DDD determines your unadjusted respite assessment level for companion home services using the following table:
| If your Protective Supervision Support Level is: | And your behavioral acuity level is: | Then your unadjusted respite assessment level is: |
| 0 | None | 1 |
| 0 | Low | 1 |
| 0 | Medium | 2 |
| 0 | High | 2 |
| 1 | None | 1 |
| 1 | Low | 1 |
| 1 | Medium | 2 |
| 1 | High | 3 |
| 2 or 3 | None | 2 |
| 2 or 3 | Low | 2 |
| 2 or 3 | Medium | 2 |
| 2 or 3 | High | 4 |
| 4 | None | 2 |
| 4 | Low | 2 |
| 4 | Medium | 3 |
| 4 | High | 4 |
| 5 | None | 3 |
| 5 | Low | 3 |
| 5 | Medium | 4 |
| 5 | High | 5 |
| 6 | None | 3 |
| 6 | Low | 3 |
| 6 | Medium | 4 |
| 6 | High | 5 |
[Statutory Authority: RCW 71A.12.010, 71A.12.030, and Title 71A RCW. 09-20-004, ยง 388-828-5990, filed 9/24/09, effective 10/25/09.]