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 › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3080 - What if my needs exceed the maximum yearly funding limit or the scope of services under the basic plus waiver?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  If you are on the basic plus waiver and your assessed need for services exceeds
				  the maximum permitted, DDA will make the following efforts to meet your health
				  and welfare needs:
(a) Identify more
				  available natural supports;
(b)
				  Initiate an exception to rule to access available nonwaiver services not
				  included in the basic plus waiver other than natural supports;
(c) Authorize emergency assistance funding up
				  to $6,000 per year if your needs meet the definition of emergency assistance
				  funding in WAC
				  388-845-0800.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3085 - What if your needs exceed what can be provided under the IFS, CIIBS, core, or community protection waiver?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  If you are on the IFS, CIIBS, core, or community protection waiver and your
				  assessed need for services exceeds the scope of services provided under your
				  waiver, DDA will make one or more of the following efforts to meet your health
				  and welfare needs:
(a) Identify more
				  available natural supports;
(b)
				  Initiate an exception to rule to access available nonwaiver services not
				  included in the IFS, CIIBS, core, or community protection waiver other than
				  natural supports;
(c) Offer you the
				  opportunity to apply for an alternate waiver that has the services you need,
				  subject to WAC
				  388-845-0045; or
(d) Offer you placement in an
				  ICF/IID.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3090 - What if my identified health and welfare needs are less than what is provided in my current waiver?

Current through Register Vol. 24-14, July 15, 2024
If your identified health and welfare needs are less than
					 what is provided in your current waiver, DDA may terminate you from your
					 current waiver and enroll you in a waiver that meets but does not exceed your
					 assessed need for waiver services.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-3090, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-3095 - Will I have to pay toward the cost of waiver services?

Current through Register Vol. 24-14, July 15, 2024
(1) You are
				  required to pay toward board and room costs if you live in a licensed facility
				  or in a companion home as room and board is not considered to be a waiver
				  service.
(2) You will not be
				  required to pay towards the cost of your waiver services if you receive
				  SSI.
(3) You may be required to pay
				  towards the cost of your waiver services if you do not receive SSI. DDA
				  determines what amount, if any, you pay in accordance with WAC
				  182-515-1510.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-3095, 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, § 388-845-3095, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-4000 - What are my appeal rights under the waiver?

Current through Register Vol. 24-14, July 15, 2024
In addition to your appeal rights under WAC
					 388-825-120, you have the right
					 to appeal the following decisions:
(1)
				  Disenrollment from a waiver under WAC
				  388-845-0060, including a
				  disenrollment from a waiver and enrollment in a different waiver.
(2) A denial of your request to receive
				  ICF/IID services instead of waiver services; or
(3) A denial of your request to be enrolled
				  in a waiver, subject to the limitations described in WAC
				  388-845-4005.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-4000, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-4000, 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, § 388-845-4000, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-4005 - Can I appeal a denial of my request to be enrolled in a waiver?

Current through Register Vol. 24-14, July 15, 2024
(1) If you are not
				  enrolled in a waiver and your request to be enrolled in a waiver is denied,
				  your appeal rights are limited to the decision that you are not eligible to
				  have your request documented in a statewide database due to the following:
(a) You do not need ICF/IID level of care per
				  WAC 388-845-0070,
				  388-828-8040, and
				  388-828-8060; or
(b) You requested enrollment in the CIIBS
				  waiver and do not meet CIIBS eligibility per WAC
				  388-828-8500 through
				  388-828-8520.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-4010 - How do I appeal a department action?

Current through Register Vol. 24-14, July 15, 2024
(1) Your rights to appeal a department
				  decision are in
				  RCW
				  71A.10.050 and WAC
				  388-825-120 and are limited to an
				  applicant, recipient, or former recipient of services from the DDA.
(2) If you want to appeal a department
				  action, you must request an appeal within ninety days from receipt of the
				  department notice of the action you are disputing.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-4010, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › ASSESSMENT AND INDIVIDUAL SUPPORT PLAN › Section 388-845-4015 - Will my services continue during an appeal?

