reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4180 - Are all questions in the support needs and supplemental protection and advocacy scales scored the same way?

Current through Register Vol. 24-14, July 15, 2024
Some questions in the support needs and supplemental
					 protection and advocacy scales have scoring limitations and some scores are not
					 available for selection related to the standardization process per
					 AAIDD.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4180, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4200 - What activities are assessed in the home living activities subscale of the support needs scale?

Current through Register Vol. 24-14, July 15, 2024
The home living activities subscale measures your personal
					 support needs for the following home living activities:
#
Home living activities
Type of support
Frequency of support
Daily support time
Raw score
A1
Operating home appliances/electronics
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
A2
Bathing and taking care of personal hygiene and
								  grooming needs
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
A3
Using the toilet
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
A4
Dressing
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
A5
Preparing food
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
A6
Eating food
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
A7
Taking care of clothes, including
								  laundering
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
A8
Housekeeping and cleaning
0
1
2
3
4
0
1
2
3
4
0
1
2
*
*
A9
Using currently prescribed equipment or
								  treatment
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Total raw score for home living
								  activities:
* = Score is not an option per AAIDD.
Note: Question A9 is a question added by DDA. It
								  is for informational purposes only and is not used to calculate scores or
								  levels for
service determination.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4200, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4220 - What activities are assessed in the community living activities subscale of the support needs scale?

Current through Register Vol. 24-14, July 15, 2024
The community living activities subscale measures your
					 personal support needs for the following community living activities:
#
Community living activities
Type of support
Frequency of support
Daily support time
Raw score
B1
Getting from place to place throughout the
								  community (transportation)
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
B2
Participating in recreation/leisure activities in
								  community
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
B3
Participating in preferred community activities
								  (churches, volunteer, etc.)
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
B4
Accessing public buildings and settings
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
B5
Using public services in the community
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
B6
Shopping and purchasing goods and services
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
B7
Interacting with community members
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
B8
Going to visit friends and family
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
Total raw score for community living
								  activities:
* = Score is not an option per AAIDD.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4220, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4240 - What activities are assessed in the lifelong learning activities subscale of the support needs scale?

Current through Register Vol. 24-14, July 15, 2024
The lifelong learning activities subscale measures your
					 personal support needs for the following lifelong learning activities:
#
Lifelong learning activities
Type of support
Frequency of support
Daily support time
Raw score
C1
Learning and using problem-solving
								  strategies
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
C2
Learning functional academics (reading signs,
								  counting change, etc.)
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
C3
Learning health and physical education
								  skills
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
C4
Learning self-determination skills
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
C5
Learning self-management strategies
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
C6
Participating in training/educational
								  decisions
0
1
2
3
4
0
1
2
3
*
0
1
2
3
*
C7
Accessing training/educational settings
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
C8
Interacting with others in learning
								  activities
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
C9
Using technology for learning
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Total raw score for lifelong learning
								  activities:
* = Score is not an option per AAIDD.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4240, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4260 - What activities are assessed in the employment activities subscale of the support needs scale?

Current through Register Vol. 24-14, July 15, 2024
The employment activities subscale measures your personal
					 support needs for the following employment activities:
#
Employment activities
Type of support
Frequency of support
Daily support time
Raw score
D1
Learning and using specific job skills
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
D2
Accessing/receiving job/task
								  accommodations
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
D3
Interacting with co-workers
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
D4
Interacting with supervisors /coaches
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
D5
Completing work-related tasks with acceptable
								  speed
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
D6
Completing work-related tasks with acceptable
								  quality
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
D7
Changing job assignments
0
1
2
3
4
0
1
2
*
*
0
1
2
3
4
D8
Seeking information and assistance from an
								  employer
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
Total raw score for employment activities:
* = Score is not an option per AAIDD.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4260, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4280 - What activities are assessed in the health and safety activities subscale of the support needs scale?

