Washington Administrative Code

(1) If you do not have a legal representative, you must sign the person-centered service plan.(2) If you have a legal representative, your legal representative must sign the person-centered service plan.(3) If you need assistance to understand your person-centered service plan, D…

You may request to DDA to have your person-centered service plan effective prior to the end of the month. The effective date will be the date DDA signs and dates it.[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 21-19-108, § 388-845-3063, filed 9/20/21, effective 10/21/…

Your person-centered service plan is effective through the last day of the 12th month following the effective date or until another person-centered service plan is completed, whichever occurs sooner.[Statutory Authority: RCW 71A.12.030, 71A.12.120, and 42 C.F.R. 441.301 (c)(6). W…

(1) If you do not sign your initial person-centered service plan (PCSP), DDA must not provide waiver services to you until you sign the PCSP.(2) If you do not sign your PCSP and it is a reassessment or review, DDA will:(a) Continue providing services identified in your current PC…

(1) You may request a review of your person-centered service plan at any time by calling your case manager. (2) If there is a significant change in your condition or circumstances, DDA must reassess your person-centered service plan with you and amend the plan to reflect any sign…

(1) If you are on the basic plus waiver and your assessed need for services exceeds the maximum permitted, DDA will make the following efforts to meet your health and welfare needs:(a) Identify more available natural supports;(b) Initiate an exception to rule to access available …

(1) If you are on the IFS, CIIBS, core, or community protection waiver and your assessed need for services exceeds the scope of services provided under your waiver, DDA will make one or more of the following efforts to meet your health and welfare needs:(a) Identify more availabl…

If your identified health and welfare needs are less than what is provided in your current waiver, DDA may terminate you from your current waiver and enroll you in a waiver that meets but does not exceed your assessed need for waiver services.[Statutory Authority: RCW 71A.12.030 …

(1) You are required to pay toward room and board costs if you live in a licensed facility or in a companion home as room and board is not considered to be a waiver service.(2) You will not be required to pay towards the cost of your waiver services if you receive SSI.(3) You may…

In addition to your appeal rights under WAC 388-825-120, you have the right to appeal the following decisions:(1) Disenrollment from a waiver under WAC 388-845-0060, including a disenrollment from a waiver and enrollment in a different waiver.(2) A denial of your request to recei…

(1) If you are not enrolled in a waiver and your request to be enrolled in a waiver is denied, your appeal rights are limited to the decision that you are not eligible to have your request documented in a statewide database due to the following:(a) You do not need ICF/IID level o…

(1) Your rights to appeal a department decision are in RCW 71A.10.050 and WAC 388-825-120 and are limited to an applicant, recipient, or former recipient of services from the DDA.(2) If you want to appeal a department action, you must request an appeal within ninety days from rec…

Services may continue according to the provisions contained in WAC 388-825-145.[Statutory Authority: RCW 71A.12.030 and 2012 c 49. WSR 13-24-045 , § 388-845-4015, filed 11/26/13, effective 1/1/14. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW.…

"Acute care setting" means a hospital, an evaluation and treatment (ENT) facility, or a psychiatric hospital."Behavior support plan" means a habilitation plan written by the stabilization, assessment, and intervention facility (SAIF) addressing target behaviors that do not meet t…

A stabilization, assessment, and intervention facility (SAIF) provider delivers stabilization services under chapter 388-845 WAC for up to 90 days to clients with complex behavioral health needs. Each community-based facility provides 24-hour support, including support for target…

A person is eligible for admission to a stabilization, assessment, and intervention facility (SAIF) if the person:(1) Is age 18 or older;(2) Is eligible for DDA services under chapter 388-823 WAC;(3) Is eligible for enrollment on a home and community-based services waiver under c…

To determine whether it can safely meet a client's needs, the stabilization, assessment, and intervention facility reviews client information, such as:(1) The client's referral packet;(2) Interviews with the client or collateral contacts; and(3) Composition of clients currently s…

(1) The stabilization, assessment, and intervention facility (SAIF) provides the following:(a) Stabilization services under WAC 388-845-1100;(b) Functional assessment under WAC 388-847-0080;(c) The creation and implementation of a behavior support plan under WAC 388-847-0090;(d) …

The stabilization, assessment, and intervention facility must provide health care support by:(1) If necessary, providing medication assistance under RCW 69.41.010;(2) If necessary, performing delegated nursing tasks and medication administration under WAC 246-840-910 through WAC …

A client may receive services from a stabilization, assessment, and intervention facility for up to 90 consecutive days.[Statutory Authority: RCW 71A.12.030 and 2019 c 415 § 203(j). WSR 22-11-056, § 388-847-0070, filed 5/16/22, effective 6/16/22.]

(1) Each client supported by a stabilization, assessment, and intervention facility (SAIF) must receive a functional assessment for the target behavior that prevents the client from receiving residential services.(2) The client's functional assessment must:(a) Be based on two or …

(1) Each client supported by a stabilization, assessment, and intervention facility (SAIF) must have a behavior support plan that is based on the functional assessment in WAC 388-847-0080.(2) The client's behavior support plan must describe:(a) The target behavior;(b) Actions tha…

Upon a client's discharge, the stabilization, assessment, and intervention facility must provide:(1) The client's behavior support plan;(2) The client's functional assessment;(3) A list of the client's medications; and(4) The client's property record.[Statutory Authority: RCW 71A…

(1) The stabilization, assessment, and intervention facility (SAIF) may provide termination notice prior to discharge if it determines and documents:(a) The client's behavior jeopardizes the client's health or safety; or(b) The client's behavior jeopardizes the health or safety o…

