PERMANENT RULES
SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)
Effective Date of Rule: Thirty-one days after filing.
Purpose: These rules are necessary to amend the procedures for administering the home and community based services waivers. They incorporate changes reflected in the waivers approved by the federal Centers for Medicare and Medicaid Services under Section 1915(c) of the Social Security Act. They also clarify the existing rules. By amending these rules, the department is able to claim additional federal Title XIX funds.
Citation of Existing Rules Affected by this Order:
| WAC SUMMARY and SBEIS/CBA WORKSHEET June 2008 |
||
| Washington Administrative Code | Effect of Rule | Impact Small Business? |
| 388-845-0001 Definitions - Amended "CAP Waiver" - Removed "Gainful employment" - Added "Integrated settings" - Added "Living wage" - Added |
This definition is obsolete. Adds the definition of "gainful employment." Adds the definition of "integrated settings." Adds the definition of "living wage." |
No No No No |
| 388-845-0045 - Amended | Clarifies that needs refer to the identified health and welfare needs. | No |
| 388-845-0205 - Amended | Increases the maximum allowable amount for employment/day program services. | No |
| 388-845-0210 - Amended | Increases the maximum allowable amount for employment/day program services and that this amount may be exceeded by exception to rule. | No |
| 388-845-0600 - Amended | Rewords the definition of community access services for clarity. | No |
| 388-845-0605 - Amended | Rewords who can be providers of community access services for clarity. | No |
| 388-845-0610 - Amended | Clarifies that community access is a service. | No |
| 388-845-0750 - Amended | Clarifies that community transition services may be available when moving from an institutional setting or from a provider operated setting to a community setting in which you live in your own home or apartment and are responsible for your living expenses. | No |
| 388-845-0760 - Amended | Clarifies that community transitional services may not be used for rent. | No |
| 388-845-1200 - Amended | Clarifies the definition of person-to-person services. | No |
| 388-845-1205 - Amended | Grammatical change only. | No |
| 388-845-1210 - Amended | Clarifies the limitations of person-to-person services. | No |
| 388-845-1305 - Amended | Clarifies that providers of personal care services must be contracted with ADSA rather than DDD. | No |
| 388-845-1310 - Amended | Clarifies that homecare agencies must be contracted with ADSA rather than DDD and eliminates an erroneous cross-reference. | No |
| 388-845-1400 - Amended | Expands the definition of prevocational services. | No |
| 388-845-1410 - Amended | Expands the limitations of prevocational services to require prior approval, that these services are time-limited and when a review of these services may be required. | No |
| 388-845-1600 - Amended | Clarifies the definition of respite care. | No |
| 388-845-1620 - Amended | Expands the limitations on respite care regarding parent providers. | No |
| 388-845-1650 - Amended | Changes the term deviation to deviancy and expands the definition for clarity. | No |
| 388-845-1655 - Amended | Changes the term deviation to deviancy. | No |
| 388-845-1660 - Amended | Changes the term deviation to deviancy. | No |
| 388-845-2100 - Amended | Revises and expands the definition of supported employment services. | No |
| 388-845-2105 - Amended | Rewords the grammar for clarity. | No |
| 388-845-2110 - Amended | Clarifies the limitations on supported employment services. | No |
| 388-845-2210 - Amended | Adds a limitation of sixty miles per month for transportation services provided by a personal care provider. | Yes |
Statutory Authority for Adoption: RCW 71A.12.030, 71A.12.120.
Other Authority: Title 71A RCW.
Adopted under notice filed as WSR 08-15-008 on July 3, 2008.
Changes Other than Editing from Proposed to Adopted Version: WAC 388-845-1310 has been changed to delete the cross reference to chapter 388-71 WAC.
A final cost-benefit analysis is available by contacting Steve Brink, P.O. Box 45310, Olympia, WA 98504-5310, phone (360) 725-3416, fax (360) 407-0955, e-mail brinksc@dshs.wa.gov.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 25, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 25, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 25, Repealed 0.
Date Adopted: September 22, 2008.
Robin Arnold-Williams
Secretary
3946.4"Aggregate services" means a combination of services subject to the dollar limitations in the Basic and Basic Plus waivers.
(("CAP waiver" means the community alternatives program
waiver.))
"CARE" means the comprehensive assessment and reporting evaluation.
"DDD" means the division of developmental disabilities, a division within the aging and disability services administration of the department of social and health services.
"DDD assessment" refers to the standardized assessment tool as defined in chapter 388-828 WAC, used by DDD to measure the support needs of persons with developmental disabilities.
"Department" means the department of social and health services.
