Washington Administrative Code

The provider of the service you need to meet your emergency must meet the provider qualifications for that service.[Statutory Authority: RCW 71A.12.030, 71A.12.120, and 42 C.F.R. 441.301 (c)(6). WSR 23-18-035, § 388-845-0805, filed 8/29/23, effective 9/29/23. Statutory Authority:…

You qualify for emergency assistance funding only if you have used all of your CIIBS or basic plus aggregate funding and your current situation meets one of the following criteria:(1) You involuntarily lose your present residence for any reason either temporary or permanent;(2) Y…

All of the following limits apply to the emergency assistance funding you may receive.(1) Prior approval by the DDA regional administrator or designee is required based on a reassessment of your person-centered service plan to determine the need for emergency assistance.(2) Payme…

(1) Environmental adaptations provide minimum necessary physical adaptations to the client's existing home and existing rooms within the home required by the individual's person-centered service plan needed to:(a) Ensure the health, welfare, and safety of the individual;(b) Enabl…

A qualified provider must be a registered contractor per chapter 18.27 RCW and contracted with DDA. The contractor must be licensed and bonded to perform the specific type of work being provided.[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 21-19-108, § 388-845-0905, f…

The following service limits apply to environmental adaptations:(1) Clinical and support needs for an environmental adaptation must be identified in the waiver participant's DDA assessment and documented in the person-centered service plan.(2) Environmental adaptations require pr…

(1) Equine therapy is the use of horses to provide experiences that support mental health and emotional well-being.(2) Services may include horsemanship as part of a therapeutic team and participation in other activities associated with preparing a horse for a client's riding les…

(1) The provider of equine therapy must be a certified therapeutic horseback riding instructor and contracted with DDA to provide this service.(2) The provider of equine therapy must have one year of experience working with individuals with developmental disabilities.[Statutory A…

The following limits apply to your receipt of equine therapy:(1) Support needs for equine therapy are limited to those identified in your DDA assessment and documented in the person-centered service plan.(2) The department requires a written recommendation from a behavioral healt…

(1) Remote support is supervision, coaching, and consultation from a contracted remote support provider to a waiver participant from a distant location.(2) The provider uses HIPAA-compliant technology and secure data storage to support the waiver participant to increase their ind…

(1) The provider of remote support must be an entity contracted with DDA to provide remote support.(2) A guardian, legal representative, parent, or other family member cannot provide remote support to a waiver participant.[Statutory Authority: RCW 71A.12.030, 71A.12.120, and 42 C…

The following limits apply to your receipt of remote support:(1) Remote support must never be used to restrict a person from their home, community, or body autonomy.(2) Before DDA authorizes remote support, a remote support plan, including a safety plan and emergency contacts, mu…

Individualized technical assistance services:(1) Provide short-term, professional expertise to identify and address barriers to employment services or community inclusion; and (2) Are available in addition to supports received through supported employment services and community i…

To be a qualified provider of individualized technical assistance services, an entity must be:(1) A county contracted with DDA to provide individualized technical assistance services; or(2) An individual or agency contracted with a county that is contracted with DDA to provide in…

(1) The developmental disabilities administration (DDA) may authorize a maximum of six months of individualized technical assistance services at a time, not to exceed six months in the waiver year.(2) Individualized technical assistance services are available on the basic plus, c…

(1) Crisis diversion beds are available in all five HCBS waivers administered by DDA as a stabilization service in accordance with WAC 388-845-1150 through 388-845-1160.(2) Crisis diversion beds are short-term residential habilitative supports provided by trained specialists and …

Stabilization services - crisis diversion beds may be provided in a client's home or a licensed or certified setting.[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 21-19-108, § 388-845-1101, filed 9/20/21, effective 10/21/21.]

Providers of stabilization services - crisis diversion beds must be:(1) Department-certified residential agencies per chapter 388-101 WAC;(2) State-operated agencies; or(3) Other agencies licensed by the department of children, youth, and families under chapter 110-145 WAC and co…

(1) Support needs for stabilization services - crisis diversion beds are limited to those identified in the waiver participant's DDA assessment and documented in the person-centered service plan.(2) Stabilization services - crisis diversion beds are intermittent and temporary. A …

(1) Stabilization services assist persons who are experiencing a crisis. (2) Stabilization services are available in the basic plus, core, children's intensive in-home behavior support (CIIBS), individual and family services (IFS), and community protection waivers.(3) A participa…

Providers of these stabilization services are listed in the rules in this chapter governing the specific services listed in WAC 388-845-1150.[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 21-19-108, § 388-845-1155, filed 9/20/21, effective 10/21/21. Statutory Authority:…

(1) Stabilization services are limited to those identified in your DDA assessment and documented in the person-centered service plan.(2) Stabilization services are intermittent and last for ninety days or less.(3) The costs of stabilization services do not count toward the dollar…

(1) Music therapy is the use of musical interventions to promote the accomplishment of individualized goals within a therapeutic relationship.(2) Services may include music improvisation, receptive music listening, song writing, lyric discussion, music and imagery, music performa…

(1) Qualified providers of music therapy are agencies or individuals who are or employ music therapists licensed under chapter 18.233 RCW;(2) Are contracted with DDA to provide this service; and(3) Have one year of experience working with individuals with developmental disabiliti…

