Wash. Admin. Code § 388-828-4400

Current through Register Vol. 25-01, January 1, 2025

Section 388-828-4400 - How does DDA determine if you meet the eligibility requirements for ICF/IID level-of-care if you are age 16 or older?

If you are age 16 or older, DDA determines you to be eligible for ICF/IID level-of-care from your SIS scores. Eligibility for ICF/IID level-of-care requires that your scores meet at least one of the following:

(1) You have a percentile rank over nine percent for three or more of the six subscales in the SIS support needs scale;

(2) You have a percentile rank over 25% for two or more of the six subscales in the SIS support needs scale;

(3) You have a percentile rank over 50% in at least one of the six subscales in the SIS support needs scale;

(4) You have a support score of one or two for any of the questions listed in the SIS exceptional medical support needs scale;

(5) You have a support score of one or two for at least one of the following items in the SIS exceptional behavior support needs scale:

(a) Prevention of assaults or injuries to others;

(b) Prevention of property destruction (e.g., fire setting, breaking furniture);

(c) Prevention of self-injury;

(d) Prevention of PICA (ingestion of inedible substances);

(e) Prevention of suicide attempts;

(f) Prevention of sexual aggression; or

(g) Prevention of wandering.

(6) You have a support score of two for any of the questions listed in the SIS exceptional behavior support needs scale; or

(7) You meet or exceed any of the qualifying scores for one or more of the following SIS questions:

Question # of SIS support needs scale	Text of question	Your score for "Type of support" is:	And your score for "Frequency of support" is:
A1	Bathing and taking care of personal hygiene and grooming needs	2 or more	4
		3 or more	2
A2	Dressing	2 or more	4
		3 or more	2
A3	Using the toilet	2 or more	4
		3 or more	2
A4	Preparing food	2 or more	4
		3 or more	2
A5	Eating food	2 or more	4
		3 or more	2
A6	Taking care of clothes, including laundering	2 or more	2 or more
		3 or more	1
A7	Housekeeping and cleaning	2 or more	2 or more
		3 or more	1
B6	Shopping and purchasing goods and services	2 or more	2 or more
		3 or more	1
C1	Taking medications	2 or more	4
		3 or more	2
C2	Ambulating and moving about	2 or more	4
		3 or more	2
C3	Avoiding health and safety hazards	2 or more	3 or more
		3 or more	2
C6	Maintaining a nutritious diet	2 or more	2 or more
		3 or more	1
C8	Maintaining emotional well-being	2 or more	3 or more
		3 or more	2
D1	Learning and using problem-solving strategies	2 or more	3 or more
		3 or more	2
D5	Learning self-management strategies	2 or more	3 or more
		3 or more	2
F1	Using appropriate social skills	2 or more	3 or more
		3 or more	2
G3	Managing money and personal finances	2 or more	2 or more
		3 or more	1

Wash. Admin. Code § 388-828-4400

Amended by WSR 19-02-020, Filed 12/21/2018, effective 2/1/2019

Amended by WSR 21-19-093, Filed 9/17/2021, effective 10/18/2021

Amended by WSR 24-23-058, Filed 11/15/2024, effective 1/1/2025

Statutory Authority: RCW 71A.12.030 and Title 71A RCW. 07-10-029, § 388-828-4400, filed 4/23/07, effective 6/1/07.