do I remain eligible for supportive housing?

Current through Register Vol. 24-14, July 15, 2024
(1) To remain eligible for supportive housing
				  you must remain functionally eligible as defined in WAC
				  388-106-0210,
				  388-106-0277,
				  388-106-0310,
				  388-106-0338, or
				  388-106-1410 and financially
				  eligible as defined in chapters 182-513 and 182-515 WAC.
(2) If eligibility laws, regulations, or
				  rules for supportive housing change, and if you do not meet the changed
				  eligibility requirements, the department will terminate your services, even if
				  your functional or financial circumstances have not changed.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1735 - Do I have to pay for my supportive housing services?

Current through Register Vol. 24-14, July 15, 2024
The department will not require you to pay toward the cost
					 of your supportive housing services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1740 - What are my rights when I receive supportive housing services in a setting owned by a service provider?

Current through Register Vol. 24-14, July 15, 2024
(1) In a
				  provider owned supportive housing setting, you have the right to:
(a) A lease or legally enforceable agreement
				  that provides you with the same responsibilities and protection from eviction
				  that tenants have under landlord tenant law;
(b) Privacy in your living unit, including a
				  lock on your door;
(c) A choice of
				  roommates, if you choose to have a roommate;
(d) Decorate your living unit within the
				  parameters of your lease agreement;
(e) Control your schedule and choose the
				  activities you participate in; and
(f) Have visitors when you choose.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1745 - May I be employed and receive supportive housing services?

Current through Register Vol. 24-14, July 15, 2024
You may be employed and receive supportive housing
					 services as long as you remain medicaid eligible under the categorically needy
					 (CN) program or alternative benefit plan (ABP) program.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1750 - Are there limits to the supportive housing services I receive?

Current through Register Vol. 24-14, July 15, 2024
There are limits to the supportive housing services you
					 receive. Supportive housing services must not:
(1) Exceed the amount authorized by the
				  department;
(2) Replace or
				  duplicate existing services already available to you such as foundational
				  community supports as defined in WAC 182-559-100; or
(3) Include payment for rent, food, and
				  utilities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1755 - Are there waiting lists for supportive housing?

Current through Register Vol. 24-14, July 15, 2024
The department may create a waiting list for supportive
					 housing services in accordance with funding appropriation.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1760 - Do I have the right to an administrative hearing regarding supportive housing services?

Current through Register Vol. 24-14, July 15, 2024
Yes, you may request an administrative hearing based on the
					 rules outlined in WAC
					 388-106-1305 to contest the
					 department's supportive housing service eligibility
					 decisions.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › SUPPORTIVE HOUSING › Section 388-106-1765 - When may the department terminate or deny supportive housing services?

Current through Register Vol. 24-14, July 15, 2024
The department may deny or terminate supportive housing
					 services if you are not eligible for long-term care services pursuant to WAC
					 388-106-0047,
					 388-106-0210,
					 388-106-0277,
					 388-106-0310,
					 388-106-0338, or
					 388-106-1410.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1800 - What definitions apply to LTSS PE?

Current through Register Vol. 24-14, July 15, 2024
"Acute care hospital" as defined in chapter 182-550 WAC,
					 may offer inpatient services, outpatient services, continuous nursing services,
					 pharmacy services, food services, and necessary ancillary services. These
					 hospitals may offer specialized patient care services including alcoholism and
					 chemical dependency units or services.
"Care plan" means the document generated using the
					 presumptive eligibility assessment screening tool in CARE that identifies the
					 long-term services and supports you are eligible to receive during the
					 presumptive eligibility period.
"Community psychiatric hospital" means a specialized
					 psychiatric hospital or psychiatric unit within a community hospital that is
					 certified to provide involuntary evaluation and treatment services.
"Diversion" means you have discharged from a local
					 community psychiatric facility onto HCS LTSS and have a 90- or 180-day
					 commitment order for further involuntary treatment; or you are detained through
					 the Involuntary Treatment Act and are stabilized and discharged onto LTSS prior
					 to the need to petition for a 90- or 180- day commitment order.
"LTSS" means Long-term Services and Supports as defined in
					 WAC 182-513-1100.
"MPC" means Medicaid Personal Care which is defined as
					 personal care services in WAC
					 388-106-0010.
"NFLOC" means nursing facility level of care as defined in
					 WAC 388-106-0355.
"PE screening" means the functional and financial
					 assessment completed using the presumptive eligibility screening tool within
					 CARE to determine presumptive eligibility for LTSS NFLOC PE services or LTSS
					 MPC PE services.
"Presumptive eligibility" means a determination made using
					 a screening process completed by the department to gather preliminary
					 information to determine if you meet the eligibility criteria described in WAC
					 388-106-1805 and
					 388-106-1815 of this section to
					 receive services while the final eligibility determination is being completed.
					 This is also known as PE.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1805 - Am I eligible for LTSS NFLOC PE services?

