(1) Teleservice is a remote service delivery method that uses a HIPAA-compliant technology system approved by DDA.

(2) The following services may be delivered through teleservice:

(a) Assistive technology;

(b) Community engagement;

(((c)))(d) Individualized technical assistance;

(((d)))(f) Music therapy;

(((e)))(g) Occupational therapy;

(((f)))(h) Peer mentoring;

(((g)))(i) Person-centered plan facilitation;

(((h)))(j) Physical therapy;

(((i) Positive behavior support and consultation until August 31, 2023;))

(((j)))(l) Specialized evaluation and consultation;

(((k) Specialized habilitation;))

(((l)))(m) Speech, hearing, and language services;

(((m) Supported employment;

(n) Supported parenting; and))

(((o)))(q) Staff and family consultation((.)); and

(3) A waiver service may be delivered through teleservice if:

(a) The waiver participant chooses that service delivery method and acknowledges the teleservice agreement through signature on the person-centered service plan;

(b) DDA determines through the person-centered planning process that the waiver service can be adequately provided remotely based on the reason for the service request;

(c) There is no risk to the waiver participant's health or safety as a result of the waiver service being provided remotely; and

(d) The waiver participant's person-centered service plan indicates each waiver service that will be provided through teleservice.

(4) For each waiver service that occurs regularly over the course of the plan year and is being delivered remotely, the service must be delivered in-person at least one time per plan year.

The following services are available under the basic plus waiver:

(1) The following services are available under the core waiver:

(2) A participant's core waiver services are subject to additional limits under this chapter.

(3) The total cost of a participant's core waiver services must not exceed the average cost of care at an intermediate care facility for individuals with intellectual disabilities (ICF/IID).

(1) The following services are available under the community protection waiver:

(2) A participant's community protection waiver services are subject to additional limits under this chapter.

(3) The total cost of a participant's community protection waiver services must not exceed the average cost of care at an intermediate care facility for individuals with intellectual disabilities (ICF/IID).

(1) The following services are available under the children's intensive in-home behavioral support (CIIBS) waiver:

(2) A participant's CIIBS waiver services are subject to additional limits under this chapter.

(1) The following services are available under the individual and family services (IFS) waiver:

(2) Your IFS waiver services annual allocation is based upon the DDA assessment under chapter 388-828 WAC. The DDA assessment determines your service level and annual allocation based on your assessed need. Annual allocations are as follows:

(a) Level 1 = $1,560;

(b) Level 2 = $2,340;

(c) Level 3 = $3,120; or

(d) Level 4 = $4,680.

All of the following limits apply to the emergency assistance funding you may receive.

(1) Prior approval by the DDA regional administrator or designee is required based on a reassessment of your person-centered service plan to determine the need for emergency assistance.

(2) Payment authorizations are reviewed every 30 days and must not exceed $6,000 per 12 months based on the effective date of your current person-centered service plan.

(3) Emergency assistance funding is limited to the following aggregate services when on the basic plus waiver:

(a) Community engagement;

(b) Environmental adaptations;

(c) Occupational therapy;

(d) Physical therapy;

(e) Remote support;

(f) Skilled nursing;

(g) Specialized equipment and supplies;

(h) Speech, hearing, and language services;

(i) Staff and family consultation, which excludes individual and family counseling;

(j) Transportation; and

(k) Therapeutic adaptations.

(4) Emergency assistance funding is limited to the following services when on the CIIBS waiver:

(a) Environmental adaptations;

(b) ((Specialized habilitation))Life skills;

(c) Staff and family consultation; and

(d) Vehicle modifications.

(5) Emergency assistance funding may be used for interim services until:

(a) The emergency situation has been resolved;

(b) You are transferred to alternative supports that meet your assessed needs; or

(c) You are transferred to an alternate waiver that provides the service you need.

(1) Stabilization services assist persons who are experiencing a crisis.

(2) Stabilization services are available in the basic plus, core, children's intensive in-home behavior support (CIIBS), individual and family services (IFS), and community protection waivers.

(3) A participant may be eligible for stabilization services if:

(a) A behavioral health professional and DDA has determined the participant is at risk of institutionalization or hospitalization; and

(b) The participant needs short-term:

(i) ((Specialized habilitation))Life skills;

(ii) Staff and family consultation; or

(iii) Crisis diversion beds.

(1) ((Specialized habilitation))Life skills services provide community-based and individualized support with the intent of reaching an identified habilitative goal in the person-centered service plan.

