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PDFWAC 388-106-0270

What services are available under community first choice (CFC)?

The services you may receive under the community first choice program include:
(1) Personal care services as defined in WAC 388-106-0010.
(2) Relief care, which is personal care services by a second individual or agency provider as a back-up to your primary paid personal care provider.
(3) Skills acquisition training, which is training that allows you to acquire, maintain, and enhance skills necessary to accomplish ADLs, IADLs, or health related tasks more independently. Health related tasks are specific tasks related to the needs of an individual that under state law licensed health professionals can delegate or assign to a qualified health care practitioner.
(4) Personal emergency response systems (PERS), which are basic electronic devices that enable you to secure help in an emergency when:
(a) You live alone in your own home;
(b) You are alone in your own home for significant parts of the day and have no provider for extended periods of time; or
(c) No one in your home, including you, is able to secure help in an emergency.
(5) Assistive technology, including assistive equipment, which are adaptive and assistive items that increase your independence or substitute for human assistance specifically with ADLs, IADLs, or health related tasks, including but not limited to:
(a) PERS add-on services, such as fall detection, GPS, or medication reminder systems;
(b) Department approved devices that are not excluded by WAC 388-106-0274, including but not limited to:
(i) Adaptive utensils to assist with activities such as eating, dressing, and writing;
(ii) Communication applications/software or devices;
(iii) Visual alert systems;
(iv) Voice activated systems;
(v) Switches and eyegazes; and
(vi) Timers or electronic devices that monitor or sense movement and react in a prescribed manner such as turning on or off an appliance;
(c) Repair or replacing items as limited by WAC 388-106-0274; and
(d) Training of participants and caregivers on the maintenance or upkeep of equipment purchased under assistive technology.
(6) Nurse delegation services as defined in WAC 246-840-910 through 246-840-970.
(7) Nursing services when you are not already receiving nursing services from another source. A registered nurse may visit you and perform any of the following activities:
(a) Nursing assessment/reassessment;
(b) Instruction to you and your providers;
(c) Care coordination and referral to other health care providers;
(d) Skilled treatment, which is care that requires authorization, prescription, and supervision by an authorized practitioner prior to its provision by a nurse, including but not limited to medication administration or wound care such as debridement; nursing services will only provide skilled treatment in the event of an emergency and in nonemergency situations, the nurse will refer the need for any skilled medical or nursing treatments to a health care provider, home health agency, or other appropriate resource;
(e) File review; and
(f) Evaluation of health-related care needs that affect service plan and delivery.
(8) Community transition services, which are nonrecurring, setup items or services to assist you with discharge from a nursing facility, institution for mental diseases, or intermediate care facility for individuals with intellectual disabilities, when these items or services are necessary for you to set up your own home, including but not limited to:
(a) Security deposits that are required to lease an apartment or home, including first month's rent;
(b) Essential household furnishings required to occupy and use a community domicile, including furniture, window coverings, food preparation items, and bath and linen supplies;
(c) Setup fees or deposits for utilities, including telephone, electricity, heating, water, and garbage;
(d) Services necessary for your health and safety such as pest eradication and one-time cleaning prior to occupancy;
(e) Moving expenses; and
(f) Activities to assess need, arrange for, and procure necessary resources.
(9) Caregiver management training on how to select, manage, and dismiss personal care providers.
[Statutory Authority: RCW 74.08.090, 74.09.520, 74.39A.400, and 42 C.F.R. 441.500-590. WSR 23-12-082, § 388-106-0270, filed 6/6/23, effective 7/7/23. Statutory Authority: RCW 74.08.090. WSR 17-03-127, § 388-106-0270, filed 1/18/17, effective 2/18/17. Statutory Authority: RCW 74.08.090, 74.09.520, 74.39A.400 and 42 C.F.R. § 441.500-590. WSR 16-04-020, § 388-106-0270, filed 1/22/16, effective 2/22/16.]
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