Washington Administrative Code

(1) DDA determines your respite assessment level using the following table:If your Protective Supervision Support Level is:And your primary caregiver risk level is:And your backup caregiver risk score is:And your behavioral acuity level is:Then your respite assessment level is:0N…

DDD determines your unadjusted respite assessment level for voluntary placement services using the following table:If your Protective Supervision Support Level is:And your behavioral acuity level is:Then your unadjusted respite assessment level is:0None10Low10Medium20High21None11…

DDD determines your unadjusted respite assessment level for companion home services using the following table:If your Protective SupervisionSupport Level is:And your behavioralacuity level is:Then your unadjusted respite assessment level is:0None10Low10Medium20High21None11Low11Me…

The maximum number of hours you may receive per year is determined by using the following table:If your respite assessment level is:Then the maximum number of hours you may receive for respite care each year is:12402240333644325528[Statutory Authority: RCW 71A.12.030 and Title 71…

If your unadjusted respite assessment level for voluntary placement services in WAC 388-828-5985 is:Then your voluntary placement services support score is:12402240340945785747[Statutory Authority: RCW 71A.12.010, 71A.12.030, and Title 71A RCW. WSR 09-24-063, § 388-828-6005, file…

DDD determines the amount of the adjustment for your voluntary placement services support score using the following tables:If you are authorized to receive voluntary placement services per chapter 388-826 WAC andYour ADL support needs level for the SIS per WAC 388-828-5480NoneLow…

DDD determines the number of respite hours you may receive annually by adding your voluntary services support score in WAC 388-828-6005 to your adjusted voluntary services support rating score in WAC 388-828-6006.Example: If your voluntary placement services support score is 240 …

If your unadjusted respite assessment level for companion home services in WAC 388-828-5990 is:Then your companion home services support score is:198298326744365605[Statutory Authority: RCW 71A.12.010, 71A.12.030, and Title 71A RCW. WSR 09-20-004, § 388-828-6010, filed 9/24/09, e…

DDD determines the amount of the adjustment for your companion home services support score using the following table:If you are authorized to receive companion home services per chapter 388-829C andYour ADL support needs level for the SIS per WAC 388-828-5480NoneLowMediumHighYour…

DDD determines the number of respite hours you may receive annually by adding your companion home services support score in WAC 388-828-6010 to your adjusted companion home services support score in WAC 388-828-6011.Example: If your companion home services support score is 267 an…

The purpose of the programs and services component is to document:(1) DDA services you are currently receiving;(2) DDA services you have been approved to receive; and(3) Whether you currently meet the ICF/IID level of care requirements for CFC or for DDA HCBS waiver eligibility.[…

The purpose of the service level assessment is to determine a service level and the number of hours you are eligible to receive for medicaid personal care services or community first choice under chapter 388-106 WAC.[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 21-19-0…

The service level assessment contains two components that are used to determine a service level or number of hours for the following:(1) The CARE assessment for medicaid personal care services or community first choice as defined in chapter 388-106 WAC; and(2) The DDA seizure acu…

(1) The DDD seizure acuity scale is an assessment of your seizure support needs.(2) The DDD seizure acuity scale does not affect service determination for the medicaid personal care or waiver personal care assessments.(3) The information is used for reporting purposes to the legi…

The DDD seizure acuity scale is used to measure your seizure acuity level.[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-7060, filed 4/23/07, effective 6/1/07.]

DDD uses criteria in the following table to determine your seizure acuity level:If you meet the following criteria:Then your seizure acuity level is:(1) You received medical attention for your seizures, on two or more occasions.(2) Medical attention includes:(a) Visits to a prima…

The purpose of the person-centered service plan is to create a written plan that includes:(1) Your goals and desired outcomes;(2) The services and supports, both paid and unpaid, that will assist you to achieve your identified goals;(3) Your acuity scores generated from the suppo…

If you are age birth through fifteen and are receiving DDA HCBS waiver services or reside in a state only residential setting, DDA uses the following tables to determine the health and welfare needs that must be addressed in your person-centered service plan:(1) Activities from t…

(1) If you are age 16 or older and receiving DDA HCBS waiver services or reside in a state-only residential setting, DDA uses the following table to determine the health and welfare needs that must be addressed in your person-centered service plan:#SIS ActivityDDA must address in…

The children's intensive in-home behavioral support (CIIBS) program algorithm is a formula in the DDA assessment that calculates your out-of-home placement risk score to determine your eligibility for the CIIBS waiver per chapter 388-845 WAC.[Statutory Authority: RCW 71A.12.030 a…

The DDA assessment runs the CIIBS algorithm to determine your eligibility for the CIIBS waiver when your support assessment is moved to current and:(1) You are the assessed age of eight or older and under age eighteen;(2) Your behavior acuity level is high per WAC 388-828-5640; (…

The CIIBS algorithm uses the following elements to determine your out-of-home placement risk score:(1) The DDA protective supervision acuity scale (WAC 388-828-5000 to 388-828-5100);(2) The DDA caregiver status acuity scale (WAC 388-828-5120 to 388-828-5360);(3) The DDA behaviora…

Your CIIBS out-of-home placement risk score is calculated using the following table:Section and WAC referenceIf you meet the following criteria:Then adjust your score by:Score if you meet criteria Clients meeting eligibility criteria in WAC 388-828-8505 Beginning Score = 0DDA Det…

DDA uses the following table to determine if you are eligible for the CIIBS waiver based on your CIIBS out-of-home placement risk score per WAC 388-828-8510:If your CIIBS out-of-home placement risk score is:Then your CIIBS eligibility is:96 or greaterYes - Severe17 through 95Yes …

