reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-1915 - What are speech, hearing, and language services?

Current through Register Vol. 24-14, July 15, 2024
(1) Speech, hearing, and language services
				  are services provided to a person with speech, hearing, and language disorders
				  by or under the supervision of a speech pathologist or audiologist.
(2) Speech, hearing, and language services
				  are available under the basic plus, community protection, core, and individual
				  and family services waivers.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-1916 - Who may be a qualified provider of speech, hearing, and language services?

Current through Register Vol. 24-14, July 15, 2024
To be a qualified provider of speech, hearing, and
					 language services, a person must:
(1)
				  Be licensed, registered, and certified as an audiologist or speech pathologist
				  as required by law or work under the supervision of a qualified speech
				  pathologist or audiolo-gist;
(2) Be
				  contracted with the developmental disabilities administration to provide
				  speech, hearing, and language services; and
(3) Have a core provider agreement with the
				  health care authority.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-1917 - Are there limits to the speech, hearing, and language services you may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) Speech,
				  hearing, and language services are limited to:
(a) Waiver participants age twenty-one and
				  older;
(b) Services identified in
				  your developmental disabilities administration (DDA) assessment and documented
				  in your person-centered service plan;
(c) The dollar amounts for aggregate services
				  in your basic plus waiver or the dollar amounts in the annual allocation for
				  the individual and family services waiver; and
(d) An amount determined by DDA based on your
				  needs and information from your treating professional.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2000 - What is staff and family consultation?

Current through Register Vol. 24-14, July 15, 2024
(1) Staff and family consultation is
				  assistance, not covered by the medic-aid state plan, to families or direct
				  service providers to help them meet the individualized and specific needs of a
				  participant as outlined in the participant's person-centered service plan and
				  necessary to improve the participant's independence and inclusion in their
				  community.
(2) Staff and family
				  consultation is available in all DDA HCBS waivers.
(3) Staff and family consultation is
				  consultation and guidance to a staff member or family member about one or more
				  of the following:
(a) Health and medication
				  monitoring to track and report to healthcare provider;
(b) Positioning and transfer;
(c) Basic and advanced instructional
				  techniques;
(d) Consultation with
				  potential referral resources;
(e)
				  Augmentative communication systems;
(f) Diet and nutritional guidance;
(g) Disability information and
				  education;
(h) Strategies for
				  effectively and therapeutically interacting with the participant;
(i) Environmental consultation;
(j) Assistive technology safety;
(k) Parenting skills; and
(l) For the basic plus, IFS, and CIIBS
				  waivers only, individual and family counseling.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2005 - Who is a qualified provider of staff and family consultation?

Current through Register Vol. 24-14, July 15, 2024
To provide staff and family consultation, a provider must
					 be contracted with DDA and be one of the following licensed, registered, or
					 certified professionals:
(1)
				  Audiologist;
(2) Licensed practical
				  nurse;
(3) Marriage and family
				  therapist;
(4) Mental health
				  counselor;
(5) Occupational
				  therapist;
(6) Physical
				  therapist;
(7) Registered
				  nurse;
(8) Sex offender treatment
				  provider;
(9) Speech-language
				  pathologist;
(10) Social
				  worker;
(11)
				  Psychologist;
(12) Certified
				  American Sign Language instructor;
(13) Nutritionist;
(14) Counselors registered or certified in
				  accordance with chapter 18.19 RCW;
(15) Certified dietician;
(16) Recreation therapist registered in
				  Washington and certified by the national council for therapeutic
				  recreation;
(17) Certified music
				  therapist (for CIIBS only);
(18)
				  Psychiatrist;
(19) Professional
				  advocacy organization;
(20)
				  DDA-contracted specialized habilitation provider; or
(21) Teacher certified under chapter 181-79A
				  WAC.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-2005, filed 8/1/12, effective 9/1/12. Statutory
						Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-2005,
						filed 11/1/10, effective 12/2/10. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-2005, filed 9/26/07, effective 10/27/07. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-2005, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2010 - Are there limits to the staff and family consultation you may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) Staff and
				  family consultation are limited to supports identified in your DDA assessment
				  and documented in the person-centered service plan.
(2) Expenses to the family or provider for
				  room and board or attendance, including registration, at conferences are
				  excluded as a service under staff and family consultation.
(3) The dollar amounts for aggregate service
				  in your basic plus or CIIBS waiver or the dollar amount of the annual
				  allocation in your individual and family services (IFS) waiver limit the amount
				  of staff and family consultation you may receive.
(4) Individual and family counseling is
				  limited to family members who:
(a) Live with
				  the participant; and
(b) Have been
				  assaulted by the participant and the assaultive behavior was:
(i) Documented in the participant's DDA
				  assessment and person-centered service plan; and
(ii) Addressed in the participant's positive
				  behavior support plan or therapeutic plan.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2100 - What are supported employment services?