(2) Service must assist a client to learn or maintain skills in categories of:

(a) Self-empowerment;

(b) Safety awareness and self-advocacy;

(c) Interpersonal effectiveness and effective social communication;

(d) Coping strategies for everyday life changes; and

(e) Managing daily tasks and acquiring adaptive skills.

(3) ((Specialized habilitation))Life skills services must promote inclusion in the community.

(4) ((Specialized habilitation))Life skills services are available on the basic plus, IFS, core, and CIIBS waivers.

(5) ((Specialized habilitation))Life skills services, when authorized as a stabilization service, is available on all five HCBS waivers.

To provide ((specialized habilitation))life skills services, a provider must be contracted with DDA for this service, have one year of experience working with people with a developmental or intellectual disability, and be one of the following:

(1) A certified life skills coach;

(2) An individual with a bachelor's, master's, or doctoral degree in social work, sociology, psychology, education, child development, gerontology, nursing, or other related field; or

(3) An individual enrolled and supervised in a university internship program for social work, sociology, psychology, education, child development, gerontology, sociology, or nursing.

The following limits apply to your receipt of ((specialized habilitation))life skills:

(1) ((Specialized habilitation))Life skills is limited to address a maximum of three goals at a time.

(2) ((Specialized habilitation))Life skills support needs must be identified in your DDA assessment and ((specialized habilitation))life skills must be documented in your person-centered service plan.

(3) ((Specialized habilitation))Life skills must not exceed:

(a) $6,192 within your total basic plus aggregate budget;

(b) Your IFS annual allocation in combination with other waiver services; or

(c) $15,000 within your total CIIBS aggregate budget and $6,000 emergency assistance funding when eligible per WAC 388-845-0800 and 388-845-0820.

(4) ((Specialized habilitation))Life skills does not cover education, vocational, skills acquisition training through community first choice, behavioral health, ABA, skilled nursing, occupational therapy, physical therapy, or speech, language, and hearing services that are covered benefits through the medicaid state plan, including early and periodic screening, diagnosis, and treatment, and part B special education services.

(5) Life skills may be provided in a small group up to four if the clients have the same person-centered goal, and the group work addresses each client's current goal.

(6)((Specialized habilitation))Life skills must not be authorized for a client receiving residential habilitation, unless the client is receiving the service from a companion home provider.

(((6)))(7) Habilitation plans must be documented as formal plans as outlined in the provider's contract.

(((7) Specialized habilitation))(8) Life skills, not provided as a stabilization service, requires prior approval by the DDA regional administrator or designee.

To provide staff and family consultation, a provider must be contracted with DDA and be one of the following licensed, registered, or certified professionals:

(1) Audiologist;

(2) Licensed practical nurse;

(3) Marriage and family therapist;

(4) Mental health counselor;

(5) Occupational therapist;

(6) Physical therapist;

(7) Registered nurse;

(8) Sex offender treatment provider;

(9) Speech-language pathologist;

(10) Social worker;

(11) Psychologist;

(12) Certified American Sign Language instructor;

(13) Nutritionist;

(14) Counselors registered or certified in accordance with chapter 18.19 RCW;

(15) Certified dietician;

(16) Recreation therapist registered in Washington and certified by the national council for therapeutic recreation;

(17) Certified music therapist (for CIIBS only);

(18) Psychiatrist;

(19) Professional advocacy organization;

(20) DDA-contracted ((specialized habilitation))life skills provider; or

(21) Teacher certified under chapter 181-79A WAC.

The provider of transportation ((services can be an individual or agency))must be an entity contracted with DDA ((whose contract includes))to provide transportation ((in the statement of work)).

The following ((limitations))limits apply to transportation services:

(1) Support needs for transportation services are limited to those identified in your DDA assessment and documented in your person-centered service plan.

(2)((Transportation is limited to travel to and from a waiver service. When the waiver service is supported employment, transportation is limited to days when you receive employment support services.

(4))) Reimbursement for provider mileage requires prior authorization by DDA and is paid according to contract.

(((5)))(3) This service does not cover the purchase or lease of vehicles.

(((6)))(4) Reimbursement for provider travel time is ((not)) included ((in this service))for nonmedical transportation from a transportation company only.

(((7)))(5) Reimbursement to the provider is limited to transportation that occurs when you are with the provider.

(((8)))(6) You are not eligible for transportation services if the cost and responsibility for transportation is already included in your provider's contract and payment.

(((9)))(7) The dollar limitations for aggregate services in your basic plus waiver or the dollar amount of your annual allocation in the IFS waiver limit the amount of service you may receive.