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 › Section 388-845-0005 - What are home and community based services (HCBS) waivers?

Current through Register Vol. 24-14, July 15, 2024
(1) Home and
				community based services (HCBS) waivers are services approved by the Centers
				for Medicare and Medicaid Services (CMS) under section 1915(c) of the Social
				Security Act as an alternative to intermediate care facility for individuals
				with intellectual disabilities (ICF/IID).
(2) Certain federal regulations are "waived"
				enabling the provision of services in the home and community to individuals who
				would otherwise require the services provided in an ICF/IID as defined in
				chapters 388-835 and 388-837 WAC.
Statutory Authority:
					 RCW
					 71A.12.030,
					 74.08.090 and
					 2012 c
					 49 . 13-04-005, § 388-845-0005, filed
					 1/24/13, effective 2/24/13. Statutory Authority:
					 RCW
					 71A.12.030, 71A.12.12 [71A.12.120] and
					 chapter 71A.12 RCW. 06-01-024, § 388-845-0005, 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 › Section 388-845-0010 - What is the purpose of HCBS waivers?

Current through Register Vol. 24-14, July 15, 2024
The purpose of HCBS waivers is to provide services in the
				  community to individuals with ICF/IID level of need to prevent their placement
				  in an ICF/IID.
Statutory Authority:
					 RCW
					 71A.12.030,
					 74.08.090 and
					 2012 c
					 49 . 13-04-005, § 388-845-0010, filed
					 1/24/13, effective 2/24/13. Statutory Authority:
					 RCW
					 71A.12.030, 71A.12.12 [71A.12.120] and
					 chapter 71A.12 RCW. 06-01-024, § 388-845-0010, 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 › Section 388-845-0015 - What HCBS waivers are provided by the developmental disabilities administration (DDA)?

Current through Register Vol. 24-14, July 15, 2024
DDA provides services through five HCBS waivers:
(1) Basic plus waiver;
(2) Core waiver;
(3) Community protection (CP) waiver;
(4) Children's intensive in-home
				behavioral support waiver (CIIBS); and
(5) Individual and family services (IFS)
				waiver.
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, § 388-845-0015,
					 filed 11/1/10, effective 12/2/10. Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW.
					 07-20-050, § 388-845-0015, 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, § 388-845-0015, 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 › Section 388-845-0020 - When were the HCBS waivers effective?

Current through Register Vol. 24-14, July 15, 2024
Basic plus, children's intensive in-home behavioral support,
				  core and community protection waivers were effective September 1, 2012.
				  Individual and family services waiver was effective June 1,
				  2015.
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, § 388-845-0020,
					 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, § 388-845-0020, 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 › Section 388-845-0030 - Do I meet criteria for HCBS waiver-funded services?

Current through Register Vol. 24-14, July 15, 2024
(1) You meet criteria for DDA HCBS
				waiver-funded services if you meet all of the following:
(a) You have been determined eligible for DDA
				services per
				RCW
				71A.10.020.
(b) You have been determined to meet ICF/IID
				level of care per WAC
				388-845-0070,
				388-828-3060, and
				388-828-3080.
(c) You meet disability criteria established
				in the Social Security Act.
(d) You
				meet financial eligibility requirements as defined in WAC
				182-515-1510.
(e) You choose to receive services in the
				community rather than in an ICF/IID facility.
(f) You have a need for monthly waiver
				services or monthly monitoring as identified in your person-centered service
				plan.
(g) You are not residing in
				hospital, jail, prison, nursing facility, ICF/IID, or other
				institution.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0031 - Can I be enrolled in more than one HCBS waiver?

Current through Register Vol. 24-14, July 15, 2024
You cannot be enrolled in more than one HCBS waiver at the
				  same time.
Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW.
					 07-20-050, § 388-845-0031, filed 9/26/07, effective
					 10/27/07.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0035 - Am I guaranteed placement on a waiver if I meet waiver criteria?

Current through Register Vol. 24-14, July 15, 2024
(1) If you are not
				currently enrolled in a waiver, meeting criteria for the waiver does not
				guarantee access to or receipt of waiver services.
(2) If you are currently on a waiver and you
				have been determined to have health and welfare needs that can be met only by
				services available on a different waiver, you are not guaranteed enrollment in
				that different waiver.
(3) WAC
				388-845-0041,
				388-845-3080 and
				388-845-3085 describe DDA's
				responsibilities to provide services.
Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW.
					 07-20-050, § 388-845-0035, 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, § 388-845-0035, 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 › Section 388-845-0040 - Is there a limit to the number of people who can be enrolled in each HCBS waiver?

