reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-0505 - Who is a qualified provider of positive behavior support and consultation?

Current through Register Vol. 24-14, July 15, 2024
Under the community protection (CP) waiver, the provider of
					 positive behavior support and consultation must be one of the following
					 professionals contracted with DDA and duly licensed, registered, or certified
					 as a:
(1) Marriage and family
				  therapist;
(2) Mental health
				  counselor;
(3)
				  Psychologist;
(4) Sex offender
				  treatment provider;
(5) Social
				  worker;
(6) Registered nurse (RN)
				  or licensed practical nurse (LPN);
(7) Psychiatrist;
(8) Psychiatric advanced registered nurse
				  practitioner (ARNP);
(9) Physician
				  assistant working under the supervision of a psychiatrist;
(10) Counselor registered or certified under
				  chapter 18.19 RCW; or
(11)
				  State-operated positive behavior support agency qualified to provide behavioral
				  health stabilization services.
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, § 388-845-0505, 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. WSR 06-01-024, § 388-845-0505, 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 388-845-0506 - Who is a qualified provider of 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 (Repealed)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
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-0506, 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, § 388-845-0506,
						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 388-845-0510 - Are there limits to the positive behavior support and consultation you may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) Clinical and
				  support needs for positive behavior support and consultation must be identified
				  in your DDA assessment and documented in the person-centered service
				  plan.
(2) DDA determines the amount
				  of positive behavior support and consultation you may receive based on your
				  needs and information from your treating professional.
(3)  Positive behavior sup-port and
				  consultation is closed to new enrollment effective September 1, 2022.
(4) DDA must not authorize positive behavior
				  support and consul-tation for service dates on or after September 1,
				  2023.
(5) Effective September 1,
				  2022, a community protection partici-pant currently receiving positive behavior
				  support and consultation shall only be eligible for that service until the end
				  of their waiver year.
(6) DDA may
				  require a second opinion from a DDA-selected provider.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-0510, filed
						1/24/13, effective 2/24/13. Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						07-20-050, § 388-845-0510, 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, § 388-845-0510, 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 388-845-0515 - What is extermination of bedbugs?

Current through Register Vol. 24-14, July 15, 2024
(1) Extermination of cimex lectularius
				  (bedbugs) is professional extermination of bedbugs.
(2) DDA covers professional extermination of
				  bedbugs in your primary residence if you:
(a)
				  Live with a non-relative primary caregiver; or
(b) Live in a private house or apartment for
				  which you are financially responsible.
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 388-845-0520 - Who are qualified providers of extermination of bedbugs?

Current through Register Vol. 24-14, July 15, 2024
A qualified provider must be contracted with DDA to provide
					 extermination of bedbugs.
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 388-845-0525 - Are there limits to the extermination of bedbugs services I may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) Extermination
				  of bedbugs is available on the following waivers:
(a) Core;
(b) Basic plus; and
(c) Community protection.
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 388-845-0600 - What are community inclusion services?

Current through Register Vol. 24-14, July 15, 2024
Community inclusion services:
(1) Are provided in typical, integrated
				  community settings;
(2) Are
				  individualized services that promote skill development, independent living, and
				  community integration for individuals learning how to actively and
				  independently engage in their community; and
(3) Provide opportunities for individuals to
				  develop relationships and increase independence.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-0600, filed 8/1/12, effective 9/1/12. Statutory
						Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-0600, filed 9/22/08, effective 10/23/08. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0600, 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 388-845-0603 - Who is eligible to receive community inclusion services?

Current through Register Vol. 24-14, July 15, 2024
You are eligible for community inclusion services if you
					 are enrolled in the basic plus or core waivers and:
(1) You are 62 or older; or
(2) You meet age requirements under WAC
				  388-845-2110(1)
				  and:
(a) You have participated in supported
				  employment services for at least nine months; or
(b) DDA has determined that you are exempt
				  from the nine-month supported employment service requirement because:
(i) Your medical or behavioral health records
				  document a condition that prevents you from completing nine months of supported
				  employment services; or
(ii) You
				  were referred to and were available for supported employment services, but the
				  service was not delivered within 90 days of the referral.
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 388-845-0605 - Who are qualified providers of community inclusion services?

