WSR 07-14-072

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed June 29, 2007, 11:56 a.m. , effective July 1, 2007 ]


     Effective Date of Rule: July 1, 2007.

     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.

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

     Other Authority: Chapter 283, Laws of 2007 (2SSB 5467).

     Under RCW 34.05.350 the agency for good cause finds that state or federal law or federal rule or a federal deadline for state receipt of federal funds requires immediate adoption of a rule.

     Reasons for this Finding: Chapter 283, Laws of 2007 (2SSB 5467) directs the department to create the individual and family services program 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.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 8, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 8, Amended 0, Repealed 0.

     Date Adopted: June 27, 2007.

Stephanie E. Schiller

Rules Coordinator

Chapter 388-828 WAC

INDIVIDUAL AND FAMILY SERVICES ASSESSMENT


NEW SECTION
WAC 388-828-9000   What is the individual and family services assessment?   The individual and family services assessment is an algorithm in the DDD assessment that determines an award amount that you may receive if DDD has authorized you to receive individual and family services per chapter 388-832 WAC.

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NEW SECTION
WAC 388-828-9020   What is the purpose of the individual and family services assessment?   The purpose of the individual and family services assessment is to determine your individual and family services level and score using your assessed support levels from:

     (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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NEW SECTION
WAC 388-828-9040   How does DDD determine your individual and family services level?   (1) DDD determines your individual and family services level using the following table:

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

     (2) DDD 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 DDD caregiver status acuity scale. See WAC 388-828-5260.

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NEW SECTION
WAC 388-828-9060   How does DDD determine your individual and family services rating?   (1) Your individual and family services rating is determined by using the following table:

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

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NEW SECTION
WAC 388-828-9080   Does DDD make an adjustment to your individual and family services rating?   DDD only makes an adjustment to your individual and family services support rating when you are not receiving medicaid personal care services per chapter 388-828 WAC.

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NEW SECTION
WAC 388-828-9100   If you are not receiving medicaid personal care services, how does DDD determine the number to use in the adjustment of your individual and family services support rating?   DDD determines the amount of the adjustment for your individual and family services support rating using the following tables:

     (1)

If your individual and family services level is 1 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 2 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 297 297 316 325
Low 297 297 316 325
Medium 297 328 362 385
High 297 385 485 527

     (3)

If your individual and family services level is 3 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 393 393 412 421
Low 393 393 412 421
Medium 393 424 458 481
High 393 481 581 623

     (4)

If your individual and family services level is 4 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 489 489 508 517
Low 489 489 508 517
Medium 489 520 554 577
High 489 577 677 719

     (5)

If your individual and family services level is 5 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 585 585 604 613
Low 585 585 604 613
Medium 585 616 650 673
High 585 673 773 815

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 424.

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NEW SECTION
WAC 388-828-9120   How does DDD determine your individual and family services score?   (1) If you receive medicaid personal care per chapter 388-106 WAC, your individual and family services support rating is equal to your individual and family services score.

     (2) If you are not receiving medicaid personal care, DDD adds your individual and family support rating to the amount of the adjustment determined in WAC 388-828-9100.

Example: If you are not receiving medicaid personal care services and your individual and family services support rating is 336 and the amount of your adjustment is 424, your individual and family services score is 760.

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NEW SECTION
WAC 388-828-9140   How does DDD determine the amount of your individual and family service award?   DDD uses the following table to determine the amount of your individual and family services award:

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

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