Current through Register Vol. 24-14, July 15, 2024
You are eligible to receive LTSS NFLOC PE services if you
					 meet the following criteria based upon the attested information in your PE
					 screening:
(1) Meet functional
				  eligibility requirements as defined in WAC
				  388-106-0355 (1)(a), (b), (c), or
				  (d); and
(2) Meet financial eligibility requirements
				  as defined in WAC
				  182-513-1315; and
(3) Will be discharging from an acute care
				  hospital or diverting from a community psychiatric hospital; or
(4) Have discharged or diverted from an acute
				  care hospital or community psychiatric hospital in the last 30 days;
				  and
(5) Live in your own home as
				  defined in WAC
				  388-106-0010; and
(6) Are not receiving any other medicaid
				  funded long-term services and supports.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1810 - What services may I receive under LTSS NFLOC PE?

Current through Register Vol. 24-14, July 15, 2024
You may receive the following services under LTSS NFLOC
					 PE:
(1) Up to a maximum of 103 hours a
				  month of personal care services as defined in WAC
				  388-106-0010;
(2) Nurse delegation, as defined in WAC
				  388-106-0270;
(3) Personal Emergency Response System
				  (PERS), as defined in WAC
				  388-106-0270;
(4) Home delivered meals, as defined in WAC
				  388-106-0300;
(5) Specialized medical equipment and
				  supplies, as defined in WAC
				  388-106-0300;
(6) Assistive/Adaptive technology and
				  equipment, as defined in WAC
				  388-106-0270;
(7) Community transition or sustainability
				  services as defined in WAC
				  388-106-0270, which are
				  nonrecurring set-up items and services to assist with expenses to move from an
				  acute care hospital or diversion from a psychiatric hospital stay to an in-home
				  setting and may include:
(a) Security deposits
				  that are required to lease an apartment or home;
(b) Activities to assess need, arrange for,
				  and obtain needed resources, including essential household
				  furnishings;
(c) Set-up fees or
				  deposits for utility or services access, including telephone, electricity,
				  heating, water, and garbage;
(d)
				  Services necessary for your health and safety such as pest eradication and
				  one-time cleaning prior to occupancy;
(e) Moving expenses; and
(f) Minor home accessibility modifications
				  necessary for hospital discharge.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1815 - Am I eligible for LTSS MPC PE services?

Current through Register Vol. 24-14, July 15, 2024
You are eligible to receive LTSS MPC PE services if you
					 meet the following criteria based upon the attested information in your PE
					 screening:
(1) Meet functional
				  eligibility requirements as defined in WAC
				  388-106-0210; and
(2) Meet financial eligibility requirements
				  as defined in WAC
				  182-513-1225; and
(3) Will be discharging from an acute care
				  hospital or diverting from a community psychiatric hospital; or
(4) Have discharged or diverted from an acute
				  care hospital or community psychiatric hospital in the last 30 days;
				  and
(5) Live in your own home as
				  defined in WAC
				  388-106-0010; and
(6) Are not receiving any other medicaid
				  funded long-term services and supports.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1820 - What services may I receive under LTSS MPC PE?

