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PDFWAC 388-845-1890

Are there limits to the specialized habilitation I may receive?

The following limits apply to your receipt of specialized habilitation:
(1) Specialized habilitation is limited to address a maximum of three goals at a time.
(2) Specialized habilitation support needs must be identified in your DDA assessment and specialized habilitation must be documented in your person-centered service plan.
(3) Specialized habilitation must not exceed:
(a) Four-thousand dollars of your basic plus aggregate funding;
(b) Your IFS annual allocation in combination with other waiver services; or
(c) Fifteen thousand dollars within your total CIIBS aggregate budget and six thousand dollars emergency funding when eligible per WAC 388-845-0800 and 388-845-0820.
(4) Specialized habilitation does not cover education, vocational, skills acquisition training through community first choice, behavioral health, ABA, skilled nursing, occupational therapy, physical therapy, or speech, language, and hearing services that are covered benefits through the medicaid state plan, including early and periodic screening, diagnosis, and treatment and part B special education services.
(5) Specialized habilitation must not be authorized to clients enrolled in residential habilitation.
(6) Habilitation plans must be documented as formal plans as outlined in the provider's contract.
(7) Specialized habilitation, not provided as a stabilization service, requires prior approval by the DDA regional administrator or designee.
[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 21-19-108, ยง 388-845-1890, filed 9/20/21, effective 10/21/21.]
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