Current through Register Vol. 24-14, July 15, 2024
Each waiver has a capacity limit on the number of people who
				  can be served in a waiver year. In addition, DDA has the authority to limit
				  capacity based on availability of funding for new waiver
				  participants.
Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW.
					 07-20-050, § 388-845-0040, 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, § 388-845-0040, 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 › Section 388-845-0041 - What is DDA's responsibility to provide your services under the DDA HCBS waivers administered by DDA?

Current through Register Vol. 24-14, July 15, 2024
If you are enrolled in an HCBS waiver administered by
				  DDA:
(1) DDA will provide an annual
				comprehensive assessment to evaluate your health and welfare needs. Your
				person-centered service plan, as specified in WAC
				388-845-3055, will document:
(a) Your identified health and welfare needs;
				and
(b) Your HCBS waiver services
				and nonwaiver services authorized to meet your assessed need.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0045 - When there is capacity to add people to a waiver, how does DDA determine who will be enrolled?

Current through Register Vol. 24-14, July 15, 2024
When there is capacity on a waiver, DDA may enroll people
				  from the statewide database in a waiver based on the following priority
				  considerations:
(1) First priority
				will be given to current waiver participants assessed to require a different
				waiver because their identified health and welfare needs have increased and
				these needs cannot be met within the scope of their current waiver.
(2) DDA may also consider any of the
				following populations in any order:
(a)
				Priority populations as identified and funded by the legislature.
(b) Persons DDA has determined to be in
				immediate risk of ICF/IID admission due to unmet health and welfare
				needs.
(c) Persons identified as a
				risk to the safety of the community.
(d) Persons currently receiving services
				through state-only funds.
(e)
				Persons on an HCBS waiver that provides services in excess of what is needed to
				meet their identified health and welfare needs.
(f) Persons who were previously on an HCBS
				waiver since April 2004 and lost waiver eligibility per WAC
				388-845-0060(1)(k).
(g) Persons exiting the Washington department
				of children, youth, and families foster care or aging out of
				dependency.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0050 - How do I request to be enrolled in a waiver?

Current through Register Vol. 24-14, July 15, 2024
(1) You can contact DDA and request to be
				enrolled in a waiver or to enroll in a different waiver at any time.
(2) If you are assessed as meeting ICF/IID
				level of care as defined in WAC
				388-845-0070 and chapter 388-828
				WAC, your request for waiver enrollment will be documented by DDA in a
				statewide database.
(3) For the
				children's intensive in-home behavioral support (CIIBS) waiver only, if you are
				assessed as meeting both ICF/IID level of care and CIIBS eligibility as defined
				in WAC 388-845-0030 and chapter 388-828
				WAC, your request for waiver enrollment will be documented by DDA in a
				statewide database.
Statutory Authority:
					 RCW
					 71A.12.030,
					 74.08.090 and
					 2012 c
					 49 . 13-04-005, § 388-845-0050, 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, § 388-845-0050, filed 11/1/10, effective 12/2/10.
					 Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW.
					 07-20-050, § 388-845-0050, 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, § 388-845-0050, 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 › Section 388-845-0051 - How will I be notified of the decision by DDA to enroll me in a waiver?

Current through Register Vol. 24-14, July 15, 2024
DDA will notify you in writing of its decision to enroll you
				  in a waiver or its decision to deny your request to be enrolled in a
				  waiver.
Statutory Authority:
					 RCW
					 71A.12.030, 71A.12.12 [71A.12.120] and
					 chapter 71A.12 RCW. 06-01-024, § 388-845-0051, 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 › Section 388-845-0052 - What is the process if I am already on a DDA HCBS waiver and request enrollment onto a different DDA HCBS waiver?

Current through Register Vol. 24-14, July 15, 2024
(1) If you are already enrolled in a DDA HCBS
				waiver and you request to be enrolled in a different waiver DDA will do the
				following:
(a) Assess your needs to determine
				whether your health and welfare needs can be met with services available on
				your current waiver or whether those needs can only be met through services
				offered on a different waiver.
(b)
				If DDA determines your health and welfare needs can be met by services
				available on your current waiver your enrollment request will be
				denied.
(c) If DDA determines your
				health and welfare needs can only be met by services available on a different
				waiver your service need will be reflected in your person-centered service
				plan.
(d) If DDA determines there
				is capacity on the waiver that is determined to meet your needs, DDA will place
				you on that 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 › Section 388-845-0055 - How do I remain eligible for the waiver?

