Wash. Admin. Code § 388-828-8040
If you are age birth through fifteen and are receiving DDA HCBS waiver services or reside in a state only residential setting, DDA uses the following tables to determine the health and welfare needs that must be addressed in your person-centered service plan:
# | Questions in the Support Needs Assessment for Children: | DDA must address in your PSCP if you have an acuity score of: | Health and Welfare Category |
1 | Dress and groom self | 2 or more | Home Living |
2 | Toilet self | 2 or more | Home Living |
3 | Eat at age level | 3 or more | Home Living |
4 | Move around | 3 or more | Home Living |
5 | Communicate | 2 or more | Home Living |
7 | Make choices and take responsibility | 2 or more | Protection and Advocacy |
8 | Explore environment | 3 or more | Community Living |
9 | Meet therapy health needs | 1 or more | Medical Supports |
10 | Help family continue to meet child's needs | 1 or more | Protection and Advocacy |
15 | Identify and respond safely to emergencies | 1 or more | Health and Safety |
16 | Practice age-level safety measures | 2 or more | Protection and Advocacy |
17 | Effectively relate to other students/peers | 3 or more | Employment |
18 | Have behaviors which promote being included | 3 or more | Behavior Supports |
# | Questions in the Exceptional Medical Support Needs Scale | DDA must address in your PSCP if you have an acuity score of: | Health and Welfare Category |
1 | Inhalation or oxygen therapy | 1 or more | Medical Supports |
2 | Postural drainage | 1 or more | Medical Supports |
3 | Chest PT | 1 or more | Medical Supports |
4 | Suctioning | 1 or more | Medical Supports |
5 | Oral Stimulation or Jaw Repositioning | 1 or more | Medical Supports |
6 | Tube feeding (e.g., nasogastric) | 1 or more | Medical Supports |
7 | Parenteral feeding (e.g., IV) | 1 or more | Medical Supports |
8 | Turning or positioning | 1 or more | Medical Supports |
9 | Dressing of open wound(s) | 1 or more | Medical Supports |
10 | Protection from infectious diseases due to immune system impairment | 1 or more | Medical Supports |
11 | Seizure management | 1 or more | Medical Supports |
12 | Dialysis | 1 or more | Medical Supports |
13 | Ostomy care | 1 or more | Medical Supports |
14 | Lifting and/or transferring | 1 or more | Medical Supports |
15 | Therapy services | 1 or more | Medical Supports |
16 | Hypertension | 1 or more | Medical Supports |
17 | Allergies | 1 or more | Medical Supports |
18 | Diabetes | 1 or more | Medical supports |
19 | Other(s)-Specify | 1 or more | Medical Supports |
# | Questions in the Exceptional Behavior Support Needs Scale: | DDA must address in your PSCP if you have an acuity score of: | Health and Welfare Category |
1 | Prevention of emotional outbursts | 1 or more | Behavioral Supports |
2 | Prevention of assault or injury to others | 1 or more | Behavioral Supports |
3 | Prevention of property destruction (e.g., fire setting, breaking furniture) | 1 or more | Behavioral Supports |
4 | Prevention of stealing | 1 or more | Behavioral Supports |
5 | Prevention of self-injury | 1 or more | Behavioral Supports |
6 | Prevention of suicide attempts | 1 or more | Behavioral Supports |
7 | Prevention of PICA (ingestion of inedible substances) | 1 or more | Behavioral Supports |
8 | Prevention of nonaggressive but inappropriate behavior (e.g., exposes self in public, exhibitionism, inappropriate touching or gesturing) | 1 or more | Behavioral Supports |
9 | Prevention of sexual aggression | 1 or more | Behavioral Supports |
10 | Prevention of substance abuse | 1 or more | Behavioral Supports |
11 | Prevention of wandering | 1 or more | Behavioral Supports |
12 | Maintenance of mental health treatments | 1 or more | Behavioral Supports |
13 | Managing attention-seeking behavior | 1 or more | Behavioral Supports |
14 | Managing uncooperative behavior | 1 or more | Behavioral Supports |
15 | Managing agitated/over-reactive behavior | 1 or more | Behavioral Supports |
16 | Managing obsessive/repetitive behavior | 1 or more | Behavioral Supports |
17 | Prevention of other serious behavior problem(s)-Specify | 1 or more | Behavioral Supports |
# | Question in the DDA Caregiver Status Acuity Scale: | DDA must address in your PSCP if you have a score: | Health and Welfare Category |
6 | How long do you think you expect to continue providing care? | 1 to 6 months or less than 1 month | DDA Caregiver Status |
Wash. Admin. Code § 388-828-8040
Statutory Authority: RCW 71A.12.030 and Title 71A RCW. 07-10-029, § 388-828-8040, filed 4/23/07, effective 6/1/07.