Current through Register Vol. 24-14, July 15, 2024
Providers of community inclusion services must be:
(1) A county contracted with the
				  developmental disabilities administration (DDA) to provide community inclusion
				  services; or
(2) An individual or
				  agency contracted with a county that is contracted with DDA to provide
				  community inclusion services.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-0605, filed 9/22/08, effective 10/23/08. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0605, 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 388-845-0610 - Are there limits to community inclusion services you may receive?

Current through Register Vol. 24-14, July 15, 2024
The maximum hours of community inclusion services you may
					 receive are determined by the developmental disabilities administration
					 assessment under WAC
					 388-828-9310.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-0610, filed 8/1/12, effective 9/1/12. Statutory
						Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-0610, filed 9/22/08, effective 10/23/08. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0610, 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 388-845-0650 - What is community engagement?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Community engagement connects a waiver participant to activities, resources,
				  events, and services in the community that the participant is interested in
				  exploring. It is intended to assist the participant with fully accessing their
				  community and reducing isolation.
(2) This service is available on the:
(a) IFS waiver;
(b) Basic plus waiver; and
(c) Core waiver when the participant is not
				  receiving residential habilitation services.
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 388-845-0655 - Who are qualified providers of community engagement?

Current through Register Vol. 24-14, July 15, 2024
Qualified providers of community engagement must be
					 contracted with DSHS to provide this service and must be an individual or
					 organization that has specialized training to provide services to people with
					 developmental disabilities. Qualified provider types include:
(1) Registered recreational therapists in the
				  state of Washington; or
(2)
				  Organizations that provide services that promote skill development, improved
				  functioning, increased independence, as well as reducing or eliminating the
				  effects of illness or disability, including, but not limited to:
(a) Community centers;
(b) Municipal parks and recreation
				  programs;
(c) Therapeutic
				  recreation camps and programs; and
(d) Organizations that provide supports for
				  people with developmental disabilities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-0660 - Are there limits to the community engagement you may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) Community
				  engagement is limited to the support needs identified in your DDA assessment
				  and documented in your person-centered service plan.
(2) The dollar amounts in the annual
				  allocation for the individual and family services waiver limit the amount of
				  community engagement you may receive.
(3) Community engagement does not cover:
(a) Membership fees or dues;
(b) Equipment related to activities;
				  or
(c) The cost of any
				  activities.
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 388-845-0700 - What are community guide 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, § 388-845-0700, 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 388-845-0705 - Who may be a qualified provider of community guide 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, § 388-845-0705, 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 388-845-0710 - Are there limits to the community guide services I may receive?

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, § 388-845-0710, 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 388-845-0750 - What are community transition services?

Current through Register Vol. 24-14, July 15, 2024
(1) Community transition services are
				  reasonable costs (necessary expenses in the judgment of the state for you to
				  establish your basic living arrangement) associated with moving from:
(a) An institutional setting to a community
				  setting in which you are living in your own home or apartment, responsible for
				  your own living expenses and receiving services from a DDA certified
				  residential habilitation services provider as defined in WAC
				  388-845-1505 and
				  388-845-1510; or
(b) A provider operated setting, such as a
				  group home, staffed residential, adult family home or companion home in the
				  community to a community setting in which you are living in your own home or
				  apartment, responsible for your own living expenses, and receiving services
				  from a DDA certified residential habilitation services provider as defined in
				  WAC 388-845-1505 and
				  388-845-1510.
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 388-845-0755 - Who are qualified providers of community transition services?

Current through Register Vol. 24-14, July 15, 2024
(1) Providers of
				  community transition services for individuals in the CORE waiver must meet the
				  requirements as a provider of residential habilitation services contained in
				  WAC 388-845-1505.
(2) Providers of community transition
				  services for individuals in the community protection waiver must meet the
				  requirements as a provider of residential habilitation services contained in
				  WAC 388-845-1510.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0755, 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 388-845-0760 - Are there limits to community transition services I can receive?

Current through Register Vol. 24-14, July 15, 2024
Community transition services does not include:
(1) Diversional or recreational items such as
				  televisions, cable TV access, VCRs, MP3, CD, or DVD players;
(2) Computers, if primarily used as a
				  diversion or for recreation; or
(3)
				  Rent assistance.
Reviser's note:
The typographical error in
						the above section occurred in the copy filed by the agency and appears in the
						Register pursuant to the requirements of
						RCW
						34.08.040.
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120 and Title 71A RCW.
						08-20-033, § 388-845-0760, filed 9/22/08, effective 10/23/08. Statutory
						Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0760, 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 388-845-0800 - What is emergency assistance funding?