Current through Register Vol. 24-14, July 15, 2024
(1) Supported employment services are for
				  those interested in integrated gainful employment and should facilitate paid
				  employment that is covered by the Washington State Minimum Wage Act under
				  chapter 49.46 RCW and the Fair Labor Standards Act under
				  29
				  U.S.C. Section 201. These services provide
				  you with intensive ongoing support if you need individualized assistance to
				  gain employment, maintain employment, or both. These services are tailored to
				  your individual needs, interests, abilities, and promote your career
				  development. These services are provided in individual or group settings and
				  are available in the basic plus, core, and community protection
				  waivers.
(2) Individual supported
				  employment services include activities needed to sustain Washington state's
				  minimum wage pay or higher. These services are conducted in integrated business
				  environments and include the following:
(a)
				  Intake: An initial meeting to gather and share basic information and a general
				  overview of employment supports, resources in the community, and the type of
				  available supports that the individual may receive;
(b) Discovery: A person-centered approach to
				  learn the individual's likes and dislikes, job preferences, and employment
				  goals and skills;
(c) Job
				  preparation: Includes activities of work readiness resume development, work
				  experience, volunteer support transportation training;
(d) Marketing: A method to identify and
				  negotiate jobs, build relationships with employers, and customize employment
				  development;
(e) Job coaching: The
				  supports needed to keep the job; and
(f) Job retention: The supports needed to
				  keep the job, maintain a relationship with employer, identify opportunities,
				  and negotiate a raise in pay, promotion, or increased benefits.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2105 - Who are qualified providers of supported employment services?

Current through Register Vol. 24-14, July 15, 2024
To be a qualified provider of supported employment
					 services, an entity must be:
(1) A
				  county contracted with DDA to provide supported employment services;
				  or
(2) An individual or agency
				  contracted with a county that is contracted with DDA to provide supported
				  employment services.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-2105, filed 9/22/08, effective 10/23/08. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-2105, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2110 - Are there limits to the supported employment services you may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to your receipt of supported
					 employment services:
(1) To receive
				  supported employment services, you must be age:
(a) 20 and graduating from high school before
				  your July or August 21st birthday;
(b) 21 and no longer eligible to enroll in
				  high school; or
(c) 22 or
				  older.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2130 - What are supported parenting services?

Current through Register Vol. 24-14, July 15, 2024
(1) Supported parenting services are
				  professional services offered to DDA clients who are parents or expectant
				  parents.
(2) Services may include
				  teaching, parent coaching, and other supportive strategies in areas critical to
				  parenting, including child development, nutrition and health, safety, child
				  care, money management, time and household management, and housing.
(3) Supported parenting services are designed
				  to build parental skills and understanding around a child's developmental
				  domains of cognition, language, motor, social-emotional, and
				  self-help.
(4) Supported parenting
				  services are offered in the Core and IFS waivers.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2135 - Who are qualified providers of supported parenting services?

Current through Register Vol. 24-14, July 15, 2024
Qualified providers of supported parenting services
					 must:
(1) Have an understanding of
				  individual learning styles related to child development and family
				  dynamics;
(2) Have skills in child
				  development and family dynamics;
(3) Have a supported parenting contract with
				  DDA; and
(4) Be one or more of the
				  following licensed, registered or certified professionals:
(a) Audiologist;
(b) Licensed practical nurse;
(c) Marriage and family therapist;
(d) Mental health counselor;
(e) Occupational therapist;
(f) Physical therapist;
(g) Registered nurse or licensed practical
				  nurse;
(h) Speech/language
				  pathologist;
(i) Social
				  worker;
(j) Psychologist;
(k) Certified American sign language
				  instructor;
(l)
				  Nutritionist;
(m) Counselors
				  registered or certified in accordance with chapter 18.19 RCW;
(n) Certified dietician;
(o) Recreation therapist registered in
				  Washington and certified by the national council for therapeutic
				  recreation;
(p)
				  Psychiatrist;
(q) Professional
				  advocacy organization.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2140 - Are there any limitations on your receipt of supported parenting services?

