Washington Administrative Code

(1) A risk assessment is a professional evaluation that:(a) Assesses a person's needs and the person's level of risk of sexual predatory behavior or aggression;(b) Determines the need for psychological, medical, or therapeutic services; and(c) Provides treatment recommendations t…

The provider of a risk assessment must be a:(1) Licensed psychologist under chapter 246-924 WAC; or(2) Certified sexual offender treatment provider (SOTP) and meet requirements under WAC 246-930-030 and WAC 246-930-040 if the provider is performing a risk assessment for sexually …

(1) Clinical and support needs for a risk assessment are limited to those identified in your DDA assessment and documented in your person-centered service plan. (2) A risk assessment must meet requirements under WAC 388-831-0060.(3) A risk assessment requires prior approval by th…

(1) Waiver skilled nursing means long-term, intermittent, and hourly skilled nursing services consistent with waiver objectives of avoiding institutionalization.(2) Waiver skilled nursing services are available in the basic plus, community protection (CP), core, and individual an…

The provider of skilled nursing services must be a licensed practical nurse (LPN) or registered nurse (RN) acting within the scope of the standards of nursing conduct or practice chapter 246-700 WAC and contracted with DDA to provide this service.[Statutory Authority: RCW 71A.12.…

The following limits apply to skilled nursing services you may receive:(1) Clinical and support needs for skilled nursing services are limited to those identified in your DDA assessment and documented in your person-centered service plan. (2) Skilled nursing services, except for …

(1) Specialized equipment and supplies are specialized items necessary to prevent institutionalization that are not covered, or are in excess of what is covered, through the medicaid state plan. Types of specialized equipment and supplies include:(a) Durable medical equipment;(b)…

(1) To be a qualified provider of specialized durable or nondurable medical equipment, the provider must be a medical equipment supplier currently contracted:(a) With DDA as a specialized equipment and supplies vendor; and(b) As a Title XIX vendor.(2) The provider of specialized …

The following limits apply to the specialized equipment and supplies you may receive:(1) Habilitative support needs for specialized equipment and supplies are limited to those identified in your DDA person-centered assessment and documented in your person-centered service plan.(2…

Specialized clothing is available to you in the CIIBS and IFS waivers and is defined as nonrestrictive clothing adapted to your individual needs and related to your disability, such as weighted clothing, clothing designed for tactile defensiveness, specialized footwear, or reinfo…

Qualified providers of specialized clothing are specialized clothing vendors contracted with DDA to provide this service.[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, § 388-845-1860, filed 8/4/16, effective 9/4/16…

(1) The following limits apply to specialized clothing you may receive:(a) Clinical and support needs for specialized clothing are limited to those identified in your DDA assessment and documented in your person-centered service plan.(b) DDA requires written documentation from an…

(1) Life skills services provide community-based and individualized support with the intent of reaching an identified habilitative goal in the person-centered service plan.(2) Service must assist a client to learn or maintain skills in categories of:(a) Self-empowerment;(b) Safet…

To provide life skills services, a provider must be contracted with DDA for this service, have one year of experience working with people with a developmental or intellectual disability, and be one of the following:(1) A certified life skills coach;(2) An individual with a bachel…

The following limits apply to your receipt of life skills:(1) Life skills is limited to address a maximum of three goals at a time.(2) Life skills support needs must be identified in your DDA assessment and life skills must be documented in your person-centered service plan.(3) L…

(1) Speech, hearing, and language services are services provided to a person with speech, hearing, and language disorders by or under the supervision of a speech pathologist or audiologist.(2) Speech, hearing, and language services are available under the basic plus, community pr…

To be a qualified provider of speech, hearing, and language services, a person must:(1) Be licensed, registered, and certified as an audiologist or speech pathologist as required by law or work under the supervision of a qualified speech pathologist or audiologist;(2) Be contract…

(1) Speech, hearing, and language services are 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 agg…

(1) Staff and family consultation is assistance, not covered by the medicaid state plan, to families or direct service providers to help them meet the individualized and specific needs of a participant as outlined in the participant's person-centered service plan and necessary to…

To provide staff and family consultation, a provider must be contracted with DDA and be one of the following licensed, registered, or certified professionals:(1) Audiologist;(2) Licensed practical nurse;(3) Marriage and family therapist;(4) Mental health counselor;(5) Occupationa…

(1) Staff and family consultation are limited to supports identified in your DDA assessment and documented in the person-centered service plan.(2) Expenses to the family or provider for room and board or attendance, including registration, at conferences are excluded as a service…

(1) Supported employment services are for those interested in integrated gainful employment and should facilitate paid employment that is covered by the Washington State Minimum Wage Act under chapter 49.46 RCW and the Fair Labor Standards Act under 29 U.S.C. Section 201. These s…

To be a qualified provider of supported employment services, an entity must be:(1) A county contracted with DDA to provide supported employment services; or(2) An individual or agency contracted with a county that is contracted with DDA to provide supported employment services.[S…

The following limits apply to your receipt of supported employment services:(1) To receive supported employment services, you must be age:(a) Twenty and graduating from high school before your July or August 21st birthday;(b) Twenty-one and no longer eligible to enroll in high sc…