Current through Register Vol. 24-14, July 15, 2024
Emergency assistance funding is a temporary increase of 90
					 days or less to the yearly basic plus or CIIBS waiver aggregate dollar limit
					 when additional waiver aggregate services under WAC
					 388-845-0820 are required to
					 avoid placement in 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, § 388-845-0800, 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, § 388-845-0800, 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 388-845-0805 - Who is a qualified provider of emergency assistance funding?

Current through Register Vol. 24-14, July 15, 2024
The provider of the service you need to meet your emergency
					 must meet the provider qualifications for that service.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0805, 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 388-845-0810 - How do I qualify for emergency assistance funding?

Current through Register Vol. 24-14, July 15, 2024
You qualify for emergency assistance funding only if you
					 have used all of your CIIBS or basic plus aggregate funding and your current
					 situation meets one of the following criteria:
(1) You involuntarily lose your present
				  residence for any reason either temporary or permanent;
(2) You lose your present caregiver for any
				  reason, including death;
(3) There
				  are changes in your caregiver's mental or physical status resulting in the
				  caregiver's inability to perform effectively for the individual; or
(4) There are significant changes in your
				  emotional or physical condition that requires a temporary increase in the
				  amount of a waiver service.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0810, 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 388-845-0820 - Are there limits to your use of emergency assistance funding?

Current through Register Vol. 24-14, July 15, 2024
All of the following limits apply to the emergency
					 assistance funding you may receive.
(1) Prior approval by the DDA regional
				  administrator or designee is required based on a reassessment of your
				  person-centered service plan to determine the need for emergency
				  assistance.
(2) Payment
				  authorizations are reviewed every 30 days and must not exceed $6,000 per 12
				  months based on the effective date of your current person-centered service
				  plan.
(3) Emergency assistance
				  funding is limited to the following aggregate services when on the basic plus
				  waiver:
(a) Community engagement;
(b) Environmental adaptations;
(c) Occupational therapy;
(d) Physical therapy;
(e) Remote support;
(f) Skilled nursing;
(g) Specialized equipment and
				  supplies;
(h)  Speech, hearing, and
				  language services;
(i) Staff and
				  family consultation, which excludes individual and family counseling;
(j) Transportation; and
(k) Therapeutic adaptations.
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 388-845-0900 - What are environmental adaptations?

Current through Register Vol. 24-14, July 15, 2024
(1) Environmental adaptations provide minimum
				  necessary physical adaptations to the existing home and existing rooms within
				  the home required by the individual's person-centered service plan needed to:
(a) Ensure the health, welfare, and safety of
				  the individual;
(b) Enable the
				  individual who would otherwise require institutionalization to function with
				  greater independence in the home; and
(c) Increase the individual's independence
				  inside or outside the home to allow the individual to physically enter and move
				  within the home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-0905 - Who is a qualified provider for environmental adaptations?

Current through Register Vol. 24-14, July 15, 2024
A qualified provider must be a registered contractor per
					 chapter 18.27 RCW and contracted with DDA. The contractor must be licensed and
					 bonded to perform the specific type of work being provided.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. 06-01-024, § 388-845-0905, 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 388-845-0910 - What limits apply to environmental adaptations?

Current through Register Vol. 24-14, July 15, 2024
The following service limits apply to environmental
					 adaptations:
(1) Clinical and support
				  needs for an environmental adaptation must be identified in the waiver
				  participant's DDA assessment and documented in the person-centered service
				  plan.
(2) Environmental adaptations
				  require prior approval by the DDA regional administrator or designee,
(3) Environmental adaptations must be
				  supported by itemized and written bids from licensed contractors. For an
				  adaptation that costs:
(a) $1,500 or less, one
				  bid is required;
(b) More than
				  $1,500 and equal to or less than $5,000, two bids are required; or
(c) More than $5,000, three bids are
				  required.
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 388-845-0920 - What is equine therapy?