Current through Register Vol. 24-14, July 15, 2024
The following limitations apply to your receipt of
					 supported parenting services:
(1)
				  Clinical and support needs for supported parenting services are limited to
				  those identified in your DDA assessment and documented in your person-centered
				  service plan; and
(2) The dollar
				  amount of your annual allocation in your IFS waiver limit the amount of
				  supported parenting service you are authorized to receive.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2141 - What is specialized evaluation and consultation?

Current through Register Vol. 24-14, July 15, 2024
(1) Specialized evaluation and consultation
				  is direct, individualized, habilitative skill building support in the areas of
				  sex education, fire safety, social skills training, and understandings of laws,
				  rights, and responsibilities.
(2)
				  Supports are provided in order to support a client to reduce the likelihood of:
(a) Fire setting; or
(b) Sexual or physical assault in the home
				  and community.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2142 - Who are qualified providers of specialized evaluation and consultation services?

Current through Register Vol. 24-14, July 15, 2024
All specialized evaluation and consultation providers must
					 be contracted with DDA and:
(1) Be
				  licensed, registered, or certified in Washington state according to the
				  standards of their approved profession in Title 18 RCW and Title 246 WAC;
				  or
(2) Have a bachelor's degree or
				  higher in social services and at least three years of prior experience working
				  with individuals with developmental disabilities who engage in challenging
				  behaviors.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2143 - What are the limits to specialized evaluation and consultation services?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to your receipt of specialized
					 evaluation and consultation:
(1) You
				  must be enrolled on the community protection waiver.
(2) Specialized evaluation and consultation
				  support needs must be identified in your DDA assessment and must be documented
				  in your person-centered service plan.
(3) Specialized evaluation and consultation
				  is limited to services that are:
(a)
				  Consistent with waiver objectives of avoiding institutionalization;
				  and
(b) Not a covered benefit under
				  the medicaid state plan.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2145 - What are therapeutic adaptations?

Current through Register Vol. 24-14, July 15, 2024
(1) Therapeutic adaptions available on the
				  basic plus, IFS, and CIIBS waiver are modifications to an existing room in the
				  waiver participant's current home and are necessary to reduce or eliminate
				  environmental sensory stressors, enable effective social support, or give a
				  sense of control to the waiver participant in order for a therapeutic plan to
				  be implemented.
(2) Therapeutic
				  adaptions include one-time room modifications not related to physical
				  accessibility such as:
(a) Noise reduction or
				  enhancement;
(b) Lighting
				  adjustment;
(c) Wall
				  softening;
(d) Anchored and
				  nonremovable tactile accents; or
(e) Anchored and nonremovable visual
				  accents.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2150 - Who is a qualified provider of therapeutic adaptations?

