Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › CARE CLASSIFICATION › Section 388-106-0130 - How does the department determine the number of hours I may receive for in-home care?

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  assigns a base number of hours to each classification group as described in WAC
				  388-106-0125.
(2) The department will adjust base hours to
				  account for informal supports and age appropriate functioning (as those terms
				  are defined in WAC
				  388-106-0010), and other paid
				  services that meet some of an individual's need for personal care services:
(a) The CARE tool determines the adjustment
				  for informal supports and age appropriate functioning. A numeric value is
				  assigned to the status and assistance available coding for ADLs and IADLs based
				  on the table below. The base hours assigned to each classification group are
				  adjusted by the numeric value in subsection (b) of this section.
Meds
Status
Assistance
								  Available
Numeric
								  Value
Medication management
The rules to the right apply for all
								  self-performance codes except independent which is not counted as a qualifying
								  ADL
Unmet
N/A
1
Met
N/A
0
Decline
N/A
0
Age appropriate functioning
N/A
0
Partially met
[GREATER THAN]1/4 time
.9
1/4 to 1/2 time
.7
1/2 to 3/4 time
.5
[LESS THAN]3/4 time
.3
Unscheduled
								  ADLs
Status
Assistance
								  Available
Value
Bed mobility, transfer, walk in room, eating,
								  toilet use
The rules to the right apply for all
								  self-performance codes except: Did not occur/client not able and Did not
								  occur/no provider = 1;
Did not occur/client declined and independent are
								  not counted as qualifying ADLs
Unmet
N/A
1
Met
N/A
0
Decline
N/A
0
Age appropriate functioning
N/A
0
Partially met
[GREATER THAN]1/4 time
.9
1/4 to 1/2 time
.7
1/2 to 3/4 time
.5
[LESS THAN]3/4 time
.3
Scheduled
								  ADLs
Status
Assistance
								  Available
Value
Dressing, personal hygiene, bathing
The rules to the right apply for all
								  self-performance codes except: Did not occur/client not able and Did not
								  occur/no provider = 1;
Did not occur/client declined and independent
								  which are not counted as qualifying ADLs
Unmet
N/A
1
Met
N/A
0
Decline
N/A
0
Age appropriate functioning
N/A
0
Partially met
[GREATER THAN]1/4 time
.75
1/4 to 1/2 time
.55
1/2 to 3/4 time
.35
[LESS THAN]3/4 time
.15
IADLs
Status
Assistance
								  Available
Value
Meal preparation, ordinary housework, essential
								  shopping
The rules to the right apply for all
								  self-performance codes except independent is not counted as a qualifying
								  IADL
Unmet
N/A
1
Met
N/A
0
Decline
N/A
0
Child under (age) (see subsection
								  (7))
N/A
0
Partially met
[GREATER THAN]1/4 time
.3
1/4 to 1/2 time
.2
1/2 to 3/4 time
.1
[LESS THAN]3/4 time
.05
IADLs
Status
Assistance
								  Available
Value
Travel to medical
The rules to the right apply for all
								  self-performance codes except independent which is not counted as a qualifying
								  IADL
Unmet
N/A
1
Met
N/A
0
Decline
N/A
0
Child under (age) (see subsection
								  (7))
N/A
0
Partially met
[GREATER THAN]1/4 time
.9
1/4 to 1/2 time
.7
1/2 to 3/4 time
.5
[LESS THAN]3/4 time
.3
Key: [GREATER THAN] means greater than; [LESS THAN] means
					 less than
(b) To determine
				  the amount adjusted for informal support or age appropriate functioning, the
				  numeric values are totaled and divided by the number of qualifying ADLs and
				  IADLs needs. The result is value A. Value A is then subtracted from one. This
				  is value B. Value B is divided by three. This is value C. Value A and Value C
				  are summed. This is value D. Value D is multiplied by the "base hours" assigned
				  to your classification group and the result is the number of adjusted in-home
				  hours. Values are rounded to the nearest hundredths for example, .862 is
				  rounded to .86).