Current through Register Vol. 24-14, July 15, 2024
(1) Equine
				  therapy is the use of horses to provide experiences that support mental health
				  and emotional well-being.
(2)
				  Services may include horsemanship as part of a therapeutic team and
				  participation in other activities associated with preparing a horse for a
				  client's riding lesson.
(3) Equine
				  therapy is available only on the CIIBS waiver.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-0930 - Who are qualified providers of equine therapy?

Current through Register Vol. 24-14, July 15, 2024
(1) The provider of equine therapy must be a
				  certified therapeutic horseback riding instructor and contracted with DDA to
				  provide this service.
(2) The
				  provider of equine therapy must have one year of experience working with
				  individuals with developmental disabilities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-0940 - Are there limits to the equine therapy I may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to your receipt of equine
					 therapy:
(1) Support needs for equine
				  therapy are limited to those identified in your DDA assessment and documented
				  in the person-centered service plan.
(2) The department requires a written
				  recommendation from a behavioral health or related provider. The recommendation
				  must include a description of your need for the service and take into account
				  that the service is expected to complement the existing behavioral health
				  support plan.
(3) DDA may require a
				  second opinion by the department-selected provider.
(4) Equine therapy services must not exceed
				  the CIIBS combined specialized-hourly services allocation of $5,000 per waiver
				  year.
(5) Equine therapy services
				  must not be used to provide hippotherapy, which is an occupational therapy
				  service.
(6) The department
				  reserves the right to terminate the authorization for equine therapy services
				  if there is not a demonstrable improvement in behavior as documented by the
				  contracted equine therapist or other treatment provider.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-0945 - What is remote support?

Current through Register Vol. 24-14, July 15, 2024
(1) Remote
				  support is supervision, coaching, and consultation from a contracted remote
				  support provider to a waiver participant from a distant location.
(2) The provider uses HIPAA-compliant
				  technology and secure data storage to support the waiver participant to
				  increase their independence and safety in their home and community when not
				  engaged in other DDA-paid services or informal supports.
(3) Remote support includes equipment as
				  needed to deliver the supervision, coaching, and consultation. Equipment may
				  include one or more of the following components:
(a) Motion-sensing system;
(b) Radio frequency identification;
(c) Video calling via assistive
				  technology;
(d) Live audio feed;
				  and
(e) Web-based monitoring
				  systems.
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 388-845-0950 - Who are qualified providers of remote support?

Current through Register Vol. 24-14, July 15, 2024
(1) The provider of remote support must be an
				  entity contracted with DDA to provide remote support.
(2) A guardian, legal representative, parent,
				  or other family member cannot provide remote support to a waiver
				  participant.
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 388-845-0955 - Are there limits to the remote support I may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to your receipt of remote
					 support:
(1) Remote support must never
				  be used to restrict people from their home, community, or body
				  autonomy.
(2) Before DDA authorizes
				  remote support, a safety plan must be established and documented in the waiver
				  participant's person-centered service plan.
(3) The need for remote support must be
				  identified in the waiver participant's person-centered service plan.
(4) Remote support cannot pay for internet,
				  data plans, or wi-fi access.
(5)
				  Remote support requires prior approval by the regional administrator or
				  designee.
(6) For basic plus,
				  remote support is limited to the aggregate budget.
(7) For IFS, remote support is limited to the
				  annual allocation.
(8) Remote
				  support must not replace, duplicate, or be the delivery method for other
				  available paid or unpaid supports or services.
(9) Remote support must not be authorized to
				  waiver participants receiving residential habilitation.
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 388-845-1000 - What are extended state plan services? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-1000,
						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, § 388-845-1000, 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 388-845-1010 - Who is a qualified provider of extended state plan services? (Repealed)

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, § 388-845-1010, 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 388-845-1015 - Are there limits to the extended state plan services you can receive? (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						71A.12.030,
						71A.12.120, 2009 c 194, and 2008
						c 329 § 205(1)(i), and Title 71A RCW. 10-22-088, § 388-845-1015,
						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, § 388-845-1015, 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 388-845-1030 - What are individualized technical assistance services?

