Washington Administrative Code

The department will not approve an individual provider to provide care for a client if the department determines, based on an online mapping tool, that the individual provider would regularly travel for more than sixty minutes between worksites or exceed a total of seven hours of…

The purpose of WAC 388-115-0500 through WAC 388-115-05640 is to describe:(1) The role of the client as the managing employer of individual providers;(2) Individual provider qualifications and responsibilities;(3) When the consumer directed employer must or may reject a client's s…

(1) "Area agencies on aging (AAA)" means a contracted entity that aging and long-term support administration (ALTSA) grants funds to in order to carry out the functions of the Older Americans Act, general-fund state programs, and to provide case management services and supports t…

The client, or the client's representative, is the managing employer and:(1) Has the primary responsibility to select, dismiss, assign hours, and supervise the work of one or more individual providers; and(2) May receive assistance from the consumer directed employer or other res…

In order to be qualified as an individual provider, an applicant must:(1) Be 18 years of age or older;(2) Not have a disqualifying crime or negative action under chapter 388-113 WAC based on a completed background check;(3) Not be disqualified based on a character, competence, an…

(1) Individual providers are required to complete and pass a name and date of birth background check prior to working with a client.(2) Individual providers are required to complete and pass a name and date of birth background check:(a) Every two years; and(b) Any time the consum…

(1)The individual provider must:(a) Complete the background check authorization form;(b) Answer all questions on the background check authorization form truthfully; (c) Obtain a fingerprint-based background check result;(d) Not have any automatically disqualifying conviction(s), …

In providing care to a client, the consumer directed employer must:(1) Be responsible that the client assigned individual provider(s) understands the approved plan of care;(2) Assign client approved tasks from services outlined in a client's plan of care, as described in WAC 388-…

An individual hired on or after January 7, 2012, must meet the training requirements described in WAC 388-71-0836 through 388-71-1006.[Statutory Authority: RCW 18.88B.021, 18.88B.041, 18.88B.060, 74.08.090, 74.39A.076, and 74.39A.341. WSR 24-05-003, § 388-115-0520, filed 2/8/24, …

Refer to WAC 388-71-0523 which includes criteria for those providers working limited hours for one person, caring only for one's child, parent, sibling, aunt, uncle, cousin, niece, nephew, grandparent, or grandchild including when related by marriage or domestic partnership, prov…

(1) The CDE will reject an individual provider who:(a) Is the client's spouse, except in the case of an individual provider for a chore services client or when the client is receiving services under the veteran directed home care or long-term care services and supports trust (WA …

(1) The client may choose to receive services from a different individual provider or another qualified provider.(2) The client has the right to dispute the decision under the consumer directed employer's dispute resolution process.(3) The client does not have a right to a hearin…

The department will deny payment to the CDE for services provided to a department client:(1) By an individual provider who does not meet the qualifications in WAC 388-115-0510;(2) In excess of the client's authorized number of hours, except when necessary to respond to an emergen…

(1) The consumer directed employer has the right to an administrative hearing when the department or a department designee terminates its contract or takes other enforcement action related to its contract because the consumer directed employer:(a) Employs an individual provider w…

Self-directed care under chapter 74.39 RCW must be directed by an adult client for whom the health-related tasks are provided. The adult client is responsible to train the individual provider in the health-related tasks which the client self-directs.[Statutory Authority: RCW 74.0…

(1) This chapter implements the long-term services and supports program identified under chapter 50B.04 RCW.(2) This chapter applies to the long-term services and support program administered by the department of social and health services under RCW 50B.04.020.(3) Additional rule…

WAC 388-116-1010The definitions in this section apply throughout this chapter unless the context clearly indicates otherwise.(1) "Activities of daily living" means bathing, bed mobility, continence, dressing, eating, medication management, mobility, personal hygiene, toileting, o…

(1) The purpose of the pilot is for the department to assess administrative processes and system capabilities in preparation for implementation of the full program.(2) The department will conduct a pilot from January 1, 2026, through June 30, 2026, for the benefits under this cha…

(1) Reimbursing eligible beneficiaries, acquisition of adaptive equipment and technology on behalf of a beneficiary, and processing claims for provider payments by a financial management services vendor are not permitted during the pilot.(2) This section is effective through June…

(1) To apply for benefits, an in-state applicant must submit an application to the department or its designee to undergo a care needs assessment.(2) When an in-state applicant applies for benefits, they must provide information sufficient for the department to determine the ident…

(1) For the purposes of this section "activities of daily living" means bathing, bed mobility, eating, medication management, mobility, toileting, and transferring.(2) In-state applicants are determined eligible to receive benefits when they:(a) Are age 18 or older;(b) Have not e…

(1) To be a long-term services and supports provider eligible to provide services paid for by the long-term services and supports program under chapter 50B.04 RCW, a provider applicant must:(a) Meet minimum qualification requirements under WAC 388-116-3020;(b) Meet contracting re…

WAC 388-116-3020A person or entity seeking to provide long-term services and supports under this chapter must meet the following minimum qualifications:(1) Comply with chapter 50B.04 RCW, this chapter, and other applicable federal, state, and local laws and regulations, including…