Current through Register Vol. 24-14, July 15, 2024
Services may continue according to the provisions
					 contained in WAC
					 388-825-145.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-4015, filed 12/13/05, effective
						1/13/06.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › PURPOSE › Section 388-847-0020 - What service does a stabilization, assessment, and intervention facility provider deliver?

Current through Register Vol. 24-14, July 15, 2024
A stabilization, assessment, and intervention facility
					 (SAIF) provider delivers stabilization services under chapter 388-845 WAC for
					 up to 90 days to clients with complex behavioral health needs. Each
					 community-based facility provides 24-hour support, including support for target
					 behaviors, for up to six clients. SAIF is a short-term residential facility to
					 prevent institutionalization or to facilitate
					 deinstitutionalization.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › CLIENT ELIGIBILITY › Section 388-847-0030 - Who is eligible for admission to SAIF?

Current through Register Vol. 24-14, July 15, 2024
A person is eligible for admission to a stabilization,
					 assessment, and intervention facility (SAIF) if the person:
(1) Is age 18 or older;
(2) Is eligible for DDA services under
				  chapter 388-823 WAC;
(3) Is
				  eligible for enrollment on a home and community-based services waiver under
				  chapter 388-845 WAC;
(4) Is
				  eligible for stabilization services under WAC
				  388-845-1100;
(5) Is eligible for discharge from an acute
				  care setting or is at risk of admission to an acute care setting for nonmedical
				  reasons;
(6) Has an identified
				  residential service provider;
(7)
				  Does not pose a risk to the health or safety of SAIF staff or other clients
				  supported by SAIF and SAIF can safely meet the client's needs within available
				  funding; and
(8) Has frequent
				  stabilization, assessment, and intervention needs as indicated by:
(a) A history of hospital admissions for
				  behavioral health stabilization in the last year; or
(b) The regional clinical team's
				  recommendation that behavioral health destabilization is likely to
				  occur.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › CLIENT ELIGIBILITY › Section 388-847-0040 - How does SAIF determine whether it can safely meet a client's needs?

Current through Register Vol. 24-14, July 15, 2024
To determine whether it can safely meet a client's needs,
					 the stabilization, assessment, and intervention facility reviews client
					 information, such as:
(1) The client's
				  referral packet;
(2) Interviews
				  with the client or collateral contacts; and
(3) Composition of clients currently
				  supported by the provider.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SERVICE DELIVERY › Section 388-847-0050 - What does SAIF provide?

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  stabilization, assessment, and intervention facility (SAIF) provides the
				  following:
(a) Stabilization services under
				  WAC
				  388-845-1100;
(b) Functional assessment under WAC
				  388-847-0080;
(c) The creation and
				  implementation of a behavior support plan under WAC 388-847-0090;
(d) Services assigned to SAIF in the client's
				  person-centered service plan;
(e)
				  Opportunities for the client's residential provider to participate in
				  individualized team meetings, discuss effective environmental strategies,
				  collaborate on techniques for implementing the client's behavior support plan;
				  and
(f) Medication administration
				  and medication assistance as needed.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SERVICE DELIVERY › Section 388-847-0060 - What healthcare support does SAIF provide?

Current through Register Vol. 24-14, July 15, 2024
The stabilization, assessment, and intervention facility
					 must provide healthcare support by:
(1) If necessary, providing medication
				  assistance under
				  RCW
				  69.41.010;
(2) If necessary, performing delegated
				  nursing tasks and medication administration under WAC
				  246-840-910 through WAC
				  246-840-970;
(3) Supporting the client to understand and
				  follow their healthcare professional's instructions, referrals, and medication
				  directions; and
(4) Assisting the
				  client with medically necessary healthcare appointments, including scheduling,
				  transporting, and participating when necessary.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SERVICE DELIVERY › Section 388-847-0070 - How long may a client receive services from the SAIF provider?

Current through Register Vol. 24-14, July 15, 2024
A client may receive services from a stabilization,
					 assessment, and intervention facility for up to 90 consecutive
					 days.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SERVICE DELIVERY › Section 388-847-0080 - When is a functional assessment required?

