Washington Administrative Code

Only DDA employees can administer the DDA assessment.[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 21-19-093, § 388-828-1080, filed 9/17/21, effective 10/18/21. Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-1080, filed 4/23/07, effecti…

DDA must administer a DDA assessment when you meet any of the following conditions: (1) You are currently approved by DDA to receive a DDA paid service evidenced by meeting one of the conditions in WAC 388-828-1440;(2) You request enrollment in one of the DDA HCBS waivers per cha…

DDA will not administer the DDA assessment when you meet any of the following conditions: (1) You have not identified a person willing to receive notice or correspondence on your behalf regarding specific DDA decisions as required per RCW 71A.10.060 and DDA does not believe you a…

If there is no one available to receive notice or correspondence on your behalf regarding specific DDA decisions, DDA will do all of the following:(1) Consult with the assistant attorney general to determine if:(a) You are able to represent yourself; or(b) You require a legal rep…

If you complete the DDA assessment and are assessed to have an unmet need and there is no approved funding to support that need, DDA will offer you referral information for ICF/IID services per Title 71A RCW, chapter 388-825 WAC, and chapter 388-837 WAC. In addition, DDA may:(1) …

If you are approved to receive a DDA paid service and refuse to have a DDA assessment administered, DDA is unable to authorize new or current DDA paid services and will do all of the following:(1) Explain what happens if you refuse to allow DDA to administer the DDA assessment to…

DDA will inform you of the services you are eligible to receive no more than 30 days after DDA administers your assessment.[Statutory Authority: RCW 71A.12.030, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103, s 388-828-1340, filed 7/17/25, effective 8/17/25. Stat…

You will begin receiving a service for which you have been determined eligible after:(1) Your DDA assessment is complete;(2) You are found financially and functionally eligible for services;(3) You have given consent for services and approved your plan of care;(4) You have chosen…

You or your legal representative/guardian has the responsibility of choosing a provider. DDA will provide you information on contracted and qualified providers. If you are receiving services through a county, the county will provide you with information on contracted providers.[S…

For the purpose of this chapter, a DDA paid service is defined as an authorization of a program and/or service as evidenced by one or more of the following: (1) An open ProviderOne authorization within the past ninety days used for payment of a service or SSP;(2) A current county…

DDA must administer a DDA assessment when: (1) You are receiving a DDA paid service and your annual reassessment is due for continuation of the DDA paid service;(2) You are receiving a DDA paid service and a reassessment is needed due to a significant change that may affect your …

During the year prior to July 2009, due to staff resources, DDD may authorize or reauthorize the following services before a DDD assessment is administered:(1) Funding from the legislature that provides resources for services to be available by a certain date; or(2) Emergency ser…

(1) DDA must conduct a reassessment: (a) On an annual basis if you are receiving a paid service; (b) When a significant change is reported that may affect your need for support;(c) Before the next person-centered service plan date of your current assessment; or(d) At your request…

(1) Initial, annual, and significant change assessments are administered at a location and in a way that is convenient to you, such as:(a) In-person at your home;(b) In-person in another setting;(c) Remotely using approved technology; or(d) A combination of in-person and remote.(…

(1) You choose the people who participate in your assessment and person-centered service plan meeting. (2) DDA requires that at a minimum: You, one of your respondents, and a DDA employee participate in your DDA assessment interview. In addition:(a) If you are under the age of 18…

DDA requires an assessment because:(1) DDA assesses clients with a common, standardized assessment process that measures the support needs of individuals with developmental disabilities. (2) The DDA assessment algorithms are designed to:(a) Determine acuity scores and acuity leve…

If you refuse to answer a DDA assessment question that is necessary to determine your service level and DDA is unable to complete your DDA assessment, DDA will send you or your legal representative notice of denial or termination of eligibility for services as required under chap…

The support assessment is the:(1) Supports intensity scale for clients sixteen and older; and(2) Support assessment for children under sixteen.[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 21-19-093, § 388-828-2000, filed 9/17/21, effective 10/18/21. Statutory Authorit…

The purpose of the support assessment is to:(1) Collect a common set of assessment information that is scored for all persons who are eligible to receive a DDA assessment per WAC 388-828-1100; (2) Promote a consistent process to evaluate client support needs; and (3) Determine wh…

The support assessment contains the following components:(1) The support assessment for children;(2) The supports intensity scale (SIS) assessment;(3) DDA protective supervision acuity scale;(4) DDA caregiver status acuity scale;(5) DDA activities of daily living (ADL) acuity sca…

Age guidelines are incorporated into the support assessment to exclude age appropriate supports unrelated to a disability. The following table illustrates which components DDA includes in your support assessment based on your assessment age:Components contained in the Support Ass…

If you are within thirty calendar days of your next birthday, DDA determines your assessment age to be that of your next birthday.[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 21-19-093, § 388-828-2080, filed 9/17/21, effective 10/18/21. Statutory Authority: RCW 71A.12…

The support assessment for children measures the support needs of children from birth to age fifteen.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-3000, filed 4/23/07, effective 6/1/07.]

