Effective Date of Rule: Thirty-one days after filing.

     Purpose: The department is adding and amending sections within chapter 388-106 WAC, Long-term care services; amending and repealing sections within chapter 388-71 WAC, Home and community services and programs; and amending sections within chapter 388-110 WAC, Contracted residential care services. These revisions are for the purpose of updating and clarifying WACs due to recent policy changes.

     Citation of Existing Rules Affected by this Order: Repealing WAC 388-71-0210, 388-71-0215, 388-71-0220, 388-71-0225, 388-71-0230, 388-71-0235, 388-71-0240, 388-71-0245, 388-71-0250, 388-71-0255, and 388-71-0260; and amending WAC 388-106-0010, 388-106-0015, 388-106-0035, 388-106-0050, 388-106-0065, 388-106-0130, 388-106-0200, 388-106-0213, 388-106-0300, 388-106-0305, 388-106-0400, 388-106-0500, 388-106-0705, 388-106-0715, 388-71-0540, 388-71-0546, 388-71-0551, 388-71-0556, 388-71-05695, 388-71-0704, 388-71-0706; 388-110-020, 388-110-100, and 388-110-220.

     Statutory Authority for Adoption: RCW 74.08.090, 74.09.520, 74.39A.010, and 74.39A.020.

     Other Authority: RCW 74.08.090, 74.09.520, 74.39A.010, and 74.39A.020.

      Adopted under notice filed as WSR 05-23-029 on November 8, 2005.

     Changes Other than Editing from Proposed to Adopted Version: WAC 388-106-0010, definition of "Self performance for ADLs," removed proposed language that requires further clarification; WAC 388-106-0015(1), revised "Medical" to "Medicaid personal care (MPC)" to correct a typo; 388-106-0050(3), removed "DSHS 14-405," as this is a form number that may change; and WAC 388-106-0213(2), added "Passive" prior to "range of motion" for clarification.

     A final cost-benefit analysis is available by contacting Tiffany Sevruk, P.O. Box 45600, Olympia, WA 98504, phone (360) 725-2538, fax (360) 438-8633, e-mail sevruTA@dshs.wa.gov. The preliminary cost-benefit analysis is unchanged and will be final.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.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 2, Amended 24, Repealed 11.

     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 2, Amended 24, Repealed 11.

     Date Adopted: February 3, 2006.

Andy Fernando, Manager

Rules and Policies Assistance Unit

     (a) Understood: You express ideas clearly;

     (b) Usually understood: You have difficulty finding the right words or finishing thoughts, resulting in delayed responses((;)), or you require((s)) some prompting to make self understood;

     (c) Sometimes understood: You have limited ability, but are able to express concrete requests regarding at least basic needs (e.g. food, drink, sleep, toilet);

     (d) Rarely/never understood. At best, understanding is limited to caregiver's interpretation of client specific sounds or body language (e.g. indicated presence of pain or need to toilet.)

     "Activities of daily living (ADL)" means the following:

     (a) Bathing: How you take a full-body bath/shower, sponge bath, and transfer in/out of tub/shower.

     (b) Bed mobility: How you move to and from a lying position, turn side to side, and position your body while in bed, in a recliner, or other type of furniture.

     (c) Body care: How you perform with passive range of motion, applications of dressings and ointments or lotions to the body and pedicure to trim toenails and apply lotion to feet. In adult family homes, contracted assisted living, enhanced adult residential care, and enhanced adult residential care-specialized dementia care facilities, dressing changes using clean technique and topical ointments must be performed by a licensed nurse or through nurse delegation in accordance with chapter 246-840 WAC. Body care excludes:

     (i) Foot care if you are diabetic or have poor circulation; or

     (ii) Changing bandages or dressings when sterile procedures are required.

     (d) Dressing: How you put on, fasten, and take off all items of clothing, including donning/removing prosthesis.

     (e) Eating: How you eat and drink, regardless of skill. Eating includes any method of receiving nutrition, e.g., by mouth, tube or through a vein.

     (f) Locomotion in room and immediate living environment: How you move between locations in your room and immediate living environment. If you are in a wheelchair, locomotion includes how self-sufficient you are once in your wheelchair.

     (g) Locomotion outside of immediate living environment including outdoors: How you move to and return from more distant areas. If you are living in a boarding home or nursing facility (NF), this includes areas set aside for dining, activities, etc. If you are living in your own home or in an adult family home, locomotion outside immediate living environment including outdoors, includes how you move to and return from a patio or porch, backyard, to the mailbox, to see the next-door neighbor, etc.

     (h) Walk in room, hallway and rest of immediate living environment: How you walk between locations in your room and immediate living environment.

     (i) Medication management: Describes the amount of assistance, if any, required to receive medications, over the counter preparations or herbal supplements.

     (j) Toilet use: How you use the toilet room, commode, bedpan, or urinal, transfer on/off toilet, cleanse, change pad, manage ostomy or catheter, and adjust clothes.

     (k) Transfer: How you move between surfaces, i.e., to/from bed, chair, wheelchair, standing position. Transfer does not include how you move to/from the bath, toilet, or vehicle.

     (l) Personal hygiene: How you maintain personal hygiene, including combing hair, brushing teeth, shaving, applying makeup, washing/drying face, hands (including nail care), and perineum (menses care). Personal hygiene does not include hygiene in baths and showers.

     "Aged person" means a person sixty-five years of age or older.

     "Agency provider" means a licensed home care agency or a licensed home health agency having a contract to provide long-term care personal care services to you in your own home.

     "Application" means a written request for medical assistance or long-term care services submitted to the department by the applicant, the applicant's authorized representative, or, if the applicant is incompetent or incapacitated, someone acting responsibly for the applicant. The applicant must submit the request on a form prescribed by the department.

     "Assessment details" means a summary of information that the department entered into the CARE assessment describing your needs.

     "Assessment or reassessment" means an inventory and evaluation of abilities and needs based on an in-person interview in your own home or your place of residence, using CARE.

     "Assistance available" means the amount of informal support available if the need is partially met. The department determines the amount of the assistance available using one of four categories:

     (a) Less than one-fourth of the time;

     (b) One-fourth to one-half of the time;

     (c) Over one-half of the time to three-fourths of the time; or

     (d) Over three-fourths ((of the time)) but not all of the time.

     "Assistance with body care" means you need assistance with:

     (a) Application of ointment or lotions;

     (b) Trimming of toenails;

     (c) Dry bandage changes; or

     (d) Passive range of motion treatment.

     "Assistance with medication management" means you need assistance managing your medications. You are scored as:

     (a) Independent if you remember to take medications as prescribed and manage your medications without assistance.

     (b) Assistance required if you need assistance from a nonlicensed provider to facilitate your self-administration of a prescribed, over the counter, or herbal medication, as defined in chapter 246-888 WAC. Assistance required includes reminding or coaching you, handing you the medication container, opening the container, using an enabler to assist you in getting the medication into your mouth, alteration of a medication for self-administration, and placing the medication in your hand. This does not include assistance with intravenous or injectable medications. You must be aware that you are taking medications.

     (c) Self-directed medication assistance/administration if you are a person with a functional disability who is capable of and who chooses to self-direct your medication assistance/administration.

     (d) Must be administered if you must have medications placed in your mouth or applied or instilled to your skin or mucus membrane. Administration must either be performed by a licensed professional or delegated by a registered nurse to a qualified caregiver (per chapter 246-840 WAC). Intravenous or injectable medications may never be delegated. Administration may also be performed by a family member or unpaid caregiver if facility licensing regulations allow.

     "Authorization" means an official approval of a departmental action, for example, a determination of client eligibility for service or payment for a client's long-term care services.

     "Blind person" means a person determined blind as described under WAC 388-511-1105 by the division of disability determination services of the medical assistance administration.

     "Categorically needy" means the status of a person who is eligible for medical care under Title XIX of the Social Security Act. See WAC 388-475-0100 and chapter 388-513 WAC.

     "Client" means an applicant for service or a person currently receiving services from the department.

     "Current" means a behavior occurred within seven days of the CARE assessment date, including the day of the assessment. Behaviors that the department designates as current must include information about:

     (a) Whether the behavior is easily altered or not easily altered; and

     (b) The frequency of the behavior.

     "Decision making" means your ability and actual performance in making everyday decisions about tasks or activities of daily living. The department determines whether you are:

     (a) Independent: Decisions about your daily routine are consistent and organized; reflecting your lifestyle, choices, culture, and values.

     (b) Modified independence/difficulty in new situations: You have an organized daily routine, are able to make decisions in familiar situations, but experience some difficulty in decision making when faced with new tasks or situations.

     (c) Moderately impaired/poor decisions; unaware of consequences: Your decisions are poor and you require reminders, cues and supervision in planning, organizing and correcting daily routines. You attempt to make decisions, although poorly.

