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 388-845-1180 - Are there limitations to the nurse delegation services that you receive?

Current through Register Vol. 24-14, July 15, 2024
The following limitations apply to receipt of nurse
					 delegation services:
(1) Clinical and
				  support needs for nurse delegation are limited to those identified in your DDA
				  assessment and documented in the person-centered service plan.
(2) The department requires the delegating
				  nurse's written recommendation regarding your need for the service. This
				  recommendation must take into account that the nurse has recently examined you,
				  reviewed your medical records, and conducted a nursing assessment.
(3) The department may require a written
				  second opinion from a department selected nurse delegator that meets the same
				  criteria in subsection (2) of this section.
(4) The following tasks must not be
				  delegated:
(a) Injections, other than
				  insulin;
(b) Central
				  lines;
(c) Sterile procedures;
				  and
(d) Tasks that require nursing
				  judgment.
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 388-845-1181 - What is occupational therapy?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Occupational therapy is a service provided to improve, maintain, or maximize
				  the waiver participant's abilities for independent functioning and health
				  maintenance.
(2) Occupational
				  therapy is 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 388-845-1182 - Who may be a qualified provider of occupational therapy?

Current through Register Vol. 24-14, July 15, 2024
A qualified provider of occupational therapy must:
(1) Be licensed, registered, and certified as
				  required by law;
(2) Be contracted
				  with the developmental disabilities administration to provide occupational
				  therapy; 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 388-845-1183 - Are there limits to occupational therapy?

Current through Register Vol. 24-14, July 15, 2024
(1) Occupational therapy is limited to:
(a) Waiver participants age twenty-one or
				  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 388-845-1190 - What is peer mentoring?

Current through Register Vol. 24-14, July 15, 2024
(1) Peer
				  mentoring is a form of mentorship that takes place between a person who has
				  lived through an experience (peer mentor) and a person who is new to that
				  experience (mentee). Peer mentors use their experience to inform, support, and
				  train mentees to successfully navigate new experiences related to or impacted
				  by their disability.
(2) A peer
				  mentor may provide support and guidance to a client, the client's family, or
				  both.
(3) A peer mentor may connect
				  a waiver participant to local community services, programs, and resources and
				  answer participant questions or suggest other sources of support.
(4) Peer mentoring is available in the IFS
				  and CIIBS 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 388-845-1191 - Who are qualified providers of peer mentoring?

Current through Register Vol. 24-14, July 15, 2024
An individual or organization must contract with DDA to
					 provide peer mentoring support and training to people with developmental
					 disabilities or to families with a member with a developmental
					 disability.
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 388-845-1192 - What limits apply to peer mentoring?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Support needs for peer mentoring are limited to those identified in the waiver
				  participant's DDA assessment and documented in the person-centered service
				  plan.
(2) DDA does not contract
				  with a peer mentor to mentor a member of the mentor's own family.
(3) An IFS waiver participant's peer
				  mentoring services are limited to the participant's annual IFS waiver
				  allocation.
(4) A CIIBS waiver
				  participant's peer mentoring services must not exceed the CIIBS combined
				  specialized hourly services allocation of $5,000 per year.
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 388-845-1195 - What is person-centered plan facilitation?

Current through Register Vol. 24-14, July 15, 2024
(1) Person-centered plan facilitation is an
				  approach to forming life plans that is centered on the individual. It is used
				  as a life planning process to enable individuals with disabilities to increase
				  personal self-determination. Person-centered plan facilitation is available in
				  the IFS and CIIBS waivers.
(2)
				  Person-centered plan facilitation typically includes:
(a) Identifying and developing a potential
				  circle of people who know and care about the individual;
(b) Exploring what matters to the waiver
				  participant by listening to and learning from the person;
(c) Developing a vision for a meaningful
				  life, as defined by the waiver participant, which may include goals for
				  education, employment, housing, relationships, and recreation;
(d) Discovering capacities and assets of the
				  waiver participant, and his or her family, neighborhood, and support
				  network;
(e) Generating an action
				  plan; and
(f) Facilitating
				  follow-up meetings to track progress toward goals.
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 388-845-1196 - Who are qualified providers of person-centered plan facilitation?

