Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0720 - What is the adult day health center's responsibility in working with the department or their designee to obtain, use and update the CARE assessment?

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  or an authorized case manager must perform a CARE assessment to determine a
				  client's need for adult day health, per WAC
				  388-106-0065.
				  Based on the assessment, the case manager determines whether the client should
				  be referred for day health services or whether the client's needs can be met in
				  other ways.
(2) If the client has a
				  department or area agency on aging case manager, the adult day health center or
				  other referral source must notify the case manager of the client's potential
				  adult day health service need. The case manager must assess the client's need
				  for skilled nursing or skilled rehabilitative therapy within the department's
				  normal time frames for client reassessments.
(3) If the client does not have a department
				  or area agency on aging case manager, the adult day health center or other
				  referral source must notify the department of the referral and the client's
				  potential adult day health service need, or refer the client to the department
				  for intake. The department's assigned case manager must assess the client's
				  need for adult day health services within the department's normal time frames
				  for initial client eligibility assessments.
(4) The case manager may consult with the
				  client's authorized practitioner, department or area agency on aging nursing
				  services staff, or other pertinent collateral contacts, concerning the client's
				  need for skilled nursing or rehabilitative therapy.
(5) If the department or area agency on aging
				  case manager determines and documents a potential unmet need for day health
				  services, the case manager works with the client and/or the client's
				  representative to develop a service plan that documents the potential unmet
				  needs and the anticipated number of days per week that the services are needed.
				  The case manager refers the client to a department contracted adult day health
				  center for evaluation and the development of a preliminary service
				  plan.
(6) The department or area
				  agency on aging case manager must reassess adult day health clients at least
				  annually. Clients must also be reassessed if they have a break in service of
				  more than thirty days. The adult day health center must inform the case manager
				  of the break in service so payment authorization can be discontinued.
(7) COPES, RSW, and RCL recipients of adult
				  day health services must be assessed by the department or an authorized case
				  manager for initial or continued eligibility as follows:
(a) Annual reassessment for department
				  clients; or
(b) A new client to the
				  center who potentially could be eligible for state paid ADH services are to be
				  referred to the local department offices for intake and assessment for
				  eligibility.