     (d) Severely impaired/no or few decisions ((or preferences regarding ADLs)): Decision making is severely impaired; you never/rarely make decisions.

     "Department" means the state department of social and health services, aging and disability services administration or its designee.

     "Designee" means area agency on aging.

     "Difficulty" means how difficult it is or would be for you to perform an instrumental activity of daily living (IADL). This is assessed as:

     (a) No difficulty in performing the activity;

     (b) Some difficulty in performing the activity (e.g., you need some help, are very slow, or fatigue easily); or

     (c) Great difficulty in performing the activity (e.g., little or no involvement in the activity is possible).

     "Disabling condition" means you have a medical condition which prevents you from self performance of personal care tasks without assistance.

     "Estate recovery" means ((after the client's death, the department's activity in recouping funds that were expended for long-term care services provided to the client during the client's lifetime, per WAC 388-527-2742)) the department's process of recouping the cost of Medicaid and long-term care benefit payments from the estate of the deceased client. See chapter 388-527 WAC.

     "Home health agency" means a licensed:

     (a) Agency or organization certified under Medicare to provide comprehensive health care on a part-time or intermittent basis to a patient in the patient's place of residence and reimbursed through the use of the client's medical identification card; or

     (b) Home health agency, certified or not certified under Medicare, contracted and authorized to provide:

     (i) Private duty nursing; or

     (ii) Skilled nursing services under an approved Medicaid waiver program.

     "Income" means income as defined under WAC 388-500-0005.

     "Individual provider" means a person employed by you to provide personal care services in your own home. See WAC 388-71-0500 through 388-71-05909.

     "Disability" is described under WAC 388-511-1105.

     "Informal support" means a person or resource that is available to provide assistance without home and community program funding. The person or resource providing the informal support must be age 18 or older.

     "Institution" means medical facilities, nursing facilities, and institutions for the mentally retarded. It does not include correctional institutions. See medical institutions in WAC 388-500-0005.

     "Instrumental activities of daily living (IADL)" means routine activities performed around the home or in the community and includes the following:

     (a) Meal preparation: How meals are prepared (e.g., planning meals, cooking, assembling ingredients, setting out food, utensils, and cleaning up after meals). NOTE: The department will not authorize this IADL to plan meals or clean up after meals. You must need assistance with actual meal preparation.

     (b) Ordinary housework: How ordinary work around the house is performed (e.g., doing dishes, dusting, making bed, tidying up, laundry).

     (c) Essential shopping: How shopping is completed to meet your health and nutritional needs (e.g., selecting items). Shopping is limited to brief, occasional trips in the local area to shop for food, medical necessities and household items required specifically for your health, maintenance or well-being. This includes shopping with or for you.

     (d) Wood supply: How wood is supplied (e.g., splitting, stacking, or carrying wood) when you use wood as the sole source of fuel for heating and/or cooking.

     (e) Travel to medical services: How you travel by vehicle to a physician's office or clinic in the local area to obtain medical diagnosis or treatment-includes driving vehicle yourself, traveling as a passenger in a car, bus, or taxi.

     (f) Managing finances: How bills are paid, checkbook is balanced, household expenses are managed. The department cannot pay for any assistance with managing finances.

     (g) Telephone use: How telephone calls are made or received (with assistive devices such as large numbers on telephone, amplification as needed).

     "Long-term care services" means the services administered directly or through contract by the aging and disability services administration and identified in WAC 388-106-0015.

     "Medicaid" is defined under WAC 388-500-0005.

     "Medically necessary" is defined under WAC 388-500-0005.

     "Medically needy (MN)" means the status of a person who is eligible for a federally matched medical program under Title XIX of the Social Security Act, who, but for income above the categorically needy level, would be eligible as categorically needy. Effective January 1, 1996, an AFDC-related adult is not eligible for MN.

     "Own home" means your present or intended place of residence:

     (a) In a building that you rent and the rental is not contingent upon the purchase of personal care services as defined in this section;

     (b) In a building that you own;

     (c) In a relative's established residence; or

     (d) In the home of another where rent is not charged and residence is not contingent upon the purchase of personal care services as defined in this section.

     "Past" means the behavior occurred from eight days to five years of the assessment date. For behaviors indicated as past, the department determines whether the behavior is addressed with current interventions or whether no interventions are in place.

     "Personal aide" is defined in RCW 74.39.007.

     "Personal care services" means physical or verbal assistance with activities of daily living (ADL) and instrumental activities of daily living (IADL) due to your functional limitations. Assistance is evaluated with the use of assistive devices.

     "Physician" is defined under WAC 388-500-0005.

     "Plan of care" means assessment details and service summary generated by CARE.

     "Provider or provider of service" means an institution, agency, or person:

     (a) Having a signed department contract to provide long-term care client services; and

     (b) Qualified and eligible to receive department payment.

     "Residential facility" means a licensed adult family home under department contract or licensed boarding home under department contract to provide assisted living, adult residential care or enhanced adult residential care.

     "Self performance for ADLs" means what you actually did in the last seven days before the assessment, not what you might be capable of doing. Coding is based on the level of performance that occurred three or more times in the seven-day period and does not include support provided as defined in WAC 388-106-0010. Your self performance level is scored as:

     (a) Independent if you received no help or oversight, or if you needed help or oversight only once or twice;

     (b) Supervision if you received oversight (monitoring or standby), encouragement, or cueing three or more times;

     (c) Limited assistance if you were highly involved in the activity and given physical help in guided maneuvering of limbs or other non-weight bearing assistance on three or more occasions. For bathing, limited assistance means physical help is limited to transfer only;

     (d) Extensive assistance if you performed part of the activity, but on three or more occasions, you needed weight bearing support or you received full performance of the activity during part, but not all, of the activity. For bathing, extensive assistance means you needed physical help with part of the activity (other than transfer);

     (e) Total dependence if you received full caregiver performance of the activity and all subtasks during the entire seven-day period from others. Total dependence means complete nonparticipation by you in all aspects of the ADL; or

     (f) Activity did not occur if you or others did not perform an ADL over the last seven days before your assessment. The activity may not have occurred because:

     (i) You were not able (e.g., walking, if paralyzed);

     (ii) No provider was available to assist; or

     (iii) You declined assistance with the task.

     "Self performance for IADLs" means what you actually did in the last ((seven)) thirty days before the assessment, not what you might be capable of doing. Coding is based on the level of performance that occurred three or more times in the ((seven)) thirty-day period. Your self performance is scored as:

     (a) Independent if you received no help, set-up help, or supervision;

     (b) ((Supervision if you received set-up help or arrangements only;

     (c) Limited assistance if you sometimes performed the activity yourself and other times needed assistance)) Set-up help/arrangements only if on some occasions you did your own set-up/arrangement and at other times you received help from another person;

     (c) Limited assistance if on some occasions you did not need any assistance but at other times in the last thirty days you required some assistance;

     (d) Extensive assistance if you were involved in performing the activity, but required cueing/supervision or partial assistance at all times;

     (e) Total dependence if you needed the activity fully performed by others; or

     (f) Activity did not occur if you or others did not perform the activity in the last ((seven)) thirty days before the assessment.

     "Service summary" is CARE information which includes: Contacts (e.g. emergency contact), services the client is eligible for, number of hours or residential rates, personal care needs, the list of formal and informal providers and what tasks they will provide, a provider schedule, referral needs/information, and dates and agreement to the services.

     "SSI-related" is defined under WAC ((388-500-0005)) 388-475-0050.

     "Status" means the amount of informal support available. The department determines whether the ADL or IADL is:

     (a) Met, which means the ADL or IADL will be fully provided by an informal support;

     (b) Unmet, which means an informal support will not be available to provide assistance with the identified ADL or IADL;

     (c) Partially met, which means an informal support will be available to provide some assistance, but not all, with the identified ADL or IADL; or

     (d) Client declines, which means you do not want assistance with the task.

     "Supplemental Security Income (SSI)" means the federal program as described under WAC 388-500-0005.

     "Support provided" means the highest level of support provided (to you) by others in the last seven days before the assessment, even if that level of support occurred only once.

     (a) No set-up or physical help provided by others;

     (b) Set-up help only provided, which is the type of help characterized by providing you with articles, devices, or preparation necessary for greater self performance of the activity (((such as)). For example, set-up help includes but is not limited to giving or holding out an item ((that you take from others)) or cutting food);

     (c) One-person physical assist provided;

     (d) Two- or more person physical assist provided; or

     (e) Activity did not occur during entire seven-day period.

     "You/your" means the client.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0010, filed 5/17/05, effective 6/17/05.]

     (1) ((Medical)) Medicaid personal care (MPC) is a Medicaid state plan program authorized under RCW 74.09.520. Clients eligible for this program may receive personal care in their own home or in a residential facility.

