If your protective supervision support level is: | And your primary caregiver risk level is: | And your backup caregiver risk score is: | And your behavioral acuity level is: | Then your unadjusted individual and family services level is: |
0 | None | 1 | None | 1 |
0 | None | 1 | Low | 1 |
0 | None | 1 | Medium | 1 |
0 | None | 1 | High | 2 |
0 | None | 2 or 3 | None | 1 |
0 | None | 2 or 3 | Low | 1 |
0 | None | 2 or 3 | Medium | 2 |
0 | None | 2 or 3 | High | 2 |
0 | Low | 1 | None | 1 |
0 | Low | 1 | Low | 1 |
0 | Low | 1 | Medium | 1 |
0 | Low | 1 | High | 2 |
0 | Low | 2 or 3 | None | 1 |
0 | Low | 2 or 3 | Low | 1 |
0 | Low | 2 or 3 | Medium | 2 |
0 | Low | 2 or 3 | High | 2 |
0 | Medium | 1 | None | 1 |
0 | Medium | 1 | Low | 1 |
0 | Medium | 1 | Medium | 1 |
0 | Medium | 1 | High | 2 |
0 | Medium | 2 or 3 | None | 1 |
0 | Medium | 2 or 3 | Low | 1 |
0 | Medium | 2 or 3 | Medium | 2 |
0 | Medium | 2 or 3 | High | 2 |
0 | High | 1 | None | 1 |
0 | High | 1 | Low | 1 |
0 | High | 1 | Medium | 2 |
0 | High | 1 | High | 2 |
0 | High | 2 or 3 | None | 2 |
0 | High | 2 or 3 | Low | 2 |
0 | High | 2 or 3 | Medium | 2 |
0 | High | 2 or 3 | High | 3 |
0 | Immediate | 1 | None | 1 |
0 | Immediate | 1 | Low | 1 |
0 | Immediate | 1 | Medium | 2 |
0 | Immediate | 1 | High | 2 |
0 | Immediate | 2 or 3 | None | 2 |
0 | Immediate | 2 or 3 | Low | 2 |
0 | Immediate | 2 or 3 | Medium | 2 |
0 | Immediate | 2 or 3 | High | 3 |
1 | None | 1 | None | 1 |
1 | None | 1 | Low | 1 |
1 | None | 1 | Medium | 1 |
1 | None | 1 | High | 2 |
1 | None | 2 or 3 | None | 1 |
1 | None | 2 or 3 | Low | 1 |
1 | None | 2 or 3 | Medium | 2 |
1 | None | 2 or 3 | High | 3 |
1 | Low | 1 | None | 1 |
1 | Low | 1 | Low | 1 |
1 | Low | 1 | Medium | 1 |
1 | Low | 1 | High | 2 |
1 | Low | 2 or 3 | None | 1 |
1 | Low | 2 or 3 | Low | 1 |
1 | Low | 2 or 3 | Medium | 2 |
1 | Low | 2 or 3 | High | 3 |
1 | Medium | 1 | None | 1 |
1 | Medium | 1 | Low | 1 |
1 | Medium | 1 | Medium | 2 |
1 | Medium | 1 | High | 3 |
1 | Medium | 2 or 3 | None | 1 |
1 | Medium | 2 or 3 | Low | 2 |
1 | Medium | 2 or 3 | Medium | 2 |
1 | Medium | 2 or 3 | High | 3 |
1 | High | 1 | None | 2 |
1 | High | 1 | Low | 2 |
1 | High | 1 | Medium | 2 |
1 | High | 1 | High | 3 |
1 | High | 2 or 3 | None | 2 |
1 | High | 2 or 3 | Low | 2 |
1 | High | 2 or 3 | Medium | 3 |
1 | High | 2 or 3 | High | 4 |
1 | Immediate | 1 | None | 2 |
1 | Immediate | 1 | Low | 2 |
1 | Immediate | 1 | Medium | 2 |
1 | Immediate | 1 | High | 3 |
1 | Immediate | 2 or 3 | None | 2 |
1 | Immediate | 2 or 3 | Low | 2 |
1 | Immediate | 2 or 3 | Medium | 3 |
1 | Immediate | 2 or 3 | High | 4 |
2 or 3 | None | 1 | None | 1 |
2 or 3 | None | 1 | Low | 1 |
2 or 3 | None | 1 | Medium | 2 |
2 or 3 | None | 1 | High | 3 |
2 or 3 | None | 2 or 3 | None | 2 |
2 or 3 | None | 2 or 3 | Low | 2 |
2 or 3 | None | 2 or 3 | Medium | 2 |
2 or 3 | None | 2 or 3 | High | 4 |
2 or 3 | Low | 1 | None | 1 |
2 or 3 | Low | 1 | Low | 1 |
2 or 3 | Low | 1 | Medium | 2 |
2 or 3 | Low | 1 | High | 3 |
2 or 3 | Low | 2 or 3 | None | 2 |
2 or 3 | Low | 2 or 3 | Low | 2 |
2 or 3 | Low | 2 or 3 | Medium | 2 |
2 or 3 | Low | 2 or 3 | High | 4 |
2 or 3 | Medium | 1 | None | 2 |
2 or 3 | Medium | 1 | Low | 2 |
2 or 3 | Medium | 1 | Medium | 2 |
2 or 3 | Medium | 1 | High | 3 |
2 or 3 | Medium | 2 or 3 | None | 2 |
2 or 3 | Medium | 2 or 3 | Low | 2 |
2 or 3 | Medium | 2 or 3 | Medium | 3 |
2 or 3 | Medium | 2 or 3 | High | 4 |
2 or 3 | High | 1 | None | 2 |
2 or 3 | High | 1 | Low | 2 |
2 or 3 | High | 1 | Medium | 2 |
2 or 3 | High | 1 | High | 3 |
2 or 3 | High | 2 or 3 | None | 2 |
2 or 3 | High | 2 or 3 | Low | 2 |
2 or 3 | High | 2 or 3 | Medium | 3 |
2 or 3 | High | 2 or 3 | High | 4 |
2 or 3 | Immediate | 1 | None | 2 |
2 or 3 | Immediate | 1 | Low | 2 |
2 or 3 | Immediate | 1 | Medium | 2 |
2 or 3 | Immediate | 1 | High | 3 |
2 or 3 | Immediate | 2 or 3 | None | 2 |
2 or 3 | Immediate | 2 or 3 | Low | 2 |
2 or 3 | Immediate | 2 or 3 | Medium | 3 |
2 or 3 | Immediate | 2 or 3 | High | 4 |
4 | None | 1 | None | 2 |
4 | None | 1 | Low | 2 |
4 | None | 1 | Medium | 2 |
4 | None | 1 | High | 3 |
4 | None | 2 or 3 | None | 2 |
4 | None | 2 or 3 | Low | 2 |
4 | None | 2 or 3 | Medium | 3 |
4 | None | 2 or 3 | High | 4 |
4 | Low | 1 | None | 2 |
4 | Low | 1 | Low | 2 |
4 | Low | 1 | Medium | 2 |
4 | Low | 1 | High | 3 |
4 | Low | 2 or 3 | None | 2 |
4 | Low | 2 or 3 | Low | 2 |
4 | Low | 2 or 3 | Medium | 3 |
4 | Low | 2 or 3 | High | 4 |
4 | Medium | 1 | None | 2 |
4 | Medium | 1 | Low | 2 |
4 | Medium | 1 | Medium | 3 |
4 | Medium | 1 | High | 3 |
4 | Medium | 2 or 3 | None | 2 |
4 | Medium | 2 or 3 | Low | 3 |
4 | Medium | 2 or 3 | Medium | 3 |
4 | Medium | 2 or 3 | High | 4 |
4 | High | 1 | None | 2 |
4 | High | 1 | Low | 2 |
4 | High | 1 | Medium | 3 |
4 | High | 1 | High | 3 |
4 | High | 2 or 3 | None | 2 |
4 | High | 2 or 3 | Low | 3 |
4 | High | 2 or 3 | Medium | 4 |
4 | High | 2 or 3 | High | 4 |
4 | Immediate | 1 | None | 2 |
4 | Immediate | 1 | Low | 2 |
4 | Immediate | 1 | Medium | 3 |
4 | Immediate | 1 | High | 3 |
4 | Immediate | 2 or 3 | None | 2 |
4 | Immediate | 2 or 3 | Low | 3 |
4 | Immediate | 2 or 3 | Medium | 4 |
4 | Immediate | 2 or 3 | High | 4 |
5 | None | 1 | None | 2 |
5 | None | 1 | Low | 2 |
5 | None | 1 | Medium | 3 |
5 | None | 1 | High | 4 |
5 | None | 2 or 3 | None | 3 |
5 | None | 2 or 3 | Low | 3 |
5 | None | 2 or 3 | Medium | 4 |
5 | None | 2 or 3 | High | 5 |
5 | Low | 1 | None | 2 |
5 | Low | 1 | Low | 2 |
5 | Low | 1 | Medium | 3 |
5 | Low | 1 | High | 4 |
5 | Low | 2 or 3 | None | 3 |
5 | Low | 2 or 3 | Low | 3 |
5 | Low | 2 or 3 | Medium | 4 |
5 | Low | 2 or 3 | High | 5 |
5 | Medium | 1 | None | 2 |
5 | Medium | 1 | Low | 2 |
5 | Medium | 1 | Medium | 3 |
5 | Medium | 1 | High | 4 |
5 | Medium | 2 or 3 | None | 3 |
5 | Medium | 2 or 3 | Low | 3 |
5 | Medium | 2 or 3 | Medium | 4 |
5 | Medium | 2 or 3 | High | 5 |
5 | High | 1 | None | 2 |
5 | High | 1 | Low | 2 |
5 | High | 1 | Medium | 3 |
5 | High | 1 | High | 4 |
5 | High | 2 or 3 | None | 3 |
5 | High | 2 or 3 | Low | 3 |
5 | High | 2 or 3 | Medium | 4 |
5 | High | 2 or 3 | High | 5 |
5 | Immediate | 1 | None | 2 |
5 | Immediate | 1 | Low | 2 |
5 | Immediate | 1 | Medium | 3 |
5 | Immediate | 1 | High | 4 |
5 | Immediate | 2 or 3 | None | 3 |
5 | Immediate | 2 or 3 | Low | 3 |
5 | Immediate | 2 or 3 | Medium | 4 |
5 | Immediate | 2 or 3 | High | 5 |
6 | None | 1 | None | 2 |
6 | None | 1 | Low | 3 |
6 | None | 1 | Medium | 3 |
6 | None | 1 | High | 4 |
6 | None | 2 or 3 | None | 3 |
6 | None | 2 or 3 | Low | 3 |
6 | None | 2 or 3 | Medium | 4 |
6 | None | 2 or 3 | High | 5 |
6 | Low | 1 | None | 2 |
6 | Low | 1 | Low | 3 |
6 | Low | 1 | Medium | 3 |
6 | Low | 1 | High | 4 |
6 | Low | 2 or 3 | None | 3 |
6 | Low | 2 or 3 | Low | 3 |
6 | Low | 2 or 3 | Medium | 4 |
6 | Low | 2 or 3 | High | 5 |
6 | Medium | 1 | None | 3 |
6 | Medium | 1 | Low | 3 |
6 | Medium | 1 | Medium | 3 |
6 | Medium | 1 | High | 4 |
6 | Medium | 2 or 3 | None | 3 |
6 | Medium | 2 or 3 | Low | 4 |
6 | Medium | 2 or 3 | Medium | 4 |
6 | Medium | 2 or 3 | High | 5 |
6 | High | 1 | None | 3 |
6 | High | 1 | Low | 3 |
6 | High | 1 | Medium | 4 |
6 | High | 1 | High | 4 |
6 | High | 2 or 3 | None | 4 |
6 | High | 2 or 3 | Low | 4 |
6 | High | 2 or 3 | Medium | 5 |
6 | High | 2 or 3 | High | 5 |
6 | Immediate | 1 | None | 3 |
6 | Immediate | 1 | Low | 3 |
6 | Immediate | 1 | Medium | 4 |
6 | Immediate | 1 | High | 4 |
6 | Immediate | 2 or 3 | None | 4 |
6 | Immediate | 2 or 3 | Low | 4 |
6 | Immediate | 2 or 3 | Medium | 5 |
6 | Immediate | 2 or 3 | High | 5 |
(2) DDA adds one level to your individual and family services level when your individual and family services level is determined to be:
(a) Level one, two, three, or four; and
(b) You have a score of four for question two "Other caregiving for persons who are disabled, seriously ill, or under five" in the DDA caregiver status acuity scale. See WAC
388-828-5260.
[Statutory Authority: RCW
71A.12.030 and
71A.16.050. WSR 21-19-093, § 388-828-9040, filed 9/17/21, effective 10/18/21. Statutory Authority: RCW
71A.12.010,
71A.12.030, and Title
71A RCW. WSR 09-21-033, § 388-828-9040, filed 10/13/09, effective 11/13/09. Statutory Authority: RCW
71A.12.030,
71A.12.040, and 2007 c 283. WSR 08-16-121, § 388-828-9040, filed 8/5/08, effective 9/5/08.]