EMERGENCY RULES
SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)
Effective Date of Rule: Immediately.
Purpose: The department is creating WAC 388-828-9000, 388-828-9020, 388-828-9040, 388-828-9060, 388-828-9080, 388-828-9100, 388-828-9120, and 388-828-9140 to combine three family support programs into one individual and family services program as directed by the legislature and amending WAC 388-828-5360.
Citation of Existing Rules Affected by this Order: Amending WAC 388-838-5360.
Statutory Authority for Adoption: RCW 71A.12.30 [71A.12.030].
Other Authority: Title 71A RCW.
Under RCW 34.05.350 the agency for good cause finds that immediate adoption, amendment, or repeal of a rule is necessary for the preservation of the public health, safety, or general welfare, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the public interest.
Reasons for this Finding: Chapter 283, Laws of 2007 (2SSB 5467) directs the department to create the individual and family services programs for persons with developmental disabilities by July 1, 2007. DDD must incorporate rules for the algorithm used to determine a personal award amount into chapter 388-828 WAC. DDD is also amending WAC 388-828-5360 to correct the backup caregiver availability table, which is part of the individual and family services algorithm.
An initial public notice was filed June 29, 2007, as WSR 07-14-081. Stakeholder work is being completed and the rules are expected to be formally proposed in April 2008. This emergency rule replaces the emergency rule filed November 28, 2008 [2007] as WSR 07-24-029.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 7, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 7, Amended 1, Repealed 0.
Date Adopted: March 20, 2008.
Stephanie E. Schiller
Rules Coordinator
3922.3INDIVIDUAL AND FAMILY SERVICES ASSESSMENT
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(1) The DDD protective supervision acuity scale (See WAC 388-828-5000 to WAC 388-828-5100);
(2) The DDD caregiver status acuity scale (See WAC 388-828-5120 to WAC 388-828-5360);
(3) The DDD behavioral acuity scale; (See WAC 388-828-5500 to WAC 388-828-5640)
(4) The DDD medical acuity scale; (See WAC 388-828-5660 to WAC 388-828-5700); and
(5) The DDD activities of daily living (ADL) acuity scale (See WAC 388-828-5380 to WAC 388-828-5480)
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| 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 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 |
(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 DDD caregiver status acuity scale. See WAC 388-828-5260.
[]
| If your individual and family services level is: | Then your individual and family services support rating is: |
| 1 | 0 |
| 2 | 240 |
| 3 | 336 |
| 4 | 432 |
| 5 | 528 |
[]
(1)
| If your individual and family services level is 1, 2, 3, 4, or 5 and you are not eligible for Medicaid personal care | And your ADL support needs level for the SIS per WAC 388-828-5480 | ||||
| None | Low | Medium | High | ||
| And your medical acuity level per WAC 388-828-5700 | None | 57 | 57 | 76 | 85 |
| Low | 57 | 57 | 76 | 85 | |
| Medium | 57 | 88 | 122 | 145 | |
| High | 57 | 145 | 245 | 287 | |
(2)
| If your individual and family services level is 1, 2, 3, 4, or 5 and you are eligible for Medicaid personal care per chapter 388-106 WAC | And your ADL support needs level for the SIS per WAC 388-828-5480 | ||||
| None | Low | Medium | High | ||
| And your medical acuity level per WAC 388-828-5700 | None | 0 | 0 | 0 | 0 |
| Low | 0 | 0 | 0 | 0 | |
| Medium | 0 | 0 | 0 | 0 | |
| High | 0 | 0 | 0 | 0 | |
[]
Example: If you are not eligible for medicaid personal care
services and your individual and family services support
rating is 336 and the amount of your adjustment is 122, your
individual and family services score is 458.
[]
| If your individual and family services score is: | Then the amount of your award is up to: |
| 0 to 60 | No Award |
| 61 to 240 | $2000 |
| 241 to 336 | $3000 |
| 337 to 527 | $4000 |
| 528 or more | $6000 |
[]
3931.1
| If the availability of your backup caregiver is: | Then your risk level score is: |
| (1) Your backup caregivers are available routinely or upon request as
evidenced by a score of 0 to 2 for question 1 of the backup caregiver subscale;
and (2) You have a person identified as a backup caregiver that does not live with you evidenced by the "Lives with client" checkbox not being selected as contact details information for him or her. |
1 (Not at risk) |
| (3) Your backup caregivers are available upon an emergency only basis
evidenced by a score of 4 for question 1 of the backup caregiver subscale;
(( (4) "Lives with client" has been selected for all of the persons you have identified as your backup caregivers. |
2 (Some risk) |
| (5) You have no other caregiver available evidenced by a score of 9 for question 1 of the backup caregiver subscale. | 3 (High risk) |
[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. 07-10-029, § 388-828-5360, filed 4/23/07, effective 6/1/07.]