Current through Register Vol. 24-14, July 15, 2024
(1) Each client supported by a stabilization,
				  assessment, and intervention facility (SAIF) must receive a functional
				  assessment for the target behavior that prevents the client from receiving
				  residential services.
(2) The
				  client's functional assessment must:
(a) Be
				  based on two or more of the following:
(i)
				  Direct observation;
(ii) An
				  interview with anyone who has personal knowledge of the client;
(iii) A questionnaire; or
(iv) A record review.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SERVICE DELIVERY › Section 388-847-0090 - What requirements must a behavior support plan meet?

Current through Register Vol. 24-14, July 15, 2024
(1) Each client
				  supported by a stabilization, assessment, and intervention facility (SAIF) must
				  have a behavior support plan that is based on the functional assessment in WAC
				  388-847-0080.
(2) The client's
				  behavior support plan must describe:
(a) The
				  target behavior;
(b) Actions that
				  may be taken to prevent the target behavior;
(c) Actions that may be taken in response to
				  the target behavior;
(d) Actions
				  that may be taken if the target behavior increases in frequency, duration,
				  intensity, or impact;
(e) The
				  replacement behavior that matches the target behavior's function;
(f) How to teach the replacement
				  behavior;
(g) How to respond to the
				  replacement behavior; and
(h)
				  Benchmarks to evaluate the behavior support plan's
				  effectiveness.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › DISCHARGE › Section 388-847-0100 - What must SAIF provide to a client's residential provider upon discharge?

Current through Register Vol. 24-14, July 15, 2024
Upon a client's discharge, the stabilization, assessment,
					 and intervention facility must provide:
(1) The client's behavior support
				  plan;
(2) The client's functional
				  assessment;
(3) A list of the
				  client's medications; and
(4) The
				  client's property record.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › TERMINATION › Section 388-847-0110 - When may SAIF provide a termination notice prior to discharge and to whom must SAIF send the notice?

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  stabilization, assessment, and intervention facility (SAIF) may provide
				  termination notice prior to discharge if it determines and documents:
(a) The client's behavior jeopardizes the
				  client's health or safety; or
(b)
				  The client's behavior jeopardizes the health or safety of staff or other
				  clients SAIF supports.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › PROVIDER QUALIFICATIONS › Section 388-847-0120 - Who is qualified to work in SAIF?

Current through Register Vol. 24-14, July 15, 2024
To provide direct support to clients in a stabilization,
					 assessment, and intervention facility, a person must:
(1) Be age 18 or older;
(2) Have a high school diploma or
				  GED;
(3) Have a valid food worker's
				  card under chapter 246-217 WAC;
(4)
				  Have a nondisqualifying DSHS background check result under chapter 388-825 WAC
				  at least every three years, or more frequently if requested by DSHS;
(5) Complete the training required under
				  chapter 388-829 WAC;
(6) Complete
				  crisis intervention training;
(7)
				  Complete trauma-informed care training; and
(8) Comply with nurse delegation training
				  requirements under chapter 246-888 WAC if the person provides medication
				  administration to a client.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › MEDICATIONS › Section 388-847-0130 - What must SAIF do if a client refuses a prescribed medication?

Current through Register Vol. 24-14, July 15, 2024
If a client refuses a prescribed medication, the
					 stabilization, assessment, and intervention facility must:
(1) Document the refusal, including the time,
				  date, and medication refused;
(2)
				  Inform the client of the benefit of the medication;
(3) Consult a pharmacist or licensed medical
				  provider with prescription authority to determine if the medication refusal
				  could significantly harm the client;
(4) If recommended, continue to offer the
				  medication following consultation in subsection (3) of this section;
				  and
(5) Inform the client's legal
				  representative.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › MEDICATIONS › Section 388-847-0140 - How must SAIF store medication?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The stabilization, assessment, and intervention facility (SAIF) must store a
				  client's medication:
(a) In a locked place,
				  such as a locked room or locked box;
(b) Separate from food and toxic
				  chemicals;
(c) Under proper
				  conditions for sanitation, temperature, and ventilation; and
(d) In the original medication container with
				  the pharmacist-prepared or manufacturer's label, which must include the:
(i) Name of the client for whom the
				  medication is prescribed;
(ii) Name
				  of the medication; and
(iii) Dosage
				  and frequency.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › MEDICATIONS › Section 388-847-0150 - How must SAIF dispose of medications?