Current through Register Vol. 24-14, July 15, 2024
Qualified providers include organizations and individuals
					 who are contracted with DDA to provide person-centered plan facilitation to
					 individuals with developmental disabilities.
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 388-845-1197 - What are the limits for person-centered plan facilitation?

Current through Register Vol. 24-14, July 15, 2024
(1) Support needs
				  for person-centered planning facilitation are limited to those identified in
				  the waiver participant's DDA assessment and documented in the person-centered
				  service plan.
(2) Person-centered
				  plan facilitation may include follow up contacts with the waiver participant
				  and his or her family to consult on plan implementation.
(3) An IFS waiver participant's
				  person-centered plan facilitation is limited to the participant's annual
				  allocation.
(4) A CIIBS waiver
				  participant's person-centered plan facilitation must not exceed the CIIBS
				  combined specialized hourly services allocation of $5,000 per year.
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 388-845-1200 - What are "person-to-person" services? (Repealed)

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, § 388-845-1200,
						filed 11/1/10, effective 12/2/10. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-1200, 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, § 388-845-1200, 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 388-845-1205 - Who are qualified providers of person-to-person services? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-1205, 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, § 388-845-1205, 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 388-845-1210 - Are there limits to the person-to-person service I can receive? (Repealed)

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, § 388-845-1210, filed 8/1/12, effective 9/1/12. Statutory
						Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-1210, 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, § 388-845-1210, 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 388-845-1300 - What are personal care services?

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, § 388-845-1300,
						filed 11/1/10, effective 12/2/10. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-1300, 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, § 388-845-1300, 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 388-845-1305 - Who are the qualified providers of personal care services?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-1305, 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, § 388-845-1305, 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 388-845-1310 - Are there limits to the personal care services you can receive?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1310, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-1310, filed 9/22/08, effective 10/23/08; 07-20-050,
						§ 388-845-1310, 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, § 388-845-1310, 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 388-845-1315 - What is physical therapy?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Physical therapy is the evaluation and treatment of functional limitations in
				  movement to facilitate self-care and reintegra-tion into the home, community,
				  or work.
(2) Physical therapy is
				  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 388-845-1316 - Who may be a qualified provider of physical therapy?

Current through Register Vol. 24-14, July 15, 2024
A qualified provider of physical therapy must:
(1) Be licensed, registered, and certified as
				  required by law;
(2) Be contracted
				  with the developmental disabilities administration to provide physical therapy;
				  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 388-845-1317 - Are there limits to physical therapy?

Current through Register Vol. 24-14, July 15, 2024
(1) Physical therapy is 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 388-845-1400 - What are prevocational services?

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. WSR 10-22-088, § 388-845-1400, filed 11/1/10, effective 12/2/10.
						Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW. WSR
						08-20-033, § 388-845-1400, 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. WSR 06-01-024, § 388-845-1400, 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 388-845-1405 - Who are the qualified providers of prevocational services?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-1405, 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 388-845-1410 - Are there limits to the prevocational services you may receive?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW. WSR
						08-20-033, § 388-845-1410, 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. WSR 06-01-024, § 388-845-1410, 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 388-845-1500 - What are residential habilitation services?

Current through Register Vol. 24-14, July 15, 2024
Residential habilitation services (RHS) are available in
					 the CORE and community protection waivers.
(1) Residential habilitation services include
				  assistance:
(a) With personal care and
				  supervision; and
(b) To learn,
				  improve or retain social and adaptive skills necessary for living in the
				  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 388-845-1505 - Who are qualified providers of residential ha-bilitation services for the core waiver?