Current through Register Vol. 24-14, July 15, 2024
(1) A qualified
				  provider of therapeutic adaptations installation is an entity who is contracted
				  with DDA as an environmental adaptations vendor.
(2) A qualified provider of therapeutic
				  adaptation items and supplies is an entity contracted with DDA as:
(a) A specialized equipment and supplies
				  vendor;
(b) A purchasing goods and
				  services vendor;
(c) A specialized
				  goods and services vendor; or
(d)
				  An environmental adaptations vendor.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2155 - Are there limits to the therapeutic adaptations I may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to your receipt of therapeutic
					 adaptations:
(1) Therapeutic
				  adaptations are limited to one adaptation request every five waiver
				  years.
(2) Funding is limited to
				  the aggregate budget in the basic plus and IFS waiver or $15,000 on the CIIBS
				  waiver.
(3) Modifications may not
				  add square footage to the home or convert nonliving space into living
				  space.
(4) The department requires
				  a written recommendation by a behavioral health provider, occupational
				  therapist, or physical therapist within the waiver participant's current
				  therapeutic plan.
(5) Therapeutic
				  adaptations are limited to items not otherwise covered under the state plan,
				  including EPSDT, but consistent with waiver objectives of avoiding
				  institutionalization.
(6)
				  Therapeutic adaptations require prior approval by the DDA regional
				  administrator or designee.
(7)
				  Therapeutic adaptations are limited to those identified in the client's
				  person-centered service plan.
(8)
				  Written consent from the home's landlord is required before starting any
				  therapeutic adaptation for a rental property. The landlord must not require
				  removal of the therapeutic adaptation at the end of the waiver participant's
				  tenancy as a condition of the landlord approving the therapeutic adaptation to
				  the waiver participant's home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2160 - What is therapeutic equipment and supplies?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-2160,
						filed 11/1/10, effective 12/2/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2165 - Who are qualified providers of therapeutic equipment and supplies?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-2165,
						filed 11/1/10, effective 12/2/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2170 - Are there limits to your receipt of therapeutic equipment and supplies?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-2170, filed 8/1/12, effective 9/1/12. Statutory
						Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-2170,
						filed 11/1/10, effective 12/2/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2200 - What are transportation services?

Current through Register Vol. 24-14, July 15, 2024
Transportation services provide reimbursement to a provider
					 when the transportation is required and specified in the person-centered
					 service plan. This service is available in all DDA HCBS waivers if the cost and
					 responsibility for transportation is not already included in your provider's
					 contract and payment.
(1)
				  Transportation provides you access to waiver services, specified by your
				  person-centered service plan.
(2)
				  Whenever possible, you must use family, neighbors, friends, or community
				  agencies that can provide this service without charge.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-2200, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120,
						2009 c
						194 , and 2008 c 329 § 205(1)(i), and Title
						71A RCW. 10-22-088, § 388-845-2200, filed 11/1/10, effective 12/2/10.
						Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-2200, filed 9/26/07, effective 10/27/07. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-2200, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2205 - Who is qualified to provide transportation services?

Current through Register Vol. 24-14, July 15, 2024
The provider of transportation services can be an
					 individual or agency contracted with DDA whose contract includes transportation
					 in the statement of work.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. WSR 06-01-024, § 388-845-2205, filed 12/13/05,
						effective 1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2210 - Are there limitations to the transportation services you can receive?

Current through Register Vol. 24-14, July 15, 2024
The following limitations apply to transportation
					 services:
(1) Support needs for
				  transportation services are limited to those identified in your DDA assessment
				  and documented in your person-centered service plan.
(2) Transportation is limited to travel to
				  and from a waiver service. When the waiver service is supported employment,
				  transportation is limited to days when you receive employment support
				  services.
(3) Transportation does
				  not include the purchase of a bus pass.
(4) Reimbursement for provider mileage
				  requires prior authorization by DDA and is paid according to
				  contract.
(5) This service does not
				  cover the purchase or lease of vehicles.
(6) Reimbursement for provider travel time is
				  not included in this service.
(7)
				  Reimbursement to the provider is limited to transportation that occurs when you
				  are with the provider.
(8) You are
				  not eligible for transportation services if the cost and responsibility for
				  transportation is already included in your provider's contract and
				  payment.
(9) The dollar limitations
				  for aggregate services in your basic plus waiver or the dollar amount of your
				  annual allocation in the IFS waiver limit the amount of service you may
				  receive.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW. WSR
						08-20-033, § 388-845-2210, filed 9/22/08, effective 10/23/08; WSR
						07-20-050, § 388-845-2210, filed 9/26/07, effective 10/27/07. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. WSR 06-01-024, § 388-845-2210, filed 12/13/05,
						effective 1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2260 - What are vehicle modifications?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Vehicle modifications are adaptations or alterations to a vehicle required in
				  order to accommodate the unique needs of the participant, enable full
				  integration into the community, and ensure the health, welfare, and safety of
				  the participant or the safety of a caregiver.
(2) Vehicle modifications require prior
				  approval from the DDA regional administrator or designee.
(3) Examples of vehicle modifications
				  include:
(a) Manual hitch-mounted carrier and
				  hitch for all wheelchair types;
(b)
				  Wheelchair cover;
(c) Wheelchair
				  strap-downs;
(d) Portable
				  wheelchair ramp;
(e) Accessible
				  running boards and steps;
(f)
				  Assist poles and grab handles;
(g)
				  Power activated carrier for all wheelchair types;
(h) Permanently installed wheelchair
				  ramps;
(i) Repairs and maintenance
				  to vehicular modifications as needed for client safety; and
(j) Other access modifications.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2265 - Who are providers of vehicle modifications?

