WSR 00-05-107

PROPOSED RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Health and Rehabilitative Services Administration)

[ Filed February 16, 2000, 11:31 a.m. ]

Original Notice.

Exempt from preproposal statement of inquiry under RCW 34.05.310(4).

Title of Rule: Division of Developmental Disabilities Family Support program rules, WAC 388-825-226, 388-825-228, and 388-825-254.

Purpose: Revises rule to include mandated rate increases for fiscal year 2000.

Statutory Authority for Adoption: RCW 71A.12.030 and 71A.12.040.

Statute Being Implemented: Section 206, chapter 309, Laws of 1999.

Summary: Under the Division of Developmental Disabilities Family Support program, rates for community guides, short-term intervention and service need levels are covered in rule. Since the majority of funding is used to pay providers, mandated vendor rate increases and those funded under Proviso 206 (1)(b) are reflected in the rate increase.

Reasons Supporting Proposal: This rule change shows the rate increases implemented in FY 2000.

Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Rita Dickey, Box 45310, Olympia, WA 98504, (360) 902-8451.

Name of Proponent: Department of Social and Health Services, governmental.

Rule is not necessitated by federal law, federal or state court decision.

Explanation of Rule, its Purpose, and Anticipated Effects: This rule updates WAC 388-825-226, 388-825-228, and 388-825-254. It increases rates for community guides, short-term intervention and service need levels to reflect vendor rate increases in the last biennial budget.

Proposal Changes the Following Existing Rules: Rates in current rule are updated to reflect changes.

No small business economic impact statement has been prepared under chapter 19.85 RCW. This change increases the rates paid under the family support program and has no impact on small business.

RCW 34.05.328 does not apply to this rule adoption. The rule does not fit the definition of a significant legislative rule.

Hearing Location: Lacey Government Center (behind Tokyo Bento Restaurant), 1009 College Street S.E., Room 104-A, Lacey, WA 98503, on March 21, 2000, at 10:00 a.m.

Assistance for Persons with Disabilities: Contact Paige Wall by March 10, 2000, phone (360) 664-6094, TTY (360) 664-6178, e-mail wallpg@dshs.wa.gov.

Submit Written Comments to: Identify WAC Numbers, Paige Wall, Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, fax (360) 664-6185, by March 21, 2000.

Date of Intended Adoption: April 1, 2000.

February 8, 2000

Marie Myerchin-Redifer, Manager

Rules and Policies Assistance Unit

2638.2
AMENDATORY SECTION(Amending WSR 99-04-071, filed 9/20/99, effective 9/20/99)

WAC 388-825-226
Can the family support opportunity program help my family obtain financial assistance for community guide services?

The program will authorize up to two hundred four dollars per year for community guide services for your family.

[99-19-104, recodified as 388-825-226, filed 9/20/99, effective 9/20/99. Statutory Authority: RCW 71A.12.030. 99-04-071, 275-27-194, filed 2/1/99, effective 3/4/99.]


AMENDATORY SECTION(Amending WSR 99-04-071, filed 9/20/99, effective 9/20/99)

WAC 388-825-228
How can short-term intervention services help my family?

If your family is eligible, you may receive up to ((eleven)) one thousand two hundred dollars per year in short-term intervention funds to pay for necessary services not otherwise available. Short-term intervention funding cannot be used for basic subsistence such as food or shelter but is available for those specialized costs directly related to and resulting from your child's disability. Short-term intervention funds can be authorized for a one-time only need or for an episodic service need that occurs over a one-year period.

[99-19-104, recodified as 388-825-228, filed 9/20/99, effective 9/20/99. Statutory Authority: RCW 71A.12.030. 99-04-071, 275-27-195, filed 2/1/99, effective 3/4/99.]


AMENDATORY SECTION(Amending WSR 97-13-051, filed 9/20/99, effective 9/20/99)

WAC 388-825-254
Service need level rates.

(1) The department shall base periodic service authorizations on:

(a) Requests for family support services described in WAC ((275-27-220(2))) 388-825-252(2) of this section;

(b) Service need levels as described in WAC ((275-27-220(3))) 388-825-252(3) of this chapter. Service need level lid amounts are as follows:

(i) Clients designated for service need level one (WAC ((275-27-223)) 388-825-256) may receive up to ((nine hundred fifty-one)) one thousand twenty-four dollars per month or two thousand ((three hundred forty-one)) four hundred eleven dollars per month if the client requires licensed nursing care in the home:

(A) If a client is receiving funding through Medicaid Personal Care or other DSHS in-home residential support, the maximum payable through family support shall be four hundred ((twenty-one)) fifty-four dollars per month;

(B) If the combined total of family support services at this maximum plus in-home support is less than ((nine hundred fifty-one)) one thousand twenty-four dollars additional family support can be authorized to bring the total to ((nine hundred fifty-one)) one thousand twenty-four dollars.

(ii) Clients designated for service need level two may receive up to ((three)) four hundred ((seventy-six)) four dollars per month if not receiving funding through Medicaid personal care:

(A) If a client is receiving funds through Medicaid personal care or other DSHS in-home residential support service, the maximum receivable through family support shall be two hundred ((eleven)) twenty-seven dollars per month;

(B) If the combined total of family support services at this maximum plus in-home support is less than ((three)) four hundred ((seventy-six)) four dollars, additional family support can be authorized to bring the total to ((three)) four hundred ((seventy-six)) four dollars.

(iii) Clients designated for service need level three may receive up to two hundred ((eleven)) twenty-seven dollars per month provided the client is not receiving Medicaid personal care. If the client is receiving Medicaid personal care or other DSHS in-home residential support service, the maximum receivable through family support shall be one hundred ((six)) fourteen dollars per month; and

(iv) Clients designated for service level four may receive up to one hundred ((six)) fourteen dollars per month family support services.

(c) Availability of family support funding;

(d) Authorization by a review committee, in each regional office, which reviews each request for service;

(e) The amounts designated in subsection (1)(b)(i) through (iv) of this section are subject to periodic increase if vendor rate increases are mandated by the legislature.

(2) The department shall authorize family support services contingent upon the applicant providing accurate and complete information on disability-related requests.

(3) The department shall ensure service authorizations do not exceed maximum amounts for each service need level based on the availability of funds.

(4) The department shall not authorize a birth parent, adoptive parent, or stepparent living in the same household as the client as the direct care provider for respite, attendant, nursing, therapy, or counseling services for a child seventeen years of age or younger.

[99-19-104, recodified as 388-825-254, filed 9/20/99, effective 9/20/99. Statutory Authority: RCW 71A.12.030, 71A.12.040 and Title 71A RCW. 97-13-051, 275-27-222, filed 6/13/97, effective 7/14/97.]

Washington State Code Reviser's Office