Current through Register Vol. 24-14, July 15, 2024
Providers of residential ha-bilitation services for
					 participants in the core waiver must be one of the following:
(1) An individual contracted with DDA to
				  provide services as a companion home provider under chapter 388-829C
				  WAC;
(2) An individual or agency
				  contracted with DDA to provide services as an alternative living provider under
				  chapter 388-829A WAC;
(3) An agency
				  contracted with DDA and certified per chapter 388-101 WAC;
(4) A state-operated living alternative
				  (SOLA); or
(5) A licensed and
				  contracted:
(a) Group care facility or staffed
				  residential home under chapter 110-145 WAC;
(b) Child foster home under chapter 110-148
				  WAC; or
(c) Child placing agency
				  under chapter 110-147 WAC.
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 388-845-1510 - Who are qualified providers of residential habilitation services for the community protection waiver?

Current through Register Vol. 24-14, July 15, 2024
Providers of residential habilitation services for
					 participants of the community protection waiver are limited to state operated
					 living alternatives (SOLA) and supported living providers who are contracted
					 with DDA and certified under chapter 388-101 WAC as a residential community
					 protection provider intensive supported living services
					 (CP-ISLS).
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-1510, 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 388-845-1515 - Are there limits to the residential habilitation services I may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) You may only
				  receive one type of residential habilitation service at a time.
(2) None of the following may be paid for
				  under the core or community protection waiver:
(a) Room and board;
(b) The cost of building maintenance, upkeep,
				  improvement, modifications or adaptations required to assure the health and
				  safety of residents, or to meet the requirements of the applicable life safety
				  code;
(c) Activities or supervision
				  already being paid for by another source;
(d) Services provided in your parent's home
				  unless you are receiving alternative living services for a maximum of six
				  months to transition you from your parent's home into your own 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 388-845-1600 - What is respite care?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Respite care is short-term intermittent care to provide relief for a person who
				  lives with you, is your primary care provider, and is:
(a) Your family member and your paid or
				  unpaid care provider;
(b) A
				  nonfamily member who is not paid to provide care for you;
(c) A contracted companion home provider paid
				  by DDA to provide support to you; or
(d) A licensed children's foster home
				  provider paid by DDA to provide support 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 › WAIVER SERVICES DEFINITIONS › Section 388-845-1605 - Who is eligible to receive respite care?

Current through Register Vol. 24-14, July 15, 2024
You are eligible to receive respite care if you are in the
					 basic plus, CIIBS, core, or IFS waiver and meet the criteria in WAC
					 388-845-1600.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1605, 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, § 388-845-1605, filed 11/1/10, effective 12/2/10.
						Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.120, and Title 71A RCW.
						08-03-109, § 388-845-1605, filed 1/22/08, effective 2/22/08. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-1605, 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 388-845-1607 - Can someone who lives with you be your respite provider?

Current through Register Vol. 24-14, July 15, 2024
A person who lives with you may be your respite care
					 provider if the person is not:
(1)
				  Your primary care provider;
(2)
				  Providing any other DSHS paid service to you in the month that person provides
				  respite care to you; or
(3)
				  Excluded from providing services based on the limits under WAC
				  388-845-0111.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1607, 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 › WAIVER SERVICES DEFINITIONS › Section 388-845-1610 - Where may respite care be provided?

Current through Register Vol. 24-14, July 15, 2024
(1) Respite care may be provided in any of
				  the following licensed or certified settings that have a respite contract with
				  the developmental disabilities administration (DDA):
(a) Adult family home;
(b) Assisted living facility;
(c) Child care center;
(d) Children's foster home;
(e) Children's group home;
(f) Group home;
(g) Group training home;
(h) Staffed residential 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 388-845-1615 - Who may be qualified providers of respite care?

