WSR 15-17-091

PROPOSED RULES

[Filed August 18, 2015, 10:42 a.m.]

Preproposal statement of inquiry was filed as WSR 15-09-092.

Title of Rule and Other Identifying Information: The department is proposing to amend WAC 388-828-9060 How does DDD determine your individual and family services support rating?, 388-828-9100 How does DDD determine the number to use in the adjustment of your individual and family services support rating?, 388-828-9120 How does DDD determine your individual and family services score?, and 388-832-0120 Will my IFS allocation be impacted if I am eligible for medicaid personal care services?

Hearing Location(s): Office Building 2, DSHS Headquarters, 1115 Washington, Olympia, WA 98504 (public parking at 11th and Jefferson. A map is available at http://www1.dshs.wa.gov/msa/rpau/RPAU-OB-2directions.html), on September 22, 2015, at 10:00 a.m.

Date of Intended Adoption: Not earlier than September 23, 2015.

Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504, e-mail DSHSRPAURulesCoordinator@dshs.wa.gov, fax (360) 664-6185, by 5:00 p.m., September 22, 2015.

Assistance for Persons with Disabilities: Contact Jeff Kildahl, DSHS rules consultant, by phone (360) 664-6092 or TTY (360) 664-6178, e-mail KildaJA@dshs.wa.gov.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The developmental disabilities administration (DDA) intends to make changes to these sections because the majority of individual and family services (IFS) clients will start to receive medicaid with the implementation of the IFS waiver, and DDA wants to evenly apply the adjustment based on medical acuity and activities of daily living (ADL) support needs to all clients, regardless of medicaid eligibility.

Reasons Supporting Proposal: The consequences of not making these changes would be that an estimated seventy-five percent of IFS clients would experience a reduction in their IFS allocation at their next assessment, with the receipt of medicaid.

Statutory Authority for Adoption: RCW 71A.12.030, 71A.12.140.

Name of Agency Personnel Responsible for Drafting, Implementation, and Enforcement: Sheila Collins, DDA, P.O. Box 45310, Olympia, 98504-5310, (360) 725-3415.

No small business economic impact statement has been prepared under chapter 19.85 RCW. The rules do not impact small businesses or nonprofits. They only impact DSHS clients.

A cost-benefit analysis is not required under RCW 34.05.328. The proposed rules are exempt under RCW 34.05.328 (5)(b)(vii) and relate only to client medical or financial eligibility.

August 7, 2015

Katherine I. Vasquez

Rules Coordinator

If your unadjusted 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

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

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))