Current through Register Vol. 24-14, July 15, 2024
The health and safety activities subscale measures your
					 personal support needs for the following health and safety activities:
#
Health and safety activities
Type of support
Frequency of support
Daily support time
Raw score
E1
Taking medications
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
E2
Ambulating and moving about
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
E3
Avoiding health and safety hazards
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
E4
Obtaining health care services
0
1
2
3
4
0
1
2
3
4
0
1
2
*
*
E5
Learning how to access emergency services
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
E6
Maintaining a nutritious diet
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
E7
Maintaining physical health and fitness
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
E8
Maintaining emotional well-being
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Total raw score for health and safety
								  activities:
* = Score is not an option per AAIDD.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4280, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4300 - What activities are assessed in the social activities subscale of the support needs scale?

Current through Register Vol. 24-14, July 15, 2024
The social activities subscale measures your personal
					 support needs for the following social activities:
#
Social activities
Type of support
Frequency of support
Daily support time
Raw score
F1
Using appropriate social skills
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
F2
Participating in recreation /leisure activities
								  with others
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
F3
Socializing outside the household
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
F4
Making and keeping friends
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
F5
Engaging in loving and intimate
								  relationships
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
F6
Socializing within the household
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
F7
Communicating with others about personal
								  needs
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
F8
Engaging in volunteer work
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Total raw score for social activities:
* = Score is not an option per AAIDD.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4300, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4320 - What activities are assessed in the supplemental protection and advocacy activities subscale?

Current through Register Vol. 24-14, July 15, 2024
The supplemental protection and advocacy activities
					 subscale measures your personal support needs for the following protection and
					 advocacy activities:
#
Protection and advocacy activities
Type of support
Frequency of support
Daily support time
Raw score
G1
Advocating for self
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
G2
Making choices and decisions
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
G3
Protecting self from exploitation
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
G4
Exercising legal/civic responsibilities
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
G5
Belonging to and participating in
								  self-advocacy/support organizations
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
G6
Obtaining legal services
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
G7
Managing money and personal finances
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
G8
Advocating for others
0
1
2
3
4
0
1
2
3
*
0
1
2
3
4
Total raw score for protection and advocacy
								  activities:
* = Score is not an option for AAIDD.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4320, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4340 - How does DDD determine your support score for each of the items identified in the SIS exceptional medical and behavioral support needs scales?

Current through Register Vol. 24-14, July 15, 2024
DDD examines the amount of support you need for medical
					 treatments and behavioral support using the following rating scale:
Answer
Score
No support needed
0
Some support needed
1
Extensive support needed
2
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4340, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4360 - What exceptional medical support activities are evaluated to assess your medical support needs?

Current through Register Vol. 24-14, July 15, 2024
The SIS exceptional medical support needs scale measures
					 your personal support needs for the following medical support need(s)
					 activities:
#
Medical supports needed
No support needed
Some support needed
Extensive support needed
1.
Inhalation or oxygen therapy
0
1
2
2.
Postural drainage
0
1
2
3.
Chest PT
0
1
2
4.
Suctioning
0
1
2
5.
Oral stimulation or jaw positioning
0
1
2
6.
Tube feeding (e.g., nasogastric)
0
1
2
7.
Parenteral feeding (e.g., IV)
0
1
2
8.
Turning or positioning
0
1
2
9.
Dressing of open wound(s)
0
1
2
10.
Protection from infectious diseases due to immune
								  system impairment
0
1
2
11.
Seizure management
0
1
2
12.
Dialysis
0
1
2
13.
Ostomy care
0
1
2
14.
Lifting and/or transferring
0
1
2
15.
Therapy services
0
1
2
16.
Hypertension
0
1
2
17.
Allergies
0
1
2
18.
Diabetes
0
1
2
19.
Other(s) - specify
0
1
2
Subtotal scores of 1s and 2s:
Add subtotals scores for 1s and 2s for total
								  exceptional medical support needs score:
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4360, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4380 - What exceptional behavioral support activities are evaluated to assess your behavioral support needs?

