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PDFWAC 388-829C-131

How does DDA determine the daily rate?

(1) A companion home daily rate equals the sum of the client's support assessment scale scores multiplied by 12.5.
(2) The residential algorithm under chapter 388-828 WAC determines the level of services and supports a companion home client may receive.
(3) The CARE assessment assigns support levels of "none," "low," "medium," or "high" to each support assessment scale that correspond to the values below:
Category
None
Low
Medium
High
Activities of daily living
0
1
2
3
Behavior
0
1
2
3
Interpersonal support
0
1
2
3
Medical
0
1
2
3
Mobility
0
1
2
3
Protective supervision
0
1
2
3
(4) DDA assigns a behavior score of four if the client has a:
(a) Behavior score of three on their support assessment scale;
(b) Challenging behavior documented on form DSHS 10-234; and
(c) Current positive behavior support plan.
(5) DDA reviews a companion home daily rate annually and if a significant change assessment occurs during the plan year.
(6) DDA may adjust a companion home daily rate if:
(a) Any of the client's support assessment scale levels change;
(b) The multiplier changes due to a vendor rate change; or
(c) The annual cost of respite services increased because DDA approved additional respite hours under WAC 388-829C-234(3) and the client's assessed support needs remain unchanged since the most recent CARE assessment.
[Statutory Authority: RCW 71A.12.030, 71A.10.020 and 71A.12.040. WSR 18-22-106, ยง 388-829C-131, filed 11/6/18, effective 12/7/18.]
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