Current through Register Vol. 24-14, July 15, 2024
Under LTSS MPC PE you may receive up to 34 hours per month
					 of personal care services as defined in WAC
					 388-106-0010.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1825 - Who can provide long-term care services when I am eligible for LTSS NFLOC or LTSS MPC PE services?

Current through Register Vol. 24-14, July 15, 2024
The following types of providers can provide long-term care
					 services:
(1) Individual providers
				  (IPs) as defined in WAC
				  388-115-0503, who provide
				  services to clients in the client's own home.
(2) Home care agencies that provide services
				  to clients in the client's own home. Home care agencies must be licensed under
				  chapter 70.127 RCW and chapter 246-335 WAC and contracted with the
				  department.
(3) Providers who have
				  contracted with the department to perform other services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1830 - When will the department authorize my LTSS NFLOC or LTSS MPC PE services?

Current through Register Vol. 24-14, July 15, 2024
The department will authorize LTSS NFLOC PE or LTSS MPC PE
					 services when you:
(1) Are found both
				  financially and functionally eligible for PE services by completing your PE
				  screening which includes the amount of participation toward the cost of your
				  care that you must pay (if any);
(2) Have given consent for services and
				  approved your care plan; and
(3)
				  Have chosen a DSHS qualified provider(s), per WAC
				  388-71-0510.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1835 - When do LTSS NFLOC PE or LTSS MPC PE services end?

Current through Register Vol. 24-14, July 15, 2024
(1) Your LTSS NFLOC PE or LTSS MPC PE
				  services end with the earlier date of:
(a)
				  The date the decision was made on your application as defined in WAC
				  388-106-0010;
(b) The date you were confirmed by a CARE
				  assessment to not meet functional eligibility criteria as defined in WAC
				  388-106-0355 or
				  388-106-0210; or
(c) The last day of the month following the
				  month in which your presumptive eligibility services were authorized if you did
				  not submit your application.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1840 - Where can I receive LTSS NFLOC PE or LTSS MPC PE services?

Current through Register Vol. 24-14, July 15, 2024
You can receive LTSS NFLOC PE or LTSS MPC PE
					 services:
(1) In your own home as
				  defined in WAC
				  388-106-0010;
(2) While you are out of your home accessing
				  the community or working while:
(a) within
				  the state of Washington; or
(b) in
				  a recognized out-of-state bordering city as defined in WAC
				  182-501-0175.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1845 - What do I pay for if I receive LTSS NFLOC PE or LTSS MPC PE services?

Current through Register Vol. 24-14, July 15, 2024
(1) If you receive
				  LTSS MPC PE services you are not required to pay toward the cost of care for
				  those services.
(2) If you receive
				  LTSS NFLOC PE, you may be required to pay toward the cost of your care as
				  outlined in WAC
				  182-515-1509. You are allowed to
				  keep some of your income for a maintenance allowance.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1850 - Do I have a right to an administrative hearing on LTSS NFLOC PE or LTSS MPC PE determinations?

Current through Register Vol. 24-14, July 15, 2024
Applicants do not have an administrative hearing right as
					 defined in chapter 388-02 WAC on LTSS NFLOC PE or LTSS MPC PE eligibility
					 determinations.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › LONG-TERM SERVICES AND SUPPORTS (LTSS) PRESUMPTIVE ELIGIBILITY (PE) › Section 388-106-1855 - Can an exception to rule (ETR) be granted for eligibility or service determinations?

Current through Register Vol. 24-14, July 15, 2024
ETRs will not be granted for LTSS NFLOC PE or LTSS MPC PE
					 eligibility determinations or service determinations.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1905 - Am I eligible for MAC services?

