Washington Administrative Code
2020 Archive

Chapter 388-828 WAC
Last Update: 7/8/19

THE DIVISION OF DEVELOPMENTAL DISABILITIES (DDD) ASSESSMENT
PDF of Chapter Digest
WAC Sections
PURPOSE AND SCOPE
388-828-1000What is the purpose and scope of this chapter?
DEFINITIONS
388-828-1020What definitions apply to this chapter?
DIVISION OF DEVELOPMENTAL DISABILITIES ASSESSMENT
388-828-1040What is the DDD assessment?
388-828-1060What is the purpose of the DDA assessment?
388-828-1080Who must administer the DDD assessment?
388-828-1100Who receives the DDD assessment?
388-828-1120Who does not receive the DDD assessment?
388-828-1140What will DDD do if there is no one willing to receive notice on your behalf regarding specific DDD decisions?
388-828-1160Does everyone receive all three modules of the DDD assessment?
388-828-1180How will your assessed unmet need(s) be met if there is no approved funding to provide a DDD paid service?
388-828-1200Who does DDD ask to disclose financial information?
388-828-1220Will DDD require the reported annual gross income to be verified with supporting documentation?
388-828-1300How will your access to, or receipt of, DDD paid services, private duty nursing services, or SSP be affected if income information is not reported?
388-828-1320What happens if you are approved to receive a DDD paid service and you refuse to have a DDD assessment administered?
388-828-1340After administering the DDD assessment, how long does DDD have to complete your DDD assessment?
388-828-1360Are there any exceptions to completing your DDD assessment within thirty days?
388-828-1380What will DDD do if you are unable to identify an ADSA contracted provider?
388-828-1400What is your responsibility when selecting and/or hiring an ADSA contracted individual provider?
388-828-1420What is your responsibility when selecting an ADSA contracted agency provider?
388-828-1440What is the definition of DDD "paid service" in chapter 388-828 WAC?
388-828-1460When will you receive an initial DDD assessment?
388-828-1480Are there any exceptions allowing authorization of a DDD paid service prior to administering a DDD assessment?
388-828-1500When does DDA conduct a reassessment?
388-828-1520Where is the DDA assessment and reassessment administered?
388-828-1540Who participates in your DDA assessment?
388-828-1560Do all questions in the DDD assessment have to be answered?
388-828-1580Why does DDD require all questions on mandatory panels to be answered in the DDD assessment?
388-828-1600What happens if you refuse to answer a question on a mandatory panel in the DDD assessment?
388-828-1620How does DDD determine which panels are mandatory in your DDD assessment?
388-828-1640What are the mandatory panels in your DDD assessment?
SUPPORT ASSESSMENT MODULE
388-828-2000What is the support assessment module?
388-828-2020What is the purpose of the support assessment module?
388-828-2040What components are contained in the support assessment module?
388-828-2060How does your assessment age affect the support assessment module?
388-828-2080How does DDD determine your assessment age?
THE SUPPORT ASSESSMENT FOR CHILDREN
388-828-3000What is the purpose of the support assessment for children?
388-828-3020What is the purpose of the support assessment for children?
388-828-3040What questions are asked in the support assessment for children and how are they scored?
388-828-3060How does DDD determine your total LOC score for ICF/MR level of care if you are age birth through fifteen years old?
388-828-3080How does DDD determine if you meet the eligibility requirements for ICF/MR level of care (LOC) if you are age birth through fifteen years old?
THE SUPPORTS INTENSITY SCALE ASSESSMENT
388-828-4000What is the supports intensity scale (SIS) assessment?
388-828-4020What is the purpose of the supports intensity scale (SIS) assessment?
388-828-4040What scales are contained in the supports intensity scale (SIS) assessment?
388-828-4060What subscales are contained in the support needs scale?
388-828-4080How does the SIS measure your support need(s) in the support needs and supplemental protection and advocacy scales?
388-828-4100How is type of support scored in the SIS assessment?
388-828-4120How is frequency of support scored in the SIS assessment?
388-828-4140How is daily support time scored in the SIS assessment?
388-828-4160How does DDD determine your raw score for each of the activities that are assessed in the support needs and supplemental protection and advocacy scales?
388-828-4165How does DDD determine your total raw score for each subscale in the SIS support needs scale?
388-828-4180Are all questions in the support needs and supplemental protection and advocacy scales scored the same way?
388-828-4200What activities are assessed in the home living activities subscale of the support needs scale?
388-828-4220What activities are assessed in the community living activities subscale of the support needs scale?
388-828-4240What activities are assessed in the lifelong learning activities subscale of the support needs scale?
