PERMANENT RULES
SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)
(Division of Developmental Disabilities)
Effective Date of Rule: Thirty-one days after filing.
Purpose: The purpose of these proposed rules to provide information to clients, families, providers, stakeholders, and the general public with information regarding the process DDD uses to determine an individual's employment support level. This information is essential in developing a consistent process to govern outcome-based vendor contracts.
Statutory Authority for Adoption: RCW 71A.12.030, 71A.12.020(3), and 71A.12.040(4).
Other Authority: The 2009-11 operating budget (ESHB 1244, sections 103(7) and 205(c)).
Adopted under notice filed as WSR 11-07-080 on March 22, 2011.
A final cost-benefit analysis is available by contacting Mark Eliason, P.O. Box 45310, Olympia, WA 98504, phone (360) 725-2517, fax (360) 407-0955, e-mail mark.eliason@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Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 17, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 17, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 0.
Date Adopted: June 8, 2011.
Susan N. Dreyfus
Secretary
4281.1DDD EMPLOYMENT ACUITY SCALE
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| If your employment acuity score in WAC 388-828-9210 is: | Your employment support level is: |
| 0 or less | None |
| Greater than 0 and less than 1.5 | Low |
| 1.5 to less than 2.5 | Medium |
| 2.5 or greater | High |
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(1) Activities of daily living (see WAC 388-828-9215);
(2) Behavioral support (see WAC 388-828-9220);
(3) Interpersonal support (see WAC 388-828-9225);
(4) Environmental support (see WAC 388-828-9230);
(5) Level of monitoring (see WAC 388-828-9240);
(6) Employment support (see WAC 388-828-9245);
(7) Completing tasks with acceptable speed (see WAC 388-828-9255);
(8) Completing tasks with acceptable quality (see WAC 388-828-9260);
(9) Medical support (see WAC 388-828-9265); and
(10) Seizure support (see WAC 388-828-9270).
Example:
| Acuity scales and questions used in determining employment acuity score: | If employment support scores are: |
| Activities of daily living | 0.20607 |
| Behavioral support | 0.08372 |
| Interpersonal support | 0.47326 |
| 0.13596 | |
| Level of monitoring | 0.7311 |
| Employment support | 0.43562 |
| Completing tasks with acceptable speed | 0.18855 |
| Completing tasks with acceptable quality | 0.10836 |
| Medical support | 0.135 |
| Seizure support | -0.15393 |
| Your employment acuity score is: | 2.34371 |
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| If your ADL support needs level in WAC 388-828-5480 is: | Then your ADL support needs level score is: |
| None | 0 |
| Low | 1 |
| Medium | 2 |
| High | 3 |
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| If your behavioral acuity level in WAC 388-828-5640 is: | Then your behavioral acuity level score is: |
| None | 0 |
| Low | 1 |
| Medium | 2 |
| High | 3 |
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| If your interpersonal support needs level in WAC 388-828-5820 is: | Then your interpersonal support needs level score is: |
| None | 0 |
| Low | 1 |
| Medium | 2 |
| High | 3 |
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| If your environmental support score from WAC 388-828-9235 is: | Then your environmental support level is: | |
| 0 | 0 | None |
| 1 or 2 | 1 | Low |
| 3 or 4 | 2 | Medium |
| 5 or more | 3 | High |
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| Response | Employment Support/Limitations | Score |
| 1 | Behaviors impact workplace | 1 |
| 2 | Employment goals too specific | 1 |
| 3 | Fearful/scared of new situations | 0 |
| 4 | Frequent job changes | 1 |
| 5 | High turnover of natural supports | 1 |
| 6 | Hygiene issues unresolved | 1 |
| 7 | Lacks social skills | 1 |
| 8 | Little work history | 1 |
| 9 | Narrow scope of job requirements | 1 |
| 10 | Needs support arranging childcare | 1 |
| 11 | Others not supportive of employment goals | 1 |
| 12 | Others unable to support employment goals | 1 |
| 13 | Transportation | 1 |
| 14 | Unable to regularly get to work on time | 1 |
| 15 | Uncertain about work | 0 |
| 16 | Uncooperative/lacks motivation | 0 |
| Maximum employment support limitation score is: | 13 | |
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Example: If you level of monitoring is "onsite (e.g., on property) your level of monitoring score is 5. Multiplying a "level of monitoring score" of 5 by 0.14622 results in an employment support score for level of monitoring of 0.7311.
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Example: A DDD employment support score of 2 is multiplied by 0.21781 resulting in an employment acuity scale score for employment support of 0.43562.
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| If your total raw score for the SIS employment activities subscale in WAC 388-828-4260 is: | Then your DDD employment level is: | And your DDD employment support score is: |
| 0 | None | 0 |
| 1 through 35 | Low | 1 |
| 36 through 59 | Medium | 2 |
| 60 or more | High | 3 |
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Example: A "type of support" score of 3 (partial physical assistance) is multiplied by 0.06285 resulting in an employment acuity score for completing tasks with acceptable speed of 0.18855.
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Example: A "type of support" score of 2 (verbal/gestural prompting) is multiplied by 0.05418 resulting in an employment acuity score for completing tasks with acceptable quality of 0.10836.
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| If your medical support needs level in WAC 388-828-5700 is: | Then your medical support needs level score is: |
| None | 0 |
| Low | 1 |
| Medium | 2 |
| High | 3 |
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Example: A seizure support score of 3 is multiplied by -0.05131 resulting in an employment acuity scale score for seizure support of -0.15393.
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| If your assessment indicates the following: | Your seizure support level is: | And your seizure support score is: |
| (1) Does the client have a history of seizures equals "no" | None | 0 |
| (2) Does the client have a history of
seizures equals "yes"; and (3) Client does not meet requirements for seizure support level of "medium" or "high" |
Low | 1 |
| (4) Client has convulsive seizures
(tonic-clonic or atonic); and (5) Frequency is quarterly, monthly, weekly or multiple times per week; and (6) Seizure duration is 5 minutes or less |
Medium | 2 |
| (7) Two ore more emergency room
visits/911 calls in past year; or (8) Has convulsive seizures (tonic-clonic or atonic); and (9) Frequency is quarterly, monthly, weekly or multiple times per week; and (10) Seizure duration is greater than 5 minutes or requires medical intervention to stop |
High | 3 |
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