     (2) Community options program entry system (COPES) is a Medicaid waiver program authorized under RCW 74.39A.030. Clients eligible for this program may receive personal care in their own home or in a residential facility.

     (3) Medically needy residential waiver (MNRW) is a Medicaid waiver program authorized under RCW 74.39.041. Clients eligible for this program may receive personal care in a residential facility.

     (4) Medically needy in-home waiver (MNIW) is a Medicaid waiver program authorized under RCW 74.09.700. Clients eligible for this program may receive personal care in their own home.

     (5) Chore is a state-only funded program authorized under RCW 74.39A.110. Grandfathered clients may receive assistance with personal care in their own home.

     (6) Volunteer chore is a state-funded program that provides volunteer assistance with household tasks to eligible clients.

     (7) Program of all-inclusive care for the elderly (PACE) is a Medicaid/Medicare managed care program authorized under 42 CFR 460.2. Clients eligible for this program may receive personal care and medical services in their own home, in residential facilities, and in adult day health centers.

     (8) Adult day health is a supervised daytime program providing skilled nursing and rehabilitative therapy services in addition to core services outlined in WAC 388-106-0800.

     (9) Adult day care is a supervised daytime program providing core services, as defined under WAC 388-106-0800.

     (10) GAU-funded residential care is a state-funded program authorized under WAC 388-400-0025. Clients eligible for this program may receive personal care services in an adult family home or an adult residential care facility.

     (11) Residential care discharge allowance is a service that helps eligible clients to establish or resume living in their own home.

     (12) Private duty nursing is a Medicaid service that provides an alternative to institutionalization in a hospital or nursing facility setting. Clients eligible for this program may receive at least four continuous hours of skilled nursing care on a day to day basis in their own home.

     (13) Senior Citizens Services Act (SCSA) is a program authorized under chapter 74.38 RCW. Clients eligible for this program may receive community-based services as defined in RCW 74.38.040.

     (14) Respite program is a program authorized under RCW 74.41.040 and WAC 388-106-1200. This program provides relief care for unpaid family or other caregivers of adults with a functional disability.

     (15) Programs for persons with developmental disabilities are discussed in chapter ((388-825)) 388-823 through 388-853 WAC.

     (16) Nursing facility.

     (17) Medicare/Medicaid Integration Project (MMIP) is a DSHS prepaid managed care program, authorized under 42 CFR Part 438, that integrates medical and long-term care services for clients who are sixty-five years of age or older and eligible for Medicare (Parts A and B) and Medicaid.

[Statutory Authority: RCW 74.08.090, 42 C.F.R. 441.302(a), Social Security Act, Section 1915(c) waiver rules, 42 C.F.R. 438. 05-19-045, § 388-106-0015, filed 9/15/05, effective 10/16/05. Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0015, filed 5/17/05, effective 6/17/05.]

     (a) Individual provider is contracted with the state of Washington;

     (b) Travel plans are coordinated with ((the department)) your case manager prior to departure;

     (c) Services are authorized on your plan of care prior to departure; and

     (d) Services are strictly for your personal care and do not include your provider's travel time, expenses.

     (2) You may not receive personal care services outside of the United States.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0035, filed 5/17/05, effective 6/17/05.]

     (3) When the department modifies your current assessment, it will notify you using a Planned Action Notice of the modification regardless of whether the modification results in a change to your benefits. You will also receive a new service summary and assessment details.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0050, filed 5/17/05, effective 6/17/05.]

     (1) Will assess you using a department-prescribed assessment tool, titled the comprehensive assessment reporting evaluation (CARE).

     (2) May request the assessment be conducted in private. However, you have the right to request that third parties be present (((e.g. a friend, a family member, or a legal representative))).

     (3) Has the right to end the assessment if behaviors by any party are impeding the assessment process. If an assessment is terminated, the department will reschedule.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0065, filed 5/17/05, effective 6/17/05.]

     (2) The department will deduct from the base hours to account for your informal supports, as defined in WAC 388-106-0010, as follows:

     (a) The CARE tool determines the adjustment for informal supports by determining the amount of assistance available to meet your needs, assigns it a numeric percentage, and reduces the base hours assigned to the classification group by the numeric percentage. The department has assigned the following numeric values for the amount of assistance available for each ADL and IADL:

Meds	Self Performance	Status	Assistance Available	Value Percentage
Self administration of medications	Rules for all codes apply except independent is not counted	Unmet	N/A	1
		Met	N/A	0
		Decline	N/A	0
		Partially met	<1/4 time	.9
			1/4 to 1/2 time	.7
			1/2 to 3/4 time	.5
			>3/4 time	.3
Unscheduled ADLs	Self Performance	Status	Assistance Available	Value Percentage
Bed mobility, transfer, walk in room, eating, toilet use	Rules apply for all codes except: Did not occur/client not able and Did not occur/no provider = 1; Did not occur/client declined and independent are not counted.	Unmet	N/A	1
		Met	N/A	0
		Decline	N/A	0
		Partially met	<1/4 time	.9
			1/4 to 1/2 time	.7
			1/2 to 3/4 time	.5
			>3/4 time	.3
Scheduled ADLs	Self Performance	Status	Assistance Available	Value Percentage
Dressing, personal hygiene, bathing	Rules apply for all codes except: Did not occur/client not able and Did not occur/no provider = 1; Did not occur/client declined and independent are not counted.	Unmet	N/A	1
		Met	N/A	0
		Decline	N/A	0
		Partially met	<1/4 time	.75
			1/4 to 1/2 time	.55
			1/2 to 3/4 time	.35
			>3/4 time	.15
IADLs	Self Performance	Status	Assistance Available	Value Percentage
Meal preparation, Ordinary housework, Essential shopping*	Rules for all codes apply except independent is not counted.	Unmet	N/A	1
		Met	N/A	0
		Decline	N/A	0
		Partially met	<1/4 time	.3
			1/4 to 1/2 time	.2
			1/2 to 3/4 time	.1
			>3/4 time	.05
IADLs	Self Performance	Status	Assistance Available	Value Percentage
Travel to medical	Rules for all codes apply except independent is not counted.	Unmet	N/A	1
		Met	N/A	0
		Decline	N/A	0
		Partially met	<1/4 time	.9
			1/4 to 1/2 time	.7
			1/2 to 3/4 time	.5
			>3/4 time	.3
Key: > means greater than < means less than *Results in 5% deduction for each IADL from the base hours. Remaining hours may be used for completion of household and personal care tasks.

     (b) To determine the amount of reduction for informal support, the value percentage is divided by the number of qualifying ADLs and IADLs needs. The result is value A. Value A is then subtracted from one. This is value B. Value B is divided by three. This is value C. Value A and Value C are summed. This is value D. Value D is multiplied by the "base hours" assigned to your classification group and the result is base in-home care hours reduced for informal supports.

     (3) Also, the department will adjust in-home base hours for the following shared living circumstances:

     (a) If there is more than one client living in the same household, the status under subsection (2)(a) of this section must be met or partially met for the following IADLs:

     (i) Meal preparation,

     (ii) Housekeeping,

     (iii) Shopping, and

     (iv) Wood supply.

     (b) If you and your paid provider live in the same household, the status under subsection (2)(a) of this section must be met for the following IADLs:

     (i) Meal preparation,

     (ii) Housekeeping,

     (iii) Shopping, and

     (iv) Wood supply.

     (c) When there is more than one client living in the same household and your paid provider lives in your household, the status under subsection (2)(a) of this section must be met for the following IADLs:

     (i) Meal preparation,

     (ii) Housekeeping,

     (iii) Shopping, and

     (iv) Wood supply.

     (4) After deductions are made to your base hours, as described in subsections (2) and (3), the department may add on hours based on your living environment:

Condition	Status	Assistance Available	Add On Hours
Offsite laundry facilities, which means the client does not have facilities in own home and the caregiver is not available to perform any other personal or household tasks while laundry is done.	Unmet	N/A	8
Client is >45 minutes from essential services (which means he/she lives more than 45 minutes one-way from a full-service market).	Unmet	N/A	5
	Met	N/A	0
	Partially met	<1/4 time	5
		between 1/4 to 1/2 time	4
		between 1/2 to 3/4 time	2
		>3/4 time	2
Wood supply used as sole source of heat.	Unmet	N/A	8
	Met	N/A	0
	Declines	N/A	0
	Partially met	<1/4 time	8
		between 1/4 to 1/2 time	6
		between 1/2 to 3/4 time	4
		>3/4 time	2

     (5) The result of actions under subsections (2), (3), and (4) is the maximum number of hours that can be used to develop your plan of care. The department must take into account cost effectiveness, client health and safety, and program limits in determining how hours can be used to meet your identified needs.