Current through Register Vol. 24-14, July 15, 2024
(1) Once you are enrolled in a DDA HCBS
				waiver, you can remain eligible if you continue to meet eligibility criteria in
				WAC
				388-845-0030,
				and:
(a) You complete a reassessment with DDA
				at least once every twelve months to determine if you continue to meet all of
				these eligibility requirements;
(b)
				You must either receive a waiver service at least once in every thirty
				consecutive days, as specified in WAC
				182-513-1320(3),
				or your health and welfare needs require monthly monitoring, which will be
				documented in your client record;
(c) You complete an in-person DDA
				assessment/reassessment interview per WAC
				388-828-1520.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0060 - Can your waiver enrollment be terminated?

Current through Register Vol. 24-14, July 15, 2024
DDA may terminate your waiver enrollment if DDA determines
				  that:
(1) Your health and welfare
				needs cannot be met in your current waiver or for one of the following reasons:
(a) You no longer meet one or more of the
				requirements listed in WAC
				388-845-0030;
(b) You do not have an identified need for a
				waiver service at the time of your annual person-centered service
				plan;
(c) You do not use a waiver
				service at least once in every thirty consecutive days and your health and
				welfare do not require monthly monitoring to avoid
				institutionalization;
(d) You are
				on the community protection waiver and:
(i)
				You choose not to be served by a certified residential community protection
				provider-intensive supported living services (CP-ISLS);
(ii) You engage in any behaviors identified
				in WAC
				388-831-0240(1)
				through (4); and
(iii) DDA determines that your health and
				safety needs or the health and safety needs of the community cannot be met in
				the community protection program;
(e) You choose to unenroll from the
				waiver;
(f) You reside
				out-of-state;
(g) You cannot be
				located or do not make yourself available for the annual waiver reassessment of
				eligibility;
(h) Your needs exceed
				the maximum funding level or scope of services under the basic plus waiver as
				specified in WAC
				388-845-3080;
(i) Your needs exceed what can be provided
				under WAC
				388-845-3085;
(j) You refuse to participate with DDA in:
(i) Service planning;
(ii) Required quality assurance and program
				monitoring activities; or
(iii)
				Accepting services agreed to in your person-centered service plan as necessary
				to meet your health and welfare needs; or
(k) You are in a hospital, jail, prison,
				nursing facility, ICF/IID, or other institution for at least one full calendar
				month, and are under the care of that institution or entity:
(i) At the end of that full calendar month
				and there is no immediate plan for you to return to the community;
(ii) At the end of the twelfth month
				following the effective date of your current person-centered service plan, as
				described in WAC
				388-845-3060;
				or
(iii) At the end of the waiver
				fiscal year, whichever date occurs first.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0065 - What happens if I am terminated or choose to disenroll from a waiver?

Current through Register Vol. 24-14, July 15, 2024
If you are terminated from a waiver or choose to disenroll
				  from a waiver, DDA will notify you.
(1) DDA cannot guarantee continuation of your
				current services, including medicaid eligibility.
(2) Your eligibility for nonwaiver state-only
				funded DDA services is based upon availability of funding and program
				eligibility for a particular service.
(3) If you are terminated from the CIIBS
				waiver due to turning age twenty-one, DDA will assist with transition planning
				at least twelve months prior to your twenty-first birthday.
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, § 388-845-0065,
					 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, § 388-845-0065, 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 › Section 388-845-0070 - What determines if I need ICF/IID level of care?

Current through Register Vol. 24-14, July 15, 2024
DDA determines if you need ICF/IID level of care based on
				  your need for waiver services. To reach this decision, DDA uses the DDA
				  assessment as specified in chapter 388-828 WAC.
Statutory Authority:
					 RCW
					 71A.12.030,
					 74.08.090 and
					 2012 c
					 49 . 13-04-005, § 388-845-0070, filed
					 1/24/13, effective 2/24/13. Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW.
					 07-20-050, § 388-845-0070, 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, § 388-845-0070, 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 › Section 388-845-0100 - What determines which waiver I am assigned to?