Current through Register Vol. 24-14, July 15, 2024
(1) You are eligible to receive MAC services
				  if you, as a care receiver, meet the following criteria:
(a) Are age 55 or older;
(b) Meet nursing facility level of care as
				  defined in WAC
				  388-106-0355;
(c) Meet medicaid financial eligibility
				  requirements as defined in WAC
				  182-513-1605;
(d) Have an unpaid caregiver who:
(i) Is age 18 or older;
(ii) Has participated in the following:
(A) Care plan for step one
				  services;
(B) TCARE screening and
				  care plan for step two services; or
(C) TCARE assessment and care plan for step
				  three services;
(e) Live in a private residence (such as your
				  own home or a family member's home) and choose to receive community based
				  services; and
(f) Do not receive
				  any other medicaid funded long-term services and supports (LTSS) while
				  receiving MAC services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1910 - Am I eligible for TSOA services?

Current through Register Vol. 24-14, July 15, 2024
(1) You are eligible to receive TSOA services
				  if you, as a care receiver, meet the following criteria:
(a) Are age 55 or older;
(b) Meet nursing facility level of care as
				  defined in WAC
				  388-106-0355;
(c) Meet financial eligibility requirements
				  defined in WAC
				  182-513-1615
				  or
				  182-513-1620;
(d) Live in a private residence (such as your
				  own home or a family member's home) and choose to receive community-based
				  services; and
(e) Meet the criteria
				  in either (e)(i) or (ii) of this subsection:
(i) Have an unpaid caregiver who is age 18 or
				  older and has participated in the following:
(A) A care plan for step one
				  services;
(B) A TCARE screening and
				  care plan for step two services; or
(C) A TCARE assessment and care plan for step
				  three services; or
(ii)
				  You do not have an available caregiver and have participated in the following:
(A) A care plan for step one
				  services;
(B) A GetCare screening
				  and care plan for step two services; or
(C) A GetCare assessment and care plan for
				  step three services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1915 - What services may I receive in MAC and TSOA?

Current through Register Vol. 24-14, July 15, 2024
MAC and TSOA services include the following three benefit
					 levels referred to as steps in subsections (1) through (3) of this section. You
					 and your family caregiver may receive services under any of the three steps
					 depending upon your requests and needs identified in the screening process for
					 step two and the assessment process for step three. Steps do not need to be
					 used in order. For example, you may begin services at step two or three. In
					 general, step one services are used by caregivers or care receivers requesting
					 lesser supports than those using step three services.
(1) Step one: After the department obtains
				  your demographics and approves your program eligibility, you may receive the
				  following services:
(a) Information and
				  referrals to family caregiver or community resources;
(b) A selection of the following services up
				  to a one time limit of $250:
(i) Training and
				  education, which includes but is not limited to:
(A) Support groups;
(B) Group training;
(C) Caregiver coping and skill building
				  training;
(D) Consultation on
				  supported decision making;
(E)
				  Caregiver training to meet the needs of the care receiver;
(F) Financial or legal consultation;
				  and
(G) Health and wellness
				  consultation;
(ii)
				  Specialized medical equipment and supplies for the care receiver, which
				  includes but is not limited to:
(A)
				  Supplies;
(B) Specialized medical
				  equipment, which includes durable medical equipment; and
(C) Assistive technology;
(iii) Caregiver assistance
				  services, which includes but is not limited to short term respite to allow the
				  caregiver to attend an educational event or training series; and
(iv) Health maintenance and therapy supports,
				  which may include but are not limited to:
(A)
				  Adult day health;
(B) RDAD and
				  evidence based exercise programs;
(C) Health promotion and wellness services;
				  and
(D) Counseling related to
				  caregiving role.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1920 - What is the maximum amount of step three services I may receive a month?

Current through Register Vol. 24-14, July 15, 2024
(1) Unless the
				  department authorizes additional funds through an exception to rule under WAC
				  388-440-0001,
				  beginning January 1, 2019, the maximum amount of step three services you and
				  your caregiver may receive in MAC and TSOA will be published on the ALTSA/HCS
				  rates website at:
https://www.dshs.wa.gov/sites/default/files/ALTSA/msd/documents/All_HCS_Rates.pdf
.
(2) If you are a care receiver who
				  does not have an available unpaid caregiver, you are receiving TSOA personal
				  assistance services, and the department has not authorized additional funds
				  through an exception to rule under WAC
				  388-440-0001,
				  beginning January 1, 2019, the maximum amount of step three services you may
				  receive will be published on the ALTSA/HCS rates website at:
https://www.dshs.wa.gov/sites/default/files/ALTSA/msd/documents/All_HCS_Rates.pdf
.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1921 - How does the TCARE assessment determine what step three services are recommended to my caregiver?