The purpose of the support assessment for children ages fifteen or younger is to determine:(1) Your ICF/IID level of care score for DDA HCBS waiver eligibility;(2) The health and welfare needs that must be addressed in your individual support plan if you are enrolled in a DDA HCB…

DDA scores the answers to each of the following questions in the support assessment for children based on the respondent information:(1) Dress and groom self: What support does the child need to dress and groom self as expected of others of same age?AnswersDefinitionsLOC ScoreAcu…

DDA determines your total LOC score for ICF/IID level of care by adding all of your LOC scores on questions one through eighteen in the support assessment for children.[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 21-19-093, § 388-828-3060, filed 9/17/21, effective 10/…

DDA determines you are eligible for ICF/IID level of care when:(1) You are age birth through five years old and the total of your LOC scores is five or more; or(2) You are age six through fifteen years old and the total of your LOC scores is seven or more.[Statutory Authority: RC…

The supports intensity scale assessment is a standardized tool developed by the American Association on Intellectual and Developmental Disabilities (AAIDD), to measure the relative intensity of support needs for persons age sixteen and older.[Statutory Authority: RCW 71A.12.030 a…

The purpose of the supports intensity scale assessment in the DDA assessment is to determine all of the following:(1) Your ICF/IID level of care score for DDA HCBS waiver eligibility;(2) The health and welfare needs that must be addressed in your individual support plan if you ar…

The supports intensity scale assessment contains the following:(1) The support needs scale;(2) The supplemental protection and advocacy scale;(3) Exceptional medical support needs scale; and(4) Exceptional behavioral support needs scale.[Statutory Authority: RCW 71A.12.030 and Ti…

The support needs scale contains the following subscales:(1) Home living activities;(2) Community living activities;(3) Health and safety activities;(4) Lifelong learning activities;(5) Work activities;(6) Social activities; and(7) Advocacy activities.[Statutory Authority: RCW 71…

The SIS measures your support needs in the support needs and supplemental protection and advocacy scales using the following three dimensions of support intensity:(1) Type of support;(2) Frequency of support; and(3) Daily support time.[Statutory Authority: RCW 71A.12.030 and Titl…

DDD scores the type of support you need to perform the assessed activity using the following rating scale:Type of Support: What kind of support is needed for the assessed activity?AnswerScoreNone0Monitoring1Verbal/gestural prompting2Partial physical assistance3Full physical assis…

DDD scores how frequently support is needed for you to perform the assessed activity using the following rating scale:Frequency: How frequently is support needed for the assessed activity?AnswerScoreNone or less than monthly0At least once a month, but not once a week1At least onc…

DDD scores the amount of daily support time you need to perform the assessed activity using the following rating scale:Daily Support Time: On a typical day when support in this area is needed, how much time should be devoted?AnswerScoreNone0Less than 30 minutes130 minutes to less…

DDD adds the three dimensions of support intensity scores for each activity to determine your raw score for the activity.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-4160, filed 4/23/07, effective 6/1/07.]

(1) DDD adds the raw scores (WAC 388-828-4160) for each activity assessed in each subscale of the SIS support needs scale to determine your total raw score for that subscale.(2) The raw score for question number 9 in the home living activities subscale (WAC 388-828-4200) "using c…

Some questions in the support needs and supplemental protection and advocacy scales have scoring limitations and some scores are not available for selection related to the standardization process per AAIDD.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 3…

The home living activities subscale measures your personal support needs for the following home living activities:#Home living activitiesType of supportFrequency of supportDaily support timeRaw scoreA1Bathing and taking care of personal hygiene and grooming needs012340123*01234 A…

The community living activities subscale measures your personal support needs for the following community living activities:#Community living activitiesType of supportFrequency of supportDaily support timeRaw scoreB1Getting from place to place throughout the community (transporta…

The lifelong learning activities subscale measures your personal support needs for the following lifelong learning activities:#Lifelong learning activitiesType of supportFrequency of supportDaily support timeRaw scoreD1Learning and using problem-solving strategies012340123401234 …

The work activities subscale measures your personal support needs for the following work activities:#Work activitiesType of supportFrequency of supportDaily support timeRaw scoreE1Learning and using specific job skills012340123*01234 E2Completing work-related tasks with acceptabl…

The health and safety activities subscale measures your personal support needs for the following health and safety activities:#Health and safety activitiesType of supportFrequency of supportDaily support timeRaw scoreC1Taking medications012340123401234 C2Ambulating and moving abo…

The social activities subscale measures your personal support needs for the following social activities:#Social activitiesType of supportFrequency of supportDaily support timeRaw scoreF1Using appropriate social skills012340123401234 F2Participating in recreation /leisure activiti…

The advocacy activities subscale measures your personal support needs for the following advocacy activities:#Advocacy activitiesType of supportFrequency of supportDaily support timeRaw scoreG1Making choices and decisions012340123401234 G2Advocating for self012340123*01234 G3Manag…

DDD examines the amount of support you need for medical treatments and behavioral support using the following rating scale:AnswerScoreNo support needed0Some support needed1Extensive support needed2[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-43…

The SIS exceptional medical support needs scale measures your personal support needs for the following medical support need(s) activities:#Medical supports neededNo support neededSome support neededExtensive support needed1.Inhalation or oxygen therapy0122.Postural drainage0123.C…