388-828-4260What activities are assessed in the employment activities subscale of the support needs scale?
388-828-4280What activities are assessed in the health and safety activities subscale of the support needs scale?
388-828-4300What activities are assessed in the social activities subscale of the support needs scale?
388-828-4320What activities are assessed in the supplemental protection and advocacy activities subscale?
388-828-4340How does DDD determine your support score for each of the items identified in the SIS exceptional medical and behavioral support needs scales?
388-828-4360What exceptional medical support activities are evaluated to assess your medical support needs?
388-828-4380What exceptional behavioral support activities are evaluated to assess your behavioral support needs?
388-828-4400How does DDA determine if you meet the eligibility requirements for ICF/IID level-of-care if you are age sixteen or older?
388-828-4420How does DDD determine your percentile rank and standard score for each subscale in the SIS support needs scale?
388-828-4440How does DDD determine your SIS support needs index percentile ranking?
DDD PROTECTIVE SUPERVISION ACUITY SCALE
388-828-5000What is the DDD protective supervision acuity scale?
388-828-5020How is information in the protective supervision acuity scale used by DDD?
388-828-5040What questions are asked in the DDD protective supervision acuity scale?
388-828-5060How does DDD score each question?
388-828-5080How does DDD determine your adjusted protective supervision acuity score?
388-828-5100How does DDD determine your protective supervision support level?
DDD CAREGIVER STATUS ACUITY SCALE
388-828-5120What is the DDD caregiver status acuity scale?
388-828-5140How is information in the DDD caregiver status acuity scale used by DDD?
388-828-5160When is a collateral contact an informal caregiver?
388-828-5180When is a collateral contact a formal caregiver?
388-828-5200When is a collateral contact a backup caregiver?
388-828-5220Are you allowed to identify more than one person as a backup caregiver?
388-828-5240Who is your primary caregiver?
388-828-5260What questions are asked in the DDD caregiver status acuity scale and how are your caregiver's answers scored?
388-828-5280Which caregiver risk factors determine the caregiver risk level?
388-828-5300How does DDD determine a caregiver risk level?
388-828-5320How does DDD determine the availability of a backup caregiver?
388-828-5340How does DDD determine whether a backup caregiver lives with you?
388-828-5360How does DDD determine the risk level score of your backup caregiver not being able to provide the supports you need when you need them?
DDD ACTIVITIES OF DAILY LIVING (ADL) ACUITY SCALE
388-828-5380What is the DDD activities of daily living (ADL) acuity scale?
388-828-5400What does the activities of daily living (ADL) acuity scale measure?
388-828-5420How does DDD determine your ADL support needs score if you are age birth through fifteen?
388-828-5440How does DDD use your ADL support needs score for the support assessment for children?
388-828-5460How does DDA determine your ADL support needs score if you are age sixteen or older?
388-828-5480How does DDD determine your ADL support needs level for the SIS assessment?
DDD BEHAVIORAL ACUITY SCALE
388-828-5500What is the DDD behavioral acuity scale?
388-828-5520How is information in the DDD behavioral acuity scale used by DDD?
388-828-5540How does DDD determine if you have a prominent behavior?
388-828-5560Do all prominent behaviors get scored?
388-828-5580How does DDD determine the frequency of your most prominent behavior?
388-828-5600How does DDD determine the severity of your most prominent behavior?
388-828-5620How does DDD determine the type of caregiver assistance you receive to help you keep your most prominent behavior under control?
388-828-5640How does DDD determine your behavioral acuity level?
DDD MEDICAL ACUITY SCALE
388-828-5660What is the DDD medical acuity scale?
388-828-5680What is the purpose of the DDD medical acuity scale?
388-828-5700How does DDA determine your medical acuity level?
DDD INTERPERSONAL SUPPORT ACUITY SCALE
388-828-5720What is the DDD interpersonal support acuity scale?
388-828-5740What does the DDD interpersonal support acuity scale determine?
388-828-5760How does DDD determine your interpersonal support needs score if you are age birth through fifteen?
388-828-5780What does the DDD interpersonal support needs score determine if you are age birth through fifteen?
388-828-5800How does DDA determine your interpersonal support needs score if you are age sixteen or older?
388-828-5820How does DDD use your interpersonal support needs score if you are age sixteen or older?
DDD MOBILITY ACUITY SCALE
388-828-5840What is the DDD mobility acuity scale?
388-828-5860What does the DDD mobility acuity scale determine?
388-828-5880How does DDD determine your mobility acuity level if you are age birth through fifteen?
388-828-5900How does DDA determine your mobility acuity level if you are age sixteen or older?