     (6) You and your case manager will work to determine what services you choose to receive if you are eligible. The hours may be used to authorize:

     (a) Personal care services from a home care agency provider and/or an individual provider.

     (b) Home delivered meals (i.e. a half hour from the available hours for each meal authorized).

     (c) Adult day care (i.e. a half hour from the available hours for each hour of day care authorized).

     (d) A home health aide if you are eligible per WAC 388-106-0300 or WAC 388-106-0500.

     (e) A private duty nurse (PDN) if you are eligible per WAC 388-71-0910 and WAC 388-71-0915 or WAC 388-551-3000 (i.e. one hour from the available hours for each hour of PDN authorized.).

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0130, filed 5/17/05, effective 6/17/05.]

     Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.
AMENDATORY SECTION(Amending WSR 05-11-082, filed 5/17/05, effective 6/17/05)

WAC 388-106-0200   What services may I receive under Medicaid personal care (MPC)?   You may be eligible to receive only the following services under Medicaid personal care (MPC):

     (1) Personal care services, as defined in WAC 388-106-0010, in your own home and, as applicable, assistance with personal care tasks while you are out of the home accessing community resources or working.

     (2) Personal care services in one of the following residential care facilities:

     (a) Adult family homes; or

     (b) A licensed boarding home that has contracted with the department to provide adult residential care services.

     (3) Nursing services, if you are not already receiving this type of service from another resource. A registered nurse may visit you and perform any of the following activities. The frequency and scope of the nursing services is based on your individual need as determined by your CARE assessment and any additional collateral contact information obtained by your case manager:

     (a) Nursing assessment/reassessment;

     (b) Instruction to you and your providers;

     (c) Care coordination and referral to other health care providers;

     (d) Skilled treatment, only in the event of an emergency. A skilled treatment is care that would require authorization, prescription, and supervision by an authorized practitioner prior to its provision by a nurse, for example, medication administration or wound care such as debridement. In nonemergency situations, the nurse will refer the need for any skilled medical or nursing treatments to a health care provider, a home health agency or other appropriate resource;

     (e) File review; and/or

     (f) Evaluation of health-related care needs affecting service planning and delivery.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0200, filed 5/17/05, effective 6/17/05.]

     (1) Consider and document the role of your legally responsible natural/step/adoptive parent(s).

     (2) Code your needs as met based on the guidelines outlined in the following table:

Activities of Daily Living (ADLs)

Ages

&sqbul; = Code status as Met

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

Medication Management

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Locomotion in RoomNote

Independent, supervision, limited or extensive

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

Locomotion Outside RoomNote

Independent or supervision

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Limited or extensive

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

Walk in RoomNote

Independent, supervision, limited or extensive

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

Bed Mobility

Independent, supervision, limited or extensive

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

Transfers

Independent, supervision, limited, extensive or total & under 30 pounds

&sqbul;

&sqbul;

&sqbul;

(Total & over 30 pounds = no age limit)

Toilet Use

Support provided for nighttime wetting only (Independent, supervision, limited, extensive((, or total)))

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Independent, supervision, limited, extensive

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Eating

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

Bathing

Independent or supervision

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Physical assistance all/part

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Dressing

Independent or supervision

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Limited or extensive

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Personal Hygiene

Independent or supervision

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Limited or extensive

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Instrumental Activities of Daily Living

Ages

&sqbul; = Code status as Met

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

Telephone

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Transportation

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Shopping

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Wood Supply

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Housework

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Finances

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Meal Preparation

Independent, supervision, limited, extensive, or total

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

     NOTE: If the activity did not occur, the department codes self performance as total and status as met.

Ages

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

Additional guidelines based on age

Any foot care needs

Status Need met

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Any skin care (other than feet)

Status Need met

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Speech/Hearing

Score comprehension as understood

&sqbul;

&sqbul;

&sqbul;

MMSE can be administered = no

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Memory

Short term memory ok

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Long term memory ok

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Depression

Select interview = unable to obtain

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Decision making

Rate how client makes decisions = independent

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Bladder/Bowel

Support provided for nighttime wetting only - Individual management = Does not need/use

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Support provided for daytime wetting - Individual Management = Does not need/use

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

&sqbul;

Treatment

Passive range of motion

&sqbul;

&sqbul;

&sqbul;

&sqbul;

     (3) In addition, determine that the status and assistance available are met or partially met over three-fourths of the time, when you are living with your legally responsible natural/step/adoptive parent(s).

     (4) Will not code mental health therapy, behaviors, or depression if you are in foster care.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0213, filed 5/17/05, effective 6/17/05.]

[]

     (1) Personal care services as defined in WAC 388-106-0010 in your own home and, as applicable, while you are out of the home accessing community resources or working.

     (2) Adult day care if you meet the eligibility requirements under WAC 388-106-0805.

     (3) Environmental modifications, if the minor physical adaptations to your home:

     (a) Are necessary to ensure your health, welfare and safety;

     (b) Enable you to function with greater independence in the home;

     (c) Directly benefit you medically or remedially;

     (d) Meet applicable state or local codes; and

     (e) Are not adaptations or improvements, which are of general utility or add to the total square footage.

     (4) Home delivered meals, providing nutritional balanced meals, limited to one meal per day, if:

     (a) You are homebound and live in your own home;

     (b) You are unable to prepare the meal;

     (c) You don't have a caregiver (paid or unpaid) available to prepare this meal; and

     (d) Receiving this meal is more cost-effective than having a paid caregiver.

     (5) Home health aide service tasks in your own home, if the service tasks:

     (a) Include assistance with ambulation, exercise, self-administered medications and hands-on personal care;

     (b) Are beyond the amount, duration or scope of Medicaid reimbursed home health services as described in WAC 388-551-2120 and are in addition to those available services;

     (c) Are health-related. Note: Incidental services such as meal preparation may be performed in conjunction with a health-related task as long as it is not the sole purpose of the aide's visit; and

     (d) Do not replace Medicare home health services.

     (6) Personal emergency response system (PERS), if the service is necessary to enable you to secure help in the event of an emergency and if you:

     (a) Live alone in your own home; or

     (b) Are alone, in your own home, for significant parts of the day and have no regular provider for extended periods of time.

     (7) Skilled nursing, if the service is:

     (a) Provided by a registered nurse or licensed practical nurse under the supervision of a registered nurse; and

     (b) Beyond the amount, duration or scope of Medicaid-reimbursed home health services as provided under WAC 388-551-2100.

     (8) Specialized durable and nondurable medical equipment and supplies under WAC 388-543-1000, if the items are:

     (a) Medically necessary under WAC 388-500-0005;

     (b) Necessary for: Life support; to increase your ability to perform activities of daily living; or to perceive, control, or communicate with the environment in which you live;

     (c) Directly medically or remedially beneficial to you; and

     (d) In addition to and do not replace any medical equipment and/or supplies otherwise provided under Medicaid and/or Medicare.

     (9) Training needs identified in CARE or in a professional evaluation, which meet a therapeutic goal such as:

     (a) Adjusting to a serious impairment;

     (b) Managing personal care needs; or

     (c) Developing necessary skills to deal with care providers.

     (10) Transportation services, ((if)) when the service:

     (a) Provides ((you)) access to community services and resources to meet your therapeutic goal;

     (b) Is not ((diversional)) diverting in nature; and

     (c) Is in addition to and does not replace the Medicaid-brokered transportation or transportation services available in the community.

     (11) Nurse delegation services, when:

     (a) You are receiving personal care from a registered or certified nursing assistant who has completed nurse delegation core training;

     (b) Your medical condition is considered stable and predictable by the delegating nurse; and

     (c) Services are provided in compliance with WAC 246-840-930.

     (12) Nursing services, when you are not already receiving this type of service from another resource. A registered nurse may visit you and perform any of the following activities((:)). The frequency and scope of the nursing services is based on your individual need as determined by your CARE assessment and any additional collateral contact information obtained by your case manager.

     (a) Nursing assessment/reassessment;

     (b) Instruction to you and your providers;

     (c) Care coordination and referral to other health care providers;

     (d) Skilled treatment, only in the event of an emergency. A skilled treatment is care that would require authorization, prescription, and supervision by an authorized practitioner prior to its provision by a nurse, for example, medication administration or wound care such as debridement. In nonemergency situations, the nurse will refer the need for any skilled medical or nursing treatments to a health care provider, a home health agency or other appropriate resource.

     (e) File review; and/or

     (f) Evaluation of health-related care needs affecting service plan and delivery.

     (13) Community transition services, if you are being discharged from the nursing facility or hospital and if services are necessary for you to set up your own home. Services:

     (a) May include: Safety deposits, utility set-up fees or deposits, health and safety assurances such as pest eradication, allergen control or one-time cleaning prior to occupancy, moving fees, furniture, essential furnishings, and basic items essential for basic living outside the institution; and

     (b) Do not include rent, recreational or ((diversional)) diverting items such as TV, cable or VCR's.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0300, filed 5/17/05, effective 6/17/05.]