Current through Register Vol. 24-14, July 15, 2024
DDA will assign you to the waiver with the minimum service
				  package necessary to meet your health and welfare needs, based on its
				  evaluation of your DDA assessment as described in chapter 388-828 WAC and the
				  following criteria:
(1) For the
				individual and family services waiver, you:
(a) Live in your family home; and
(b) Are assessed to need a waiver service to
				remain in the family 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 › Section 388-845-0105 - What criteria determine assignment to the community protection waiver?

Current through Register Vol. 24-14, July 15, 2024
DDA may assign you to the community protection waiver only if
				  you are at least 18 years of age, not currently residing in a hospital, jail or
				  other institution, and:
(1) You have
				been identified by DDA as a person who meets one or more of the following:
(a) You have been charged or convicted with a
				crime of sexual violence as defined in chapter 71.09 RCW;
(b) You have been charged or convicted with
				acts directed towards strangers or individuals with whom a relationship has
				been established or promoted for the primary purpose of victimization, or
				persons of casual acquaintance with whom no substantial personal relationship
				exists;
(c) You have been charged
				or convicted with a sexually violent offense, or a predatory act, or both, and
				may constitute a future danger as determined by a qualified
				professional;
(d) You have not been
				charged or convicted, but you have a history of stalking, violent, sexually
				violent, predatory, or opportunistic behavior which demonstrates a likelihood
				to commit a sexually violent or predatory act based on current behaviors that
				may escalate to violence, as determined by a qualified professional;
				or
(e) You have committed one or
				more violent offense, as defined in
				RCW
				9.94A.030;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0110 - What are the limits to the waiver services you may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to the waiver services you may
				  receive:
(1) A service must be
				available in your waiver and address an unmet need identified in your DDA
				assessment and person-centered service plan.
(2) Stabilization services may be added to
				your person-centered service plan after the services have been
				provided.
(3) Waiver services are
				limited to services required to prevent placement in an intermediate care
				facility for individuals with intellectual disabilities (ICF/IID).
(4) The daily cost of your waiver services
				must not exceed the average daily cost of care in an ICF/IID.
(5) Waiver services must not replace or
				duplicate other available paid or unpaid supports or services. Before DDA will
				cover a service through waiver services, you must first request and be denied
				all applicable covered benefits through private insurance, medicare, the
				medicaid state plan, and other resources.
(6) Waiver funding must not be authorized for
				treatments determined by DSHS to be experimental or investigational under WAC
				182-531-0050.
(7) For the individual and family services
				(IFS) waiver, basic plus waiver, and children's intensive in-home behavioral
				support waiver, services must not exceed the yearly limits specified in these
				programs for specific services or combinations of services.
(8) Your choice of qualified providers and
				services is limited to the most cost-effective option that meets your unmet
				need identified in your DDA assessment and person-centered service
				plan.
(9) Services, with the
				exception of respite care, must be provided in integrated settings.
(10) Services provided out-of-state, other
				than in recognized bordering cities, are limited to respite care during
				vacations of not more than 30 consecutive days.
(11) You may receive services in a recognized
				out-of-state bordering city under WAC
				182-501-0175.
(12) Other out-of-state waiver services
				require an approved exception to rule before DDA will authorize
				payment.
(13) Waiver services do
				not cover:
(a) Copays;
(b) Deductibles;
(c) Dues;
(d) Membership fees; or
(e) Subscriptions.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0111 - Are there limitations regarding who can provide services?

Current through Register Vol. 24-14, July 15, 2024
The following limitations apply to providers for waiver
				  services:
(1) Your spouse must not be
				your paid provider for any waiver service.
(2) If you are under age 18, your natural,
				step, or adoptive parent must not be your paid provider for any waiver
				service.
(3) If you are age 18 or
				older, your natural, step, or adoptive parent must not be your paid provider
				for any waiver service with the exception of:
(a) Transportation to and from a waiver
				service per WAC
				388-845-2200 through
				388-845-2210;
(b) Residential habilitation services per WAC
				388-845-1510 if your parent is
				certified as a residential agency per chapter 388-101 WAC; or
(c) Respite care if you and the parent who
				provides the respite care live in separate homes.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0113 - When may I receive waiver services through teleservice?