"Employment/day program services" means community access, person-to-person, prevocational services or supported employment services subject to the dollar limitations in the Basic and Basic Plus waivers.
"Family" means relatives who live in the same home with the eligible client. Relatives include spouse, natural, adoptive or step parents; grandparents; brother; sister; stepbrother; stepsister; uncle; aunt; first cousin; niece; or nephew.
"Gainful employment" means employment that reflects achievement of or progress towards a living wage.
"HCBS waivers" means home and community based services waivers.
"Home" means your present or intended place of residence.
"ICF/MR" means an intermediate care facility for the mentally retarded.
"Individual support plan (ISP)" is a document that authorizes and identifies the DDD paid services to meet a client's assessed needs.
"Integrated settings" mean typical community settings not designed specifically for individuals with disabilities in which the majority of persons employed and participating are individuals without disabilities.
"Legal representative" means a parent of a person who is under eighteen years of age, a person's legal guardian, a person's limited guardian when the subject matter is within the scope of limited guardianship, a person's attorney at law, a person's attorney in fact, or any other person who is authorized by law to act for another person.
"Living wage" means the amount of earned wages needed to enable an individual to meet or exceed his/her living expenses.
"Necessary supplemental accommodation representative" means an individual who receives copies of DDD planned action notices (PANs) and other department correspondence in order to help a client understand the documents and exercise the client's rights. A necessary supplemental accommodation representative is identified by a client of DDD when the client does not have a legal guardian and the client is requesting or receiving DDD services.
"Plan of care (POC)" means the primary tool DDD uses to determine and document your needs and to identify services to meet those needs until the DDD assessment is administered and the individual support plan is developed.
"Providers" means an individual or agency who meets the provider qualifications and is contracted with ADSA to provide services to you.
"Respite assessment" means an algorithm within the DDD assessment that determines the number of hours of respite care you may receive per year if you are enrolled in the Basic, Basic Plus, or Core waiver.
"SSI" means Supplemental Security Income, an assistance program administered by the federal Social Security Administration for blind, disabled and aged individuals.
"SSP" means state supplementary payment, a benefit administered by the department intended to augment an individual's SSI.
"State funded services" means services that are funded entirely with state dollars.
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-0001, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0001, filed 12/13/05, effective 1/13/06.]
(1) First priority will be given to current waiver participants assessed to require a different waiver because their identified health and welfare needs have increased and these needs cannot be met within the scope of their current waiver.
(2) DDD may also consider any of the following populations in any order:
(a) Priority populations as identified and funded by the legislature.
(b) Persons DDD has determined to be in immediate risk of ICF/MR admission due to unmet health and welfare needs.
(c) Persons identified as a risk to the safety of the community.
(d) Persons currently receiving services through state-only funds.
(e) Persons on an HCBS waiver that provides services in excess of what is needed to meet their identified health and welfare needs.
(f) Persons who were previously on an HCBS waiver since April 2004 and lost waiver eligibility per WAC 388-845-0060(9).
(3) For the Basic waiver only, DDD may consider persons who need the waiver services available in the Basic waiver to maintain them in their family's home or in their own home.
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-0045, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0045, filed 12/13/05, effective 1/13/06.]
| BASIC WAIVER | SERVICES | YEARLY LIMIT |
| AGGREGATE SERVICES: | May not exceed $1454 per year on any combination of these services | |
| Behavior management and consultation | ||
| Community guide | ||
| Environmental accessibility adaptations | ||
| Occupational therapy | ||
| Physical therapy | ||
| Specialized medical equipment/supplies | ||
| Specialized psychiatric services | ||
| Speech, hearing and language services | ||
| Staff/family consultation and training | ||
| Transportation | ||
| EMPLOYMENT/DAY
PROGRAM SERVICES:
|
May not exceed
$(( |
|
| Person-to-person | ||
| Prevocational services | ||
| Supported employment | ||
| Sexual deviancy evaluation | Limits are determined by DDD | |
| Respite care | Limits are determined by the DDD assessment | |
| Personal care | Limits are determined by the CARE tool used as part of the DDD assessment | |
| MENTAL HEALTH STABILIZATION SERVICES: | Limits are determined by a mental health professional or DDD | |
| Behavior management and consultation | ||
| Mental health crisis diversion bed services | ||
| Skilled nursing | ||
| Specialized psychiatric services | ||
| Emergency assistance is only for aggregate services and/or employment/day program services contained in the Basic waiver | $6000 per year; Preauthorization required |
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-0205, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.120. 07-05-014, § 388-845-0205, filed 2/9/07, effective 3/12/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0205, filed 12/13/05, effective 1/13/06.]
