Washington Administrative Code

(1) DDA determines your SIS support needs index percentile ranking by adding together the standard scores (WAC 388-828-4420) for the following supports intensity scale assessment subscales:(a) Home living activities in WAC 388-828-4200.(b) Community living activities in WAC 388-8…

The DDD protective supervision acuity scale is an assessment of your protective supervision support need(s).[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5000, filed 4/23/07, effective 6/1/07.]

(1) Information obtained in the protective supervision acuity scale is one of the factors used by DDD to determine:(a) The amount of waiver respite, if any, that you are authorized to receive;(b) Your individual and family services level, if you are authorized to receive individu…

The three questions that are asked for the DDD protective supervision acuity scale are in WAC 388-828-5060.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5040, filed 4/23/07, effective 6/1/07.]

DDD selects one answer per each question that best describes your reported need.(1) What level of monitoring does the client typically require during awake hours?AnswersDefinitionsScoreIndependentCan be left unattended. Might occasionally show poor judgement, but does not require…

DDD determines your adjusted protective supervision acuity score by applying the following age-based score adjustments to your level of monitoring score for question number one in WAC 388-828-5060:If you are:Then your age-based score adjustment is:18 years or olderScore is equal …

DDD uses the following table in determining your protective supervision support level:If your Adjusted Protective Supervision Score is:Then your Protective Supervision Support Level is:5-6High3-4Medium1-2Low0None[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-02…

The DDA caregiver status acuity scale is an assessment of risks associated with your caregiver's ability to provide care.[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 388-828-5120, filed 7/17/25, effective 8/17/25. Statut…

(1) Information obtained in the DDA caregiver status acuity scale is one of the factors used by DDA to determine:(a) The amount of waiver respite, if any, that you are authorized to receive; and(b) Your individual and family services level, if you are authorized to receive indivi…

A collateral contact is an informal caregiver when the person provides you supports without payment from DDA for a service.[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 388-828-5160, filed 7/17/25, effective 8/17/25. Stat…

A collateral contact is a formal caregiver when the person receives payment from DDA or DCYF to provide you a service.[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 388-828-5180, filed 7/17/25, effective 8/17/25. Statutory…

A collateral contact is only a backup caregiver when:(1) He or she has been identified as an informal caregiver; and(2) He or she is available to provide assistance as an informal caregiver when other caregivers are unavailable.[Statutory Authority: RCW 71A.12.030 and Title 71A R…

There are no limitations regarding the number of persons you are allowed to identify as backup caregivers.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5220, filed 4/23/07, effective 6/1/07.]

Your primary caregiver is the formal or informal caregiver who provides you with the most support.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5240, filed 4/23/07, effective 6/1/07.]

The DDD caregiver status acuity scale consists of six questions that must be answered by your primary caregiver. Scores for each question are determined based on your primary caregiver's response for each question.(1) Overall, how stressed do you feel in caring for the client?Ans…

The following criteria are used to determine a caregiver's risk level:If the following criteria are met:Then your caregiver risk factor (s) are:(1) You have a score of "less than 1 month" for question 6 ("How long do you expect to continue providing care?") in WAC 388-828-5260.Im…

(1) The following table reflects the criteria that are used to calculate the caregiver risk level score:Your scores for the following questions inWAC 388-828-5240 [ 388-828-5260]Your Caregiver Risk LevelYour score for question 4Your score for question 5Your score for question 6 0…

DDD's determination of availability of a back up caregiver is based on the responses of you and your respondent(s) to the following question:(1) Under what conditions are other caregivers available?Answers available for selectionScoreRoutinely provides care0Upon request2Emergency…

You or your respondent identifies that your backup caregiver(s) lives with you.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5340, filed 4/23/07, effective 6/1/07.]

The following table identifies the criteria that are used to calculate the risk level score of your backup caregiver not being able to provide the supports you need when you need them:If the availability of your backup caregiver is:Then your risk level score is:(1) Your backup ca…

The DDD activities of daily living acuity scale is an algorithm that determines your ADL support needs level.(1) The DDD activities of daily living acuity scale does not affect service determination for the medicaid personal care or waiver personal care assessments; and(2) The in…

The DDD ADL acuity scale measures:(1) Your ADL support needs level from the support assessment for children if you are age birth through fifteen years old; or(2) Your ADL support needs level from the SIS assessment if you are age sixteen or older.[Statutory Authority: RCW 71A.12.…

If you are a child age birth through fifteen, your ADL support needs score is the total of your acuity scores for each of the following ADL questions in the support assessment for children:ADL questions from the Support Assessment for Children in WAC 388-828-3040Question #Text of…

(1) DDD uses your ADL support needs score and the following table to determine your ADL support needs level for the support assessment for children:If your ADL support needs score is:Then your ADL support need level is:Value11 to 16High37 to 10Medium22 to 6Low10 or 1None0(2) If y…

(1) If you are age 16 or older, your ADL support needs score is the total adjusted "Type of support" scores from the following SIS questions:ADL questions from the SIS assessment in WAC 388-828-4200 and 388-828-4280Question #Text of ADL questions:A1Bathing and taking care of pers…

(1) DDD uses your ADL support needs score and the following table to determine your ADL support needs level for the SIS assessment if you are age sixteen or older:If the sum of your adjusted ADL support needs score for the SIS is:Then your ADL support needs level for the SIS is:V…

The DDD behavioral acuity scale is an assessment of your behavioral support needs based on your scores from the SIS exceptional behavior scale.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5500, filed 4/23/07, effective 6/1/07.]