Current through Register Vol. 24-14, July 15, 2024
(1) The TCARE
				  assessment process gathers the following information reflecting the current
				  status of both you and your caregiver in order to recommend services for your
				  caregiver:
(a) TCARE screening scores from the
				  five measures described in WAC 388-106-1931;
(b) Caregiver obligations;
(c) Caregiver's phase in the caregiving
				  journey;
(d) Potential risk of
				  out-of-home placement;
(e) Care
				  receiver's need for assistance with activities of daily living and instrumental
				  activities of daily living;
(f)
				  Care receiver's memory status, physical health conditions, and behavioral
				  support needs; and
(g) Caregiver's
				  understanding of the care receiver's level of need and the ability to safely
				  provide care with the assistance of available resources/services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1925 - What are the goals in TCARE?

Current through Register Vol. 24-14, July 15, 2024
The three primary goals for caregivers identified in TCARE
					 are:
(1) Maintain current identity:
				  The goal appropriate for caregivers who experience modest levels of identity
				  discrepancy and stress and are willing and able to continue in their current
				  role. Suggested support services will help caregivers make small adjustments in
				  their personal norms and the manner in which they undertake their caregiving
				  responsibilities.
(2) Embrace
				  caregiver identity: The goal appropriate for caregivers who are likely to
				  benefit from embracing a stronger identity as a caregiver and releasing, to
				  some degree, their commitment to a familial identity. Suggested support
				  services will encourage the caregiver to accept a greater identity with the
				  caregiver role.
(3) Reduce
				  caregiver identity: The goal appropriate for caregivers who are engaged in a
				  level of caregiving that requires emotional or physical resources beyond their
				  capability. Suggested support services will encourage caregivers to explore
				  ways to reduce workload and stress related to their caregiving role.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1930 - What is the purpose of the TCARE assessment?

Current through Register Vol. 24-14, July 15, 2024
The purpose of the TCARE assessment is to gather critical
					 information about the caregiving context, identity, strengths, problems and
					 concerns. These data are used to identify strategies and goals to address your
					 caregiver's needs. Program limits are established in WAC 388-106-1915.
(1) The five strategies in TCARE are:
(a) Strategy A: Change personal rules for
				  care, which entails encouraging and helping your caregiver to change or adjust
				  their personal rules or norms.
(b)
				  Strategy B: Reduce or minimize work load, which focuses on reducing the amount
				  or intensity of your care-giver's work load and therefore aligns your
				  caregiver's behaviors with their expectations.
(c) Strategy C: Support positive
				  self-appraisal, which focuses on offering positive affirmation and assuring
				  your caregiver that the behaviors that they must engage in as a caregiver are
				  consistent with their norms.
(d)
				  Strategy D: Reduce generalized stress, which focuses on giving your caregiver
				  tools and skills to cope with daily stresses of caregiving.
(e) Strategy E: Improve overall health, which
				  encourages your caregiver to seek appropriate health services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1931 - What are the TCARE screening measures?

Current through Register Vol. 24-14, July 15, 2024
The following six TCARE screening measures and response
					 options will be presented to your caregiver in order to receive step two
					 services and to determine whether a TCARE assessment is needed for step three
					 services:
(1) Identity discrepancy:
				  The following are some thoughts and feelings that people sometimes experience
				  when they assist their receiver:
(a) I am not
				  always able to be the person I want to be when I am with my care
				  receiver.
(b) It is difficult for
				  me to accept all the responsibility for my care receiver.
(c) I am not sure that I can accept any more
				  responsibility than I have right now.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1932 - How is the TCARE screening scored to determine if my caregiver is eligible for a TCARE assessment and related step three services?