| BASIC PLUS WAIVER | SERVICES | YEARLY LIMIT |
| AGGREGATE SERVICES: | May not exceed $6192 per year on any combination of these services | |
| Behavior management and consultation | ||
| Community guide | ||
| Environmental accessibility adaptations | ||
| Occupational therapy | ||
| Physical therapy | ||
| Skilled nursing | ||
| Specialized medical equipment/supplies | ||
| Specialized psychiatric services | ||
| Speech, hearing and language services | ||
| Staff/family consultation and training | ||
| Transportation | ||
| EMPLOYMENT/DAY PROGRAM SERVICES: | May not exceed
$(( |
|
| Community access
|
This amount may be increased to a maximum of $19,888 per year by exception to rule based on client need | |
| Adult foster care (adult family home) | Determined per department rate structure | |
| Adult residential care (boarding home) | ||
| MENTAL HEALTH STABILIZATION SERVICES: | Limits determined by a mental health professional or DDD | |
| Behavior management and consultation | ||
| Mental health crisis diversion bed services | ||
| Skilled nursing | ||
| Specialized psychiatric services | ||
| Personal care | Limits determined by the CARE tool used as part of the DDD assessment | |
| Respite care | Limits are determined by the DDD assessment | |
| Sexual deviancy evaluation | Limits are determined by DDD | |
| Emergency assistance is only for aggregate services and/or employment/day program services contained in the Basic Plus waiver | $6000 per year; Preauthorization required |
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-0210, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.120. 07-05-014, § 388-845-0210, filed 2/9/07, effective 3/12/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0210, filed 12/13/05, effective 1/13/06.]
(1) If you are age sixty-two or older, ((this service
is)) these services are available to assist you to participate
in activities, events and organizations in the community in
ways similar to others of retirement age.
(2) ((This service is)) These services are available ((to
adults)) in the Basic, Basic Plus, and CORE waivers.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0600, filed 12/13/05, effective 1/13/06.]
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0605, filed 12/13/05, effective 1/13/06.]
(1) You must be age sixty-two or older.
(2) You cannot be authorized to receive community access services if you receive prevocational services or supported employment services.
(3) The dollar limitations for employment/day program services in your Basic or Basic Plus waiver limit the amount of service you may receive.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0610, filed 12/13/05, effective 1/13/06.]
(a) An institutional setting to a community setting in which you are living in your own home or apartment, responsible for your own living expenses and receiving services from a DDD certified residential habilitation services provider as defined in WAC 388-845-1505 and 388-845-1510; or
(b) A provider operated setting, such as a group home, staffed residential, or companion home in the community to a community setting in which you are living in your own home or apartment, responsible for your own living expenses, and receiving services from a DDD certified residential habilitation services provider as defined in WAC 388-845-1505 and 388-845-1510.
(2) Community transition services include:
(a) Security deposits (not to exceed the equivalent of two month's rent) that are required to obtain a lease on an apartment or home;
(b) Essential furnishings such as a bed, a table, chairs, window blinds, eating utensils and food preparation items;
(c) Moving expenses required to occupy ((and use a
community domicile)) your own home or apartment;
(d) Set-up fees or deposits for utility or service access (e.g., telephone, electricity, heating); and
(e) Health and safety assurances, such as pest eradication, allergen control or one-time cleaning prior to occupancy.
(3) Community transition services are available in the CORE and community protection waivers.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0750, filed 12/13/05, effective 1/13/06.]
(a) Diversional or recreational items such as televisions, cable TV access, VCRs, MP3, CD or DVD players; and
(b) Computers ((whose use is)) if primarily ((diversional
or recreational)) used as a diversional or for recreation.
(2) ((Community transition services are available only to
individuals that are moving from an institution to a community
setting and are enrolled in either the CORE or community
protection waiver)) Rent assistance is not available as a
community transition service.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-0760, filed 12/13/05, effective 1/13/06.]
(a) Development and implementation of self-directed employment services;
(b) Development of a person centered employment plan;
(c) Preparation of an individualized budget; and
(d) Support to work and volunteer in the community, and/or access the generic community resources needed to achieve integration and employment.
(2) These ((This)) services may be provided in addition
to community access, prevocational services, or supported
employment.
(3) These ((This)) services ((is)) are available ((to
adults)) in all four HCBS waivers.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1200, filed 12/13/05, effective 1/13/06.]
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1205, filed 12/13/05, effective 1/13/06.]
(2) The dollar limitations for employment/day program services in your Basic or Basic Plus waiver limit the amount of service you may receive.