Current through Register Vol. 24-14, July 15, 2024
Individualized technical assistance services:
(1) Provide short-term, professional
				  expertise to identify and address barriers to employment services or community
				  inclusion; and
(2) Are available in
				  addition to supports received through supported employment services and
				  community inclusion for an individual who has not yet achieved his or her
				  goal.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-1030, filed 8/1/12, effective
						9/1/12.
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 388-845-1035 - Who are qualified providers of individualized technical assistance services?

Current through Register Vol. 24-14, July 15, 2024
To be a qualified provider of individualized technical
					 assistance services, an entity must be:
(1) A county contracted with DDA to provide
				  individualized technical assistance services; or
(2) An individual or agency contracted with a
				  county that is contracted with DDA to provide individualized technical
				  assistance services.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-1035, filed 8/1/12, effective
						9/1/12.
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 388-845-1040 - Are there limits to the individualized technical assistance services you may receive?

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  developmental disabilities administration (DDA) may authorize a maximum of six
				  months of individualized technical assistance services at a time, not to exceed
				  six months in the waiver year.
(2)
				  Individualized technical assistance services are available on the basic plus,
				  core, and community protection waivers.
(3) Individualized technical assistance
				  services are available only to clients who are receiving supported employment
				  or community inclusion services, unless approved by the regional administrator
				  or his or her designee.
(4)
				  Individualized technical assistance services are limited to additional hours
				  under WAC
				  388-828-9355 and
				  388-828-9360.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and 2012 c 49.
						12-16-095, § 388-845-1040, filed 8/1/12, effective
						9/1/12.
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 388-845-1100 - What are stabilization services - crisis diversion bed?

Current through Register Vol. 24-14, July 15, 2024
(1) Crisis
				  diversion beds are available in all five HCBS waivers administered by DDA as a
				  stabilization service in accordance with WAC
				  388-845-1150
				  through
				  388-845-1160.
(2) Crisis diversion beds are short-term
				  residential habilitative supports provided by trained specialists and include
				  direct care, supervision or monitoring, habilitative supports, referrals, and
				  consultation. Crisis diversion beds are available to individuals determined by
				  DDA to be at risk of institutionalization.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1100, 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, § 388-845-1100, 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 388-845-1101 - Where may stabilization services - crisis diversion bed be provided?

Current through Register Vol. 24-14, July 15, 2024
Stabilization services - crisis diversion beds may be
					 provided in a client's home or a licensed or certified
					 setting.
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 388-845-1105 - Who is a qualified provider of stabilization services - crisis diversion bed?

Current through Register Vol. 24-14, July 15, 2024
Providers of stabilization services - crisis diversion beds
					 must be:
(1) Department-certified
				  residential agencies per chapter 388-101 WAC;
(2) State-operated agencies; or
(3) Other agencies licensed by the department
				  of children, youth, and families under chapter 110-145 WAC and contracted with
				  DDA to provide services under chapter 388-833 WAC.
Statutory Authority:
						RCW
						71A.12.030, 71A.12.12 [71A.12.120] and
						chapter 71A.12 RCW. WSR 06-01-024, § 388-845-1105, 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 388-845-1110 - What are the limits of stabilization services - crisis diversion bed?

Current through Register Vol. 24-14, July 15, 2024
(1) Support needs
				  for stabilization services - crisis diversion beds are limited to those
				  identified in the waiver participant's DDA assessment and documented in the
				  person-centered service plan.
(2)
				  Stabilization services - crisis diversion beds are intermittent and temporary.
				  A behavioral health professional may make a recommendation about your need for
				  stabilization services - crisis diversion beds. The DDA person-centered service
				  plan determines the duration and amount of stabilization services -crisis
				  diversion beds you will receive.
(3) The costs of stabilization services -
				  crisis diversion beds do not count toward the dollar amounts for aggregate
				  services in the basic plus or CIIBS waiver or the annual allocation in the
				  individual and family services waiver.
(4) Stabilization services - crisis diversion
				  beds are limited to additional services not otherwise covered under the state
				  plan, including EPSDT, but consistent with waiver objectives of avoiding
				  institutionalization.
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, § 388-845-1110, 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. WSR 06-01-024, § 388-845-1110, 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 388-845-1150 - What are stabilization services?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Stabilization services assist persons who are experiencing a crisis.
(2) Stabilization services are available in
				  the basic plus, core, children's intensive in-home behavior support (CIIBS),
				  individual and family services (IFS), and community protection
				  waivers.
(3) A participant may be
				  eligible for stabilization services if:
(a) A
				  behavioral health professional and DDA has determined the participant is at
				  risk of institutionalization or hospitalization; and
(b) The participant needs short-term:
(i) Specialized habilitation;
(ii) Staff and family consultation;
				  or
(iii) Crisis diversion
				  beds.
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 388-845-1155 - Who are qualified providers of stabilization services?