     (1) Personal care services as defined under WAC 388-106-0010.

     (2) Specialized durable and nondurable medical equipment and supplies under WAC 388-543-1000, when the items are:

     (a) Medically necessary under WAC 388-500-0005; and

     (b) Necessary: For life support; to increase your ability to perform activities of daily living; or to perceive, control, or communicate with the environment in which you live; and

     (c) Directly medically or remedially beneficial to you; and

     (d) In addition to and do not replace any medical equipment and/or supplies otherwise provided under Medicaid and/or Medicare; and

     (e) In addition to and do not replace the services required by the department's contract with a residential facility.

     (3) Training needs identified in CARE or in a professional evaluation, that are in addition to and do not replace the services required by the department's contract with the residential facility and that meet a therapeutic goal such as:

     (a) Adjusting to a serious impairment;

     (b) Managing personal care needs; or

     (c) Developing necessary skills to deal with care providers.

     (4) Transportation services, when the service:

     (a) Provides ((you)) access to community services and resources to meet a therapeutic goal;

     (b) Is not ((diversional)) diverting in nature;

     (c) Is in addition to and does not replace the Medicaid-brokered transportation or transportation services available in the community; and

     (d) Does not replace the services required by DSHS contract in residential facilities.

     (5) Skilled nursing, when the service is:

     (a) Provided by a registered nurse or licensed practical nurse under the supervision of a registered nurse;

     (b) Beyond the amount, duration or scope of Medicaid-reimbursed home health services as provided under WAC 388-551-2100; and

     (c) In addition to and does not replace the services required by the department's contract with the residential facility (e.g. intermittent nursing services as described in WAC 388-78A-2310).

     (6) Nursing services, when you are not already receiving this type of service from another resource. A registered nurse may visit you and perform any of the following activities((:)). The frequency and scope of the nursing services is based on your individual need as determined by your CARE assessment and any additional collateral contact information obtained by your case manager.

     (a) Nursing assessment/reassessment;

     (b) Instruction to you and your providers;

     (c) Care coordination and referral to other health care providers;

     (d) Skilled treatment, only in the event of an emergency. A skilled treatment is care that would require authorization, prescription, and supervision by an authorized practitioner prior to its provision by a nurse, for example, medication administration or wound care such as debridement. In nonemergency situations, the nurse will refer the need for any skilled medical or nursing treatments to a health care provider, a home health agency or other appropriate resource.

     (e) File review; and/or

     (f) Evaluation of health-related care needs affecting service plan and delivery.

     (7) Community transition services, if you are being discharged from the nursing facility or hospital and if services are necessary for you to live in a residential facility. Services:

     (a) May include: Safety deposits, utility set up fees or deposits, health and safety assurances such as pest eradication, allergen control or one time cleaning prior to occupancy, moving fees, furniture, essential furnishings, and basic items essential for basic living outside the institution.

     (b) Do not include rent, recreational or ((diversional)) diverting items such as TV, cable or VCR's.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0305, filed 5/17/05, effective 6/17/05.]

     (1) Personal care services as defined in WAC 388-106-0010.

     (2) Specialized durable and nondurable medical equipment and supplies under WAC 388-543-1000, when the items are:

     (a) Medically necessary under WAC 388-500-0005; and

     (b) Necessary: For life support; to increase your ability to perform activities of daily living; or to perceive, control, or communicate with the environment in which you live;

     (c) Directly medically or remedially beneficial to you;

     (d) In addition to and do not replace any medical equipment and/or supplies otherwise provided under Medicaid and/or Medicare; and

     (e) In addition to and do not replace the services required by the department's contract with the residential facility.

     (3) Training needs identified in CARE or in a professional evaluation that are in addition to and do not replace services required by the department's contract with the residential facility and that meet a therapeutic goal such as:

     (a) Adjusting to a serious impairment;

     (b) Managing personal care needs; or

     (c) Developing necessary skills to deal with care providers.

     (4) Transportation services, when the service:

     (a) Provides ((you)) access to community services and resources provided to meet a therapeutic goal;

     (b) Is not ((diversional)) diverting in nature;

     (c) Is in addition to and does not replace the Medicaid-brokered transportation or transportation services available in the community; and

     (d) Does not replace the services required by the department's contract with a residential facility.

     (5) Skilled nursing, when the service is:

     (a) Provided by a registered nurse or licensed practical nurse under the supervision of a registered nurse;

     (b) Beyond the amount, duration or scope of Medicaid-reimbursed home health services as provided under WAC 388-551-2120; and

     (c) In addition to and does not replace the services required by the department's contract with the residential facility (e.g. intermittent nursing services as described in WAC 388-78A-2310).

     (6) Nursing services, when you are not already receiving this type of service from another resource. A registered nurse may visit you and perform any of the following activities((:)). The frequency and scope of the nursing services is based on your individual need as determined by your CARE assessment and any additional collateral contact information obtained by your case manager.

     (a) Nursing assessment/reassessment;

     (b) Instruction to care providers and clients;

     (c) Care coordination and referral to other health care providers;

     (d) Skilled treatment, only in the event of an emergency. A skilled treatment is care that would require authorization, prescription, and supervision by an authorized practitioner prior to its provision by a nurse, for example, medication administration or wound care such as debridement. In nonemergency situations, the nurse will refer the need for any skilled medical or nursing treatments to a health care provider, a home health agency or other appropriate resource.

     (e) File review; and/or

     (f) Evaluation of health-related care needs affecting service plan and delivery.

     (7) Community transition services, if you are being discharged from the nursing facility or hospital and if services are necessary for you to live in a residential facility. Services:

     (a) May include: Safety deposits, utility set up fees or deposits, health and safety assurances such as pest eradication, allergen control or one time cleaning prior to occupancy, moving fees, furniture, essential furnishings, and basic items essential for basic living outside the institution.

     (b) Do not include rent, recreational or ((diversional)) diverting items such as TV, cable or VCR's.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0400, filed 5/17/05, effective 6/17/05.]

     (1) Personal care services as defined in WAC 388-106-0010 in your own home and, as applicable, while you are out of the home accessing community resources or working.

     (2) Adult day care if you meet the eligibility requirements under WAC 388-106-0805.

     (3) Environmental modifications, if the minor physical adaptations to your home:

     (a) Are necessary to ensure your health, welfare and safety;

     (b) Enable you to function with greater independence in the home;

     (c) Directly benefit you medically or remedially;

     (d) Meet applicable state or local codes; and

     (e) Are not adaptations or improvements, which are of general utility or add to the total square footage.

     (4) Home delivered meals, providing nutritional balanced meals, limited to one meal per day, if:

     (a) You are homebound and live in your own home;

     (b) You are unable to prepare the meal;

     (c) You don't have a caregiver (paid or unpaid) available to prepare this meal; and

     (d) Receiving this meal is more cost-effective than having a paid caregiver.

     (5) Home health aide service, if the service tasks:

     (a) Include assistance with ambulation, exercise, self-administered medications and hands on personal care;

     (b) Are beyond the amount, duration or scope of Medicaid reimbursed home health services (WAC 388-551-2120) and are in addition to those available services;

     (c) Are health-related. Note: Incidental services such as meal preparation may be performed in conjunction with a health-related task as long as it is not the sole purpose of the aide's visit; and

     (d) Do not replace Medicare home health services.

     (6) Personal emergency response system (PERS), if the service is necessary to enable you to secure help in the event of an emergency and if you:

     (a) Live alone in your own home; or

     (b) Are alone, in your own home, for significant parts of the day and have no regular provider for extended periods of time.

     (7) Skilled nursing, if the service is:

     (a) Provided by a registered nurse or licensed practical nurse under the supervision of a registered nurse; and

     (b) Beyond the amount, duration or scope of Medicaid-reimbursed home health services as provided under WAC 388-551-2120.

     (8) Specialized durable and nondurable medical equipment and supplies under WAC 388-543-1000, if the items are:

     (a) Medically necessary under WAC 388-500-0005;

     (b) Necessary: For life support; to increase your ability to perform activities of daily living; or to perceive, control, or communicate with the environment in which you live;

     (c) Directly medically or remedially beneficial to you; and

     (d) In addition to and do not replace any medical equipment and/or supplies otherwise provided under Medicaid and/or Medicare.

     (9) Training needs identified in CARE or in a professional evaluation, which meet a therapeutic goal such as:

     (a) Adjusting to a serious impairment;

     (b) Managing personal care needs; or

     (c) Developing necessary skills to deal with care providers.

     (10) Transportation services if you live in your own home, ((if)) when the service:

     (a) Provides ((you)) access to community services and resources to meet a therapeutic goal;

     (b) Is not ((diversional)) diverting in nature;

     (c) Is in addition to and does not replace the Medicaid-brokered transportation or transportation services available in the community.