RESPITE ASSESSMENT
388-828-5920What is the respite assessment?
388-828-5940Are there any exceptions when the respite assessment is not used to determine the number of hours for waiver respite services?
388-828-5960What is the purpose of the respite assessment?
388-828-5980How does DDD determine your respite assessment level?
388-828-5985How does DDD determine your unadjusted respite assessment level if DDD has authorized you to receive voluntary placement services per chapter 388-826 WAC?
388-828-5990How does DDD determine your unadjusted respite assessment level if DDD has authorized you to receive companion home services per chapter 388-829C WAC?
388-828-6000How does DDD determine the maximum number of hours you may receive for respite care?
388-828-6005How does DDD determine your voluntary placement services support score per chapter 388-826 WAC?
388-828-6006How does DDD determine the number to use in the adjustment of your voluntary placement services score?
388-828-6007How does DDD determine the number of respite hours you may receive annually if you are receiving voluntary placement services?
388-828-6010How does DDD determine your companion home services support score per chapter 388-829C WAC?
388-828-6011How does DDD determine the number to use in the adjustment of your companion home services support score?
388-828-6012How does DDD determine the number of respite hours you may receive annually if you are receiving companion home services?
PROGRAMS AND SERVICES COMPONENT
388-828-6020What is the purpose of the programs and services component?
SERVICE LEVEL ASSESSMENT MODULE
388-828-7000What is the purpose of the service level assessment module?
388-828-7020What components contained in the service level assessment module determine a service level and/or number of hours?
DDD SEIZURE ACUITY SCALE
388-828-7040What is the DDD seizure acuity scale?
388-828-7060What does the DDD seizure acuity scale measure?
388-828-7080How does DDD determine your seizure acuity level?
INDIVIDUAL SUPPORT PLAN MODULE
388-828-8000What is the purpose of the person-centered service plan/individual support plan (ISP) module?
388-828-8020What components contained in the individual support plan module determine a service level and/or number of hours?
388-828-8040How does DDA determine which health and welfare needs must be addressed in your individual support plan if you are age birth through fifteen?
388-828-8060How does DDA determine which health and welfare needs must be addressed in your individual support plan if you are age sixteen or older?
388-828-8500What is the children's intensive in-home behavioral support (CIIBS) program algorithm?
388-828-8505When does the DDD assessment run the CIIBS algorithm to determine your eligibility for the CIIBS waiver?
388-828-8510What elements does the CIIBS algorithm use to calculate your out-of-home placement risk score?
388-828-8515How does DDD determine your CIIBS out-of-home placement risk score?
388-828-8520How does DDD determine if I am eligible for the CIIBS waiver?
INDIVIDUAL AND FAMILY SERVICES ASSESSMENT
388-828-9000What is the individual and family services assessment?
388-828-9020What is the purpose of the individual and family services assessment?
388-828-9040How does DDD determine your individual and family services level?
388-828-9060How does DDD determine your individual and family services support rating?
388-828-9100How does DDD determine the number to use in the adjustment of your individual and family services support rating?
388-828-9120How does DDD determine your individual and family services score?
388-828-9140How does DDD determine the amount of your individual and family service award?
DDD EMPLOYMENT ACUITY SCALE
388-828-9200What is the DDD employment acuity scale?
388-828-9205How does DDD determine your employment support level?
388-828-9210How does DDD determine your employment acuity score?
388-828-9215How does DDD determine your employment acuity scale score for activities of daily living?
388-828-9220How does DDD determine your employment acuity scale score for behavioral support?
388-828-9225How does DDD determine your employment acuity scale score for interpersonal support?
388-828-9230How does DDD determine your employment acuity scale score for environmental support?
388-828-9235How does DDD determine your environmental support score?
388-828-9240How does DDD determine your employment support score for level of monitoring?
388-828-9245How does DDD determine your employment acuity scale score for employment support?
388-828-9250How does DDD determine your DDD employment support score?
388-828-9255How does DDD determine your employment acuity score for completing tasks with acceptable speed?
388-828-9260How does DDD determine your employment acuity score for completing tasks with acceptable quality?
388-828-9265How does DDD determine your employment acuity scale score for medical support?
388-828-9270How does DDD determine your employment acuity scale score for seizure support?
388-828-9275How does DDD determine your seizure support score?
388-828-9280Why does DDD multiply your seizure support score by a negative factor?
388-828-9300What is the community access acuity scale?
388-828-9310How does DDA determine the number of community inclusion services hours you may receive each month?
DDD EMPLOYMENT ACUITY SCALE
388-828-9325How does DDD determine the number of hours you may receive for employment support services?