Current through Register Vol. 24-14, July 15, 2024
(1) The stabilization, assessment, and
				  intervention facility (SAIF) must dispose of all client medications that are
				  discontinued, expired, or replaced by another.
(2) When disposing client medications, SAIF
				  must list the:
(a) Medication;
(b) Amount; and
(c) Date that it was
				  disposed.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › FACILITY REQUIREMENTS › Section 388-847-0160 - What are the physical requirements for a SAIF?

Current through Register Vol. 24-14, July 15, 2024
(1) The stabilization, assessment, and
				  intervention facility's (SAIF's) fixtures, furnishings, exterior, and interior,
				  including the client's bedroom, must be maintained in a safe manner and free
				  from hazards.
(2) Each SAIF
				  client's bedroom must have:
(a) A bed,
				  mattress, pillow, and linens;
(b) A
				  closet or other place for storing personal items;
(c) A window or door that allows for
				  emergency exit;
(d) Unrestricted
				  access to common areas; and
(e)
				  Space for a mobility aid, such as a wheelchair or walker.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SAFETY PROCEDURES › Section 388-847-0170 - What must SAIF do to prepare for emergencies?

Current through Register Vol. 24-14, July 15, 2024
(1) The stabilization, assessment, and
				  intervention facility (SAIF) must develop an emergency response plan.
(2) SAIF must complete a fire drill with
				  clients at least once per month and document completion of the drill.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SAFETY PROCEDURES › Section 388-847-0180 - What water temperature safety measures must be met?

Current through Register Vol. 24-14, July 15, 2024
(1) The stabilization, assessment, and
				  intervention (SAIF) must regulate the facility's water temperature no higher
				  than 120 degrees Fahrenheit.
(2)
				  SAIF must complete and document monthly water temperature checks.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SAFETY PROCEDURES › Section 388-847-0190 - What fire safety requirements must be met?

Current through Register Vol. 24-14, July 15, 2024
(1) The stabilization, assessment, and
				  intervention facility (SAIF) must be located in an area with public fire
				  protection.
(2) SAIF must have a
				  working smoke detector and carbon monoxide detector installed:
(a) In every client's bedroom; and
(b) On every floor of the
				  facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › SAFETY PROCEDURES › Section 388-847-0200 - Must SAIF secure cleaning supplies and other potentially hazardous substances?

Current through Register Vol. 24-14, July 15, 2024
The stabilization, assessment, and intervention facility
					 must have an area inaccessible to clients for storing cleaning supplies,
					 flammables, and other combustible materials.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › RETENTION OF RECORDS › Section 388-847-0210 - What records must SAIF retain?

Current through Register Vol. 24-14, July 15, 2024
(1) The stabilization, assessment, and
				  intervention facility (SAIF) must keep the following information in a client's
				  record:
(a) The client's name, address, and
				  Social Security number;
(b) The
				  name, address, and telephone number of the client's legal
				  representative;
(c) Progress notes
				  and incident reports involving the client;
(d) The client's behavior support
				  plan;
(e) Copies of current medical
				  and psychiatric diagnoses;
(f) A
				  list of the client's medications and indications for medications
				  used;
(g) Allergies;
(h) Portable orders for life-sustaining
				  treatment (if established); and
(i)
				  A list of the client's current medical, behavioral, and hospital
				  providers.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › RETENTION OF RECORDS › Section 388-847-0220 - How long must SAIF keep client records?

Current through Register Vol. 24-14, July 15, 2024
The stabilization, assessment, and intervention facility
					 must keep a client's records for six years from discharge
					 date.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › RETENTION OF RECORDS › Section 388-847-0230 - Must SAIF keep a record of a client's property?