Current through Register Vol. 24-14, July 15, 2024
Providers of vehicle modifications are:
(1) Vehicle service providers contracted with
				  DDA to provide this service; or
(2)
				  Vehicle adaptive equipment vendors contracted with DDA to provide this
				  service.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-2265,
						filed 11/1/10, effective 12/2/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-2270 - Are there limits to your receipt of vehicle modification services?

Current through Register Vol. 24-14, July 15, 2024
Vehicle modification services are only available on the
					 CIIBS or IFS waiver. The following limits apply:
(1) Vehicle modifications require prior
				  approval from the DDA regional administrator or designee, except for repairs to
				  existing vehicle modifications.
(2)
				  Clinical and support needs for vehicle modification services are limited to
				  those identified in your DDA assessment and documented in the person-centered
				  service plan.
(3) Vehicle
				  modifications are excluded if they are of general utility without direct
				  medical or remedial benefit to you.
(4) If you are eligible for or enrolled with
				  division of vocational rehabilitation (DVR) you must pursue this benefit
				  through DVR first.
(5) Vehicle
				  modifications must be the most cost-effective modification based upon a
				  comparison of contractor bids as determined by DDA.
(6) Modifications will only be approved for a
				  vehicle that serves as your primary means of transportation and is owned by
				  you, your family, or both.
(7) DDA
				  requires your treating professional's written recommendation regarding your
				  need for the service. This recommendation must take into account that the
				  treating professional has recently examined you, reviewed your medical records,
				  and conducted a functional evaluation.
(8) The department may require a second
				  opinion from a department selected provider that meets the same criteria as
				  subsection (7) of this section.
(9)
				  The dollar amount for your annual allocation in your IFS waiver limits the
				  amount of vehicle modification service you are authorized to receive.
(10) The amount of vehicle modification
				  service you are authorized to receive is limited to the dollar amount for your
				  CIIBS waiver aggregate budget under WAC
				  388-845-0225.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-2270,
						filed 11/1/10, effective 12/2/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WELLNESS EDUCATION › Section 388-845-2280 - What is wellness education?

Current through Register Vol. 24-14, July 15, 2024
Wellness education provides you with monthly individualized
					 printed educational materials designed to assist you in managing health related
					 issues and achieving wellness goals identified in your person-centered service
					 plan that address your health and safety issues. Individualized educational
					 materials are developed by the state, other content providers, and the
					 contracted wellness education provider. This service is available on the basic
					 plus, individual and family services, and core waivers.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WELLNESS EDUCATION › Section 388-845-2283 - How are my wellness educational materials selected?