Current through Register Vol. 24-14, July 15, 2024
The SIS exceptional behavioral support needs scale measures
					 your personal support needs for the following behaviors:
#
Behavioral supports needed
No support needed
Some support Needed
Extensive support needed
1.
Prevention of emotional outbursts
0
1
2
2.
Prevention of assault or injury to others
0
1
2
3.
Prevention of property destruction (e.g. fire
								  setting, breaking furniture)
0
1
2
4.
Prevention of stealing
0
1
2
5.
Prevention of self-injury
0
1
2
6.
Prevention of suicide attempts
0
1
2
7.
Prevention of PICA (inges-tion of inedible
								  substances)
0
1
2
8.
Prevention of nonaggressive but inappropriate
								  behavior (e.g., exposes self in public, exhibitionism, inappropriate touching
								  or gesturing)
0
1
2
9.
Prevention of sexual aggression
0
1
2
10.
Prevention of substance abuse
0
1
2
11.
Prevention of wandering
0
1
2
12.
Maintenance of mental health treatments
0
1
2
13.
Managing attention-seeking behavior*
0
1
2
14.
Managing uncooperative behavior*
0
1
2
15.
Managing agitated/over reactive behavior*
0
1
2
16.
Managing obsessive/repetitive behavior*
0
1
2
17.
Prevention of other serious behavior problem(s)
								  -Specify:
0
1
2
Subtotal scores of 1s and 2s:
Add subtotals scores for 1s and 2s for total
								  exceptional behavioral support needs scores:
* #13-16 are questions added by DDA. They are
								  used as part of the DDA behavior acuity scale and are not used to calculate SIS
								  percentiles.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4380, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4400 - How does DDA determine if you meet the eligibility requirements for ICF/IID level-of-care if you are age sixteen or older?

Current through Register Vol. 24-14, July 15, 2024
If you are age sixteen or older, DDA determines you to be
					 eligible for ICF/IID level-of-care from your SIS scores. Eligibility for
					 ICF/IID level-of-care requires that your scores meet at least one of the
					 following:
(1) You have a percentile
				  rank over nine percent for three or more of the six subscales in the SIS
				  support needs scale;
(2) You have a
				  percentile rank over twenty-five percent for two or more of the six subscales
				  in the SIS support needs scale;
(3)
				  You have a percentile rank over fifty percent in at least one of the six
				  subscales in the SIS support needs scale;
(4) You have a support score of one or two
				  for any of the questions listed in the SIS exceptional medical support needs
				  scale;
(5) You have a support score
				  of one or two for at least one of the following items in the SIS exceptional
				  behavior support needs scale:
(a) Prevention
				  of assaults or injuries to others;
(b) Prevention of property destruction (e.g.,
				  fire setting, breaking furniture);
(c) Prevention of self-injury;
(d) Prevention of PICA (ingestion of inedible
				  substances);
(e) Prevention of
				  suicide attempts;
(f) Prevention of
				  sexual aggression; or
(g)
				  Prevention of wandering.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4420 - How does DDD determine your percentile rank and standard score for each subscale in the SIS support needs scale?