Current through Register Vol. 24-14, July 15, 2024
(1) The stabilization, assessment, and
				  intervention facility (SAIF) must maintain a property record for each
				  client.
(2) The property record
				  must include:
(a) A descriptive list of items
				  with a fair market value of $75.00 or more that the client owned when entering
				  the program;
(b) A descriptive list
				  of items with an original purchase price of $75.00 or more that the client
				  acquired while residing at SAIF; and
(c) A date, explanation, and verification of
				  notification to the client and the client's legal representative for any item
				  with a fair market value of $75.00 or more that is removed from the client's
				  property record.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › REFUSAL OF SERVICES › Section 388-847-0240 - When must SAIF document a client's choice not to participate in supports?

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  stabilization, assessment, and intervention facility (SAIF) provider must
				  document a client's choice not to participate in:
(a) Monthly emergency fire drills;
				  or
(b) Healthcare support as
				  described WAC 388-847-0060.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › INFECTION CONTROL › Section 388-847-0250 - What infection control practices must SAIF implement?

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  stabilization, assessment, and intervention facility (SAIF) must implement
				  occupational safety and health administration (OSHA) universal precautions to
				  limit the spread of infections when:
(a)
				  Providing client services;
(b)
				  Cleaning the facility;
(c) Washing
				  laundry; and
(d) Managing
				  infectious waste.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-847 - Stabilization, assessment, and intervention facility › CERTIFICATION EVALUATION › Section 388-847-0260 - Must SAIF be certified?

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  stabilization, assessment, and intervention facility (SAIF) must be certified
				  by DDA no more than 90 days after the first date of service delivery.
(2) DDA certifies SAIF through a
				  certification evaluation.
(3)
				  DDA-contracted evaluators conduct the certification evaluations.
(4) SAIF must participate in a certification
				  evaluation at least once every 12 months.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
(1) All terms used
				in this chapter not defined herein shall have the same meaning as indicated in
				the act.
(2) "Act" means local
				funds for community services chapter 71.20 RCW, State services chapter 71A.12
				RCW, and Local services chapter 71A.14 RCW as now existing or hereafter
				amended.
(3) "County" means each
				county or two or more counties acting jointly.
(4) "Department" means the department of
				social and health services.
(5)
				"Exemption" means the department's approval of a written request for an
				exception to a rule in this chapter.
(6) "Indian" shall mean any:
(a) Person enrolled in or eligible for
				enrollment in a recognized Indian tribe; any person determined to be or
				eligible to be found to be an Indian by the secretary of the interior; and any
				Eskimo, Aleut or other Alaskan native;
(b) Canadian Indian person who is a member of
				a treaty tribe, Metis community, or other nonstatus Indian community from
				Canada;
(c) Unenrolled Indian
				person considered an Indian by a federally or nonfederally recognized Indian
				tribe or by an urban Indian/Alaska community organization.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-015 - Exemptions

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				may approve an exemption to a specific rule in this chapter as defined under
				WAC 388-850-010(5) 
				provided an:
(a) Assessment of the exemption
				request ensures granting the exemption shall not undermine the legislative
				intent of Title 71A RCW; and
(b)
				Evaluation of the exemption request shows granting the exemption shall not
				adversely affect the quality of the services, supervision, health, and safety
				of department-served persons.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-020 - Plan development and submission