(3) These services will be provided in an integrated environment.
(4) Your service hours are determined by the level of assistance you need to reach your employment outcomes and might not equal the number of hours you spend on the job or in job related activities.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1210, filed 12/13/05, effective 1/13/06.]
(2) All individual providers and homecare agency providers must meet provider qualifications for in-home caregivers in WAC 388-71-0500 through 388-71-0556.
(3) Providers of personal care services for adults must comply with the training requirements in these rules governing Medicaid personal care providers in WAC 388-71-05670 through 388-71-05799.
(4) Natural, step, or adoptive parents can be the personal care provider of their adult child age eighteen or older.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1305, filed 12/13/05, effective 1/13/06.]
(2) The maximum hours of personal care you may receive are determined by the CARE tool used as part of the DDD assessment.
(a) Provider rates are limited to the department established hourly rates for in-home Medicaid personal care.
(b) Homecare agencies must be licensed through the
department of health and contracted with ((DDD)) ADSA.
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-1310, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1310, filed 12/13/05, effective 1/13/06.]
Reviser's note: RCW 34.05.395 requires the use of underlining and deletion marks to indicate amendments to existing rules. The rule published above varies from its predecessor in certain respects not indicated by the use of these markings.
AMENDATORY SECTION(Amending WSR 06-01-024, filed 12/13/05,
effective 1/13/06)
WAC 388-845-1400
What are prevocational services?
(1)
Prevocational services occur in a segregated setting and are
designed to prepare ((an adult)) you for ((paid or unpaid))
gainful employment in an integrated setting through ((the
teaching of such concepts as compliance, attendance, task
completion, problem solving and safety)) training and skill
development.
(2) Prevocational ((These)) services are available in all
four HCBS waivers.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1400, filed 12/13/05, effective 1/13/06.]
(1) You must be age twenty and graduating from high school prior to your July or August twenty-first birthday, age twenty-one and graduated from high school, or age twenty-two or older to receive prevocational services.
(2) ((You are not expected to be competitively employed
within one year (excluding supported employment programs)))
New referrals for prevocational services require prior
approval by the DDD regional administrator and county
coordinator or their designees.
(3) Prevocational services are a time limited step on the pathway toward individual employment and are dependent on your demonstrating steady progress toward gainful employment over time. Your annual vocational assessment will include exploration of integrated settings within your next service year. Criteria that would trigger a review of your need for these services include, but are not limited to:
(a) Compensation at more than fifty percent of the prevailing wage;
(b) Significant progress made toward your defined goals;
(c) Your expressed interest in competitive employment; and/or
(d) Recommendation by your individual support plan team.
(((3))) (4) You ((cannot)) will not be authorized to
receive prevocational services ((if you receive)) in addition
to community access services or supported employment services.
(((4))) (5) The dollar limitations for employment/day
program services in your Basic or Basic Plus waiver limit the
amount of service you may receive.
(6) Your service hours are determined by the assistance you need to reach your employment outcomes.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1410, filed 12/13/05, effective 1/13/06.]
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1600, filed 12/13/05, effective 1/13/06.]
(1) The DDD assessment will determine how much respite you can receive per chapter 388-828 WAC.
(2) Prior approval by the DDD regional administrator or designee is required:
(a) To exceed fourteen days of respite care per month; or
(b) To pay for more than eight hours in a twenty-four hour period of time for respite care in any setting other than your home or place of residence. This limitation does not prohibit your respite care provider from taking you into the community, per WAC 388-845-1610(2).
(3) Respite cannot replace:
(a) Daycare while ((a parent or guardian)) your parent or
guardian is at work; and/or
(b) Personal care hours available to you. When determining your unmet need, DDD will first consider the personal care hours available to you.
(4) Respite providers have the following limitations and requirements:
(a) If respite is provided in a private home, the home must be licensed unless it is the client's home or the home of a relative of specified degree per WAC 388-825-345;
(b) The respite provider cannot be the spouse of the caregiver receiving respite if the spouse and the caregiver reside in the same residence; and
(c) If you receive respite from a provider who requires licensure, the respite services are limited to those age-specific services contained in the provider's license.
(5) ((Your caregiver cannot provide)) Your caregiver will
not be paid to provide DDD services for you or other persons
at the same time you receive respite services.
(6) If your personal care provider is your parent, your
parent provider will not be paid to provide respite services
((for you or other persons during your respite care hours)) to
any client in the same month that you receive respite
services.
(((6))) (7) DDD cannot pay for any fees associated with
the respite care; for example, membership fees at a
recreational facility, or insurance fees.