Current through Register Vol. 24-14, July 15, 2024
DDD uses the following table to convert your total raw
					 score for each subscale into a percentile ranking:
If your raw score for the following SIS subscale
								  is:
Home Living
Community Living
Lifelong Learning
Employment Support
Health and Safety
Social Activities
Then your percentile rank for the SIS subscale
								  is:
And your standard score for the SIS subscale
								  is:
>99
20
>88
>94
>99
19
87-88
93-94
>99
18
85-86
91-92
>97
99
17
81-84
88-90
>96
>95
92-97
>97
98
16
77-80
84-87
92-96
91-95
86-91
91-97
95
15
73-76
79-83
86-91
85-90
79-85
84-90
91
14
68-72
74-78
79-85
78-84
72-78
76-83
84
13
62-67
69-73
72-78
70-77
65-71
68-75
75
12
55-61
63-68
64-71
61-69
57-64
58-67
63
11
48-54
56-62
55-63
52-60
49-56
48-57
50
10
40-47
49-55
46-54
42-51
42-48
38-47
37
9
32-39
41-48
36-45
32-41
34-41
28-37
25
8
25-31
33-40
27-35
23-31
27-33
19-27
16
7
18-24
25-32
18-26
15-22
20-26
10-18
9
6
11-17
16-24
9-17
7-14
13-19
3-9
5
5
3-10
6-15
<9
<7
7-12
<3
2
4
<3
<6
1-6
1
3
<1
<1
2
<1
1
Statutory Authority:
						RCW
						71A.12.030 and
						2012 c
						49 . 13-01-080, § 388-828-4420, filed
						12/18/12, effective 1/18/13. Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-4420, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › THE SUPPORTS INTENSITY SCALE ASSESSMENT › Section 388-828-4440 - How does DDD determine your SIS support needs index percentile ranking?

Current through Register Vol. 24-14, July 15, 2024
(1) DDD determines
				  your SIS support needs index percentile ranking by adding together the standard
				  scores (WAC
				  388-828-4420 ) for the following
				  supports intensity scale assessment subscales:
(a) Home living activities in WAC
				  388-828-4200.
(b) Community living activities in WAC
				  388-828-4220.
(c) Lifelong learning activities in WAC
				  388-828-4240.
(d) Employment activities in WAC
				  388-828-4260.
(e) Health and safety activities in WAC
				  388-828-4280.
(f) Social activities in WAC
				  388-828-4300.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD PROTECTIVE SUPERVISION ACUITY SCALE › Section 388-828-5000 - What is the DDD protective supervision acuity scale?

Current through Register Vol. 24-14, July 15, 2024
The DDD protective supervision acuity scale is an
					 assessment of your protective supervision support need(s).
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5000, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD PROTECTIVE SUPERVISION ACUITY SCALE › Section 388-828-5020 - How is information in the protective supervision acuity scale used by DDD?

Current through Register Vol. 24-14, July 15, 2024
(1) Information
				  obtained in the protective supervision acuity scale is one of the factors used
				  by DDD to determine:
(a) The amount of waiver
				  respite, if any, that you are authorized to receive;
(b) Your individual and family services
				  level, if you are authorized to receive individual and family services per
				  chapter 388-832 WAC; and
(c) Your
				  residential service level of support, if you are authorized to receive a
				  residential service listed in WAC
				  388-828-9510.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD PROTECTIVE SUPERVISION ACUITY SCALE › Section 388-828-5040 - What questions are asked in the DDD protective supervision acuity scale?

Current through Register Vol. 24-14, July 15, 2024
The three questions that are asked for the DDD protective
					 supervision acuity scale are in WAC
					 388-828-5060.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5040, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD PROTECTIVE SUPERVISION ACUITY SCALE › Section 388-828-5080 - How does DDD determine your adjusted protective supervision acuity score?

Current through Register Vol. 24-14, July 15, 2024
DDD determines your adjusted protective supervision acuity
					 score by applying the following age-based score adjustments to your level of
					 monitoring score for question number one in WAC
					 388-828-5060:
If you are:
Then your age-based score adjustment is:
18 years or older
Score is equal to your level of monitoring
								  score
16-17 years of age
Subtract 2 from your level of monitoring
								  score
12-15 years of age
Subtract 3 from your level of monitoring
								  score
8-11 years of age
Subtract 4 from your level of monitoring
								  score
5-7 years of age
Subtract 5 from your level of monitoring
								  score
0-4 years of age
Subtract 6 from your level of monitoring
								  score
If your adjusted level of monitoring score is a
								  negative number, your adjusted protective supervision acuity score is
								  zero.
Example: If you are fifteen years old and "close proximity,
					 (e.g., 1-2 hours, structured)" is identified as your level of monitoring score,
					 your adjusted protective supervision acuity score is: Your close proximity
					 score of four minus age-based score adjustment of three. For age twelve through
					 fifteen, this equals an adjusted protective supervision score of
					 one.
Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title
						71A RCW. 08-12-037, § 388-828-5080, filed 5/30/08, effective 7/1/08;
						07-10-029, § 388-828-5080, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD PROTECTIVE SUPERVISION ACUITY SCALE › Section 388-828-5100 - How does DDD determine your protective supervision support level?