Current through Register Vol. 24-14, July 15, 2024
(1) All dates in this section refer to the
				twenty-four-month period prior to the start of the state fiscal
				biennium.
(2) Before July 1, in the
				odd year of each biennium, the department shall negotiate with and submit to
				counties the biennial plan guidelines.
(3) Before July 1, the department shall
				submit to counties needs assessment data, and before December 31, updated needs
				assessment data in the odd year of each biennium.
(4) Before April 1, of the even year of each
				biennium, each county shall submit to the department a written plan for
				developmental disabilities services for the subsequent state fiscal biennium.
				The county's written plan shall be in the form and manner prescribed by the
				department in the written guidelines.
(5) Within sixty days of receipt of the
				county's written plan, the department shall acknowledge receipt, review the
				plan, and notify the county of errors and omissions in meeting minimum plan
				requirements.
(6) Within thirty
				days after receipt, each county shall submit a response to the department's
				review when errors and omissions have been identified within the
				review.
(7) Before December 15 of
				the even year of each biennium, the department shall announce the amount of
				funds included in the department's biennial budget request to each county. The
				department shall announce the actual amount of funds appropriated and available
				to each county as soon as possible after final passage of the Biennial
				Appropriations Act.
(8) Each county
				shall submit to the department a contract proposal within sixty days of the
				announcement by the department of the actual amount of funds appropriated and
				available.
(9) The department may
				modify deadlines for submission of county plans and responses to reviews or
				contract proposals when, in the department's judgment, the modification enables
				the county to improve the program or planning process.
(10) The department may authorize the county
				to continue providing services in accordance with the previous plan and
				contract, and reimburse at the average level of the previous contract, in order
				to continue services until the new contract is executed.
99-19-104, recodified as § 388-850-020, filed 9/20/99,
					 effective 9/20/99. Statutory Authority:
					 RCW
					 71A.14.030 and
					 71A.16.020. 92-09-115 (Order
					 3373), § 275-25-020, filed 4/21/92, effective 5/21/92. Statutory
					 Authority: RCW 69.54.040 and 71.24.190. 83-03-011 (Order 1936), §
					 275-25-020, filed 1/12/83. Statutory Authority: RCW 69.54.040. 78-08-086 (Order
					 1322), § 275-25-020, filed 7/28/78; Order 1142, § 275-25-020, filed
					 8/12/76.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-025 - Program operation - General provisions

Current through Register Vol. 24-14, July 15, 2024
(1) The provisions of this section shall
				apply to all programs operated under authority of the acts.
(2) The county and all contractors and
				subcontractors must comply with all applicable law or rule governing the
				department's approval of payment of funds for the programs. Verification may be
				in the manner and to the extent requested by the secretary.
(3) State funds shall not be paid to a county
				for costs of services provided by the county or other person or organization
				who or which was not licensed, certified, and approved as required by law or by
				rule whether or not the plan was approved by the secretary.
(4) The secretary may impose such reasonable
				fiscal and program reporting requirements as the secretary deems necessary for
				effective program management.
(5)
Funding.
(a) The department and
				county shall negotiate and execute a contract before the department provides
				reimbursement for services under contract, except as provided under WAC
				388-850-020(10).
(b) Payments to counties shall be made on the
				basis of vouchers submitted to the department for costs incurred under the
				contract. The department shall specify the form and content of the
				vouchers.
(c) The secretary may
				make advance payments to counties, where such payments would facilitate sound
				program management. The secretary shall withhold advance payments from counties
				failing to meet the requirements of WAC
				388-850-020 until such
				requirements are met. Any county failing to meet the requirements of WAC
				388-850-020 after advance
				payments have been made shall repay said advance payment within thirty days of
				notice by the department that the county is not in compliance.
(d) If the department receives evidence a
				county or subcontractor performing under the contract is:
(i) Not in compliance with applicable state
				law or rule; or
(ii) Not in
				substantial compliance with the contract; or
(iii) Unable or unwilling to provide such
				records or data as the secretary may require, then the secretary may withhold
				all or part of subsequent monthly disbursement to the county until such time as
				satisfactory evidence of corrective action is forthcoming. Such withholding or
				denial of funds shall be subject to appeal under the Administrative Procedure
				Act (chapter 34.05
				RCW).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-030 - Appeal procedure

Current through Register Vol. 24-14, July 15, 2024
(1) Any agency
				making application to participate in a county program operated under authority
				of the act(s), which is dissatisfied with the disposition of its application,
				or the community board(s) as defined in the act(s) or the community social
				services board, which is dissatisfied with any aspect of the plan, may appeal
				for a hearing before the county governing body. The county governing body shall
				review the appeal and notify the agency or board of its disposition within
				thirty days after the appeal has been received.
(2) A county which is dissatisfied with the
				department's disposition of its plan may request an administrative
				review.
(3) All requests for
				administrative reviews shall:
(a) Be made in
				writing to the appropriate program office within the department;
(b) Specify the date of the decision being
				appealed;
(c) Specify clearly the
				issue to be resolved by the review;
(d) Be signed by, and include the address of
				the county or its representative;
(e) Be made within thirty days of
				notification of the decision which is being appealed.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-035 - Services - Developmental disabilities