WAC 388-116-3030(1) Subsections (2) and (3) of this section apply to the following provider applicants of these approved services:(a) Adaptive equipment and technology;(b) Adult day services (adult day care and adult day health);(c) Care transition coordination;(d) Dementia and b…

A long-term services and supports provider must be contracted by the department or an area agency on aging under chapter 39.26 RCW and must not have a DSHS contract terminated for default.[Statutory Authority: RCW 50B.04.020 (3)(k). WSR 25-18-020, s 388-116-3040, filed 8/21/25, e…

(1) A provider applicant must:(a) Complete and submit a registration application as directed and required by the department;(b) Submit any additional information requested by the department or its designee within 30 calendar days of the first request for information; and(c) Compl…

(1) The department may deny a registration application when the department determines the provider applicant does not:(a) Meet the registration requirements and operational standards of WAC 388-116-3010; or(b) Meet the application requirements in WAC 388-116-3050.(2) The departme…

The department may discontinue a long-term services and supports provider's registration when:(1) The long-term services and supports provider submits a written request to discontinue their registration; or(2) The department determines the provider no longer meets registration re…

WAC 388-116-3080(1) A long-term services and supports provider may request an exception to an approved services rule.(2) To request an exception to an approved services rule, a long-term services and supports provider must submit a written request and justification to the departm…

(1) To receive payment for services rendered, a long-term services and supports provider must:(a) Enroll in a department-authorized payment system; and(b) Adhere to billing standards and guidelines established by the department.(2) A long-term services and supports provider may c…

(1) The department will pay long-term services and supports providers, for approved services rendered, up to the following maximum rates:(a) Adaptive equipment and technology: $15,450.00 each item;(b) Adult day services: $338.00 per day or $11 per 15-minute unit;(c) Adult family …

(1) An eligible beneficiary may pay out-of-pocket and request reimbursement up to the maximum rate for the following approved services:(a) Adaptive equipment and technology; and(b) Transportation.(2) To request reimbursement, the eligible beneficiary must submit a reimbursement r…

(1) The department will provide written notice when a determination is made by the department.(2) Written notice will include:(a) The name of the party subject to the determination;(b) The date of the notice;(c) The effective date of the determination;(d) The determination that h…

(1) A person applying to be an eligible beneficiary may request an administrative hearing to dispute a department denial of benefits under RCW 50B.04.120.(2) An eligible beneficiary may request an administrative hearing to dispute the denial of a reimbursement or termination of t…

(1) A provider applicant applying to be registered as a long-term services and supports provider may request an administrative hearing to dispute a department denial of registration under RCW 50B.04.120.(2) A long-term services and supports provider may request an administrative …

WAC 388-116-5030(1) A request for an administrative hearing must be received no later than 5:00 p.m. on the 30th day from the date the notice was sent. Days are counted as described under WAC 388-02-0035.(2) An administrative hearing request may be made by:(a) Submitting an elect…

WAC 388-14A-1000(1) The division of child support (DCS) is the part of the department of social and health services that provides child support enforcement services for the state of Washington under Title IV-D of the federal Social Security Act. DCS acts as the Washington state s…

(1) The division of child support (DCS), on behalf of the department of social and health services of the state of Washington, has established the following provisions as the state plan (the "plan") for its child support enforcement program. This plan is authorized by Title IV-D …

(1) The division of child support (DCS) has been known by many names including:(a) The office of support enforcement (OSE);(b) The support enforcement division (SED);(c) The state's Title IV-D agency; and(d) The Washington state support registry (WSSR).(2) Some statutes and forms…

(1) The following are the primary state and federal laws which apply to the division of child support (DCS):(a) Title IV-D of the Social Security Act sets out the federal requirements for a state's support enforcement program.(b) Title 45 of the Code of Federal Regulations contai…

For purposes of this chapter, the following definitions apply:"Abatement" means the temporary reduction of child support obligations of an incarcerated person who is required to pay support."Absence of a court order" means that there is no court order either setting a support obl…

(1) The division of child support (DCS) provides support enforcement services when:(a) The department of social and health services pays public assistance;(b) A former recipient of public assistance is eligible for services, as provided in WAC 388-14A-2000 (2)(c);(c) The departme…

The services provided by the division of child support include, but are not limited to the following:(1) Receiving payments and distributing the payments (see WAC 388-14A-5000);(2) Establishing or modifying administrative child support orders (see WAC 388-14A-3100 and 388-14A-392…

The division of child support (DCS) maintains a service to locate noncustodial parents, using:(1) All sources of information and available records in Washington or other states; and(2) The federal parent locator service (FPLS) maintained by the federal Department of Health and Hu…

DCS provides locate services for:(1) Persons receiving public assistance for the benefit of dependent children;(2) Any agency or attorney of another state or country seeking to collect support obligations under an agreement entered into with DCS;(3) A court which has the authorit…

A request or referral asking the division of child support (DCS) to provide locate services must contain the following information:(1) The name of the noncustodial parent (NCP);(2) The NCP's Social Security number, if known;(3) Whether the NCP is now or has been a member of the a…

(1) The division of child support (DCS) makes diligent and reasonable efforts to locate the noncustodial parent (NCP), including referral to the federal parent locator service (FPLS).(2) A request for locate services is not an application for full support enforcement services.(3)…