Current through Register Vol. 24-14, July 15, 2024
Providers of respite care may be any of the following
					 individuals or agencies contracted with the developmental disabilities
					 administration (DDA) for respite care:
(1) Individuals who meet the provider
				  qualifications under chapter 388-825 WAC;
(2) The consumer-directed employer under
				  chapter 388-115 WAC;
(3) Home
				  health agencies licensed under chapter 246-335 WAC, Part 1;
(4) Homecare agencies licensed under chapter
				  246-335 WAC, Part 1 and contracted with the area agencies on aging
				  (AAA);
(5) Licensed and contracted
				  group homes, foster homes, child placing agencies, staffed residential homes,
				  and foster group care homes;
(6)
				  Licensed and contracted adult family homes;
(7) Licensed and contracted adult residential
				  care facilities;
(8) Licensed and
				  contracted adult residential treatment facilities under chapter 246-337
				  WAC;
(9) Licensed child care
				  centers under chapter 110-300 WAC;
(10) Licensed child day care centers under
				  chapter 110-300 WAC;
(11) Adult day
				  care providers under chapter 388-71 WAC contracted with DDA;
(12) Certified providers under chapter
				  388-101 WAC when respite is provided within the DDA contract for certified
				  residential services;
(13) A
				  licensed practical nurse (LPN) or registered nurse (RN) acting within the scope
				  of the standards of nursing conduct or practice under title 246 WAC and
				  contracted with DDA to provide this service; or
(14) Other DDA contracted providers such as a
				  community center, senior center, parks and recreation, and summer
				  programs.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1615, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-1615, 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, § 388-845-1615, 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 388-845-1620 - Are there limits to the respite care you may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to the respite care you may
					 receive:
(1) For basic plus, core, and
				  the children's intensive in-home behavioral support (CIIBS) waivers, the
				  developmental disabilities administration (DDA) assessment will determine how
				  much respite you may receive under chapter 388-828 WAC.
(2) For the individual and family services
				  (IFS) waiver, the dollar amount for your annual allocation in your IFS waiver
				  limits the amount of respite care you may receive.
(3) Respite must not replace:
(a) Day care while your parent or guardian is
				  at work; or
(b) Personal care hours
				  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 › WAIVER SERVICES DEFINITIONS › Section 388-845-1650 - What is a risk assessment?

Current through Register Vol. 24-14, July 15, 2024
(1) A risk
				  assessment is a professional evaluation that:
(a) Assesses a person's needs and the
				  person's level of risk of sexual predatory behavior or aggression;
(b) Determines the need for psychological,
				  medical, or therapeutic services; and
(c) Provides treatment recommendations to
				  mitigate any assessed risk.
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 388-845-1655 - Who is a qualified provider of a risk assessment?

Current through Register Vol. 24-14, July 15, 2024
The provider of a risk assessment must be a:
(1) Licensed psychologist under chapter
				  246-924 WAC; or
(2) Certified
				  sexual offender treatment provider (SOTP) and meet requirements under WAC
				  246-930-030
				  and WAC
				  246-930-040
				  if the provider is performing a risk assessment for sexually aggressive
				  behavior.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-1655, 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, § 388-845-1655, 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 388-845-1660 - Are there limits to the risk assessment you may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) Clinical and
				  support needs for a risk assessment are limited to those identified in your DDA
				  assessment and documented in your person-centered service plan.
(2) A risk assessment must meet requirements
				  under WAC
				  388-831-0060.
(3) A risk assessment requires prior approval
				  by the DDA regional administrator or designee.
(4) The cost of a risk assessment does not
				  count toward the:
(a) Dollar limit for
				  aggregate services in the basic plus waiver;
(b) Annual allocation in the individual and
				  family services waiver; or
(c)
				  Aggregate budget amounts available in the children's intensive in-home behavior
				  support waiver.
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 388-845-1700 - What is waiver skilled nursing?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Waiver skilled nursing means long-term, intermittent, and hourly skilled
				  nursing services consistent with waiver objectives of avoiding
				  institutionalization.
(2) Waiver
				  skilled nursing services are available in the basic plus, community protection
				  (CP), core, and individual and family services (IFS) waivers, and are limited
				  to participants age twenty-one and older unless skilled nursing is authorized
				  as nurse delegation.
(3) Waiver
				  skilled nursing services include nurse delegation services provided by a
				  registered nurse under WAC
				  388-845-1170.
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, § 388-845-1700,
						filed 11/1/10, effective 12/2/10. Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-1700, 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 388-845-1705 - Who is a qualified provider of skilled nursing services?

