WSR 20-13-091
PERMANENT RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Developmental Disabilities Administration)
[Filed June 16, 2020, 4:54 p.m., effective July 17, 2020]
Effective Date of Rule: Thirty-one days after filing.
Purpose: The developmental disabilities administration amended this rule to implement a 13.5 percent daily rate increase for companion home providers as approved in the 2019 operating budget under ESHB 1109 (section 203, chapter 415, Laws of 2019).
Citation of Rules Affected by this Order: Amending WAC 388-829C-131.
Adopted under notice filed as WSR 20-09-058 on April 10, 2020.
A final cost-benefit analysis is available by contacting Chantelle Diaz, P.O. Box 45310, Olympia, WA 98504-5310, phone 360-407-1589, fax 360-407-0955, TTY 1-800-833-6388, email Chantelle.Diaz@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Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: June 16, 2020.
Cheryl Strange
Secretary
AMENDATORY SECTION(Amending WSR 18-22-106, filed 11/6/18, effective 12/7/18)
WAC 388-829C-131How does DDA determine the daily rate?
(1) A companion home daily rate equals the sum of the client's support assessment scale scores multiplied by ((12.5))14.2.
(2) The residential algorithm under chapter 388-828 WAC determines the level of services and supports a companion home client may receive.
(3) The CARE assessment assigns support levels of "none," "low," "medium," or "high" to each support assessment scale that correspond to the values below:
Category | None | Low | Medium | High |
Activities of daily living | 0 | 1 | 2 | 3 |
Behavior | 0 | 1 | 2 | 3 |
Interpersonal support | 0 | 1 | 2 | 3 |
Medical | 0 | 1 | 2 | 3 |
Mobility | 0 | 1 | 2 | 3 |
Protective supervision | 0 | 1 | 2 | 3 |
(4) DDA assigns a behavior score of four if the client has a:
(a) Behavior score of three on ((their))the support assessment scale;
(b) Challenging behavior documented on form DSHS 10-234; and
(c) Current positive behavior support plan.
(5) DDA reviews a companion home daily rate annually and if a significant change assessment occurs during the plan year.
(6) DDA may adjust a companion home daily rate if:
(a) Any of the client's support assessment scale levels change;
(b) The multiplier changes due to a vendor rate change; or
(c) The annual cost of respite services increased because DDA approved additional respite hours under WAC 388-829C-234(3) and the client's assessed support needs remain unchanged since the most recent CARE assessment.