The individual and family services assessment is an algorithm in the DDA assessment that determines an award amount that you may receive if DDA has authorized you to receive individual and family services per chapter 388-832 WAC.[Statutory Authority: RCW 71A.12.030 and 71A.16.050…

The purpose of the individual and family services assessment is to determine your individual and family services level and score using your assessed support levels from:(1) The DDA protective supervision acuity scale (See WAC 388-828-5000 to 388-828-5100);(2) The DDA caregiver st…

(1) DDA determines your individual and family services level using the following table:If your protective supervision support level is:And your primary caregiver risk level is:And your backup caregiver risk score is:And your behavioral acuity level is:Then your unadjusted individ…

Your individual and family services support rating is determined by using the following table:If your unadjusted individual and family services level is:Then your individual and family services support rating is:102240333644325528[Statutory Authority: RCW 71A.12.030 and 71A.16.05…

DDA determines the amount of the adjustment for your individual and family services support rating using the following table:If your individual and family services level is 1, 2, 3, 4, or 5.And your ADL support needs level for the SIS per WAC 388-828-5480NoneLowMediumHighAnd your…

DDA adds your individual and family services support rating from WAC 388-828-9060 to the adjustment amount in WAC 388-828-9100 to determine your individual and family services score.Example: If your individual and family services support rating is 336 and the amount of your adjus…

DDA uses the following table to determine the amount of your individual and family services award:If your individual and family services score is:The award level will beThe amount of your award is up to:0 to 60Not eligibleNo Award61 to 240Level 1$1,200241 to 336Level 2$1,800337 t…

The DDA employment acuity scale is an algorithm that determines your employment acuity score and employment support level.[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 21-19-093, § 388-828-9200, filed 9/17/21, effective 10/18/21. Statutory Authority: RCW 71A.12.030, 71…

DDA determines your employment support level using the following table:If your employment acuity score in WAC 388-828-9210 is:Your employment support level is:0 or lessNoneGreater than 0 and less than 1.5Low1.5 to less than 2.5Medium2.5 or greaterHigh[Statutory Authority: RCW 71A…

DDA determines your employment acuity support score by combining your employment support scores for:(1) Activities of daily living (see WAC 388-828-9215);(2) Behavioral support (see WAC 388-828-9220);(3) Interpersonal support (see WAC 388-828-9225);(4) Environmental support (see …

DDA determines your employment acuity score for activities of daily living by multiplying your ADL support needs level score by 0.06869.If your ADL support needs level in WAC 388-828-5480 is:Then your ADL support needs level score is:None0Low1Medium2High3Example: An ADL support n…

DDA determines your employment acuity scale score for behavioral support by multiplying your behavioral acuity level score (see WAC 388-828-5640) by 0.04186.If your behavioral acuity level in WAC 388-828-5640 is:Then your behavioral acuity level score is:None0Low1Medium2High3Exam…

DDA determines your employment acuity scale score for interpersonal support by multiplying your interpersonal support needs level score (see WAC 388-828-5820) by 0.23663.If your interpersonal support needs level in WAC 388-828-5820 is:Then your interpersonal support needs level s…

DDA determines your employment acuity scale score for environmental support by multiplying your environmental support level by 0.06798.If your environmental support score from WAC 388-828-9235 is:Then your environmental support level is:00None1 or 21Low3 or 42Medium5 or more3High…

DDA determines your environmental support score by adding the sum of your assessment responses to employment support limitations in the following table:ResponseEmployment Support/LimitationsScore1Behavior support12Adaptive equipment13Fearful or scared of new situations04Communica…

DDA determines your employment support score for level of monitoring by multiplying your level of monitoring score in WAC 388-828-5060(1) by 0.14622.Example: If your level of monitoring is "onsite" (e.g., on property) your level of monitoring score is 5. Multiplying a "level of m…

DDA determines your employment acuity score for employment support by multiplying your DDD DDA support score in WAC 388-828-9250 by 0.21781.Example: A DDA employment support score of 2 is multiplied by 0.21781 resulting in an employment acuity scale score for employment support o…

DDA determines your DDA employment support score using the following table:If your total raw score for the SIS employment activities subscale in WAC 388-828-4260 is:Then your DDA employment level is:And your DDA employment support score is:0None01 through 35Low136 through 59Mediu…

DDA determines your employment acuity score for completing tasks with acceptable speed by using your "type of support" score for question "E2" in WAC 388-828-4260 and multiplying it by 0.06285.Example: A "type of support" score of 3 (partial physical assistance) is multiplied by …

DDA determines your employment acuity score for completing tasks with acceptable quality by using your "type of support" score for question "E3" in WAC 388-828-4260 and multiplying it by 0.05418.Example: A "type of support" score of 2 (verbal/gestural prompting) is multiplied by …

DDA determines your employment acuity scale score for medical support by multiplying your medical support needs level score (see WAC 388-828-5700) by 0.06750.If your medical support needs level in WAC 388-828-5700 is:Then your medical support needs level score is:None0Low1Medium2…

DDA determines your employment acuity scale score for seizure support by multiplying your seizure support score in WAC 388-828-9275 by negative 0.05131.Example: A seizure support score of 3 is multiplied by -0.05131 resulting in an employment acuity scale score for seizure suppor…

DDA determines your seizure support score using the following table:If your assessment indicates the following:Your seizure support level is:And your seizure support score is:(1) Does the client have a history of seizures equals "no"None0(2) Does the client have a history of seiz…