Current through Register Vol. 24-14, July 15, 2024
(1) The TCARE screening measures are scored
				  with a number value of one through six for the measure on identity discrepancy
				  or one through five for the remaining measures based upon the care-giver's
				  responses. Ranges for each measure determine whether the measure score is high,
				  medium, or low. One high or three medium scores from the table in this
				  subsection, except for the uplifts measure, will make a caregiver eligible for
				  a TCARE assessment and step three services as described in WAC
				  388-106-1915(3)(a)(ii).
				  The following table indicates the score ranges for each measure:
High
Medium
Low
Identity discrepancy
13-18
8-12
3-7
Relationship burden
10-18
6-9
3-5
Objective burden
9-12
5-8
2-4
Stress burden
9-12
6-8
2-5
Uplifts
10-18
6-9
3-5
Depression-CESD
14-16
7-13
4-6
(2) The scale used to score the responses
				  within the identity discrepancy, relationship, objective, stress, and uplift
				  measures are:
(a) Strongly disagree =
				  one;
(b) Disagree = two;
(c) Disagree a little = three;
(d) Agree a little = four;
(e) Agree = five; and
(f) Strongly agree = six.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1933 - How is the GetCare screening scored to determine if I am eligible for a GetCare assessment and related step three services?

Current through Register Vol. 24-14, July 15, 2024
(1) To be eligible for a GetCare assessment,
				  care plan, and associated step three services as described in WAC
				  388-106-1915(3)(b)(ii),
				  a TSOA individual without a caregiver must have a moderate or high risk score
				  resulting from the thirteen screening questions listed in the following table:
No.
Question
Scoring
Response
Score
Response
Score
Response
Score
Response
Score
1
Do you need help to do the following? Bathing Bed
							 mobility Medication management Transferring Ambulating Eating Toileting
							 Dressing Personal hygiene
Zero to two selected
Zero
Three or more selected
Two
2
Do you need help turning and repositioning?
No
Zero
Yes
Two
3
Who helps you with daily activities?
No one
One
Fam-ily/friend/othe r/paid help
Zero
4
During the last six months, have you had a fall that
							 caused injuries?
No
Zero
Yes
Two
5
Have you had a hospitalization, or been admitted to a
							 nursing facility, or both, in the past six months?
No
Zero
Yes
Two
6
Have you received rehabilitation in the past six
							 months?
No
Zero
Yes
Two
7
Have you been treated in an emergency room, called 911
							 in the past six months, or both?
No
Zero
Yes, one to two times
One
Yes, three or more times
Two
8
Do you live alone? If yes, do you feel safe living
							 alone?
No No
Zero One
Yes Yes
Two Zero
9
Do you plan on moving to other housing in the near
							 future?
No
Zero
Yes
Two
10
Do you or your family have concerns about your memory,
							 thinking, ability to make decisions, or remembering to pay your bills?
No, not concerned
Zero
Yes, somewhat concerned
One
Yes, very concerned
Two
11
Are you content with your social life?
No
Two
Somewhat
One
Yes
Zero
12
Over the last two weeks, have you been bothered by, or
							 have little interest in doing things?
Not at all
Zero
Several days
One
More than half the days
Two
Nearly every day
Three
13
Over the last two weeks, have you been bothered by
							 feeling down, depressed, or hopeless?
Not at all
Zero
Several days
One
More than half the days
Two
Nearly every day
Three
(2) The risk level is calculated by totaling
				  the points assigned to each question as determined by responses to the
				  screening questions in subsection (1) of this section and matching the total
				  points to the risk level in the following table:
Risk level
Point totals
No risk
0
Low risk
1- 8
Moderate risk
9-16
High risk
17 and up
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1935 - Where may I receive MAC and TSOA services?

