Washington Administrative Code

Your community protection services will be:(1) Consistent with your individual support and supervision needs as specified in your individual support plan;(2) Consistent with your individual treatment plan, which includes your most recent treatment goals and current restrictions; …

(1) The division will only authorize services to program participants who follow the treatment recommendations made by the qualified professionals who assess and/or provide your treatment and are listed in WAC 388-845-0220.(2) Your residential services must be provided by a certi…

You and your representative have the right to choose the qualified professional to provide your therapy, subject to the following conditions:(1) Your therapy must be provided by a qualified professional who:(a) Has at least three years experience treating individuals with develop…

If you are offered and refuse community protection program residential services, you may only receive case management services and community first choice or medicaid personal care services (if eligible under chapter 388-106 WAC).[Statutory Authority: 2014 c 139, 2014 c 166, 2015 …

(1) The treatment team will review your progress at least every ninety days.(2) If a treatment team member has reason to believe that your circumstances have changed significantly, the team member may request that a risk reassessment be conducted at any time.[Statutory Authority:…

(1) The review of your progress will include:(a) Evaluating the use of less restrictive measures;(b) Making changes in your program as necessary;(c) Reviewing all restrictions and recommending reductions, if appropriate.(2) The therapist must write a report annually evaluating yo…

(1) If you demonstrate success in complying with reduced restrictions and remain free of any offense that may indicate a relapse for at least twelve months, you may be considered for placement in a less restrictive residential setting.(2) If you request placement in a less restri…

(1) The process to move you to a less restrictive residential setting will include:(a) Written verification of your treatment progress and an assessment of low risk of reoffense and/or dangerousness by your therapist;(b) A recommendation by your therapist that you are ready for r…

You may be terminated from the community protection program by the division if:(1) You physically assault program participants, staff or others;(2) You repeatedly elope from the program or evade supervision;(3) You engage in illegal behavior of any kind; or(4) You refuse to compl…

Your participation in the community protection program is voluntary. However, if you leave the community protection program and DDD determines that you require the community protection program to meet your health and safety needs and those of the community, you will not be eligib…

The rules regarding the enforcement actions that the division may take against a provider of residential services and support may be found in WAC 388-101-4150 through 388-101-4190.[Statutory Authority: RCW 71A.12.030 and 2006 c 303. WSR 08-20-118, § 388-831-0260, filed 9/30/08, e…

(1) You have the right to appeal decisions made by the division in accordance with WAC 388-825-120 through 388-825-165.(2) In addition to the right to appeal department actions described in WAC 388-825-120(3), if you receive services through the division's community protection wa…

Nothing in these rules creates an entitlement to placement on the community protection waiver.[Statutory Authority: RCW 71A.12.030 and 2006 c 303. WSR 08-20-118, § 388-831-0400, filed 9/30/08, effective 10/31/08.]

The following definitions apply to this chapter:"Agency provider" means a long-term care worker who works for a home care agency."Allocation" means needs-based funding available to a client and the client's family for a maximum of twelve months. "Authorization" means developmenta…

The state-funded individual and family services (IFS) program is a program that purchases select goods and services to support eligible clients and their families.[Statutory Authority: RCW 71A.12.030 and 71A.12.161. WSR 18-14-002, § 388-832-0005, filed 6/20/18, effective 7/21/18.…

(1) The state-funded individual and family services (IFS) program and state supplementary payments (SSP) in lieu of IFS are closed to new enrollment.(2) If you have been continuously enrolled in the state-funded IFS program since May 31, 2015, you may remain on the program if you…

(1) If you are in an out-of-home placement for more than ninety consecutive days, the developmental disabilities administration (DDA) must disenroll you from the state-funded IFS program, unless you reside in a family member's home.(2) Unless you reside in a family member's home,…

If you are a client of the developmental disabilities administration (DDA), your child may be eligible for state-funded IFS program services if your child:(1) Is under age eighteen;(2) Lives with you; and(3) Is at risk of out-of-home placement.[Statutory Authority: RCW 71A.12.030…

Financial and functional eligibility for medicaid personal care services will not impact your IFS allocation.[Statutory Authority: RCW 71A.12.030 and 71A.12.140. WSR 15-22-039, § 388-832-0120, filed 10/28/15, effective 11/28/15. Statutory Authority: RCW 71A.12.30 [71A.12.030], 71…

The developmental disabilities administration (DDA) determines the amount of your state-funded individual and family services (IFS) program annual allocation under WAC 388-828-9140.[Statutory Authority: RCW 71A.12.030 and 71A.12.161. WSR 18-14-002, § 388-832-0130, filed 6/20/18, …

To receive reimbursement for a purchase under the state-funded individual and family services (IFS) program, you must:(1) Have a family support reimbursement contract with the developmental disabilities administration (DDA);(2) Obtain prior approval for the purchase from your DDA…

You may receive any combination of the following services - up to your state-funded individual and family services (IFS) annual allocation - but only if the service addresses a need identified in your person-centered service plan:(1) Architectural modification under WAC 388-832-0…

(1) Respite care is short-term, intermittent care to relieve a family member who is your primary, paid care provider.(2) Respite care may be provided in the settings described in WAC 388-845-1610.(3) Qualified providers of respite care are described in WAC 388-845-1615.(4) Respit…