(1) Information obtained in the DDD behavioral acuity scale is one of the factors used by DDD to determine:(a) The amount of waiver respite, if any, that you are authorized to receive;(b) Your individual and family services level, if you are authorized to receive individual and f…

You are determined to have a prominent behavior when a question in WAC 388-828-4380 has a support score of one or two.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5540, filed 4/23/07, effective 6/1/07.]

If you have two or more prominent behaviors, DDD will ask you and your respondent(s) for input and must select only one behavior to be scored as your most prominent behavior.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5560, filed 4/23/07, effe…

If you have a prominent behavior, DDD asks you and your respondent(s) to identify the frequency of occurrence of your most prominent behavior using the following table:If the frequency of occurrence of your most prominent behavior is:Then your score for frequency is:Less than onc…

If you have a prominent behavior, DDD asks you and your respondent(s) to identify the severity of your most prominent behavior using the following table:If the characteristics of your most prominent behavior are:Then your score for severity is:Your behavior may be uncooperative, …

DDD asks you and your respondent(s) to identify the type of caregiver assistance you receive to help you keep your most prominent behavior under control using the following table:If the caregiver assistance provided to support your most prominent behavior is:Then your score for c…

DDD uses your frequency, severity, and caregiver assistance scores to determine your behavioral acuity level using the following table:If your score forfrequency is:And your scorefor severity is:And your score forcaregiver assistance is:Then your behavioral acuity level is:RareMi…

The DDD medical acuity scale is an algorithm that determines your medical support needs level. (1) The DDD medical acuity scale does not affect service determination for the medicaid personal care or waiver personal care assessments; and (2) The information is used for reporting …

The purpose of the DDD medical acuity scale is to determine your medical acuity level.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5680, filed 4/23/07, effective 6/1/07.]

DDA uses your SIS support scores to questions in the exceptional medical support needs scale per WAC 388-828-4360 and the following table to determine your medical acuity level:If you meet the following criteria:Then your medical acuity level is:Value(1) If you have a score of 2 …

The DDD interpersonal support acuity scale is an algorithm that measures your ability to interact with others in a variety of settings and determines your interpersonal support needs level. (1) The DDD interpersonal support acuity scale does not affect service determination for t…

The DDD interpersonal support acuity scale determines:(1) Your interpersonal support acuity level from the support assessment for children if you are age birth through fifteen; or(2) Your interpersonal support acuity level from the SIS assessment if you are age sixteen or older.[…

If you are a child age birth through fifteen, your interpersonal support needs score is the total of your acuity scores for each of the following questions in the support assessment for children:Interpersonal support needs questions from the support assessment for children in WAC…

If you are age birth through fifteen, DDD uses your interpersonal support needs score and the following table to determine your interpersonal support needs level:If your interpersonal support needs score is:Then your interpersonal support needs level is:Value(1) Your interpersona…

If you are age 16 or older, your interpersonal support needs score is determined by adding your raw scores to the following SIS questions:Interpersonal support needs questions from the SIS assessmentQuestion #Text of interpersonal support needs questions:B7Interacting with commun…

If you are age sixteen or older, DDD uses your interpersonal support needs score and the following table to determine your interpersonal support needs level:If your interpersonal support needs score is:Then your interpersonal support needs level is:Value(1) 56 or moreHigh3(2) At …

The DDD mobility acuity scale is an algorithm that measures your ability to ambulate and move around. (1) The DDD mobility acuity scale does not affect service determination for the medicaid personal care or waiver personal care assessments; and (2) The information is used for re…

The DDD mobility acuity scale determines: (1) Your mobility acuity level from the support assessment for children if you are age birth through fifteen; or(2) Your mobility acuity level from the SIS assessment if you are age sixteen or older.[Statutory Authority: RCW 71A.12.030 an…

If you are age birth through fifteen, your mobility acuity level is determined by your acuity score to question four of the ICF/MR level of care assessment in WAC 388-828-3040 using the following table:If your acuity score for question 4 is:Then your mobility acuity level is:4Hig…

If you are age 16 or older, your mobility acuity level is determined by your scores to question C2 "Ambulating and moving about" in WAC 388-828-4280 using the following table:If your score for "Frequency of Support" is:And your score for "Type of Support" is:Then your Mobility Ac…