     (11) Nurse delegation services when:

     (a) You are receiving personal care from a registered or certified nursing assistant who has completed nurse delegation core training;

     (b) Your medical condition is considered stable and predictable by the delegating nurse; and

     (c) Services are provided in compliance with WAC 246-840-930.

     (12) Nursing services, when you are not already receiving this type of service from another resource. A registered nurse may visit you and perform any of the following activities((:)). The frequency and scope of the nursing services is based on your individual need as determined by your CARE assessment and any collateral contact information obtained by your case manager.

     (a) Nursing assessment/reassessment;

     (b) Instruction to you and your providers;

     (c) Care coordination and referral to other health care providers;

     (d) Skilled treatment, only in the event of an emergency. A skilled treatment is care that would require authorization, prescription, and supervision by an authorized practitioner prior to its provision by a nurse, for example, medication administration or wound care such as debridement. In nonemergency situations, the nurse will refer the need for any skilled medical or nursing treatments to a health care provider, a home health agency or other appropriate resource;

     (e) File review; and/or

     (f) Evaluation of health-related care needs affecting service planning and delivery.

     (13) Community transition services, if you are being discharged from the nursing facility or hospital and if services are necessary for you to set up your own home. Services:

     (a) May include: Safety deposits, utility set up fees or deposits, health and safety assurances such as pest eradication, allergen control or one time cleaning prior to occupancy, moving fees, furniture, essential furnishings, and basic items essential for basic living outside the institution.

     (b) Do not include rent, recreational or ((diversional)) diverting items such as TV, cable or VCR's.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0500, filed 5/17/05, effective 6/17/05.]

     (1) Are age:

     (a) Fifty-five or older, and blind or have a disability, as defined in WAC 388-511-1105, SSI-related eligibility requirements; or

     (b) Sixty-five or older.

     (2) Need nursing facility level of care as defined in WAC 388-106-0355((. Note: If you are already enrolled, but no longer need nursing facility care, you may still be eligible for PACE services if the department reasonably expects you to need nursing facility care within the next six months in the absence of continued PACE coverage));

     (3) Live within the designated service area of the PACE provider;

     (4) Meet financial eligibility requirements. This means the department will assess your finances ((and)), determine if your income and resources fall within the limits ((set in WAC 388-515-1505)), and determine the amount you may be required to contribute, if any, toward the cost of your care as described in WAC 388-515-1505;

     (5) Not be enrolled in any other ((medical coverage plan that purchases services on a prepaid basis (e.g., prepaid health plan))) Medicare or Medicaid prepayment plan or optional benefit; and

     (6) Agree to receive services exclusively through the PACE provider and the PACE provider's network of contracted providers.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0705, filed 5/17/05, effective 6/17/05.]

     (a) Before the fifteenth of the month, ((disenrollment is)) the department will end your enrollment effective at the end of the month; or

     (b) After the fifteenth, ((disenrollment is not)) the department will end your enrollment effective until the end of the following month.

     (2) ((You may also be involuntarily disenrolled from the program by the PACE provider,)) Your enrollment may also end involuntarily if you:

     (a) Move out of the designated service area or are out of the service area for more than thirty consecutive days, unless the PACE provider agrees to a longer absence due to extenuating circumstances;

     (b) Engage in disruptive or threatening behavior such that the behavior jeopardizes your health or safety, or the safety of others;

     (c) Fail to comply with your plan of care or the terms of the PACE enrollment agreement;

     (d) Fail to pay or make arrangements to pay your part of the costs after the thirty-day grace period;

     (e) Become financially ineligible for Medicaid services, unless you choose to pay privately;

     (f) Are enrolled with a provider that loses its license and/or contract; or

     (g) No longer meet the nursing facility level of care requirement as defined in WAC 388-106-0205 ((and are not deemed PACE eligible)).

     (3) For any of the above reasons, the PACE provider must give you written notice, explaining that they are terminating benefits. If the provider gives you notice:

     (a) Before the fifteenth of the month, then ((you may be disenrolled)) the department will end your enrollment at the end of the month; or

     (b) After the fifteenth, then ((you may be disenrolled)) the department will end your enrollment at the end of the following month.

     (4) Before the PACE provider can involuntarily ((disenroll you from)) end your enrollment in the PACE program, the department must review and approve ((all proposed involuntary disenrollments)) it.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0715, filed 5/17/05, effective 6/17/05.]

     (1) Give us enough information to assess your needs;

     (2) Let the social services worker into your home so that your needs can be assessed;

     (3) Follow your care plan;

     (4) Not act in a way that puts anyone in danger;

     (5) Provide a safe work place;

     (6) Tell your social services worker if there is a change in:

     (a) Your medical condition;

     (b) The help you get from family or other agencies;

     (c) Where you live; or

     (d) Your financial situation.

     (7) Tell your social services worker if someone else makes medical or financial decision for you;

     (8) Choose a qualified provider;

     (9) Keep provider background checks private;

     (10) Tell your social services worker if you are having problems with your provider; and

     (11) Choose your own health care. Tell your social services worker when you do not do what your doctor says.

[]

     (1) Is the client's spouse, per 42 C.F.R. 441.360(g), except in the case of an individual provider for a chore services client. Note: For chore spousal providers, the department pays a rate not to exceed the amount of a one-person standard for a continuing general assistance grant, per WAC 388-478-0030;

     (2) Is the natural/step/adoptive parent of a minor client aged seventeen or younger receiving services under Medicaid personal care;

     (3) Has been convicted of a disqualifying crime, under RCW 43.43.830 and 43.43.842 or of a crime relating to drugs as defined in RCW 43.43.830;

     (4) Has abused, neglected, abandoned, or exploited a minor or vulnerable adult, as defined in chapter 74.34 RCW;

     (5) Has had a license, certification, or a contract for the care of children or vulnerable adults denied, suspended, revoked, or terminated for noncompliance with state and/or federal regulations;

     (6) Does not successfully complete the training requirements within the time limits required in WAC 388-71-05665 through 388-71-05865;

     (7) Is already meeting the client's needs on an informal basis, and the client's assessment or reassessment does not identify any unmet need; and/or

     (8) Is terminated by the client (in the case of an individual provider) or by the home care agency (in the case of an agency provider).

     (9) In addition, the department ((or)), AAA, or managed care entity may deny payment to or terminate the contract of an individual provider as provided under WAC 388-71-0546, 388-71-0551, and 388-71-0556.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-71-0540, filed 5/17/05, effective 6/17/05. Statutory Authority: Chapter 74.39A RCW and 2000 c 121. 02-10-117, § 388-71-0540, filed 4/30/02, effective 5/31/02. Statutory Authority: RCW 74.08.090, 74.09.520, 43.20A.050, 43.43.842, 74.39A.090, 43.20A.710, 74.39.050, 43.43.830, 74.39.095. 01-11-019, § 388-71-0540, filed 5/4/01, effective 6/4/01. Statutory Authority: RCW 74.08.090, 74.09.520, 43.20A.050, 43.43.842, 74.39A.090, 43.20A.710, 74.39.050, 43.43.830. 00-03-043, § 388-71-0540, filed 1/13/00, effective 2/13/00.]

     (1) Evidence of alcohol or drug abuse;

     (2) A reported history of domestic violence, no-contact orders, or criminal conduct (whether or not the conduct is disqualifying under RCW 43.43.830 and 43.43.842;

     (3) A report from the client's health care provider or other knowledgeable person that the requested provider lacks the ability or willingness to provide adequate care;

     (4) Other employment or responsibilities that prevent or interfere with the provision of required services;

     (5) Excessive commuting distance that would make it impractical to provide services as they are needed and outlined in the client's service plan.

[Statutory Authority: RCW 74.08.090, 74.09.520, 43.20A.050, 43.43.842, 74.39A.090, 43.20A.710, 74.39.050, 43.43.830, 74.39.095. 01-11-019, § 388-71-0546, filed 5/4/01, effective 6/4/01.]

     (1) Domestic violence or abuse, neglect, abandonment, or exploitation of a minor or vulnerable adult;

     (2) Using or being under the influence of alcohol or illegal drugs during working hours;

     (3) Other behavior directed toward the client or other persons involved in the client's life that places the client at risk of harm;

     (4) A report from the client's health care provider that the client's health is negatively affected by inadequate care;

     (5) A complaint from the client or client's representative that the client is not receiving adequate care;

     (6) The absence of essential interventions identified in the service plan, such as medications or medical supplies; and/or

     (7) Failure to respond appropriately to emergencies.

[Statutory Authority: RCW 74.08.090, 74.09.520, 43.20A.050, 43.43.842, 74.39A.090, 43.20A.710, 74.39.050, 43.43.830, 74.39.095. 01-11-019, § 388-71-0551, filed 5/4/01, effective 6/4/01.]