Current through Register Vol. 24-14, July 15, 2024
Individualized educational materials are selected for you
					 by the wellness education provider's algorithm and are based on your DDA
					 assessment. Goals, diagnoses, treatments, conditions, and other factors
					 identified in your DDA assessment provide the basis for the algorithm to select
					 educational materials for you. These goals, diagnoses, treatments, conditions,
					 and other factors may include, but are not limited to the following:
(1) Diabetes - IDDM;
(2) Diabetes - NIDDM;
(3) COPD;
(4) Cardiovascular disease;
(5) Rheumatoid arthritis;
(6) Traumatic brain injury;
(7) Cerebral palsy;
(8) Alzheimer's disease;
(9) Anxiety disorder;
(10) Asthma;
(11) Autism;
(12) Stroke;
(13) Congestive heart failure;
(14) Decubitus ulcer;
(15) Depression;
(16) Emphysema;
(17) GERD;
(18) Hypertension;
(19) Hypotension;
(20) Down's syndrome;
(21) Fragile X syndrome;
(22) Prader-Willi;
(23) ADD;
(24) ADHD;
(25) Post-traumatic stress
				  disorder;
(26) Asperger's
				  syndrome;
(27) Hepatitis;
(28) Paraplegia;
(29) Quadriplegia;
(30) Fetal alcohol syndrome/fetal alcohol
				  effect;
(31) Epilepsy;
(32) Seizure disorder;
(33) Sleep apnea;
(34) Urinary tract infection;
(35) Multiple sclerosis;
(36) Falls;
(37) Smoking;
(38) Alcohol abuse;
(39) Substance abuse;
(40) Bowel incontinence;
(41) Bladder incontinence;
(42) Diabetic foot care;
(43) Pain daily;
(44) Sleep issues;
(45) BMI = or greater than 25;
(46) BMI less than 18.5;
(47) Skin care (pressure ulcers, abrasions,
				  burns, rashes);
(48) Seasonal
				  allergies;
(49) Edema;
(50) Poor balance;
(51) Recent loss/grieving;
(52) Conflict management;
(53) Importance of regular dental
				  visits;
(54) ADA diet;
(55) Cardiac diet;
(56) Celiac diet;
(57) Low sodium diet;
(58) Goals; and
(59) Parkinson's disease.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WELLNESS EDUCATION › Section 388-845-2285 - Are there limits to wellness education?

Current through Register Vol. 24-14, July 15, 2024
(1) Wellness education is a once-a-month
				  service.
(2) In the basic plus
				  waiver, you are limited to the aggregate service expenditure limits defined in
				  WAC 388-845-0210.
(3) The dollar amount for your individual and
				  family services (IFS) waiver annual allocation defined in WAC
				  388-845-0230 limits the amount of
				  service you may receive.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WELLNESS EDUCATION › Section 388-845-2290 - Who are qualified providers of wellness education?

Current through Register Vol. 24-14, July 15, 2024
The wellness education provider must have the ability and
					 resources to:
(1) Receive and manage
				  client data in compliance with all applicable federal HIPAA regulations, state
				  law and rules, and ensure client confidentiality and privacy;
(2) Translate materials into the preferred
				  language of the participant;
(3)
				  Ensure that materials are targeted to the participant's assessment and
				  person-centered service plan;
(4)
				  Manage content sent to participants to prevent duplication of
				  materials;
(5) Deliver newsletters
				  and identify any undeliverable client/representative addresses prior to each
				  monthly mailing and manage any returned mail in a manner that ensures
				  participants receive the monthly information; and
(6) Contract with ALTSA or DDA to provide
				  this service.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3000 - What is the process for determining the services you need?

Current through Register Vol. 24-14, July 15, 2024
Your service needs are determined through the DDA
					 assessment and the service planning process as defined in chapter 388-828 WAC.
					 Only identified health and welfare needs will be authorized for payment in the
					 person-centered service plan.
(1) You
				  receive an initial and annual assessment of your needs using a
				  department-approved form.
(a) You meet the
				  eligibility requirements for ICF/IID level of care.
(b) The comprehensive assessment reporting
				  evaluation (CARE) tool will determine your eligibility and amount of personal
				  care services.
(c) If you are in
				  the basic plus, CIIBS, or core waiver, the DDA assessment will determine the
				  amount of respite care available to you.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3015 - How is the waiver respite assessment administered?

Current through Register Vol. 24-14, July 15, 2024
The waiver respite assessment is administered by department
					 staff during an in-person interview with you if you choose to be present, and
					 at least one other person with knowledge of you, such as your primary
					 caregiver.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-3015, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3020 - Who can be the respondent for the waiver respite assessment?

Current through Register Vol. 24-14, July 15, 2024
The respondent for your waiver respite assessment must be
					 an adult who is well acquainted with you and can provide the information needed
					 to complete the assessment, such as your primary caregiver.
(1) You cannot be the respondent for your own
				  respite assessment.
(2) The
				  department may select and interview additional respondents as needed to get
				  complete and accurate information.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-3020, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3055 - What is a person-centered service plan?