Current through Register Vol. 24-14, July 15, 2024
(1) A county may purchase and provide
				services listed under chapter 71A.14 RCW.
(2) The department shall pay a county for
				department authorized services provided to an eligible developmentally disabled
				person.
(3) A county may purchase
				or provide authorized services. Authorized services may include, but are not
				limited to:
(a) Early childhood intervention
				services;
(b) Employment
				services;
(c) Community access
				services;
(d) Residential
				services;
(e) Individual
				evaluation;
(f) Program
				evaluation;
(g) County planning and
				administration; and
(h)
				Consultation and staff development.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-040 - Rights - Health and safety assured

Current through Register Vol. 24-14, July 15, 2024
A county, when contracting for specific services, must assure
				  that client rights and client health and safety are
				  protected.
99-19-104, recodified as § 388-850-040, filed 9/20/99,
					 effective 9/20/99. Statutory Authority: RCW 71.20.070, 72.33.125 and 72.33.850.
					 82-06-034 (Order 1771), § 275-25-527, filed
					 3/1/82.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-045 - What is the formula for distribution of funding to the counties?

Current through Register Vol. 24-14, July 15, 2024
(1) For the
				purposes of this section, "county" shall mean the legal subdivision of the
				state, regardless of any agreement with another county to provide developmental
				disabilities services jointly.
(2)
				The allocation of funds to counties shall be based on the following criteria:
(a) The distribution of funds provided by the
				legislature or other sources shall be based on a distribution formula which
				best meets the needs of the population to be served.
(b) The distribution formula takes into
				consideration requirements of clients residing in an ICF/MR or clients on one
				of the division's Title XIX home and community-based waivers, the number of
				children eligible for birth to three services, special education enrollment,
				the number of individuals receiving county funded services, the number of
				individuals enrolled with the division and the general population of the
				county.
(c) The ability of the
				community to provide funds for the developmental disability program provided in
				chapter 71A.14 RCW may be considered with any or all of the above.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-850 - County plan for developmental disabilities › Section 388-850-050 - Client rights - Notification of client

Current through Register Vol. 24-14, July 15, 2024
(1) All agencies providing services under the
				act shall post a statement of client rights. Such statement shall inform the
				client of the client's right to:
(a) Be
				treated with dignity;
(b) Be
				protected from invasion of privacy;
(c) Have information about him/her treated
				confidentially;
(d) Actively
				participate in the development or modification of his/her treatment
				program;
(e) Be provided treatment
				in accordance with accepted quality-of-care standards and which is responsive
				to his/her best interests and particular needs;
(f) Review his/her treatment records with the
				therapist at least bimonthly: Provided, That information confidential to other
				individuals shall not be reviewed by the client;
(g) Be fully informed regarding fees to be
				charged and methods for payment.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0010 - Authority

Current through Register Vol. 24-14, July 15, 2024
The following rules regarding hospitalization charges are
				  hereby adopted under the authority of
				  Title
				  71 RCW.
Statutory Authority:
					 RCW
					 43.20B.335,
					 43.20B.325,
					 72.01.090. 01-01-007, recodified
					 as § 388-855-0010, filed 12/6/00, effective 1/6/01. Statutory Authority:
					 RCW 81.02.412 [71.02.412]. 81-08-020 (Order 1627), § 275-16-010, filed
					 3/25/81. Statutory Authority:
					 RCW
					  72.01.090. 78-03-029 (Order 1270), §
					 275-16-010, filed 2/17/78; Order 1, § 275-16-010, filed 2/23/68; Emergency
					 Rules (part), filed 1/26/68, 10/24/67, and
					 8/2/67.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0035 - Available assets of estate of patients and responsible relatives

