(1) A companion home daily rate equals the sum of the client's support assessment scale scores multiplied by 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 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.