Current through Register Vol. 24-14, July 15, 2024
(1) The person-centered service plan is the
				  primary tool DDA uses to determine and document your needs and to identify the
				  services to meet those needs.
(2)
				  Your person-centered service plan must include:
(a) Your identified health and welfare
				  needs;
(b) Both paid and unpaid
				  services and supports approved to meet your identified health and welfare needs
				  as identified in WAC
				  388-828-8040 and
				  388-828-8060; and
(c) How often you will receive each waiver
				  service, how long you will need it, and who will provide it.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3056 - What if you need assistance to understand your person-centered service plan?

Current through Register Vol. 24-14, July 15, 2024
If you are unable to understand your person-centered
					 service plan and the individual who has agreed to provide assistance to you as
					 your necessary supplemental accommodation representative is unable to assist
					 you with understanding your person-centered service plan, DDA will take the
					 following steps:
(1) Consult with the
				  office of the attorney general to determine if you require a legal
				  representative or guardian to assist you with your person-centered service
				  plan;
(2) Continue your current
				  waiver services; and
(3) If the
				  office of the attorney general or a court determines that you do not need a
				  legal representative, DDA will continue to try to provide necessary
				  supplemental accommodations in order to help you understand your
				  person-centered service plan.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-3056, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-3056, filed 9/26/07, effective
						10/27/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3060 - When is your person-centered service plan effective?

Current through Register Vol. 24-14, July 15, 2024
Your person-centered service plan is effective the last day
					 of the month in which DDA signs and dates it.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-3060, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-3060, filed 9/26/07, effective 10/27/07. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-3060, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3061 - Can a change in your person-centered service plan be effective before you sign it?

Current through Register Vol. 24-14, July 15, 2024
If you verbally request a change in service to occur
					 immediately, DDA can sign the person-centered service plan and approve it prior
					 to receiving your signature.
(1) Your
				  person-centered service plan will be mailed to you for signature.
(2) You retain the same appeal rights as if
				  you had signed the person-centered service plan.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-3061, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-3061, filed 9/26/07, effective
						10/27/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3062 - Who is required to sign the person-centered service plan and how can it be signed?

Current through Register Vol. 24-14, July 15, 2024
(1) If you do not
				  have a legal representative, you must sign the person-centered service
				  plan.
(2) If you have a legal
				  representative, your legal representative must sign the person-centered service
				  plan.
(3) If you need assistance to
				  understand your person-centered service plan, DDA will follow the steps
				  outlined in WAC
				  388-845-3056.
(4) You choose how to sign your
				  person-centered service plan -such as, with a pen, or with an electronic or
				  voice signature.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-3062, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-3062, filed 9/26/07, effective
						10/27/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3063 - Can your person-centered service plan be effective before the end of the month?

Current through Register Vol. 24-14, July 15, 2024
You may request to DDA to have your person-centered service
					 plan effective prior to the end of the month. The effective date will be the
					 date DDA signs and dates it.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-3063, filed
						1/24/13, effective 2/24/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3065 - How long is your plan effective?

Current through Register Vol. 24-14, July 15, 2024
Your person-centered service plan is effective through the
					 last day of the 12th month following the effective date or until another
					 person-centered service plan is completed, whichever occurs sooner.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-3065, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-3065, filed 9/26/07, effective 10/27/07. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-3065, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3070 - What happens if you do not sign your person-centered service plan?

Current through Register Vol. 24-14, July 15, 2024
(1) If you do not
				  sign your initial person-centered service plan (PCSP), DDA must not provide
				  waiver services to you until you sign the PCSP.
(2) If you do not sign your PCSP and it is a
				  reassessment or review, DDA will:
(a)
				  Continue providing services identified in your current PCSP until the end of
				  the notice period under WAC
				  388-825-105;
				  and
(b) Return your PCSP to you for
				  your signature.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3075 - What if your needs change?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  You may request a review of your person-centered service plan at any time by
				  calling your case manager.
(2) If
				  there is a significant change in your condition or circumstances, DDA must
				  reassess your person-centered service plan with you and amend the plan to
				  reflect any significant changes.
(3) This reassessment does not affect the end
				  date of your annual person-centered service plan.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-3075, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-3075, filed 9/26/07, effective 10/27/07. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-3075, filed 12/13/05, effective
						1/13/06.