Current through Register Vol. 24-14, July 15, 2024
DDD uses the following table in determining your protective
					 supervision support level:
If your Adjusted Protective Supervision Score
								  is:
Then your Protective Supervision Support Level
								  is:
5-6
High
3-4
Medium
1-2
Low
0
None
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5100, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5120 - What is the DDD caregiver status acuity scale?

Current through Register Vol. 24-14, July 15, 2024
The DDD caregiver status acuity scale is an assessment of
					 risks associated with your caregiver's ability to provide
					 care.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5120, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5140 - How is information in the DDD caregiver status acuity scale used by DDD?

Current through Register Vol. 24-14, July 15, 2024
(1) Information
				  obtained in the DDD caregiver status acuity scale is one of the factors used by
				  DDD to determine:
(a) The amount of waiver
				  respite, if any, that you are authorized to receive; and
(b) Your individual and family services
				  level, if you are authorized to receive individual and family
				  services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5160 - When is a collateral contact an informal caregiver?

Current through Register Vol. 24-14, July 15, 2024
A collateral contact is an informal caregiver when the
					 person provides you supports without payment from DDD for a
					 service.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5160, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5180 - When is a collateral contact a formal caregiver?

Current through Register Vol. 24-14, July 15, 2024
A collateral contact is a formal caregiver when the person
					 receives payment from DDD to provide you a service.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5180, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5200 - When is a collateral contact a backup caregiver?

Current through Register Vol. 24-14, July 15, 2024
A collateral contact is only a backup caregiver
					 when:
(1) He or she has been
				  identified as an informal caregiver; and
(2) He or she is available to provide
				  assistance as an informal caregiver when other caregivers are
				  unavailable.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5200, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5220 - Are you allowed to identify more than one person as a backup caregiver?

Current through Register Vol. 24-14, July 15, 2024
There are no limitations regarding the number of persons
					 you are allowed to identify as backup caregivers.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5220, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5240 - Who is your primary caregiver?

Current through Register Vol. 24-14, July 15, 2024
Your primary caregiver is the formal or informal caregiver
					 who provides you with the most support.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5240, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5260 - What questions are asked in the DDD caregiver status acuity scale and how are your caregiver's answers scored?

Current through Register Vol. 24-14, July 15, 2024
The DDD caregiver status acuity scale consists of six
					 questions that must be answered by your primary caregiver. Scores for each
					 question are determined based on your primary caregiver's response for each
					 question.
(1) Overall, how stressed do
				  you feel in caring for the client?
Answers
Score
Not stressed
0
Somewhat stressed
4
Very stressed
9
(2) Other care giving for persons who are
				  disabled, seriously ill, or under age 5?
Answers
Score
Client is the only person who requires direct
								  care
0
Part-time responsibility for one or more
								  additional persons
1
Full-time responsibility for one additional
								  person
2
Full-time responsibility for two or more
								  additional persons
4
(3) Factors that make it hard to be a
				  caregiver for client?
Answers
Score
Decline in physical health
1
Decline in emotional health
1
Negative impact on employment
1
Getting less than 5 hours of uninterrupted sleep
								  because of care giving
1
Health or safety impact
1
Other issues than impact care giving
1
(4) How much do these things impact your
				  ability to care for the client?
Answers
Score
Little or no impact
0
Possible impact, no concrete evidence
1
Concrete evidence of reduced care
4
Unable
9
(5) Is the client creating significant stress
				  on other household members?
Answers
Score
Stable and healthy
0
Clearly identifiable signs of stress
4
Serious risk of failure
9
(6) How long do you expect to continue
				  providing care?
Answers
Score
2 or more years
0
6 months to 2 years
0
1 to 6 months
4
Less than 1 month
9
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5260, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5280 - Which caregiver risk factors determine the caregiver risk level?