(((7))) (8) If you require respite from a licensed
practical nurse (LPN) or a registered nurse (RN), services may
be authorized as skilled nursing services per WAC 388-845-1700
using an LPN or RN. If you are in the Basic Plus waiver,
skilled nursing services are limited to the dollar limits of
your aggregate services per WAC 388-845-0210.
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-1620, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1620, filed 12/13/05, effective 1/13/06.]
(a) Are professional evaluations ((of sexual deviancy to
determine the need for psychological, medical or therapeutic
services)) that assess the person's needs and the person's
level of risk of sexual offending or sexual recidivism;
(b) Determine the need for psychological, medical or therapeutic services; and
(c) Provide treatment recommendations to mitigate any assessed risk.
(2) Sexual deviancy evaluations are available in all four waivers.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1650, filed 12/13/05, effective 1/13/06.]
(1) Be a certified sexual offender treatment provider (SOTP); and
(2) Meet the standards contained in WAC 246-930-030 (education required prior to examination) and WAC 246-930-040 (professional experience required prior to examination).
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1655, filed 12/13/05, effective 1/13/06.]
(2) Sexual ((deviation)) deviancy evaluations require
prior approval by the DDD regional administrator or designee.
(3) The costs of sexual ((deviation)) deviancy
evaluations do not count toward the dollar limits for
aggregate services in the Basic or Basic Plus waivers.
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-1660, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1660, filed 12/13/05, effective 1/13/06.]
(1) Individual supported employment services include((s))
activities needed to sustain ((paid work by individuals
receiving waiver services, including supervision and
training)) minimum wage pay or higher. These services are
conducted in integrated business environments and include the
following:
(a) Creation of work opportunities through job development;
(b) On-the-job training;
(c) Training for your supervisor and/or peer workers to enable them to serve as natural supports to you on the job;
(d) Modification of your work site tasks;
(e) Employment retention and follow along support; and
(f) Development of career and promotional opportunities.
(2) ((Supported employment is conducted in a variety of
settings; particularly work sites in which persons without
disabilities are employed)) Group supported employment
services are a step on your pathway toward gainful employment
in an integrated setting and include:
(a) The activities outlined in individual supported employment services;
(b) Daily supervision by a qualified employment provider; and
(c) Groupings of no more than eight workers with disabilities.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-2100, filed 12/13/05, effective 1/13/06.]
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-2105, filed 12/13/05, effective 1/13/06.]
(1) You must be age twenty and graduating from high school prior to your July or August twenty-first birthday, age twenty-one and graduated from high school, or age twenty-two or older to receive supported employment services.
(2) Payment will be made only for the ((adaptations,
supervision, training, and)) employment support ((with the
activities of daily living)) you require as a result of your
disabilities.
(3) Payment ((is excluded for)) for individual supported
employment excludes the supervisory activities rendered as a
normal part of the business setting.
(4) You ((cannot)) will not be authorized to receive
supported employment services ((if you receive)) in addition
to community access ((services)) or prevocational services.
(5) The dollar limitations for employment/day program services in your Basic or Basic Plus waiver limit the amount of supported employment service you may receive.
(6) Your service hours are determined by the assistance you need to reach your employment outcomes and might not equal the number of hours you spend on the job or in job related activities.
[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-2110, filed 12/13/05, effective 1/13/06.]
(1) Transportation to/from medical or medically related appointments is a Medicaid transportation service and is to be considered and used first.
(2) Transportation is offered in addition to medical transportation but cannot replace Medicaid transportation services.
(3) Transportation is limited to travel to and from a waiver service.
(4) Transportation does not include the purchase of a bus pass.
(5) Reimbursement for provider mileage requires prior approval by DDD and is paid according to contract.
(6) This service does not cover the purchase or lease of vehicles.
(7) Reimbursement for provider travel time is not included in this service.
(8) Reimbursement to the provider is limited to transportation that occurs when you are with the provider.
(9) You are not eligible for transportation services if the cost and responsibility for transportation is already included in your provider's contract and payment.
(10) The dollar limitations for aggregate services in your Basic or Basic Plus waiver limit the amount of service you may receive.
(11) Transportation services require prior approval by the DDD regional administrator or designee.
(12) If your individual personal care provider uses his/her own vehicle to provide transportation to you for essential shopping and medical appointments as a part of your personal care service, your provider may receive up to sixty miles per month in mileage reimbursement. If you work with more than one individual personal care provider, your limit is still a total of sixty miles per month. This cost is not counted toward the dollar limitation for aggregate services in the Basic or Basic Plus waiver.
[Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-2210, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-2210, filed 12/13/05, effective 1/13/06.]