Current through Register Vol. 24-14, July 15, 2024
(1) The department will
				include, but not necessarily be limited to, in their determination of the
				assets of the estates of present and former patients of state hospitals for the
				mentally ill and their responsible relatives, cash, stocks, bonds, savings,
				security interests, insurance benefits, guardianship funds, trust funds,
				governmental benefits, pension benefits and personal property.
(2) Real property shall also be an available
				asset to the estate: Provided, That the patient's home shall not be considered
				an available asset if that property is owned by the estate and serves as the
				principal dwelling and actual residence of the patient, the patient's spouse,
				and/or minor children and disabled sons or daughters: Provided further, That if
				the home is not being used for residential purposes by the patient, the
				patient's spouse, and/or minor children and disabled sons or daughters, and in
				the opinion of two physicians, there is no reasonable expectancy that the
				patient will be able to return to the home during the remainder of his life,
				the home shall be considered an asset available to the estate.
Statutory Authority:
					 RCW
					 43.20B.335,
					 43.20B.325,
					 72.01.090. 01-01-007, amended and
					 recodified as § 388-855-0035, filed 12/6/00, effective 1/6/01. Statutory
					 Authority: RCW 81.02.412 [71.02.412]. 81-08-020 (Order 1627), §
					 275-16-035, filed 3/25/81.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0045 - Exempt income

Current through Register Vol. 24-14, July 15, 2024
Patients whose total resources are insufficient to pay for
				  the actual cost of care shall be entitled to a monthly exemption from income in
				  the amount of forty-one dollars and sixty-two cents or such amount as specified
				  in WAC 388-478-0040.
Statutory Authority:
					 RCW
					 43.20B.335,
					 43.20B.325,
					 72.01.090. 01-01-007, amended and
					 recodified as § 388-855-0045, filed 12/6/00, effective 1/6/01. Statutory
					 Authority:
					 RCW
					  72.01.090. 78-03-029 (Order 1270), §
					 388-16-045 (codified as WAC 275-16-045), filed
					 2/17/78.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0055 - Notice and finding of responsibility (NFR) - Appeal procedure

Current through Register Vol. 24-14, July 15, 2024
(1) The determination
				officer's assessment of the ability and liability of a person or of the
				person's estate to pay hospitalization charges shall be issued in the form of a
				notice and finding of responsibility (NFR) as prescribed by
				RCW
				 43.20B.340.
(2) When the NFR is for full hospitalization
				charges as specified under WAC
				388-855-0030, the department
				shall:
(a) Inform the financially responsible
				person of the current charges; and
(b) Periodically recompute the financially
				responsible person's charges.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0075 - Unusual and exceptional circumstances

Current through Register Vol. 24-14, July 15, 2024
Unusual and exceptional circumstances for these purposes will
				  cover those expenses other than usual or common; rare and extraordinary; that
				  are of a medical nature and
must
be supplied to the patient
				  for his health, medical or physical well being. Such expenses do not include
				  those expenses that are reimbursable from insurance benefits or can be
				  reasonably obtained from welfare agencies, health maintenance organizations,
				  free clinics, or other free private or governmental sources. The existence and
				  necessity of such unusual and exceptional circumstances must be attested to in
				  writing, by the institution superintendent, that those expenses resulting
				  therefrom are an integral part of the patient's treatment plan and that
				  allowance for such circumstances is necessary for the medical and/or mental
				  well-being of the patient. Upon such written certification, the resources
				  necessary to meet the unusual and exceptional circumstances will not be
				  considered as an asset available to the estate of the patient and responsible
				  relatives for these purposes: Provided, That any such attestation by the
				  institution superintendent must conform with the eligibility criteria of
				  medicaid if the patient is eligible or potentially eligible for such
				  benefits.
Statutory Authority:
					 RCW
					 43.20B.335,
					 43.20B.325,
					 72.01.090. 01-01-007, recodified
					 as § 388-855-0075, filed 12/6/00, effective 1/6/01. Statutory Authority:
					 RCW 81.02.412 [71.02.412]. 81-08-020 (Order 1627), § 275-16-075, filed
					 3/25/81.