Current through Register Vol. 24-14, July 15, 2024
The following criteria are used to determine a caregiver's
					 risk level:
If the following criteria are met:
Then your caregiver risk factor (s) are:
(1) You have a score of "less than 1 month" for
								  question 6 ("How long do you expect to continue providing care?") in WAC
								  388-828-5260.
Immediate risk of loss of caregiver
(2) You have not identified any collateral
								  contacts in the CARE system as having a contact role of "informal caregiver;"
								  and
(3) You have not identified any collateral
								  contacts in the CARE system as having a contact role of "formal caregiver;"
								  and
(4) You have not identified any collateral
								  contacts in the CARE system as having a contact role of "backup caregiver;"
								  and
(5) You do not have a paid provider, authorized
								  by DDD, to provide supports for a DDD paid service; and
(6) You have an adjusted protective supervision
								  score of 3 or more in WAC
								  388-828-5080.
No caregiver, and needs one
(7) You have identified one of your collateral
								  contacts in the CARE system as having a contact role of primary caregiver;
								  and
(8) Your primary caregiver is 70 years of age or
								  older; and
(9) Your primary caregiver lives with you in the
								  same residence.
Aging caregiver
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5280, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5300 - How does DDD determine a caregiver risk level?

Current through Register Vol. 24-14, July 15, 2024
(1) The following table reflects the criteria
				  that are used to calculate the caregiver risk level score:
Your scores for the following questions in
WAC
								  388-828-5240
Your Caregiver Risk Level
Your score for question 4
Your score for question 5
Your score for question 6
0
0
0
None
0
0
4
Medium
0
0
9
Immediate
0
4
0
Medium
0
4
4
Medium
0
4
9
Immediate
0
9
0
High
0
9
4
High
0
9
9
Immediate
1
0
0
Low
1
0
4
Medium
1
0
9
Immediate
1
4
0
Medium
1
4
4
Medium
1
4
9
Immediate
1
9
0
High
1
9
4
High
1
9
9
Immediate
4
0
0
Medium
4
0
4
Medium
4
0
9
Immediate
4
4
0
Medium
4
4
4
Medium
4
4
9
Immediate
4
9
0
High
4
9
4
High
4
9
9
Immediate
9
0
0
High
9
0
4
High
9
0
9
Immediate
9
4
0
High
9
4
4
High
9
4
9
Immediate
9
9
0
High
9
9
4
High
9
9
9
Immediate
(2) If your maximum scores for questions
				  four, five, and six are four or less and you have an "Aging caregiver" risk
				  factor in WAC
				  388-828-5280, your caregiver risk
				  level is medium.
(3) If your
				  caregiver risk factor is "No caregiver, and needs one" in WAC
				  388-828-5280, your caregiver risk
				  level is immediate regardless of your scores for questions four, five, and
				  six.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5300, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5320 - How does DDD determine the availability of a backup caregiver?

Current through Register Vol. 24-14, July 15, 2024
DDD's determination of availability of a back up caregiver
					 is based on the responses of you and your respondent(s) to the following
					 question:
(1) Under what conditions
				  are other caregivers available?
Answers available for selection
Score
Routinely provides care
0
Upon request
2
Emergency only
4
No other caregiver available
9
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5320, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5340 - How does DDD determine whether a backup caregiver lives with you?

