Section 388-823-1010 - When will DDA review my eligibility to determine if I continue to meet the eligibility requirements for DDA?(1) DDA will review your eligibility:(a) If you are age 19 and:(i) Your most recent eligibility determination was completed before your 16th birthday; and(ii) You are eligible with intellectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition similar to intellectual disability.(b) If you are age 19 and are eligible with another neurological or other condition similar to intellectual disability and have used academic delays as evidence of your substantial functional limitations.(c) Before authorization of any DDA-paid service if you are not currently receiving paid services and your most current eligibility determination was made before June 1, 2005.(d) If new information becomes available that does not support your current eligibility determination.(e) If you were determined eligible due solely to your eligibility for fee-for-service (FFS) medically intensive children's program (MICP) services and you are no longer eligible for FFS MICP services.(2) If DDA does not receive all of the documentation necessary to determine you are eligible during a review, DDA will terminate your eligibility: (a) On your 20th birthday if the review is because you are age 19; or(b) 90 days after DDA requests the information if the review is because: (i) You have requested a paid service;(ii) New information is available that does not support your current eligibility determination; or(iii) You are no longer eligible for FFS MICP services under chapter 182-551 WAC.Wash. Admin. Code § 388-823-1010
Amended by WSR 14-07-028, filed 3/10/14, effective 4/10/2014Amended by WSR 14-12-046, Filed 5/29/2014, effective 7/1/2014Amended by WSR 18-15-046, Filed 7/13/2018, effective 8/13/2018Amended by WSR 19-14-119, Filed 7/3/2019, effective 8/3/2019Amended by WSR 24-01-119, Filed 12/19/2023, effective 1/19/2024Reviser's note: The bracketed material preceding the section above was supplied by the code reviser's office.
Reviser's note:RCW 34.05.395 requires the use of underlining and deletion marks to indicate amendments to existing rules. The rule published above varies from its predecessor in certain respects not indicated by the use of these markings.
Statutory Authority: RCW 71A.10.020, 71A.12.030, 71A.12.050, 71A.12.070, 71A.16.020, 71A.16.030, 71A.16.040, 71A.16.050, and chapters 71A.10, 71A.12, and 71A.16 RCW. WSR 05-12-130, § 388-823-1010, filed 6/1/05, effective 7/2/05.