WSR 14-02-094 PERMANENT RULES DEPARTMENT OF SOCIAL AND HEALTH SERVICES (Aging and Long-Term Support Administration) [Filed December 31, 2013, 9:30 a.m., effective February 1, 2014] Effective Date of Rule: February 1, 2014.
Purpose: The department is adding new WAC 388-106-0033, to chapter 388-106 WAC on applying for long-term care services, in order to describe when a client may receive enhanced adult residential care-specialized dementia care (SDC). The new WAC clarifies who is eligible to receive SDC services in language that is consistent with the CARE assessment instrument.
Statutory Authority for Adoption: RCW 74.08.090, 74.09.520.
Adopted under notice filed as WSR 13-22-080 on November 6, 2013.
Changes Other than Editing from Proposed to Adopted Version: Text contains only editorial changes. Eligibility was reordered as follows: Put the former (d) in the (b) position, but did not change any of the language.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 1, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 0, Repealed 0.
Date Adopted: December 23, 2013.
Katherine I. Vasquez
Rules Coordinator
NEW SECTION
WAC 388-106-0033 When may I receive services in a facility contracted to provide specialized dementia care services?
(1) You may be eligible to receive services in a licensed assisted living facility that has a DSHS "enhanced adult residential care-specialized dementia care ("EARC-SDC")," which is defined in WAC 388-110-020. You may be eligible to receive EARC-SDC services in a licensed assisted living facility under the following circumstances: (a) You are enrolled in COPES, as defined in WAC 388-106-0015; (b) The department has received written or verbal confirmation from a health care practitioner that you have an irreversible dementia (such as Alzheimer's disease, multi-infarct or vascular dementia, Lewy body dementia, Pick's disease, alcohol-related dementia); (c) You are receiving services in an assisted living facility that has a current EARC-SDC contract, and you are living in the part of the facility that is covered by the contract; (d) The department has authorized you to receive EARC-SDC services in the assisted living facility; and (e) You are assessed by the comprehensive assessment reporting evaluation tool ("CARE") as having a cognitive performance score of 3 or above; and any one or more of the following: (i) An unmet need for assistance with supervision, limited, extensive or total dependence with eating/drinking; (ii) Inappropriate toileting/menses activities; (iii) Rummages/takes others belongings; (iv) Up at night when others are sleeping and requires intervention(s); (v) Wanders/exit seeking; (vi) Wanders/not exit seeking; (vii) Has left home and gotten lost; (viii) Spitting; (ix) Disrobes in public; (x) Eats non-edible substances; (xi) Sexual acting out; (xii) Delusions; (xiii) Hallucinations; (xiv) Assaultive; (xv) Breaks, throws items; (xvi) Combative during personal care; (xvii) Easily irritable/agitated; (xviii) Obsessive regarding health/body functions; (xix) Repetitive movement/pacing; (xx) Unrealistic fears or suspicions; (xxi) Repetitive complaints/questions; (xxii) Resistive to care; (xxiii) Verbally abusive; (xxiv) Yelling/screaming; (xxv) Inappropriate verbal noises; or (xxvi) Accuses others of stealing.
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