Current through Register Vol. 24-14, July 15, 2024
The provider of skilled nursing services must be a
					 licensed practical nurse (LPN) or registered nurse (RN) acting within the scope
					 of the Standards of Nursing Conduct or Practice chapter 246-700 WAC and
					 contracted with DDA to provide this service.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-1705, 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 388-845-1710 - Are there limits to the skilled nursing services you may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to skilled nursing services you
					 may receive:
(1) Clinical and support
				  needs for skilled nursing services are limited to those identified in your DDA
				  assessment and documented in your person-centered service plan.
(2) Skilled nursing services , except for
				  nurse delegation and nursing evaluations, require prior approval by the DDA
				  regional administrator or designee.
(3) Skilled nursing hours must not exceed the
				  number of hours determined by the nursing care consultant's skilled nursing
				  assessment.
(4) DDA may require a
				  second opinion by a DDA-selected provider.
(5) The dollar amount for aggregate services
				  in your basic plus waiver or the dollar amount of your annual allocation in
				  your IFS waiver limits the amount of skilled nursing services you may
				  receive.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1710, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-1710, 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, § 388-845-1710, 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 388-845-1800 - What are specialized equipment and supplies?

Current through Register Vol. 24-14, July 15, 2024
(1) Specialized equipment and supplies are
				  specialized items necessary to prevent institutionalization that are not
				  covered, or are in excess of what is covered, through the medicaid state plan.
				  Types of specialized equipment and supplies include:
(a) Durable medical equipment;
(b) Nondurable medical equipment designed to
				  directly improve an activity of daily living or instrumental activity of daily
				  living need; and
(c) Nonmedical,
				  specialized equipment designed to directly assist an individual in tasks
				  affected by a functionally limiting disability.
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 388-845-1805 - Who are the qualified providers of specialized equipment and supplies?

Current through Register Vol. 24-14, July 15, 2024
(1) To be a
				  qualified provider of specialized durable or nondurable medical equipment, the
				  provider must be a medical equipment supplier currently contracted:
(a) With DDA as a specialized equipment and
				  supplies vendor; and
(b) As a Title
				  XIX 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 388-845-1810 - Are there limits to the specialized equipment and supplies you may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to the specialized equipment and
					 supplies you may receive:
(1)
				  Habilitative support needs for specialized equipment and supplies are limited
				  to those identified in your DDA person-centered assessment and documented in
				  your person-centered service plan.
(2) Specialized equipment and supplies over
				  $550 require prior approval by the DDA regional administrator or
				  designee.
(3) When your medical
				  professional recommends specialized equipment and supplies for you, DDA may
				  require a second opinion by a DDA-selected provider.
(4) Items must be of direct medical or
				  remedial benefit to you or required to prevent institutionalization and
				  necessary as a result of your disability.
(5) Items requested to address a sensory
				  integration need must have an accompanying therapeutic plan written by a
				  current treating professional.
(6)
				  Medications, first aid supplies, antiseptic supplies, personal hygiene
				  products, supplements, and vitamins are excluded.
(7) The dollar amounts for aggregate services
				  in your basic plus or CIIBS waiver limit the amount of service you may
				  receive.
(8) The dollar amounts for
				  your annual allocation in your individual and family services (IFS) waiver
				  limit the amount of service you may receive.
(9) Items excluded from specialized equipment
				  and supplies include:
(a) Items of general
				  utility;
(b) Items that do not
				  directly support the client as described in WAC
				  388-845-1800; and
(c) Nonspecialized recreational or exercise
				  equipment, including but not limited to trampolines, treadmills, swing sets,
				  and hot tubs.
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 388-845-1840 - What is specialized nutrition? (Repealed)

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, § 388-845-1840,
						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 388-845-1845 - Who are qualified providers of specialized nutrition? (Repealed)

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, § 388-845-1845,
						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 388-845-1850 - Are there limitations to your receipt of specialized nutrition? (Repealed)

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, § 388-845-1850, 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, § 388-845-1850,
						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 388-845-1855 - What is specialized clothing?