Current through Register Vol. 24-14, July 15, 2024
(1) Teleservice is a remote service delivery
				method that uses a HIPAA-compliant technology system approved by DDA.
(2) The following services may be delivered
				through teleservice:
(a) Assistive
				technology;
(b) Community
				engagement;
(c) Individualized
				technical assistance;
(d) Music
				therapy;
(e) Occupational
				therapy;
(f) Peer
				mentoring;
(g) Person-centered plan
				facilitation;
(h) Physical
				therapy;
(i) Positive behavior
				support and consultation until August 31, 2023;
(j) Specialized evaluation and
				consultation;
(k) Specialized
				habilitation;
(l) Speech, hearing,
				and language services;
(m)
				Supported employment;
(n) Supported
				parenting; and
(o) Staff and family
				consultation.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › Section 388-845-0115 - Does your waiver eligibility limit your access to DDA non-waiver services?

Current through Register Vol. 24-14, July 15, 2024
If you are enrolled in a DDA HCBS waiver:
(1) You are not eligible for state-only
				funding for DDA services; and
(2)
				You may be eligible for medicaid personal care or community first choice
				services.
Statutory Authority:
					 RCW
					 71A.12.030, 71A.12.12 [71A.12.120] and
					 chapter 71A.12 RCW. 06-01-024, § 388-845-0115, 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 › Section 388-845-0120 - Will I continue to receive state supplementary payments (SSP) if I am on the waiver?

Current through Register Vol. 24-14, July 15, 2024
Your participation in one of the DDA HCBS waivers may affect
				  your continued receipt of state supplemental payment from DDA. To continue to
				  receive SSP, you must meet DDA/SSP programmatic eligibility requirements as
				  identified in WAC
				  388-827-0115.
Statutory Authority:
					 RCW
					 74.08.090,
					 74.09.520, and 2012 c 49.
					 12-16-095, § 388-845-0120, 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, § 388-845-0120,
					 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, § 388-845-0120, 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 › Section 388-845-0200 - What waiver services are available to you?

Current through Register Vol. 24-14, July 15, 2024
Each of the DDA HCBS waivers has a different scope of service
				  and your person-centered service plan defines the waiver services available to
				  you.
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, § 388-845-0200,
					 filed 11/1/10, effective 12/2/10. Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW.
					 07-20-050, § 388-845-0200, 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, § 388-845-0200, 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 › Section 388-845-0210 - What services are available under the basic plus waiver?

Current through Register Vol. 24-14, July 15, 2024
The following services are available under the basic plus
				  waiver:
SERVICE
YEARLY LIMIT
AGGREGATE SERVICES:
Assistive technology
Extermination of cimex lectularius (bedbugs)
Community engagement
Environmental adaptations
Occupational therapy
Physical therapy
Remote support
Skilled nursing
Specialized equipment and supplies
Specialized habilitation
Speech, hearing, and language services
Staff and family consultation
Transportation
Wellness education
Total costs must not exceed $6,192 per year per
							 participant
Therapeutic adaptations
Limited to a single one-time authorization every five
							 years and limited to funds available in the client's aggregate and emergency
							 funding
EMPLOYMENT SERVICES:
Individual technical assistance
Supported employment
Community inclusion
Limits determined by DDA assessment and employment
							 status
Limits determined by the person-centered service
							 plan
STABILIZATION SERVICES:
Crisis diversion bed
Specialized habilitation
Staff and family consultation
Limits determined by the person-centered service
							 plan
Respite care
Limits determined by DDA assessment
Risk assessment
Limits determined by DDA
Community engagement
Environmental adaptions
Occupational therapy
Physical therapy
Specialized equipment and supplies
Speech, hearing, and language services
Skilled nursing
Staff and family consultation
Therapeutic adaptations
Transportation
$6,000 per year forency assistance funding
Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW. WSR
					 08-20-033, § 388-845-0210, filed 9/22/08, effective 10/23/08; WSR
					 07-20-050, § 388-845-0210, filed 9/26/07, effective 10/27/07. Statutory
					 Authority:
					 RCW
					 71A.12.030,
					 71A.12.120. WSR 07-05-014, §
					 388-845-0210, filed 2/9/07, effective 3/12/07. Statutory Authority:
					 RCW
					 71A.12.030, 71A.12.12 [71A.12.120] and
					 chapter 71A.12 RCW. WSR 06-01-024, § 388-845-0210, 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 › Section 388-845-0215 - What services are available under the core waiver?

