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PDFWAC 388-826-0040

What is the out-of-home services acknowledgment?

(1) The out-of-home services acknowledgment is a document signed by the client's parent or legal guardian acknowledging their custodial responsibility and decision making authority while the client is receiving services from a qualified provider.
(2) An out-of-home services acknowledgment must state:
(a) DSHS and DDA are offering services through medicaid or roads to community living;
(b) The client is not a dependent of the state by enrolling in out-of-home services;
(c) Enrollment in out-of-home services does not affect the legal rights and responsibilities of the parent or legal guardian;
(d) The client's parent or legal guardian retains the authority to authorize medical care for the client;
(e) The client's parent or legal guardian retains the authority to make all legal decisions for the client;
(f) The client's parent or legal guardian continues to be legally responsible for caring for the client;
(g) The client's parent or legal guardian continues to be legally responsible for the client if out-of-home services are disrupted; and
(h) The client's parent or legal guardian continues to be legally responsible for the cost of the client's care, including room and board and basic expenses that are not covered by private insurance, medicare, the medicaid state plan, or other funding sources.
[Statutory Authority: RCW 71A.12.030 and chapters 71A.28, 74.13 RCW. WSR 21-15-059, § 388-826-0040, filed 7/15/21, effective 8/15/21. Statutory Authority: RCW 71A.12.030 and 74.13.350. WSR 18-23-004, § 388-826-0040, filed 11/7/18, effective 12/8/18. Statutory Authority: RCW 74.13.350. WSR 02-22-057, § 388-826-0040, filed 10/31/02, effective 12/1/02.]
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