Current through Register Vol. 24-14, July 15, 2024
Providers of these stabilization services are listed in the
					 rules in this chapter governing the specific services listed in WAC
					 388-845-1150.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1155, 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, § 388-845-1155, 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 388-845-1160 - Are there limits to the stabilization services that you can receive?

Current through Register Vol. 24-14, July 15, 2024
(1) Stabilization
				  services are limited to those identified in your DDA assessment and documented
				  in the person-centered service plan.
(2) Stabilization services are intermittent
				  and last for ninety days or less.
(3) The costs of stabilization services do
				  not count toward the dollar amounts for aggregate services in the basic plus or
				  CIIBS waiver or the annual allocation in the IFS waiver.
Statutory Authority:
						RCW
						71A.12.030,
						74.08.090 and
						2012 c
						49 . 13-04-005, § 388-845-1160, 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, § 388-845-1160, 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 388-845-1161 - What is music therapy?

Current through Register Vol. 24-14, July 15, 2024
(1) Music
				  therapy is the use of musical interventions to promote the accomplishment of
				  individualized goals within a therapeutic relationship.
(2) Services may include music improvisation,
				  receptive music listening, song writing, lyric discussion, music and imagery,
				  music performance, or other expressive musical forms.
(3) Music therapy is available in the CIIBS
				  waiver.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-1162 - Who are qualified providers of music therapy?

Current through Register Vol. 24-14, July 15, 2024
(1) Qualified providers of music therapy are
				  agencies or individuals who are or employ board certified music therapists
				  (MT-BC) as defined by the certification board for music therapists;
(2) Are contracted with DDA to provide this
				  service; and
(3) Have one year of
				  experience working with individuals with developmental disabilities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-1163 - Are there limits to the music therapy I may receive?

Current through Register Vol. 24-14, July 15, 2024
The following limits apply to your receipt of music
					 therapy:
(1) Support needs for music
				  therapy are limited to those identified in your DDA assessment and documented
				  in the person-centered service plan.
(2) The department requires a written
				  recommendation from a behavioral health or related provider. The recommendation
				  must include a description of your need for the services and take into account
				  that music therapy is expected to complement the existing behavioral health
				  plan.
(3) DDA may require a second
				  opinion by a department-selected provider.
(4) Music therapy must not exceed the CIIBS
				  combined specialized-hourly services allocation of $5,000 per year.
(5) The department reserves the right to
				  terminate the service authorization for music therapy if there is not a
				  demonstrable improvement in behavior as documented by the certified music
				  therapist or other treatment provider.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-845 - DDA home and community based services waivers › WAIVER SERVICES DEFINITIONS › Section 388-845-1170 - What is nurse delegation?

Current through Register Vol. 24-14, July 15, 2024
(1) Nurse
				  delegation services are services in compliance with WAC
				  246-840-910 through
				  246-840-970 by a registered nurse
				  to provide training and nursing management for nursing assistants who perform
				  delegated nursing tasks.
(2)
				  Delegated nursing tasks include, but are not limited to, administration of
				  non-injectable medications except for insulin, blood glucose testing, and tube
				  feedings.
(3) Services include the
				  initial visit, care planning, competency testing of the nursing assistant,
				  consent of the client, additional instruction and supervisory visits.
(4) Clients who receive nurse delegation
				  services must be considered "stable and predictable" by the delegated
				  nurse.
(5) Nurse delegation
				  services are available on all DDA HCBS waivers.
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, § 388-845-1170,
						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 388-845-1175 - Who is a qualified provider of nurse delegation?

Current through Register Vol. 24-14, July 15, 2024
Providers of nurse delegation are registered nurses
					 contracted with DDA to provide this service or employed by a nursing agency
					 contracted with DDA to provide this service.
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, § 388-845-1175,
						filed 11/1/10, effective 12/2/10.