Current through Register Vol. 24-14, July 15, 2024
(1) The following services are available
				under the core waiver:
SERVICE
YEARLY LIMIT
Assistive technology
Extermination of cimex lectularius (bedbugs)
Community engagement
Community transition
Environmental adaptations
Occupational therapy
Physical therapy
Remote support
Residential habilitation
Risk assessment
Skilled nursing
Specialized equipment and supplies
Specialized habilitation
Speech, hearing, and language services
Staff and family consultation
Supported parenting
Transportation
Wellness education
Determined by the person-centered service plan
EMPLOYMENT SERVICES:
Individualized technical assistance
Supported employment
Limits determined by DDA assessment and employment
							 status
Community inclusion
Limits determined by the person-centered service
							 plan
STABILIZATION SERVICES:
Crisis diversion bed
Specialized habilitation
Staff and family consultation
Limits determined by the person-centered service
							 plan
Respite care
Limits determined by DDA assessment
(2)
				A participant's core waiver services are subject to additional limits under
				this chapter.
(3) The total cost of
				a participant's core waiver services must not exceed the average cost of care
				at an intermediate care facility for individuals with intellectual disabilities
				(ICF/IID).
Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW. WSR
					 07-20-050, § 388-845-0215, 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. WSR 06-01-024, § 388-845-0215, 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 › Section 388-845-0220 - What services are available under the community protection waiver?

Current through Register Vol. 24-14, July 15, 2024
(1) The following
				services are available under the community protection waiver:
SERVICE
YEARLY LIMIT
Assistive technology
Extermination of cimex lectularius (bedbugs)
Community transition
Environmental adaptations
Occupational therapy
Physical therapy
Positive behavior support and consultation
Residential habilitation
Risk assessment
Skilled nursing
Specialized equipment and supplies
Specialized evaluation and consultation
Speech, hearing, and language services
Staff and family consultation
Transportation
Determined by the person-centered service plan
EMPLOYMENT SERVICES:
Individual technical assistance
Supported employment
Limits determined by DDA assessment and employment
							 status
STABILIZATION SERVICES:
Crisis diversion bed
Specialized habilitation
Staff and family consultation
Limits determined by the person-centered service
							 plan
(2)
				A participant's community protection waiver services are subject to additional
				limits under this chapter.
(3) The
				total cost of a participant's community protection waiver services must not
				exceed the average cost of care at an intermediate care facility for
				individuals with intellectual disabilities (ICF/ IID).
Statutory Authority:
					 RCW
					 71A.12.030,
					 71A.12.120 and Title 71A RCW. WSR
					 07-20-050, § 388-845-0220, 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. WSR 06-01-024, § 388-845-0220, 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 › Section 388-845-0225 - What services are available under the children's intensive in-home behavioral support (CIIBS) waiver?

Current through Register Vol. 24-14, July 15, 2024
(1)
				The following services are available under the children's intensive in-home
				behavioral support (CIIBS) waiver:
SERVICE
YEARLY LIMIT
Assistive technology
Environmental adaptations
Nurse delegation
Specialized clothing
Specialized equipment and supplies
Specialized habilitation
Staff and family consultation
Transportation
Vehicle modifications
$15,000 per year for abination of services
Respite care
Limits determined by the DDA assessment.
STABILIZATION SERVICES:
Crisis diversion bed
Specialized habilitation
Staff and family consultation
Limits determined by the person-centered service
							 plan
Risk assessment
Limits determined by DDA
Environmental adaptations (Accessibility and
							 repairs)
Specialized habilitation
Staff and family consultation
Vehicle modifications
$6,000 per year forency assistance funding
Equine therapy
Music therapy
Peer mentoring
Person-centered plan
$5,000 per year for any nation of servs
Therapeutic adaptations
Limited to a single, onetime authorization not to
							 exceed $15,000 every five waiver
(2)
				A participant's CIIBS waiver services are subject to additional limits under
				this chapter.
Reviser's note:
RCW
					 34.05.395 requires the use of underlining and
					 deletion marks to indicate amendments to existing rules. The rule published
					 above varies from its predecessor in certain respects not indicated by the use
					 of these markings.
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, § 388-845-0225, 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 › Section 388-845-0230 - What services are available under the individual and family services (IFS) waiver?

