PDFWAC 388-828-5980

How does DDD determine your respite assessment level?

(1) DDD 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:
0
None
1
None
1
0
None
1
Low
1
0
None
1
Medium
1
0
None
1
High
2
0
None
2 or 3
None
1
0
None
2 or 3
Low
1
0
None
2 or 3
Medium
2
0
None
2 or 3
High
2
0
Low
1
None
1
0
Low
1
Low
1
0
Low
1
Medium
1
0
Low
1
High
2
0
Low
2 or 3
None
1
0
Low
2 or 3
Low
1
0
Low
2 or 3
Medium
2
0
Low
2 or 3
High
2
0
Medium
1
None
1
0
Medium
1
Low
1
0
Medium
1
Medium
1
0
Medium
1
High
2
0
Medium
2 or 3
None
1
0
Medium
2 or 3
Low
1
0
Medium
2 or 3
Medium
2
0
Medium
2 or 3
High
2
0
High
1
None
1
0
High
1
Low
1
0
High
1
Medium
2
0
High
1
High
2
0
High
2 or 3
None
2
0
High
2 or 3
Low
2
0
High
2 or 3
Medium
2
0
High
2 or 3
High
3
0
Immediate
1
None
1
0
Immediate
1
Low
1
0
Immediate
1
Medium
2
0
Immediate
1
High
2
0
Immediate
2 or 3
None
2
0
Immediate
2 or 3
Low
2
0
Immediate
2 or 3
Medium
2
0
Immediate
2 or 3
High
3
1
None
1
None
1
1
None
1
Low
1
1
None
1
Medium
1
1
None
1
High
2
1
None
2 or 3
None
1
1
None
2 or 3
Low
1
1
None
2 or 3
Medium
2
1
None
2 or 3
High
3
1
Low
1
None
1
1
Low
1
Low
1
1
Low
1
Medium
1
1
Low
1
High
2
1
Low
2 or 3
None
1
1
Low
2 or 3
Low
1
1
Low
2 or 3
Medium
2
1
Low
2 or 3
High
3
1
Medium
1
None
1
1
Medium
1
Low
1
1
Medium
1
Medium
2
1
Medium
1
High
3
1
Medium
2 or 3
None
1
1
Medium
2 or 3
Low
2
1
Medium
2 or 3
Medium
2
1
Medium
2 or 3
High
3
1
High
1
None
2
1
High
1
Low
2
1
High
1
Medium
2
1
High
1
High
3
1
High
2 or 3
None
2
1
High
2 or 3
Low
2
1
High
2 or 3
Medium
3
1
High
2 or 3
High
4
1
Immediate
1
None
2
1
Immediate
1
Low
2
1
Immediate
1
Medium
2
1
Immediate
1
High
3
1
Immediate
2 or 3
None
2
1
Immediate
2 or 3
Low
2
1
Immediate
2 or 3
Medium
3
1
Immediate
2 or 3
High
4
2 or 3
None
1
None
1
2 or 3
None
1
Low
1
2 or 3
None
1
Medium
2
2 or 3
None
1
High
3
2 or 3
None
2 or 3
None
2
2 or 3
None
2 or 3
Low
2
2 or 3
None
2 or 3
Medium
2
2 or 3
None
2 or 3
High
4
2 or 3
Low
1
None
1
2 or 3
Low
1
Low
1
2 or 3
Low
1
Medium
2
2 or 3
Low
1
High
3
2 or 3
Low
2 or 3
None
2
2 or 3
Low
2 or 3
Low
2
2 or 3
Low
2 or 3
Medium
2
2 or 3
Low
2 or 3
High
4
2 or 3
Medium
1
None
2
2 or 3
Medium
1
Low
2
2 or 3
Medium
1
Medium
2
2 or 3
Medium
1
High
3
2 or 3
Medium
2 or 3
None
2
2 or 3
Medium
2 or 3
Low
2
2 or 3
Medium
2 or 3
Medium
3
2 or 3
Medium
2 or 3
High
4
2 or 3
High
1
None
2
2 or 3
High
1
Low
2
2 or 3
High
1
Medium
2
2 or 3
High
1
High
3
2 or 3
High
2 or 3
None
2
2 or 3
High
2 or 3
Low
2
2 or 3
High
2 or 3
Medium
3
2 or 3
High
2 or 3
High
4
2 or 3
Immediate
1
None
2
2 or 3
Immediate
1
Low
2
2 or 3
Immediate
1
Medium
2
2 or 3
Immediate
1
High
3
2 or 3
Immediate
2 or 3
None
2
2 or 3
Immediate
2 or 3
Low
2
2 or 3
Immediate
2 or 3
Medium
3
2 or 3
Immediate
2 or 3
High
4
4
None
1
None
2
4
None
1
Low
2
4
None
1
