Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › NURSING FACILITY CARE SERVICES › Section 388-106-0355 - Am I eligible for nursing facility care services?

Current through Register Vol. 24-14, July 15, 2024
You are eligible for nursing facility care if the
					 department:
(1) Assesses you in CARE
				  and determines that you meet the functional criteria for nursing facility level
				  of care which means one of the following applies:
(a) You require care provided by or under the
				  supervision of a registered nurse or a licensed practical nurse on a daily
				  basis;
(b) You have an unmet or
				  partially met need with at least three of the following activities of daily
				  living, as defined in WAC
				  388-106-0010:
For each Activity of Daily Living, the
							 minimum level of assistance required in
Self Performance is:
Support Provided is:
Eating
N/A
Setup
Toileting
Supervision
N/A
Bathing
Supervision
N/A
Transfer
Supervision
Setup
Bed Mobility
Supervision
Setup
Self Performance is:
Support Provided is:
Walk in Room OR Locomotion in Room OR Locomotion
							 Outside Immediate Living Environment
Supervision
Setup
Medication Management
Assistance Required
N/A
Your need for assistance in any activities listed
								in subsection (b) of this section did not occur because you were unable or no
								provider was available to assist you will be counted for the purpose in
								determining your functional eligibility.
(c) You have an unmet or partially met need
				  with at least two of the following activities of daily living, as defined in
				  WAC 388-106-0010:
For each Activity of Daily Living, the
							 minimum level of assistance required in
Self Performance is:
Support Provided is:
Eating
Supervision
One person physical assist
Toileting
Extensive Assistance
One person physical assist
Bathing
Limited Assistance
One person physical assist
Transfer
Extensive Assistance
One person physical assist
Bed Mobility and Turning and repositioning
Limited Assistance and Need
One person physical assist
Walk in Room OR Locomotion in Room OR Locomotion
							 Outside Immediate Living Environment
Extensive Assistance
One person physical assist
Medication Management
Assistance Required Daily
N/A
Self Performance is:
Support Provided is:
Your need for assistance in any of the
							 activities listed in subsection (c) of this section did not occur because you
							 were unable or no provider was available to assist you will be counted for the
							 purpose of determining your functional eligibility.
or:
(d)
				  You have a cognitive impairment and require supervision due to one or more of
				  the following: Disorientation, memory impairment, impaired decision making, or
				  wandering and have an urmiet or partially met need with at least one or more of
				  the following:
For each Activity of Daily Living, the
							 minimum level of assistance required in
Self Performance is:
Support Provided is:
Eating
Supervision
One person physical assist
Toileting
Extensive Assistance
One person physical assist
Bathing
Limited Assistance
One person physical assist
Transfer
Extensive Assistance
One person physical assist
Bed Mobility and Turning and repositioning
Limited Assistance and Need
One person physical assist
Walk in Room OR Locomotion in Room OR Locomotion
							 Outside Immediate Living Environment
Extensive Assistance
One person physical assist
Medication Management
Assistance Required Daily
N/A
Your need for assistance in any of the
							 activities listed in subsection (d) of this section did not occur because you
							 were unable or no provider was available to assist you will be counted for the
							 purpose of determining your functional eligibility.