Current through Register Vol. 24-14, July 15, 2024
You may receive MAC and TSOA services:
(1) In your own home; and
(2) In the community setting where the
				  authorized service occurs:
(a) Within the
				  state of Washington; or
(b) In a
				  recognized out-of-state bordering city as defined in WAC
				  182-501-0175.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1940 - When will my MAC or TSOA services be authorized?

Current through Register Vol. 24-14, July 15, 2024
Your MAC or TSOA services will be authorized when
					 you:
(1) Have completed initial
				  requirements for intake including but not limited to screenings and
				  assessments;
(2) Are found to be at
				  least presumptively eligible, both financially and functionally;
(3) Have chosen a provider(s) qualified for
				  payment; and
(4) Have given consent
				  for services and approved your care plan.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1945 - When do my MAC or TSOA services begin?

Current through Register Vol. 24-14, July 15, 2024
Your MAC or TSOA services may begin once you have approved
					 your care plan and as early as the date authorized by the department.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1950 - How do I remain eligible for MAC and TSOA services?

Current through Register Vol. 24-14, July 15, 2024
(1) In order to remain eligible for MAC and
				  TSOA services, you, as the care receiver must:
(a) Remain functionally eligible as defined
				  in WAC
				  388-106-0355
				  and financially eligible as defined in WAC
				  182-513-1605,
				  182-513-1615,
				  and
				  182-513-1620;
(b) Have your functional and financial
				  eligibility reviewed at least annually; and
(c) Have participated in the assessment and
				  care plan process at least annually.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1955 - What do I pay for if I receive MAC or TSOA services?

Current through Register Vol. 24-14, July 15, 2024
You, as a caregiver or a care receiver, will not be
					 required to pay toward the cost of your MAC or TSOA services. This means that
					 neither estate recovery nor participation towards cost of care are
					 required.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1960 - May I be employed and receive MAC or TSOA services?

Current through Register Vol. 24-14, July 15, 2024
You, as the care receiver may be employed and receive MAC
					 or TSOA services. Your care-giver may be employed in roles other than
					 caregiving and receive services under MAC or TSOA.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1965 - Are there limits to the services I may receive?

Current through Register Vol. 24-14, July 15, 2024
The services you may receive under MAC or TSOA will not
					 include the following:
(1) Rent or
				  mortgage;
(2) Groceries;
(3) Car repairs;
(4) Utility bills;
(5) Household appliances;
(6) Vacation expenses;
(7) Entertainment items such as TVs, radios,
				  computers, cell phones;
(8) Pet
				  care items;
(9) Gift
				  cards;
(10) Any services not
				  defined in WAC 388-106-1915; and
(11) Any services covered under your medicaid
				  state plan coverage, medicare, private insurance, or other federal or state
				  programs.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1970 - Who may provide MAC and TSOA services?

Current through Register Vol. 24-14, July 15, 2024
The following providers may provide MAC and TSOA
					 services:
(1) Durable medical
				  equipment vendors and adult day health providers that have a core provider
				  agreement with the health care authority; and
(2) Providers who are contracted with the
				  department to provide goods and services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1975 - Will there be a wait list for MAC and TSOA?

Current through Register Vol. 24-14, July 15, 2024
(1) The department will implement a statewide
				  wait list if program expenditures or enrollment exceeds availability of
				  demonstration funding.
(2) If the
				  department implements a wait list for new MAC and TSOA applicants:
(a) We will stop conducting presumptive
				  eligibility determinations and financial and functional eligibility
				  assessments.
(b) We may reduce
				  benefit limits for step one, two, and three to maintain department spending
				  within available demonstration funding. If we reduce benefit limits,
				  individuals currently receiving benefits will maintain their current benefit
				  level, including those with approved presumptive eligibility.
(c) If additional funding becomes available,
				  applicants on a wait list for MAC or TSOA services will be considered on a
				  first come first serve basis based upon their request date for MAC or TSOA
				  services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1980 - When may the department terminate or deny MAC or TSOA services?