388-828-9330How does DDA determine your employment status?
388-828-9335How does DDA determine your employment service level?
388-828-9340How does your employment service type affect how your employment service hours are used?
388-828-9345Can you receive fewer than the number of hours allocated to you in your employment service level?
388-828-9350Are there conditions when DDA will authorize additional hours to your monthly employment service hours?
388-828-9355How many add-on hours are you eligible to receive?
388-828-9360What is short-term employment support?
RESIDENTIAL ALGORITHM
388-828-9500What is the residential algorithm?
388-828-9510When is the residential algorithm administered?
388-828-9520Where does the residential algorithm obtain your support needs information?
388-828-9530How does the residential algorithm identify your residential support needs score?
388-828-9540What residential service levels of support does DDD use?
388-828-9550How does the residential algorithm determine if you are enrolled in the community protection program?
388-828-9560How does the residential algorithm determine your daily support needs score?
388-828-9570How does DDD define mid-frequency support?
388-828-9580How does the residential algorithm determine your mid-frequency support needs score?
388-828-9590How does the residential algorithm determine your behavior support needs score?
388-828-9600How does the residential algorithm determine your medical support needs score?
388-828-9610How does the residential algorithm determine your seizure support needs score?
388-828-9620How does the residential algorithm determine your protective supervision support needs score?
388-828-9630How does the residential algorithm determine your ability to seek help score?
388-828-9640How does the residential algorithm determine your nighttime support needs score?
388-828-9650How does the residential algorithm determine your toileting support needs score?
388-828-9660How does the residential algorithm calculate your daily critical support time?
388-828-9670How does the residential algorithm calculate your mid-frequency critical support time?
388-828-9680How does the residential algorithm determine your weekly critical support time?
388-828-9690How does the residential algorithm calculate your total critical support time (CST)?
388-828-9700How does the residential algorithm use your assessed support needs scores to determine your residential service level of support?
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
388-828-10000What is the residential algorithm? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10000, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9500.
388-828-10020When is the residential algorithm administered? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10020, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9510.
388-828-10040Where does the residential algorithm obtain your support needs information? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10040, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9520.
388-828-10060How does the residential algorithm identify your residential support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10060, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9530.
388-828-10080What residential service levels of support does DDD use? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10080, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9540.
388-828-10100How does the residential algorithm determine if you are enrolled in the community protection program? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10100, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9550.
388-828-10120How does the residential algorithm determine your daily support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10120, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9560.
388-828-10130How does DDD define mid-frequency support? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10130, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9570.
388-828-10140How does the residential algorithm determine your mid-frequency support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10140, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9580.
388-828-10160How does the residential algorithm determine your behavior support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10160, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9590.
388-828-10180How does the residential algorithm determine your medical support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10180, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9600.
388-828-10200How does the residential algorithm determine your seizure support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10200, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9610.
388-828-10220How does the residential algorithm determine your protective supervision support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10220, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9620.
388-828-10240How does the residential algorithm determine your ability to seek help score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10240, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9630.
388-828-10260How does the residential algorithm determine your nighttime support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10260, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9640.
388-828-10280How does the residential algorithm determine your toileting support needs score? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10280, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9650.
388-828-10300How does the residential algorithm calculate your daily critical support time? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10300, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9660.
388-828-10320How does the residential algorithm calculate your mid-frequency critical support time? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10320, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9670.
388-828-10340How does the residential algorithm determine your weekly critical support time? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10340, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9680.
388-828-10360How does the residential algorithm calculate your total critical support time (CST)? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10360, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9690.
388-828-10380How does the residential algorithm use your assessed support needs scores to determine your residential service level of support? [Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 08-12-037, § 388-828-10380, filed 5/30/08, effective 7/1/08.] Decodified by WSR 08-15-091, filed 7/17/08, effective 7/17/08. Recodified as § 388-828-9700.
388-828-1240What does DDD do when family income and household dependent information are not provided? [Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-1240, filed 4/23/07, effective 6/1/07.] Repealed by WSR 08-12-037, filed 5/30/08, effective 7/1/08. Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW.
388-828-1260What action will DDD take if your family does not report income and dependent information? [Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-1260, filed 4/23/07, effective 6/1/07.] Repealed by WSR 08-12-037, filed 5/30/08, effective 7/1/08. Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW.
388-828-1280How will your access to, or receipt of, DDD HCBS waiver services be affected if your family does not report family income and dependent information? [Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-1280, filed 4/23/07, effective 6/1/07.] Repealed by WSR 08-12-037, filed 5/30/08, effective 7/1/08. Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW.