PDFWAC 388-826-0070

What are the department's responsibilities for a client receiving out-of-home services?

When a client receives out-of-home services, the department must:
(1) Facilitate the development of the child and family engagement plan under WAC 388-826-0041 before the start of service and at each annual assessment;
(2) Visit the client in their licensed or certified setting at least every ninety days;
(3) Develop the client's person-centered service plan as required under WAC 388-845-3055;
(4) Assist families to access a client's medically necessary physical or behavioral health benefits, which may include attending care conferences and sharing information with medicare, medicaid, or private health insurance representatives for purposes of care coordination;
(5) Monitor the client's out-of-home services by:
(a) Facilitating team meetings using a wraparound planning model;
(b) Reviewing the individual instruction and support plan;
(c) Reviewing the quarterly report;
(d) Reviewing incident reports and follow-up measures involving the client;
(e) Authorizing payment for services;
(f) Completing annual quality assurance assessments of staffed residential providers and children's state-operated living alternative providers; and
(g) Contracting with evaluators to complete certification evaluations of children's state-operated living alternative providers.
(6) Determine eligibility for medicaid coverage under chapters 182-513 and 182-515 WAC;
(7) Determine the client's participation and room and board amount, if any;
(8) Monitor the provider to ensure the provider complies with contract requirements, which includes compliance with DDA policies; and
(9) Refer a client for a nurse delegation assessment by a registered nurse delegator, if requested by the provider.
[Statutory Authority: RCW 71A.12.030 and chapters 71A.28, 74.13 RCW. WSR 21-15-059, § 388-826-0070, filed 7/15/21, effective 8/15/21. Statutory Authority: RCW 71A.12.030 and 74.13.350. WSR 18-23-004, § 388-826-0070, filed 11/7/18, effective 12/8/18. Statutory Authority: RCW 74.13.350. WSR 02-22-057, § 388-826-0070, filed 10/31/02, effective 12/1/02.]