To provide direct support to clients in a stabilization, assessment, and intervention facility, a person must:(1) Be age 18 or older;(2) Have a high school diploma or GED;(3) Have a valid food worker's card under chapter 246-217 WAC;(4) Have a nondisqualifying DSHS background che…

If a client refuses a prescribed medication, the stabilization, assessment, and intervention facility must:(1) Document the refusal, including the time, date, and medication refused;(2) Inform the client of the benefit of the medication;(3) Consult a pharmacist or licensed medica…

(1) The stabilization, assessment, and intervention facility (SAIF) must store a client's medication:(a) In a locked place, such as a locked room or locked box;(b) Separate from food and toxic chemicals;(c) Under proper conditions for sanitation, temperature, and ventilation; and…

(1) The stabilization, assessment, and intervention facility (SAIF) must dispose of all client medications that are discontinued, expired, or replaced by another.(2) When disposing client medications, SAIF must list the:(a) Medication;(b) Amount; and(c) Date that it was disposed.…

(1) The stabilization, assessment, and intervention facility's (SAIF's) fixtures, furnishings, exterior, and interior, including the client's bedroom, must be maintained in a safe manner and free from hazards.(2) Each SAIF client's bedroom must have:(a) A bed, mattress, pillow, a…

(1) The stabilization, assessment, and intervention facility (SAIF) must develop an emergency response plan. (2) SAIF must complete a fire drill with clients at least once per month and document completion of the drill.[Statutory Authority: RCW 71A.12.030 and 2019 c 415 § 203(j).…

(1) The stabilization, assessment, and intervention (SAIF) must regulate the facility's water temperature no higher than 120 degrees Fahrenheit.(2) SAIF must complete and document monthly water temperature checks.[Statutory Authority: RCW 71A.12.030 and 2019 c 415 § 203(j). WSR 2…

(1) The stabilization, assessment, and intervention facility (SAIF) must be located in an area with public fire protection.(2) SAIF must have a working smoke detector and carbon monoxide detector installed:(a) In every client's bedroom; and(b) On every floor of the facility.(3) E…

The stabilization, assessment, and intervention facility must have an area inaccessible to clients for storing cleaning supplies, flammables, and other combustible materials.[Statutory Authority: RCW 71A.12.030 and 2019 c 415 § 203(j). WSR 22-11-056, § 388-847-0200, filed 5/16/22…

(1) The stabilization, assessment, and intervention facility (SAIF) must keep the following information in a client's record:(a) The client's name, address, and Social Security number;(b) The name, address, and telephone number of the client's legal representative;(c) Progress no…

The stabilization, assessment, and intervention facility must keep a client's records for six years from discharge date.[Statutory Authority: RCW 71A.12.030 and 2019 c 415 § 203(j). WSR 22-11-056, § 388-847-0220, filed 5/16/22, effective 6/16/22.]

(1) The stabilization, assessment, and intervention facility (SAIF) must maintain a property record for each client.(2) The property record must include:(a) A descriptive list of items with a fair market value of $75.00 or more that the client owned when entering the program;(b) …

(1) The stabilization, assessment, and intervention facility (SAIF) provider must document a client's choice not to participate in:(a) Monthly emergency fire drills; or(b) Health care support as described in WAC 388-847-0060.(2) If a client chooses not to participate in a fire dr…

(1) The stabilization, assessment, and intervention facility (SAIF) must implement occupational safety and health administration (OSHA) universal precautions to limit the spread of infections when:(a) Providing client services;(b) Cleaning the facility;(c) Washing laundry; and(d)…

SAIF must be certified by DDA under chapter 388-825A WAC.[Statutory Authority: RCW 71A.12.030, 71A.12.040, 71A.12.110, and 71A.12.120. WSR 25-12-001, s 388-847-0260, filed 5/21/25, effective 7/1/25. Statutory Authority: RCW 71A.12.030 and 2019 c 415 § 203(j). WSR 22-11-056, § 388…

(1) To be certified, a provider must participate in site visits as required under chapter 388-825A WAC.(2) During a site visit, DDA reviews the provider's service site for the following safety requirements:(a) The common areas of the home are unrestricted.(b) All entrances and ex…

(1) The civil transitions program is a voluntary program for people referred to the developmental disabilities administration by the behavioral health administration as a result of a determination that the person is not competent to stand trial under RCW 10.77.084 and not likely …

State-operated community residential transitions (SOCR-T) is a provider of voluntary, short-term transition support services for clients of the developmental disabilities administration who have been found not competent to stand trial and not likely restorable under RCW 10.77.084…

The following definitions apply to this chapter:"Case manager" means the developmental disabilities administration case resource manager assigned to a client."Client" means a person who has a developmental disability as defined in RCW 71A.10.020 and who has been determined eligib…

To be eligible for enrollment in the civil transitions program, a person must:(1) Be determined not competent to stand trial and not likely restorable under RCW 10.77.084 due to an intellectual or developmental disability;(2) Be referred to the developmental disabilities administ…

(1) To determine whether they can safely meet a participant's needs, the civil transitions program provider reviews participant information, such as:(a) The participant's referral packet;(b) Information gathered from the participant, collateral contacts, or case manager; and(c) C…

A client may receive civil transitions program services from a state-operated community residential transitions (SOCR–T) provider if:(1) The client is referred to the developmental disabilities administration by the behavioral health administration under civil transitions criteri…

(1) A participant who is not a DDA client upon program enrollment may request wraparound housing stability support and housing support while awaiting an eligibility determination under chapter 388-823 WAC and is considered conditionally eligible. Wraparound housing stability supp…