[Statutory Authority: RCW 74.08.090, 74.09.520, 43.20A.050, 43.43.842, 74.39A.090, 43.20A.710, 74.39.050, 43.43.830, 74.39.095. 01-11-019, § 388-71-0556, filed 5/4/01, effective 6/4/01.]

     (2) Individual providers must complete orientation provided by DSHS ((or)), the area agency on aging (AAA), or managed care entity no later than fourteen calendar days after beginning to work with their first DSHS client. Individual providers who live and are providing care at a great distance from the DSHS or AAA office may be oriented by distance learning, with phone contact by the person overseeing the orientation to answer questions.

     (3) Parents who are individual providers for their adult children are exempt from the orientation requirement.

[Statutory Authority: RCW 74.39A.050, 2003 c 140, chapters 18.79, 18.88A RCW. 04-02-001, recodified as § 388-71-05695, filed 12/24/03, effective 1/24/04. Statutory Authority: Chapter 74.39A RCW and 2000 c 121. 02-10-117, § 388-71-05916, filed 4/30/02, effective 5/31/02.]

     (9) First aid and provisions for obtaining or providing care in an emergency. NOTE: If the client requires the intervention or services of a registered nurse or licensed rehabilitative therapist acting under the supervision of a physician, consider adult day health services.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-71-0704, filed 5/17/05, effective 6/17/05. Statutory Authority: RCW 74.04.050, 74.04.057, 74.04.200, 74.08.090, 74.09.520, and 74.39A.030. 03-06-024, § 388-71-0704, filed 2/24/03, effective 7/1/03.]

     The adult day health center must offer and provide on site the following services ((listed in WAC 388-106-0810)):

     (1) All core services under WAC 388-71-0704;

     (2) Skilled nursing services other than routine health monitoring with nurse consultation;

     (3) At least one of the following skilled therapy services: physical therapy, occupational therapy, or speech-language pathology or audiology, as defined under chapters 18.74, 18.59 and 18.35 RCW; and

     (4) Psychological or counseling services, including assessing for psycho-social therapy need, dementia, abuse or neglect, and alcohol or drug abuse; making appropriate referrals; and providing brief, intermittent supportive counseling.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-71-0706, filed 5/17/05, effective 6/17/05. Statutory Authority: RCW 74.04.050, 74.04.057, 74.04.200, 74.08.090, 74.09.520, and 74.39A.030. 03-06-024, § 388-71-0706, filed 2/24/03, effective 7/1/03.]

     The following sections of the Washington Administrative Code are repealed:

WAC 388-71-0210	What is the purpose of WAC 388-71-0210 through 388-71-0260?
WAC 388-71-0215	What definitions apply to WAC 388-71-0210 through 388-71-0260?
WAC 388-71-0220	What is an assessment?
WAC 388-71-0225	What is the purpose of a comprehensive assessment?
WAC 388-71-0230	How are my needs for MPC services assessed?
WAC 388-71-0235	What is a service plan?
WAC 388-71-0240	What services may I receive under MPC as a child?
WAC 388-71-0245	What services are not covered under MPC for children?
WAC 388-71-0250	Am I eligible for MPC services?
WAC 388-71-0255	How do children remain eligible for MPC services?
WAC 388-71-0260	Are there limitations to MPC services for children?

3606.6
AMENDATORY SECTION(Amending WSR 04-16-063 and 04-18-001, filed 7/30/04 and 8/19/04, effective 9/19/04)

WAC 388-110-020   Definitions.   "Adult residential care" is a package of services provided by a boarding home that is licensed under chapter 18.20 RCW and that has a contract with the department under RCW 74.39A.020 to provide personal care services in accordance with Parts I and IV of this chapter.

     "Applicant" means the individual, partnership, corporation or other entity which has applied for a contract with the department to provide assisted living services, enhanced adult residential care, enhanced adult residential care-specialized dementia care services, or adult residential care to state funded residents in a licensed boarding home.

     "Assisted living services" is a package of services provided by a boarding home that has a contract with the department under RCW 74.39A.010 to provide personal care services, intermittent nursing services, and medication administration services in accordance with Parts I and II of this chapter. Assisted living services include housing for the resident in a private apartment-like unit.

     "Boarding home" means the same as the definition found in RCW 18.20.020, or a boarding home located within the boundaries of a federally recognized Indian reservation and licensed by the tribe.

     "Case manager" means the department staff person or designee assigned to negotiate, monitor, and facilitate a service plan for residents receiving services fully or partially paid for by the department.

     "Contractor" means the individual, partnership, corporation, or other entity which is licensed by the department or tribe to operate the boarding home and contracts with the department to provide assisted living services, enhanced adult residential care, enhanced adult residential care-specialized dementia care services, or adult residential care to state funded residents in a licensed boarding home.

     "Department" means the Washington state department of social and health services (DSHS).

     "Dignity" means the quality or condition of being esteemed and respected in such a way as to validate the self-worth of the resident.

     "Enhanced adult residential care" is a package of services provided by a boarding home that is licensed under chapter 18.20 RCW and that has a contract with the department to provide personal care services, intermittent nursing services, and medication administration services in accordance with Parts I and III of this chapter.

     "Enhanced adult residential care-specialized dementia care services" is a package of service, including specialized dementia care assessment and care planning, personal care services, intermittent nursing services, medication administration services, specialized environmental features and accommodations, and activity programming. Enhanced adult residential care-specialized dementia care services are delivered only within:

     (1) Contracted boarding homes that are dedicated solely to the care of individuals with dementia, including Alzheimer's disease, and that meet the requirements of parts I and III of this chapter; or

     (2) Designated, separate units located within contracted boarding homes that are dedicated solely to the care of individuals with dementia, including Alzheimer's disease, and that meet the requirements of parts I and III of this chapter.

     "Homelike" means an environment having the qualities of a home, including privacy, comfortable surroundings, and the opportunity to decorate one's living area and arrange furnishings to suit one's individual preferences. A homelike environment provides residents with an opportunity for self-expression, and encourages interaction with the community, family and friends.

     "Independence" means free from the control of others and being able to assert one's own will, personality and preferences.

     "Individuality" means the quality of being unique; the aggregate of qualities and characteristics that distinguishes one from others. Individuality is supported by modifying services to suit the needs or wishes of a specific individual.

     "Medication administration" means the direct application of a prescribed medication, whether by injection, inhalation, ingestion, or any other means, to the body of a resident by a person legally authorized to do so.

     "Personal care services" means the same as physical or verbal assistance with activities of daily living included under "personal care services" described in WAC ((388-72A-0035(1))) 388-106-0010. Personal care services do not include assistance with instrumental activities of daily living described in WAC ((388-72A-0035(2))) 388-106-0010, nor assistance with tasks that must be performed by a licensed health professional.

     "Resident" means a person residing in a boarding home for whom services are paid for, in whole or in part, by the department under a contract for assisted living services, enhanced adult residential care, enhanced adult residential care-specialized dementia care services, or adult residential care. "Resident" includes former residents when examining complaints about admissions, readmissions, transfers or discharges. For decision-making purposes, the term "resident" includes the resident's surrogate decision maker in accordance with state law or at the resident's request.

[Statutory Authority: RCW 74.39A.010, 74.39A.020, 74.39A.060, 74.39A.070, and chapter 74.39A RCW. 04-16-063 and 04-18-001, § 388-110-020, filed 7/30/04 and 8/19/04, effective 9/19/04. Statutory Authority: RCW 74.08.090, 74.09.520, and 74.39A.090. 02-21-098, § 388-110-020, filed 10/21/02, effective 11/21/02. Statutory Authority: RCW 74.39A.010, 74.39A.020, 74.39A.060, 74.39A.080, 74.39A.170, 18.88A.210-[18.88A.]240 and 70.129.040. 96-11-045 (Order 3979), § 388-110-020, filed 5/8/96, effective 6/8/96.]

     (1) Note an absence in a resident's record when a resident is absent from the boarding home for more than seventy-two consecutive hours;

     (2) Obtain department approval for payment for social leave in excess of ((fifteen consecutive)) eighteen calendar days per year;

     (3) Notify the department within one working day whenever the resident:

     (a) Is hospitalized;

     (b) Is discharged to another boarding home, nursing home or other health care facility;

     (c) Dies; or

     (d) Is missing from the boarding home and his or her whereabouts are unknown.

     (4) Include the department's case manager in the development of a discharge (move out) plan, and have the case manager approve the plan before any required notice of discharge is issued to the resident, except in an emergency;

     (5) Notify the medicaid resident of the boarding home's policies regarding bed-holds, consistent with subsections (6) and (7) of this section and WAC 388-105-0045 as soon as possible before, or as soon as practicable following hospitalization or discharge to a nursing home. The notification must include information concerning:

     (a) Options for bed-hold payments, and

     (b) Rights to return to the boarding home.

