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When a client receives services through the out-of-home services program, DDA must:
(1) Facilitate the development of the child and family engagement plan under WAC 388-826-0560 before the start of service and at each annual assessment;
(2) Visit the client in their setting at least every 90 days;
(3) Develop the client's person-centered service plan as required under WAC 388-845-3055;
(4) Assist families to access a client's medically necessary physical or behavioral health benefits, which may include attending care conferences and sharing information with medicare, medicaid, or private health insurance representatives for purposes of care coordination;
(5) Assist families to access a client's necessary educational services, which may include attending school meetings;
(6) Monitor the client's services by:
(a) Facilitating individual team meetings on a quarterly basis;
(b) Reviewing the individual instruction and support plan;
(c) Reviewing the quarterly report;
(d) Reviewing incident reports and follow-up measures involving the client; and
(e) Authorizing payment for services.
(8) Determine the client's participation amount, if any;
(9) Monitor the provider to ensure the provider complies with contract requirements, which includes compliance with DDA policies; and
(10) Refer a client for a nurse delegation assessment by a registered nurse delegator, if required under chapter 246-945 WAC.
[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, amended and recodified as s 388-826-0580, filed 5/21/25, effective 7/1/25. Statutory Authority: RCW 71A.12.030 and chapters 71A.28, 74.13 RCW. WSR 21-15-059, § 388-826-0070, filed 7/15/21, effective 8/15/21. Statutory Authority: RCW 71A.12.030 and 74.13.350. WSR 18-23-004, § 388-826-0070, filed 11/7/18, effective 12/8/18. Statutory Authority: RCW 74.13.350. WSR 02-22-057, § 388-826-0070, filed 10/31/02, effective 12/1/02.]