Section 388-826-0070 - What are the department's responsibilities for a client receiving out-of-home services? When a client receives Out-of-home services, the department must:
(1) Facilitate the development of the child and family engagement plan under WAC 388-826-0041 before the start of service and at each annual assessment;(2) Visit the client in their licensed or certified setting at least every ninety days;(3) Develop the client's person centered service plan as required under WAC 388845-3055;(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) Monitor the client's out-of-home services by:(a) Facilitating team meetings using a wraparound planning model;(b) Reviewing the individual instruction and support plan;(c) Reviewing the quarterly report;(d) Reviewing incident reports and follow-up measures involving the client;(e) Authorizing payment for services; (f) Completing annual quality assurance assessments of staffed residential providers and children's state-operated living alternative providers; and(g) Contracting with evaluators to complete certification evaluations of children's state-operated living alternative providers.(6) Determine eligibility for medicaid coverage under chapters 182-513 and 182-515 WAC; (7) Determine the client's participation and room and board amount, if any;(8) Monitor the provider to ensure the provider complies with contract requirements, which includes compliance with DDA policies; and(9) Refer a client for a nurse delegation assessment by a registered nurse delegator, if requested by the provider.Wash. Admin. Code § 388-826-0070
Amended by WSR 18-23-004, Filed 11/7/2018, effective 12/8/2018Amended by WSR 21-15-059, Filed 7/15/2021, effective 8/15/2021Statutory Authority: RCW 74.13.350. 02-22-057, § 388-826-0070, filed 10/31/02, effective 12/1/02.