     (6) Retain a bed or unit for a medicaid resident who is hospitalized or temporarily placed in a nursing home for up to twenty days when the medicaid resident is likely to return to the boarding home and the department makes payment to the boarding home for holding the bed or unit consistent with WAC 388-105-0045. If, prior to the end of the twenty days, the department determines, or the contractor determines and the department concurs, that the medicaid resident will likely not return to the boarding home:

     (a) The department must terminate the bed-hold payment; and     (b) The contractor may rent that bed or unit to another resident.

     (7) Not seek third-party payment for the first twenty days of retaining the bed for a medicaid resident who is hospitalized or discharged to a nursing home and for whom the department is making a bed hold payment consistent with WAC 388-105-0045.

     (a) The contractor may seek third-party payment consistent with RCW 18.20.290 and chapter 388-105 WAC to hold a bed or unit for the time following the first twenty days of a medicaid resident's absence for hospitalization or nursing home care.

     (b) If third-party payment is not available, the ((contractor must readmit the)) medicaid resident may return to the first available and appropriate bed or unit if the medicaid resident:

     (i) Continues to meet the boarding home's admission criteria; and

     (ii) Chooses to return to the boarding home.

[Statutory Authority: RCW 74.39A.010, 74.39A.020, 74.39A.060, 74.39A.070, and chapter 74.39A RCW. 04-16-063, § 388-110-100, filed 7/30/04, effective 9/1/04. Statutory Authority: RCW 74.39A.010, 74.39A.020, 74.39A.060, 74.39A.080, 74.39A.170, 18.88A.210-[18.88A.]240 and 70.129.040. 96-11-045 (Order 3979), § 388-110-100, filed 5/8/96, effective 6/8/96.]

     (a) Develop for each resident a negotiated service agreement that supports the principles of dignity, privacy, choice in decision making, individuality, and independence.

     (b) Provide or arrange for, at no additional cost to the resident and consistent with the resident's negotiated service agreement and chapter 388-78A WAC:

     (i) Intermittent nursing services;

     (ii) Medication administration;

     (iii) Personal care services; and

     (iv) Supportive services that promote independence and self-sufficiency; and

     (c) Not allow more than two residents per room.

     (2) An enhanced adult residential care-specialized dementia care services contract is a distinct contract, separate from an enhanced adult residential care contract. In a boarding home with an enhanced adult residential care-specialized dementia care services contract, the contractor must:

     (a) Meet the requirements of parts I and III of this chapter,

     (b) Meet the requirements of subsection (1) of this section, and

     (c) Maintain an enhanced adult residential care services contract or an assisted living services contract in addition to the enhanced adult residential care-specialized dementia care services contract.

     (3) In a boarding home with an enhanced adult residential care-specialized dementia care services contract, for residents served under that contract, the contractor must:

     (a) Complete a full assessment of residents as specified in chapter 388-78A WAC, at a minimum, on a semi-annual basis;

     (b) Maintain awake staff twenty-four hours per day. The contractor must provide staffing that is adequate to respond to the assessed sleeping and waking patterns and needs of residents;

     (c) Develop and implement policies and procedures:

     (i) To manage residents who may wander;

     (ii) To outline actions to be taken in case a resident elopes; and

     (iii) To obtain consultative resources to address behavioral issues for residents. The contractor must include a plan that identifies the professional (i.e., clinical psychologist, psychiatrist, psychiatric nurse practitioner, or other behavioral specialist familiar with care of persons with dementia with complex or severe problems) who will provide the consultation, and when and how the consultation will be utilized.

     (d) Ensure that each staff who works directly with residents has at least six hours of continuing education per year related to dementia, including Alzheimer's disease. This six hours of continuing education may be part of the ten hours of continuing education required by WAC 388-112-0205. Appropriate topics include, but are not limited to:

     (i) ((Aggressive behaviors and catastrophic reactions;

     (ii))) Agitation: Caregiving strategies;

     (ii) Challenging behaviors: Strategies for managing aggression and sexual behavior;

     (iii) Delusions and hallucinations;

     (iv) ((Dementia)) Using problem-solving strategies in dementia care;

     (v) Depression and dementia;

     (vi) Fall prevention for people with dementia;

     (vii) Personal care as meaningful activity;

     (viii) Promoting adequate food and fluid consumption;

     (ix) Promoting pleasant and purposeful activity; ((and))

     (((ix))) (x) Resistance to care: Caregiving strategies; and

     (xi) Recognizing and assessing pain in people with dementia.

     (e) Provide all necessary physical assistance with bathing and toilet use for residents who require caregivers to perform these activities and subtasks of these activities, and required oversight and supervision, encouragement and ((cuing)) cueing. For the purposes of this subsection:

     (i) "Bathing" has the same meaning as described in WAC ((388-72A-0035)) 388-106-0010; and

     (ii) "Toilet use" has the same meaning as described in WAC ((388-72A-0035)) 388-106-0010.

     (f) Routinely provide ((extensive)) assistance with eating as necessary, including required oversight and supervision, encouragement and ((cuing)) cueing. The contractor must also provide all necessary physical assistance with eating on an occasional basis for residents who require total feeding assistance. However, the contractor is not required to provide ((tube feedings or intravenous nutrition nor provide)) total feeding assistance for an extended or indefinite period. As used in this section, eating has the same meaning as described in WAC 388-106-0010, except that the contractor is not required to provide tube feedings or intravenous nutrition.

     (((i) "Eating" has the same meaning as described in WAC 388-72A-0035, except that the contractor is not required to provide tube feedings or intravenous nutrition;

     (ii) "Extensive assistance" has the same meaning as described in WAC 388-72A-0040.))

     (g) Provide daily activities consistent with the functional abilities, interests, habits and preferences of the individual residents. The contractor must support the participation of residents and the resident council, if there is one, in the development of recreational and activity programs that reflect the needs and choices of residents. On a daily basis, the contractor must provide residents access to:

     (i) Opportunities for independent, self-directed, activities.

     (ii) Individual activities, in which a staff person or volunteer engages the resident in a planned and/or spontaneous activity of interest. Activities may include personal care activities that provide opportunities for purposeful and positive interactions; and

     (iii) Group activities.

     (h) Offer opportunities for activities that accommodate variations in a resident's mood, energy and preferences. The contractor must make appropriate activities available based upon the resident's individual schedule and interests. For example, individuals up at night must have access to staff support, food and appropriate activities;

     (i) Make available multiple common areas, at least one of which is outdoors, that vary by size and arrangement such as: various size furniture groupings that encourage social interaction; areas with environmental cues that may stimulate activity, such as a resident kitchen or workshop; areas with activity supplies and props to stimulate conversation; a garden area; and paths and walkways that encourage exploration and walking. These areas must accommodate and offer opportunities for individual or group activity;

     (j) Ensure that the outdoor area for residents:

     (i) Is accessible to residents without staff assistance;

     (ii) Is surrounded by walls or fences at least seventy-two inches high;

     (iii) Has areas protected from direct sunshine and rain throughout the day;

     (iv) Has walking surfaces that are firm, stable, slip-resistant and free from abrupt changes, and are suitable for individuals using wheelchairs and walkers;

     (v) Has suitable outdoor furniture;

     (vi) Has plants that are not poisonous or toxic to humans; and

     (vii) Has areas for appropriate outdoor activities of interest to residents, such as walking paths, raised garden or flower beds, bird feeders, etc.

     (k) Ensure that areas used by residents have a residential atmosphere, and residents have opportunities for privacy, socialization, and wandering behaviors;

     (l) Ensure any public address system in the area of specialized dementia care services is used only for emergencies;

     (m) Encourage residents' individualized spaces to be furnished and or decorated with personal items based on resident needs and preferences;

     (n) Ensure residents have access to their own rooms at all times without staff assistance; and

     (o) Make available and offer at no additional cost to the resident generic personal care items needed by the resident such as soap, shampoo, toilet paper, toothbrush, toothpaste, deodorant, sanitary napkins, and disposable razors. This does not include items covered by medical coupons or preclude residents from choosing to purchase their own personal care items.

[Statutory Authority: RCW 74.39A.010, 74.39A.020, 74.39A.060, 74.39A.070, and chapter 74.39A RCW. 04-16-063 and 04-18-001, § 388-110-220, filed 7/30/04 and 8/19/04, effective 9/19/04. Statutory Authority: RCW 74.39A.010, 74.39A.020, 74.39A.060, 74.39A.080, 74.39A.170, 18.88A.210-[18.88A.]240 and 70.129.040. 96-11-045 (Order 3979), § 388-110-220, filed 5/8/96, effective 6/8/96.]

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