Current through Register Vol. 24-14, July 15, 2024
(1) The following
				services are available under the individual and family services (IFS) waiver:
SERVICE
YEARLY LIMIT
Assistive technology
Community engagement
Environmental adaptations
Nurse delegation
Occupational therapy
Peer mentoring
Person-centered plan facilitation
Physical therapy
Remote support
Respite care
Skilled nursing
Specialized clothing
Specialized equipment and supplies
Specialized habilitation
Speech, hearing, and language services
Staff and family consultation
Supported parenting services
Transportation
Vehicle modifications
Wellness education
Total cost of waiver services must not exceed annual
							 allocation determined by the person-centered service plan
Therapeutic adaptations
Limited to a one-time authorization every five years
							 and limited to funds available in the client's annual allocation
Risk assessment
Limits determined by the person-centered service
							 plan. Costs are excluded fromon.
STABILIZATION SERVICES:
Crisis diversion bed
Specialized habilitation
Staff and family consultation
Limits determined by the person-centered service
							 plan. Costs are excluded from the annual allocation.
(2)
				Your IFS waiver services annual allocation is based upon the DDA assessment
				under chapter 388-828 WAC. The DDA assessment determines your service level and
				annual allocation based on your assessed need. Annual allocations are as
				follows:
(a) Level 1 = $1,560;
(b) Level 2 = $2,340;
(c) Level 3 = $3,120; or
(d) Level 4 = $4,680.
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 388-845-0300 - What are adult family home (AFH) 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, § 388-845-0300, 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 388-845-0305 - Who is a qualified provider of AFH 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, § 388-845-0305, 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 388-845-0310 - Are there limits to the AFH services I 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, § 388-845-0310, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0310, 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 388-845-0400 - What are adult residential care (ARC) 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, § 388-845-0400, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0400, 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 388-845-0405 - Who is a qualified provider of ARC 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, § 388-845-0405, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0405, 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 388-845-0410 - Are there limits to the ARC services I 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, § 388-845-0410, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0410, 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 388-845-0415 - What is assistive technology?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Assistive technology consists of items, equipment, or product systems, not
				  related to a client's physical health, that are used to directly support the
				  client to:
(a) Increase, maintain, or improve
				  functional capabilities;
(b)
				  Improve client safety; or
(c)
				  Increase social engagement 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 388-845-0420 - Who may be a qualified provider of assistive technology?

Current through Register Vol. 24-14, July 15, 2024
The provider of assistive technology must be an entity
					 contracted with DDA to provide assistive technology, or one of the following
					 professionals contracted with DDA and licensed, registered, or certified
					 as:
(1) An audiologist;
(2) A behavior health professional;
(3) A certified music therapist;
(4) An occupational therapist;
(5) A physical therapist;
(6) A rehabilitation counselor;
(7) A speech and language pathologist;
				  or
(8) A speech
				  therapist.
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, § 388-845-0420,
						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 388-845-0425 - Are there limits to the assistive technology you may receive?

Current through Register Vol. 24-14, July 15, 2024
The assistive technology you may receive has the following
					 limits:
(1) Assistive technology is
				  limited to additional services not otherwise covered under the medicaid state
				  plan, including EPSDT, but consistent with waiver objectives of avoiding
				  institutionalization.
(2) Clinical
				  and support needs for assistive technology must be identified in your DDA
				  assessment and documented in the person-centered service plan.
(3) DDA requires a professional's written
				  recommendation regarding your need for the technology. This recommendation must
				  take into account that:
(a) The professional
				  has personal knowledge of and experience with the requested assistive
				  technology; and
(b) The
				  professional has recently evaluated you, reviewed your medical records, and
				  conducted an evaluation of the equipment and determined its effectiveness in
				  meeting your identified need.
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 388-845-0500 - What is positive behavior support and consultation?

Current through Register Vol. 24-14, July 15, 2024
(1) Positive behavior support and
				  consultation is a service available only on the community protection waiver.
				  Effective September 1, 2022, this service is no longer available on any other
				  waiver.
(2) Positive behavior
				  support and consultation includes the development and implementation of
				  programs designed to support waiver participants using:
(a) Individualized strategies for effectively
				  relating to care-givers and other people in the waiver participant's life;
				  and
(b) Direct interventions with
				  the person to decrease aggressive, destructive, and sexually inappropriate or
				  other behaviors that compromise their ability to remain in the community (i.e.,
				  training, specialized cognitive counseling, conducting a functional assessment,
				  and development and implementation of a positive behavior support
				  plan).
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 388-845-0501 - What is included in positive behavior support and consultation for the children's intensive in-home behavioral support (CIIBS) waiver? (Repealed)

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, § 388-845-0501, 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, § 388-845-0501, filed 11/1/10, effective
						12/2/10.