Current through Register Vol. 24-14, July 15, 2024
Specialized clothing is available to you in the CIIBS and
					 IFS waivers and is defined as nonrestrictive clothing adapted to your
					 individual needs and related to your disability, such as weighted clothing,
					 clothing designed for tactile defensiveness, specialized footwear, or
					 reinforced clothing.
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 388-845-1860 - Who are qualified providers of specialized clothing?

Current through Register Vol. 24-14, July 15, 2024
Qualified providers of specialized clothing are
					 specialized clothing vendors contracted with 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 › WAIVER SERVICES DEFINITIONS › Section 388-845-1865 - Are there limits to your receipt of specialized clothing?

Current through Register Vol. 24-14, July 15, 2024
(1) The following
				  limits apply to specialized clothing you may receive:
(a) Clinical and support needs for
				  specialized clothing are limited to those identified in your DDA assessment and
				  documented in your person-centered service plan.
(b) DDA requires written documentation from
				  an appropriate health professional regarding your need for the service. This
				  recommendation must take into account that the health professional has recently
				  examined you, reviewed your medical records, and conducted an
				  assessment.
(c) DDA may require a
				  second opinion from a DDA-selected provider.
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 388-845-1870 - What are specialized habilitation services?

Current through Register Vol. 24-14, July 15, 2024
(1) Specialized habilitation services provide
				  community-based and individualized support with the intent of reaching an
				  identified habili-tative goal in the person-centered service plan.
(2) Service must assist a client to learn or
				  maintain skills in categories of:
(a)
				  Self-empowerment;
(b) Safety
				  awareness and self-advocacy;
(c)
				  Interpersonal effectiveness and effective social communication;
(d) Coping strategies for everyday life
				  changes; and
(e) Managing daily
				  tasks and acquiring adaptive skills.
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 388-845-1880 - Who are qualified providers of specialized habilitation services?

Current through Register Vol. 24-14, July 15, 2024
To provide specialized habilitation services, a provider
					 must be contracted with DDA for this service, have one year of experience
					 working with people with a developmental or intellectual disability, and be one
					 of the following:
(1) A certified life
				  skills coach;
(2) An individual
				  with a bachelor's, master's, or doctoral degree in social work, sociology,
				  psychology, education, child development, gerontology, nursing, or other
				  related field; or
(3) An individual
				  enrolled and supervised in a university internship program for social work,
				  sociology, psychology, education, child development, gerontology, sociology, or
				  nursing.
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 388-845-1890 - Are there limits to the specialized habilitation I may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to your receipt of specialized
					 habilitation:
(1) Specialized
				  habilitation is limited to address a maximum of three goals at a
				  time.
(2) Specialized habilitation
				  support needs must be identified in your DDA assessment and specialized
				  habilitation must be documented in your person-centered service plan.
(3) Specialized habilitation must not exceed:
(a) $6,192 within your total basic plus
				  aggregate budget;
(b) Your IFS
				  annual allocation in combination with other waiver services; or
(c) $15,000 within your total CIIBS aggregate
				  budget and $6,000 emergency assistance funding when eligible per WAC
				  388-845-0800 and
				  388-845-0820.
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 388-845-1900 - What are specialized psychiatric services?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1900, 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, § 388-845-1900, filed 11/1/10, effective 12/2/10.
						Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-1900, 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 388-845-1905 - Who are qualified providers of specialized psychiatric services?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-1905, 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 388-845-1910 - Are there limitations to the specialized psychiatric services you can receive?

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1910, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-1910, 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, § 388-845-1910, filed 12/13/05, effective
						1/13/06.