(1) Supported parenting services are professional services offered to DDA clients who are parents or expectant parents.(2) Services may include teaching, parent coaching, and other supportive strategies in areas critical to parenting, including child development, nutrition and he…

Qualified providers of supported parenting services must:(1) Have an understanding of individual learning styles related to child development and family dynamics;(2) Have skills in child development and family dynamics;(3) Have a supported parenting contract with DDA; and(4) Be o…

The following limitations apply to your receipt of supported parenting services:(1) Clinical and support needs for supported parenting services are limited to those identified in your DDA assessment and documented in your person-centered service plan; and(2) The dollar amount of …

(1) Specialized evaluation and consultation is direct, individualized, habilitative skill building support in the areas of sex education, fire safety, social skills training, and understandings of laws, rights, and responsibilities.(2) Supports are provided in order to support a …

All specialized evaluation and consultation providers must be contracted with DDA and:(1) Be licensed, registered, or certified in Washington state according to the standards of their approved profession in Title 18 RCW and Title 246 WAC; or(2) Have a bachelor's degree or higher …

The following limits apply to your receipt of specialized evaluation and consultation:(1) You must be enrolled on the community protection waiver.(2) Specialized evaluation and consultation support needs must be identified in your DDA assessment and must be documented in your per…

(1) Therapeutic adaptions available on the basic plus, IFS, and CIIBS waiver are modifications to an existing room in the waiver participant's current home and are necessary to reduce or eliminate environmental sensory stressors, enable effective social support, or give a sense o…

(1) A qualified provider of therapeutic adaptations installation is an entity who is contracted with DDA as an environmental adaptations vendor.(2) A qualified provider of therapeutic adaptation items and supplies is an entity contracted with DDA as:(a) A specialized equipment an…

The following limits apply to your receipt of therapeutic adaptations:(1) Therapeutic adaptations are limited to one adaptation request every five waiver years.(2) Funding is limited to the aggregate budget in the basic plus and IFS waiver or $15,000 on the CIIBS waiver. (3) Modi…

Transportation services provide reimbursement to a provider when the transportation is required and specified in the person-centered service plan. This service is available in all DDA HCBS waivers if the cost and responsibility for transportation is not already included in your p…

The provider of transportation must be an entity contracted with DDA to provide transportation.[Statutory Authority: RCW 71A.12.030, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 26-01-053, s 388-845-2205, filed 12/11/25, effective 1/11/26. Statutory Authority: RCW 71A.12…

The following limits apply to transportation services:(1) Support needs for transportation services are limited to those identified in your DDA assessment and documented in your person-centered service plan.(2) Reimbursement for provider mileage requires prior authorization by DD…

(1) Vehicle modifications are adaptations or alterations to a vehicle required in order to accommodate the unique needs of the participant, enable full integration into the community, and ensure the health, welfare, and safety of the participant or the safety of a caregiver.(2) V…

Providers of vehicle modifications are:(1) Vehicle service providers contracted with DDA to provide this service; or(2) Vehicle adaptive equipment vendors contracted with DDA to provide this service.[Statutory Authority: RCW 71A.12.030 and 2012 c 49. WSR 13-24-045, § 388-845-2265…

Vehicle modification services are only available on the CIIBS or IFS waiver. The following limits apply:(1) Vehicle modifications require prior approval from the DDA regional administrator or designee, except for repairs to existing vehicle modifications.(2) Clinical and support …

Wellness education provides you with monthly individualized printed educational materials designed to assist you in managing health related issues and achieving wellness goals identified in your person-centered service plan that address your health and safety issues. Individualiz…

Individualized educational materials are selected for you by the wellness education provider's algorithm and are based on your DDA assessment. Goals, diagnoses, treatments, conditions, and other factors identified in your DDA assessment provide the basis for the algorithm to sele…

(1) Wellness education is a once-a-month service.(2) In the basic plus waiver, you are limited to the aggregate service expenditure limits defined in WAC 388-845-0210.(3) The dollar amount for your individual and family services (IFS) waiver annual allocation defined in WAC 388-8…

The wellness education provider must have the ability and resources to:(1) Receive and manage client data in compliance with all applicable federal HIPAA regulations, state law and rules, and ensure client confidentiality and privacy;(2) Translate materials into the preferred lan…

Your service needs are determined through the DDA assessment and the service planning process as defined in chapter 388-828 WAC. Only identified health and welfare needs will be authorized for payment in the person-centered service plan.(1) You receive an initial and annual asses…

The waiver respite assessment is administered by department staff during an in-person interview with you if you choose to be present, and at least one other person with knowledge of you, such as your primary caregiver or legal representative.[Statutory Authority: RCW 71A.12.030, …

The respondent for your waiver respite assessment must be an adult who is well acquainted with you and can provide the information needed to complete the assessment, such as your primary caregiver.(1) You cannot be the respondent for your own respite assessment.(2) The department…

(1) The person-centered service plan is the primary tool DDA uses to determine and document your needs and to identify the services to meet those needs.(2) Your person-centered service plan must include:(a) Your identified health and welfare needs;(b) Both paid and unpaid service…