The following limits apply to your receipt of music therapy:(1) Support needs for music therapy are limited to those identified in your DDA assessment and documented in the person-centered service plan.(2) The department requires a written recommendation from a behavioral health …

(1) Nurse delegation services are services in compliance with WAC 246-840-910 through 246-840-970 by a registered nurse to provide training and nursing management for nursing assistants who perform delegated nursing tasks.(2) Delegated nursing tasks include, but are not limited t…

Providers of nurse delegation are registered nurses contracted with DDA to provide this service or employed by a nursing agency contracted with DDA to provide this service.[Statutory Authority: RCW 71A.12.030 and 2012 c 49. WSR 13-24-045, § 388-845-1175, filed 11/26/13, effective…

The following limitations apply to receipt of nurse delegation services:(1) Clinical and support needs for nurse delegation are limited to those identified in your DDA assessment and documented in the person-centered service plan.(2) The department requires the delegating nurse's…

(1) Occupational therapy is a service provided to improve, maintain, or maximize the waiver participant's abilities for independent functioning and health maintenance.(2) Occupational therapy is available under the basic plus, community protection, core, and individual and family…

A qualified provider of occupational therapy must:(1) Be licensed, registered, and certified as required by law;(2) Be contracted with the developmental disabilities administration to provide occupational therapy; and(3) Have a core provider agreement with the health care authori…

(1) Occupational therapy is limited to:(a) Waiver participants age twenty-one or older;(b) Services identified in your developmental disabilities administration (DDA) assessment and documented in your person-centered service plan;(c) The dollar amounts for aggregate services in y…

(1) Peer mentoring is a form of mentorship that takes place between a person who has lived through an experience (peer mentor) and a person who is new to that experience (mentee). Peer mentors use their experience to inform, support, and train mentees to successfully navigate new…

An individual or organization must contract with DDA to provide peer mentoring support and training to people with developmental disabilities or to families with a member with a developmental disability.[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 20-05-080, § 388-845…

(1) Support needs for peer mentoring are limited to those identified in the waiver participant's DDA assessment and documented in the person-centered service plan.(2) DDA does not contract with a peer mentor to mentor a member of the mentor's own family.(3) An IFS waiver particip…

(1) Person-centered plan facilitation is an approach to forming life plans that is centered on the individual. It is used as a life planning process to enable individuals with disabilities to increase personal self-determination. Person-centered plan facilitation is available in …

Qualified providers include organizations and individuals who are contracted with DDA to provide person-centered plan facilitation to individuals with developmental disabilities.[Statutory Authority: 2014 c 139, 2014 c 166, 2015 3rd sp.s. c 4, RCW 71A.12.030, and 71A.12.120. WSR …

(1) Support needs for person-centered planning facilitation are limited to those identified in the waiver participant's DDA assessment and documented in the person-centered service plan.(2) Person-centered plan facilitation may include follow up contacts with the waiver participa…

(1) Physical therapy is the evaluation and treatment of functional limitations in movement to facilitate self-care and reintegration into the home, community, or work.(2) Physical therapy is available under the basic plus, community protection, core, and individual and family ser…

A qualified provider of physical therapy must:(1) Be licensed, registered, and certified as required by law;(2) Be contracted with the developmental disabilities administration to provide physical therapy; and(3) Have a core provider agreement with the health care authority.[Stat…

(1) Physical therapy is limited to:(a) Waiver participants age twenty-one and older;(b) Services identified in your developmental disabilities administration (DDA) assessment and documented in your person-centered service plan;(c) The dollar amounts for aggregate services in your…

Residential habilitation services (RHS) are available in the core and community protection waivers.(1) Residential habilitation services include assistance:(a) With personal care and supervision; and(b) To learn, improve or retain social and adaptive skills necessary for living i…

Providers of residential habilitation services for participants in the core waiver must be one of the following:(1) An individual contracted with DDA to provide services as a companion home provider under chapter 388-829C WAC;(2) An individual or agency contracted with DDA to pro…

Providers of residential habilitation services for participants of the community protection waiver are limited to state operated living alternatives (SOLA) and supported living providers who are contracted with DDA and certified under chapter 388-101 WAC as a residential communit…

(1) You may only receive one type of residential habilitation service at a time.(2) None of the following may be paid for under the core or community protection waiver:(a) Room and board;(b) The cost of building maintenance, upkeep, improvement, modifications, or adaptations requ…

(1) Respite care is short-term intermittent care to provide relief for a person who lives with you, is your primary care provider, and is:(a) Your family member and your paid or unpaid care provider;(b) A nonfamily member who is not paid to provide care for you;(c) A contracted c…

You are eligible to receive respite care if you are in the basic plus, CIIBS, core, or IFS waiver and meet the criteria in WAC 388-845-1600.[Statutory Authority: 2014 c 139, 2014 c 166, 2015 3rd sp.s. c 4, RCW 71A.12.030, and 71A.12.120. WSR 16-17-009, § 388-845-1605, filed 8/4/1…

A person who lives with you may be your respite care provider if the person is not:(1) Your primary care provider;(2) Providing another DSHS-paid service, DCYF-paid service, or tribal-paid service to you in the month that person provides respite care to you; or(3) Excluded from p…