The developmental disabilities administration (DDA) may enroll a client in the enhanced case management program if the client is currently assessed to be eligible for medicaid personal care or community first choice (CFC) services in their home under chapter 388-106 WAC and meets criteria under subsection (1), (2), or (3) of this section.

(1) The client's DDA assessment indicates that the home environment may jeopardize the client's health or safety.

(2) The client's DDA assessment indicates the client:

(a) Has difficulty communicating their needs and wants to their caregiver or informing someone when their needs are not being met;

(b) Has a limited ability to advocate for themselves or express themselves, and has few documented collateral contacts; and

(c) Lacks additional, independent supports that regularly help the client monitor the care being provided in their home.

(3) DDA has concerns that the quality of care may jeopardize the client's health or safety for reasons such as:

(a) The client has been the subject of an adult protective services referral in the past year;

(b) The client has been the subject of a child protective services referral in the past year;

(c) The client's DDA assessment indicates the client is underweight;

(d) The client's DDA assessment indicates that the primary caregiver is age 65 or older or states that they are "very stressed," and the caregiver states that the caregiving situation is at "serious risk of failure" or there is concrete evidence of reduced care; or

(e) The client has experienced a destabilizing event, such as a loss of a primary caregiver, hospitalization, or victimization.