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  will deny or terminate MAC or TSOA services if you are not eligible for
				  services pursuant to WAC 388-106-1905, 388-106-1910, and
				  388-106-1945.
(2) The department
				  may deny or terminate your MAC or TSOA services if, after exhaustion of
				  standard case management activities and the approaches delineated in the
				  department's challenging cases protocol that must include an attempt to
				  reasonably accommodate your disability or disabilities, one or more of the
				  following conditions exist:
(a) Your rights
				  and responsibilities as a client of the department are reviewed with you by a
				  department representative under WAC
				  388-106-1300
				  and
				  388-106-1303,
				  and you refuse to accept those services identified in your care plan that are
				  vital to your health, welfare, or safety.
(b) You choose to receive services in your
				  own home and you or others in your home demonstrate behaviors that are
				  substantially likely to cause serious harm to you or your care
				  provider.
(c) You choose to receive
				  services in your own home and hazardous conditions in or immediately around
				  your home jeopardize the health, safety, or welfare of you or your provider.
				  Hazardous conditions include but are not limited to the following:
(i) Threatening, uncontrolled animals (such
				  as dogs);
(ii) The manufacture,
				  sale, or use of illegal drugs;
(iii) The presence of hazardous materials
				  (such as exposed sewage, evidence of a methamphetamine lab).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1985 - Do I have the right to an administrative hearing regarding MAC or TSOA services?

Current through Register Vol. 24-14, July 15, 2024
Yes, you may request an administrative hearing based on
					 the rules outlined in WAC
					 388-106-1305
					 to contest the department's decisions regarding MAC or TSOA services except for
					 presumptive eligibility determinations described in WAC 388-106-1905(2) and
					 388-106-1910(2).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › MAC AND TSOA SERVICES › Section 388-106-1990 - May I choose to receive traditional medicaid long term services and supports instead of services under the MAC program?

Current through Register Vol. 24-14, July 15, 2024
Yes. You, as the care receiver, may choose to apply for
					 traditional medicaid long term services and supports such as community first
					 choice, community option program entry system (COPES), new freedom, and
					 residential support waiver, instead of services under the MAC program. You must
					 contact your case manager who will assist you with this process. You may only
					 receive services that you are eligible for under the applicable rules. You may
					 not receive services under MAC and a traditional medicaid long term services
					 and supports program at the same time.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › General › Section 388-107-0010 - Scope and purpose

Current through Register Vol. 24-14, July 15, 2024
This implements Chapter 70.97 RCW and sets the minimum
					 health and safety standards for licensure and operations of enhanced services
					 facilities. An enhanced services facility will provide treatment and services
					 to a maximum of sixteen residents for whom acute inpatient treatment is not
					 medically necessary and who have been determined by the department to be
					 inappropriate for placement in other licensed facilities due to the complex
					 needs that result in behavioral and security issues.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › General › Section 388-107-0020 - Department authority

Current through Register Vol. 24-14, July 15, 2024
(1)Chapter 70.97
				  RCW authorizes the department to develop rules to implement the chapter, and to
				  license enhanced services facilities. At a minimum the rules are to be written
				  to promote safe treatment and necessary care of individuals residing in each
				  facility, to provide for safe and clean conditions and to establish licensee
				  qualifications, licensing and enforcement standards, and license fees
				  sufficient to cover the cost of licensing and enforcement.
(2) The department, in its sole discretion
				  and after taking into consideration the circumstances of a particular facility
				  such as size or location, may approve alternate staffing, administration,
				  physical plant, or other arrangements that have been proposed in writing by an
				  ESF applicant or licensee. An ESF's failure to comply with a
				  department-approved alternate plan is a violation of this chapter and may
				  result in enforcement actions under WAC
				  388-107-1430.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Admission And Assessment › Section 388-107-0030 - Admission criteria

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility will only admit residents
					 who:
(1) Are at least eighteen years
				  old; and
(2) Require:
(a) Daily care by or under the supervision of
				  a mental health professional, chemical dependency professional, or nurse;
				  or
(b) Assistance with three or
				  more activities of daily living; and