If your individual and family services level is 1, 2, 3, 4, or 5. | And your ADL support needs level for the SIS per WAC 388-828-5480 |
None | Low | Medium | High |
| None | 57 | 57 | 76 | 85 |
Low | 57 | 57 | 76 | 85 |
Medium | 57 | 88 | 122 | 145 |
High | 57 | 145 | 245 | 287 |
Example: If your individual and family service level is 3 and your ADL support needs level is "low" and your medical acuity level is "medium," the amount of your adjustment is 88.
[Statutory Authority: RCW
71A.12.030 and
71A.12.140. WSR 15-22-039, § 388-828-9100, filed 10/28/15, effective 11/28/15. Statutory Authority: RCW
71A.12.030,
71A.12.040, and 2007 c 283. WSR 08-16-121, § 388-828-9100, filed 8/5/08, effective 9/5/08.]