Medium
2
4
None
1
High
3
4
None
2 or 3
None
2
4
None
2 or 3
Low
2
4
None
2 or 3
Medium
3
4
None
2 or 3
High
4
4
Low
1
None
2
4
Low
1
Low
2
4
Low
1
Medium
2
4
Low
1
High
3
4
Low
2 or 3
None
2
4
Low
2 or 3
Low
2
4
Low
2 or 3
Medium
3
4
Low
2 or 3
High
4
4
Medium
1
None
2
4
Medium
1
Low
2
4
Medium
1
Medium
3
4
Medium
1
High
3
4
Medium
2 or 3
None
2
4
Medium
2 or 3
Low
3
4
Medium
2 or 3
Medium
3
4
Medium
2 or 3
High
4
4
High
1
None
2
4
High
1
Low
2
4
High
1
Medium
3
4
High
1
High
3
4
High
2 or 3
None
2
4
High
2 or 3
Low
3
4
High
2 or 3
Medium
4
4
High
2 or 3
High
4
4
Immediate
1
None
2
4
Immediate
1
Low
2
4
Immediate
1
Medium
3
4
Immediate
1
High
3
4
Immediate
2 or 3
None
2
4
Immediate
2 or 3
Low
3
4
Immediate
2 or 3
Medium
4
4
Immediate
2 or 3
High
4
5
None
1
None
2
5
None
1
Low
2
5
None
1
Medium
3
5
None
1
High
4
5
None
2 or 3
None
3
5
None
2 or 3
Low
3
5
None
2 or 3
Medium
4
5
None
2 or 3
High
5
5
Low
1
None
2
5
Low
1
Low
2
5
Low
1
Medium
3
5
Low
1
High
4
5
Low
2 or 3
None
3
5
Low
2 or 3
Low
3
5
Low
2 or 3
Medium
4
5
Low
2 or 3
High
5
5
Medium
1
None
2
5
Medium
1
Low
2
5
Medium
1
Medium
3
5
Medium
1
High
4
5
Medium
2 or 3
None
3
5
Medium
2 or 3
Low
3
5
Medium
2 or 3
Medium
4
5
Medium
2 or 3
High
5
5
High
1
None
2
5
High
1
Low
2
5
High
1
Medium
3
5
High
1
High
4
5
High
2 or 3
None
3
5
High
2 or 3
Low
3
5
High
2 or 3
Medium
4
5
High
2 or 3
High
5
5
Immediate
1
None
2
5
Immediate
1
Low
2
5
Immediate
1
Medium
3
5
Immediate
1
High
4
5
Immediate
2 or 3
None
3
5
Immediate
2 or 3
Low
3
5
Immediate
2 or 3
Medium
4
5
Immediate
2 or 3
High
5
6
None
1
None
2
6
None
1
Low
3
6
None
1
Medium
3
6
None
1
High
4
6
None
2 or 3
None
3
6
None
2 or 3
Low
3
6
None
2 or 3
Medium
4
6
None
2 or 3
High
5
6
Low
1
None
2
6
Low
1
Low
3
6
Low
1
Medium
3
6
Low
1
High
4
6
Low
2 or 3
None
3
6
Low
2 or 3
Low
3
6
Low
2 or 3
Medium
4
6
Low
2 or 3
High
5
6
Medium
1
None
3
6
Medium
1
Low
3
6
Medium
1
Medium
3
6
Medium
1
High
4
6
Medium
2 or 3
None
3
6
Medium
2 or 3
Low
4
6
Medium
2 or 3
Medium
4
6
Medium
2 or 3
High
5
6
High
1
None
3
6
High
1
Low
3
6
High
1
Medium
4
6
High
1
High
4
6
High
2 or 3
None
4
6
High
2 or 3
Low
4
6
High
2 or 3
Medium
5
6
High
2 or 3
High
5
6
Immediate
1
None
3
6
Immediate
1
Low
3
6
Immediate
1
Medium
4
6
Immediate
1
High
4
6
Immediate
2 or 3
None
4
6
Immediate
2 or 3
Low
4
6
Immediate
2 or 3
Medium
5
6
Immediate
2 or 3
High
5
(2) DDD adds one level to your respite assessment level when your respite assessment level is determined to be a one, two, three, or four and you have a score of four for question two "Other caregiving for persons who are disabled, seriously ill, or under five" in the DDD caregiver status acuity scale. See WAC 388-828-5260.
[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-5980, filed 4/23/07, effective 6/1/07.]