WASHINGTON STATE REGISTER

WSR 07-24-029

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)

[ Filed November 28, 2007, 1:37 p.m. , effective November 28, 2007, 1:37 p.m. ]

Effective Date of Rule: Immediately.

Purpose: The department is creating WAC 388-828-9000, 388-828-9020, 388-828-9040, 388-828-9060, 388-828-9100, 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.

Citation of Existing Rules Affected by this Order: Amending WAC 388-828-5360.

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 07-15-081. Stakeholder work is being completed and the rules are expected to be formally proposed in February 2008.

This emergency rule will replace the emergency rule filed as WSR 07-22-016.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 7, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 7, Amended 1, Repealed 0.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: November 28, 2007.

Stephanie E. Schiller

Rules Coordinator

3931.1
AMENDATORY SECTION(Amending WSR 07-10-029, filed 4/23/07, effective 6/1/07)

WAC 388-828-5360 How does DDD determine the risk level score of your backup caregiver not being able to provide the supports you need when you need them? The following table identifies the criteria that are used to calculate the risk level score of your backup caregiver not being able to provide the supports you need when you need them:

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; ((~~and~~)) or
     (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.]

3922.2 Chapter 388-828 WACINDIVIDUAL 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.

[]

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)

[]

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 L

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; ((~~and~~)) or (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)

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	L