WSR 09-19-107

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed September 21, 2009, 2:52 p.m. , effective October 1, 2009 ]


     Effective Date of Rule: October 1, 2009.

     Other Findings Required by Other Provisions of Law as Precondition to Adoption or Effectiveness of Rule: The earlier effective date is necessary because of imminent peril to the public health, safety, or welfare. The department has determined that without this rule clients may lose services or benefits. The current emergency rule filed as WSR 09-12-116 expires on October 1, 2009.

     Purpose: The department is filing this rule to amend the eligibility dates for converting state only residential allowance to state supplemental payments (SSP) when there is an ongoing need for a residential allowance.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-827-0115.

     Statutory Authority for Adoption: RCW 71A.12.030, 71A.10.020, 74.04.057.

     Other Authority: Title 71A RCW, 20 C.F.R. Part 416.

      Adopted under notice filed as WSR 09-12-059 on May 28, 2009.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

     Date Adopted: September 18, 2009.

Stephanie E. Vaughn

Rules Coordinator

4066.2
AMENDATORY SECTION(Amending WSR 07-24-030, filed 11/28/07, effective 12/29/07)

WAC 388-827-0115   What are the programmatic eligibility requirements for DDD/SSP?   Following are the programmatic eligibility requirements to receive DDD/SSP:

     (1) You received one or more of the following services from DDD with state-only funding between March 1, 2001 and June 30, 2003 and continue to demonstrate a need for and meet the DDD program eligibility requirements for these services. Additionally, you must have been eligible for or received SSI prior to July 1, 2006; or you received Social Security Title II benefits as a disabled adult child prior to July 1, 2006 and would have been eligible for SSI if you did not receive these benefits.

     (a) Certain voluntary placement program services, which include:

     (i) Foster care basic maintenance,

     (ii) Foster care specialized support,

     (iii) Agency specialized support,

     (iv) Staffed residential home,

     (v) Out-of-home respite care,

     (vi) Agency in-home specialized support,

     (vii) Group care basic maintenance,

     (viii) Group care specialized support,

     (ix) Transportation,

     (x) Agency attendant care,

     (xi) Child care,

     (xii) Professional services,

     (xiii) Nursing services,

     (xiv) Interpreter services,

     (b) Family support;

     (c) One or more of the following residential services:

     (i) Adult family home,

     (ii) Adult residential care facility,

     (iii) Alternative living,

     (iv) Group home,

     (v) Supported living,

     (vi) Agency attendant care,

     (vii) Supported living or other residential service allowance,

     (viii) Intensive individual supported living support (companion homes).

     (2) For individuals with community protection issues as defined in WAC 388-820-020, the department will determine eligibility for SSP on a case-by-case basis.

     (3) For new authorizations of family support opportunity:

     (a) You were on the family support opportunity waiting list prior to January 1, 2003; and

     (b) You are on the home and community based services (HCBS) waiver administered by DDD; and

     (c) You continue to meet the eligibility requirements for the family support opportunity program contained in WAC 388-825-200 through 388-825-242; and

     (d) You must have been eligible for or received SSI prior to July 1, 2003; or you received Social Security Title II benefits as a disabled adult child prior to July 1, 2003 and would have been eligible for SSI if you did not receive these benefits.

     (4) For individuals on one of the HCBS waivers administered by DDD (Basic, Basic Plus, Core or community protection):

     (a) You must have been eligible for or received SSI prior to April 1, 2004; and

     (b) You were determined eligible for SSP prior to April 1, 2004.

     (5) You received medicaid personal care (MPC) between September 2003 and August 2004; and

     (a) You are under age eighteen at the time of your initial comprehensive assessment and reporting evaluation (CARE) assessment;

     (b) You received or were eligible to receive SSI at the time of your initial CARE assessment;

     (c) You are not on a home and community based services waiver administered by DDD; and

     (d) You live with your family, as defined in WAC 388-825-020.

     (6) If you meet all of the requirements listed in (5) above, your SSP will continue.

     (7) You received one or more of the following state-only funded residential services between July 1, 2003 and June 30, 2006 and continue to demonstrate a need for and meet the DDD program eligibility requirements for these services:

     (a) Adult residential care facility;

     (b) Alternative living;

     (c) Group home;

     (d) Supported living;

     (e) Agency attendant care;

     (f) Supported living or other residential allowance.

     (8) You received one or more of the following residential services between July 1, 2003 and June 30, 2009 and demonstrate an ongoing need for a residential allowance request on a periodic, or routine basis of at least once a quarter. You must also receive SSI or would receive SSI if it were not for the receipt of DAC as well as continue to meet the program eligibility requirements for these services:

     (a) Alternative living;

     (b) Supported living; or

     (c) Companion homes.

[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. 07-24-030, § 388-827-0115, filed 11/28/07, effective 12/29/07. Statutory Authority: RCW 71A.12.030, 74.04.057 and 20 C.F.R. 416.2099. 06-24-074, § 388-827-0115, filed 12/4/06, effective 1/4/07. Statutory Authority: RCW 71A.12.030, 71A.12.120, and chapter 71A.12 RCW. 05-10-039, § 388-827-0115, filed 4/28/05, effective 5/29/05. Statutory Authority: RCW 71A.12.030 and 71A.12.120. 04-15-094, § 388-827-0115, filed 7/16/04, effective 8/16/04. Statutory Authority: RCW 71A.12.030, 71A.10.020, 2002 c 371. 04-02-015, § 388-827-0115, filed 12/29/03, effective 1/29/04.]

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