(1) Excess medical costs are medical expenses for which you are responsible after your private insurance and medicaid benefits have been exhausted. (2) The developmental disabilities administration (DDA) may pay excess medical costs for a:(a) Dental insurance premium;(b) Dental s…

(1) The therapies you may receive include:(a) Physical therapy;(b) Occupational therapy; and(c) Speech, hearing, and language therapy.(2) To be a qualified provider of therapies, the provider must be:(a) A certified, registered, or licensed therapist as required by law; and(b) Co…

(1) Architectural modifications are physical adaptations to your home to:(a) Ensure the health, welfare, and safety of you, your caregiver, or both; or(b) Enable you, who may otherwise require a more restrictive environment, to function with greater independence in your home and …

What are vehicle modifications?(1) Vehicle modifications are physical adaptations to your vehicle to:(a) Ensure the health, welfare, and safety of you, your caregiver, or both; or(b) Enable you, who may otherwise require a more restrictive environment, to function with greater in…

(1) Specialized medical equipment and supplies are items that help you:(a) Increase or maintain ability to perform activities of daily living; or(b) Perceive, control, or communicate with the environment in which you live.(2) Specialized medical equipment and supplies may include…

(1) Specialized nutrition is prepared food that constitutes fifty percent or more of a person's caloric intake. Specialized nutrition must be recommended by a qualified professional, such as a licensed physician or registered dietician.(2) Specialized clothing is nonrestrictive c…

(1) Copays are fixed fees that subscribers to a medical plan must pay to use specific medical or therapeutic services covered by the plan. These services must have been deemed medically necessary by your health care professional.(2) Medical and therapeutic copays may be a reimbur…

(1) Transportation services is per diem or mileage reimbursement to a provider for your transportation.(2) The developmental disabilities administration (DDA) may reimburse a provider for transportation services if:(a) The transportation is to or from a state-funded individual an…

(1) Training and counseling is professional assistance provided to families to help meet your specific needs as outlined in your person-centered service plan (PCSP) including:(a) Health and medication monitoring;(b) Positioning and transfer;(c) Augmentative communication systems;…

(1) Positive behavior support and consultation is the development and implementation of programs designed to support you using:(a) Individualized strategies for effectively relating to caregivers and other people in your life; and(b) Direct interventions with you to decrease aggr…

(1) Parent and sibling education is training for parents and siblings who have a family member with a developmental disability offering relevant topics. Training may include coping with family stress, addressing a child's behavior, managing the family's daily schedule, or advocat…

(1) Recreational opportunities are activities, such as summer camps, day trips, or typical activities available in your community.(2) Recreational opportunities may include memberships in civic groups, clubs, crafting classes, or classes outside of K-12 school curriculum or sport…

The following limits apply to the state-funded individual and family services (IFS) program:(1) State-funded IFS program services are limited to available funding.(2) A state-funded IFS program service must address an unmet need identified in your person-centered service plan (PC…

(1) A one-time award is a payment that must be used for architectural or vehicle modifications, or specialized medical equipment and supplies.(2) You may be eligible for a one-time award if:(a) You have a one-time, unmet need;(b) You are not currently authorized for the state-fun…

You are eligible to be considered for a one-time award if:(1) You are not currently authorized for IFS program services in your ISP;(2) You meet the eligibility for the IFS program;(3) The need is critical to the health or safety of you or your caregiver; and (4) You and your fam…

(1) One-time awards are limited to individuals and families on the IFS request list.(2) One-time awards are limited to architectural/vehicular modifications or specialized equipment.(3) One-time awards cannot exceed six thousand dollars in a twenty-four month period.(4) One-time …

If you have a need for a one-time award, you may make the request to your case manager.[Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-0350, filed 5/13/09, effective 6/13/09. Statutory Authority: RCW 71A.12.030, 71A.12.040…

You need to have a DDD assessment before receiving a one-time award.[Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-0353, filed 5/13/09, effective 6/13/09. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 2007 c 283. W…

(1) Emergency services are respite care, nursing services, or positive behavior support and consultation in response to a single incident, situation, or short-term crisis.(2) You may be eligible for emergency services if you are age three or older, live with your family, and:(a) …

The following situations qualify as an emergency:(1) You lose your family caregiver due to caregiver hospitalization, or death; (2) There are changes in your caregiver's mental or physical status resulting in your family caregiver's inability to perform effectively for you; or(3)…

The provider of the service you need to meet your emergency must meet the provider qualifications required to contract for that specific service per the following:(1) Respite per WAC 388-832-0155.(2) Behavior management per WAC 388-832-0285.(3) Nursing per WAC 388-845-1705.[Statu…

(1) Emergency services may be granted to individuals and families who are on the IFS waitlist and have an emergent need. (2) Funds are provided for a limited period not to exceed ninety days. (3) All requests are reviewed and approved or denied by the regional administrator or de…

If the client or family situation requires more than ninety days of emergency services, DDD will conduct an administrative review of DDD services to determine if the need can be met through other services.[Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A…

You do not need to have a DDD assessment before receiving an emergency service; however the regional manager/designee may request a DDD assessment for a client at any time.[Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-03…