WASHINGTON STATE REGISTER

WSR 03-05-097

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed February 19, 2003, 11:35 a.m. ]

Date of Adoption: February 14, 2003.

Purpose: Adopting new chapter 388-72A WAC, Comprehensive assessment and reporting evaluation tool. These rules are needed to implement the new comprehensive assessment reporting evaluation (CARE) tool, an automated system used to collect demographic data, assess functional needs and abilities, health, and medical information, determine eligibility for services, develop a care plan, and authorize services for clients on or requesting long-term care services.

Statutory Authority for Adoption: RCW 74.08.090, 74.09.520, 74.39A.090.

Adopted under notice filed as WSR 03-01-116 on December 18, 2002.

Changes Other than Editing from Proposed to Adopted Version: (New text underlined, deleted text lined out):

WAC# Final Language Reason

388-72A-0035 (1)(i) Medication management, ~~how you self-administer medications prescribed by primary care provider or administer when you are unable~~ Describes the amount of assistance, if any, required to receive medications, over the counter preparations or herbal supplements The definition did not adequately describe Medication Management. This definition is clarifying the definition of Medication Management.

388-72A-0035 (1)(d) Dressing, how you put on, fasten, and take off all items of ~~street~~ clothing, including donning/removing prosthesis. Dressing is not limited to street clothes. This is being corrected to reflect this.

388-72A-0040 (2)(a)(vi) ...during the entire seven-day period. The activity may not have occurred because:
(A) You were not able (e.g. Walking, if paralyzed), or
(B) No provider was available to assist, or
(C) You declined assistance with the task.
Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.

388-72A-0055 (4)(b) You have an unmet or partially met need or the activity did not occur (because you were unable or no provide was available) Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.

388-72A-0060 (2) You have an unmet or partially met need or the activity did not occur (because you were unable or no provider was available) Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.

388-72A-0065(2) Have an unmet or partially met need or the activity did not occur (because you were unable or no provider was available) Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.

388-72A-0070 The department employs a client classification methodology consisting of ~~twelve~~ fourteen care groups. This was an error on the proposed rules.

388-72A-0095 (3) what services you choose to receive if you are eligible, ~~per WAC 388-72A-0055, 388-72A-0060, 388-72A-0065, 388-15-652 or 388-15-653.~~ The hours may be used to authorize:
     (a) Personal care services (per WAC 388-72A-0055, 388-72A-0060, or 388-72A-0065);
     (b) Home delivered meals (per WAC 388-72A-0055);
     (c) Adult day care (per WAC 388-72A-0055 or 388-15-652);
     (d) Adult day health (per WAC 388-72A-0055 or 388-15-653);
     (c) [(e)] A home health aide (per WAC 388-72A-0055).
The rule references only to apply to certain items in the list. The references have been moved to reflect this.

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 22, Amended 0, 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 22, Amended 0, Repealed 0.
Effective Date of Rule: Thirty-one days after filing.

February 14, 2003

Bonita H. Jacques

for Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

Reviser's note: The material contained in this filing exceeded the page-count limitations of WAC 1-21-040 for appearance in this issue of the Register. It will appear in the 03-06 issue of the Register.

Legislature

Code Reviser

Register

WAC#	Final Language	Reason
388-72A-0035 (1)(i)	Medication management, ~~how you self-administer medications prescribed by primary care provider or administer when you are unable~~ Describes the amount of assistance, if any, required to receive medications, over the counter preparations or herbal supplements	The definition did not adequately describe Medication Management. This definition is clarifying the definition of Medication Management.
388-72A-0035 (1)(d)	Dressing, how you put on, fasten, and take off all items of ~~street~~ clothing, including donning/removing prosthesis.	Dressing is not limited to street clothes. This is being corrected to reflect this.
388-72A-0040 (2)(a)(vi)	...during the entire seven-day period. The activity may not have occurred because: (A) You were not able (e.g. Walking, if paralyzed), or (B) No provider was available to assist, or (C) You declined assistance with the task.	Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.
388-72A-0055 (4)(b)	You have an unmet or partially met need or the activity did not occur (because you were unable or no provide was available)	Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.
388-72A-0060 (2)	You have an unmet or partially met need or the activity did not occur (because you were unable or no provider was available)	Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.
388-72A-0065(2)	Have an unmet or partially met need or the activity did not occur (because you were unable or no provider was available)	Public comments were received asking for clarification of whether "activity did not" occur would meet the criteria for eligibility. The language has been updated to reflect this.
388-72A-0070	The department employs a client classification methodology consisting of ~~twelve~~ fourteen care groups.	This was an error on the proposed rules.
388-72A-0095 (3)	what services you choose to receive if you are eligible, ~~per WAC 388-72A-0055, 388-72A-0060, 388-72A-0065, 388-15-652 or 388-15-653.~~ The hours may be used to authorize: (a) Personal care services (per WAC 388-72A-0055, 388-72A-0060, or 388-72A-0065); (b) Home delivered meals (per WAC 388-72A-0055); (c) Adult day care (per WAC 388-72A-0055 or 388-15-652); (d) Adult day health (per WAC 388-72A-0055 or 388-15-653); (c) [(e)] A home health aide (per WAC 388-72A-0055).	The rule references only to apply to certain items in the list. The references have been moved to reflect this.

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