Current through Register Vol. 24-14, July 15, 2024
You or your respondent identifies that your backup
					 caregiver(s) lives with you.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5340, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD CAREGIVER STATUS ACUITY SCALE › Section 388-828-5360 - How does DDD determine the risk level score of your backup caregiver not being able to provide the supports you need when you need them?

Current through Register Vol. 24-14, July 15, 2024
The following table identifies the criteria that are used
					 to calculate the risk level score of your backup caregiver not being able to
					 provide the supports you need when you need them:
If the availability of your backup caregiver
								  is:
Then your risk level score is:
(1) Your backup caregivers are available
								  routinely or upon request as evidenced by a score of 0 to 2 for question 1 of
								  the backup caregiver subscale; and
(2) You have a person identified as a backup
								  caregiver that does not live with you evidenced by the "Lives with client"
								  checkbox not being selected as contact details information for him or
								  her.
1
(Not at risk)
(3) Your backup caregivers are available upon an
								  emergency only basis evidenced by a score of 4 for question 1 of the backup
								  caregiver subscale; or
(4) "Lives with client" has been selected for
all
of the persons you have identified as your backup
								  caregivers.
2
(Some risk)
(5) You have no other caregiver available
								  evidenced by a score of 9 for question 1 of the backup caregiver
								  subscale.
3
(High risk)
Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title
						71A RCW. 08-12-037, § 388-828-5360, filed 5/30/08, effective 7/1/08;
						07-10-029, § 388-828-5360, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD ACTIVITIES OF DAILY LIVING (ADL) ACUITY SCALE › Section 388-828-5380 - What is the DDD activities of daily living (ADL) acuity scale?

Current through Register Vol. 24-14, July 15, 2024
The DDD activities of daily living acuity scale is an
					 algorithm that determines your ADL support needs level.
(1) The DDD activities of daily living acuity
				  scale does not affect service determination for the medicaid personal care or
				  waiver personal care assessments; and
(2) The information is used for reporting
				  purposes to the legislature and the department.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5380, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD ACTIVITIES OF DAILY LIVING (ADL) ACUITY SCALE › Section 388-828-5400 - What does the activities of daily living (ADL) acuity scale measure?

Current through Register Vol. 24-14, July 15, 2024
The DDD ADL acuity scale measures:
(1) Your ADL support needs level from the
				  support assessment for children if you are age birth through fifteen years old;
				  or
(2) Your ADL support needs level
				  from the SIS assessment if you are age sixteen or older.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5400, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD ACTIVITIES OF DAILY LIVING (ADL) ACUITY SCALE › Section 388-828-5420 - How does DDD determine your ADL support needs score if you are age birth through fifteen?

Current through Register Vol. 24-14, July 15, 2024
If you are a child age birth through fifteen, your ADL
					 support needs score is the total of your acuity scores for each of the
					 following ADL questions in the support assessment for children:
ADL questions from the Support Assessment for
								  Children in WAC
								  388-828-3040
Question #
Text of ADL Questions:
1
Dress and Groom self
2
Toilet self
3
Eat at age level
4
Move around
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5420, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD ACTIVITIES OF DAILY LIVING (ADL) ACUITY SCALE › Section 388-828-5440 - How does DDD use your ADL support needs score for the support assessment for children?

Current through Register Vol. 24-14, July 15, 2024
(1) DDD uses
				  your ADL support needs score and the following table to determine your ADL
				  support needs level for the support assessment for children:
If your ADL support needs score is:
Then your ADL support need level is:
Value
11 to 16
High
3
7 to 10
Medium
2
2 to 6
Low
1
0 or 1
None
0
(2) If your acuity score is four for any of
				  the ADL questions in WAC
				  388-828-3040, your ADL support
				  needs level is determined to be high.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5440, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD ACTIVITIES OF DAILY LIVING (ADL) ACUITY SCALE › Section 388-828-5460 - How does DDA determine your ADL support needs score if you are age sixteen or older?

Current through Register Vol. 24-14, July 15, 2024
(1) If you are age
				  sixteen or older, your ADL support needs score is the total adjusted "Type of
				  support" scores from the following SIS questions:
ADL questions from the SIS assessment in WAC
								  388-828-4200
								  and
								  388-828-4280
Question #
Text of ADL questions:
A2
Bathing and taking care of personal
hygiene and grooming needs
A3
Using the toilet
A4
Dressing
A6
Eating food
E1
Taking medications
E2
Ambulating and moving about
(2) If your "Frequency of support" score for
				  a SIS ADL question is zero or one, adjust your "Type of support" score for that
				  question to zero.
(3) If your
				  "Frequency of support" score for a SIS ADL support question is two, three, or
				  four, no adjustment is needed to your "Type of support" score.
Example:
SIS ADL Questions
Text of SIS ADL Questions
If your "Frequency of Support" score is:
And your
"Type of Support" score is:
Then your adjusted "Type of Support" score
								  is:
A2
Bathing and taking care of personal hygiene and
								  grooming needs
1
2
0
A3
Using the toilet
3
3
3
A4
Dressing
3
3
3
A6
Eating food
1
2
0
E1
Taking medications
3
2
2
E2
Ambulating and moving about
0
0
0
Your SIS ADL support needs score:
8
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5460, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD ACTIVITIES OF DAILY LIVING (ADL) ACUITY SCALE › Section 388-828-5480 - How does DDD determine your ADL support needs level for the SIS assessment?

Current through Register Vol. 24-14, July 15, 2024
(1) DDD
				  uses your ADL support needs score and the following table to determine your ADL
				  support needs level for the SIS assessment if you are age sixteen or older:
If the sum of your adjusted ADL support needs
								  score for the SIS is:
Then your ADL support needs level for the SIS
								  is:
Value
16 to 24
High
3
10 to 15
Medium
2
2 to 9
Low
1
0 or 1
None
0
(2) If you have a "Type of support" score of
				  four for any of the questions listed in WAC
				  388-828-5460, your ADL support
				  needs level for the SIS assessment is determined to be high.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5480, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD BEHAVIORAL ACUITY SCALE › Section 388-828-5500 - What is the DDD behavioral acuity scale?

Current through Register Vol. 24-14, July 15, 2024
The DDD behavioral acuity scale is an assessment of your
					 behavioral support needs based on your scores from the SIS exceptional behavior
					 scale.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5500, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD BEHAVIORAL ACUITY SCALE › Section 388-828-5520 - How is information in the DDD behavioral acuity scale used by DDD?

Current through Register Vol. 24-14, July 15, 2024
(1) Information
				  obtained in the DDD behavioral acuity scale is one of the factors used by DDD
				  to determine:
(a) The amount of waiver
				  respite, if any, that you are authorized to receive;
(b) Your individual and family services
				  level, if you are authorized to receive individual and family services per
				  chapter 388-832 WAC; and
(c) Your
				  residential service level of support, if you are authorized to receive a
				  residential service listed in WAC
				  388-828-9510.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD BEHAVIORAL ACUITY SCALE › Section 388-828-5540 - How does DDD determine if you have a prominent behavior?

Current through Register Vol. 24-14, July 15, 2024
You are determined to have a prominent behavior when a
					 question in WAC
					 388-828-4380 has a support score
					 of one or two.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5540, filed 4/23/07, effective
						6/1/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › DDD BEHAVIORAL ACUITY SCALE › Section 388-828-5560 - Do all prominent behaviors get scored?

Current through Register Vol. 24-14, July 15, 2024
If you have two or more prominent behaviors, DDD will ask
					 you and your respondent(s) for input and must select only one behavior to be
					 scored as your most prominent behavior.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 07-10-029,
						§ 388-828-5560, filed 4/23/07, effective
						6/1/07.