Chapter 388-106. Long-term care services.  


Section 388-106-0005. What is the purpose and scope of this chapter?
Section 388-106-0010. What definitions apply to this chapter?
Section 388-106-0015. What long-term care services does the department provide?
Section 388-106-0020. Under the MPC, CFC, COPES, and chore programs, what services are not covered?
Section 388-106-0025. How do I apply for long-term care services?
Section 388-106-0030. Where can I receive services?
Section 388-106-0033. When may I receive services in a facility contracted to provide specialized dementia care services?
Section 388-106-0035. May I receive personal care services through any of the long-term care programs when I am out of the state of Washington?
Section 388-106-0040. Who can provide long-term care services?
Section 388-106-0045. When will the department authorize my long-term care services?
Section 388-106-0047. When can the department terminate or deny long-term care services to me?
Section 388-106-0050. What is an assessment?
Section 388-106-0055. What is the purpose of an assessment?
Section 388-106-0060. Who must perform the assessment?
Section 388-106-0065. What is the process for conducting an assessment?
Section 388-106-0070. Will I be assessed in CARE?
Section 388-106-0075. How is my need for personal care services assessed in CARE?
Section 388-106-0080. How is the amount of long-term care services I can receive in my own home or in a residential facility determined?
Section 388-106-0085. What criteria does the CARE tool use to place me in one of the classification groups?
Section 388-106-0090. How does the CARE tool measure cognitive performance?
Section 388-106-0095. How does the CARE tool measure clinical complexity?
Section 388-106-0100. How does the CARE tool measure mood and behaviors?
Section 388-106-0105. How does the CARE tool measure activities of daily living (ADLs)?
Section 388-106-0110. How does the CARE tool evaluate me for the exceptional care classification of the E Group?
Section 388-106-0115. How does CARE use criteria to place me in a classification group for residential facilities?
Section 388-106-0120. What is the payment rate that the department will pay the provider if I receive personal care services in a residential facility?
Section 388-106-0125. How does CARE use criteria to place me in a classification group for in-home care?
Section 388-106-0130. How does the department determine the number of hours I may receive for in-home care?
Section 388-106-0135. What is the maximum number of hours of personal care services that I can receive for in-home services?
Section 388-106-0136. What if I disagree with the result of the limitation extension decision regarding personal care?
Section 388-106-0140. What may change the maximum number of hours that I can receive for in-home personal care services?
Section 388-106-0145. What may change the maximum payment rate that will be paid for residential personal care services provided to me?
Section 388-106-0200. What services may I receive under medicaid personal care (MPC)?
Section 388-106-0210. Am I eligible for medicaid personal care (MPC) funded services?
Section 388-106-0215. When do MPC services start?
Section 388-106-0220. How do I remain eligible for MPC?
Section 388-106-0225. How do I pay for MPC?
Section 388-106-0230. Can I be employed and receive MPC?
Section 388-106-0235. Are there waiting lists for MPC?
Section 388-106-0250. What is the roads to community living (RCL) demonstration project and who is eligible?
Section 388-106-0255. What services may I receive under RCL?
Section 388-106-0256. When do RCL services start?
Section 388-106-0257. How do I remain eligible for RCL?
Section 388-106-0260. How do I pay for RCL services?
Section 388-106-0261. How does the department determine the number of hours or the payment rate for my personal care in RCL?
Section 388-106-0262. What may change the number of hours or payment rate for my personal care in RCL?
Section 388-106-0265. Do I have the right to an administrative hearing while receiving RCL services?
Section 388-106-0270. What services are available under community first choice (CFC)?
Section 388-106-0271. Are there limits to the skills acquisition training I may receive?
Section 388-106-0272. Who are qualified providers for skills acquisition training?
Section 388-106-0273. May I receive additional personal emergency response services?
Section 388-106-0274. Are there limits to the assistive technology I may receive?
Section 388-106-0275. Are there limits to the community transition services I may receive?
Section 388-106-0276. Where can I receive CFC services?
Section 388-106-0277. Am I eligible for CFC services?
Section 388-106-0280. When do CFC services begin?
Section 388-106-0283. How do I remain eligible for CFC services?
Section 388-106-0285. What do I pay for if I receive CFC services?
Section 388-106-0290. What does the department pay towards the cost of care when you are receiving CFC services and live in a residential facility?
Section 388-106-0295. May I be employed and receive CFC services?
Section 388-106-0300. What services may I receive under community options program entry system (COPES) when I live in my own home?
Section 388-106-0305. What services may I receive under COPES if I live in a residential facility?
Section 388-106-0310. Am I eligible for COPES-funded services?
Section 388-106-0315. When do COPES services start?
Section 388-106-0320. How do I remain eligible for COPES?
Section 388-106-0325. How do I pay for COPES services?
Section 388-106-0330. Can I be employed and receive COPES?
Section 388-106-0335. Are there waiting lists for COPES?
Section 388-106-0336. What services may I receive under the residential support waiver?
Section 388-106-0337. When are you not eligible for adult day health services?
Section 388-106-0338. Am I eligible for services funded by the residential support waiver?
Section 388-106-0340. When do services from the residential support waiver start?
Section 388-106-0342. How do I remain eligible for residential support waiver services?
Section 388-106-0344. How do I pay for residential support waiver services?
Section 388-106-0346. Can I be employed and receive residential support waiver services?
Section 388-106-0348. Are there waiting lists for the residential support waiver services?
Section 388-106-0350. What are nursing facility care services?
Section 388-106-0355. Am I eligible for nursing facility care services?
Section 388-106-0360. How do I pay for nursing facility care services?
Section 388-106-0600. What services may I receive under chore?
Section 388-106-0610. Am I eligible for chore-funded services?
Section 388-106-0615. When do chore services start?
Section 388-106-0620. How do I remain eligible for chore?
Section 388-106-0625. How do I pay for chore?
Section 388-106-0630. Can I be employed and receive chore?
Section 388-106-0650. What is the volunteer services program?
Section 388-106-0655. Am I eligible to receive assistance through volunteer services?
Section 388-106-0660. What types of services may be offered through volunteer services?
Section 388-106-0665. How are volunteers qualified to provide volunteer services?
Section 388-106-0670. When may volunteer services not be available or offered?
Section 388-106-0675. What if I disagree with a decision made by the contracted volunteer services provider(s) related to volunteer services?
Section 388-106-0700. What services may I receive under PACE?
Section 388-106-0705. Am I eligible for PACE services?
Section 388-106-0710. How do I pay for PACE services?
Section 388-106-0715. How do I end my enrollment in the PACE program?
Section 388-106-0800. What adult day care services may I receive?
Section 388-106-0805. Am I eligible for adult day care?
Section 388-106-0810. What adult day health services may I receive?
Section 388-106-0815. Am I eligible for adult day health?
Section 388-106-0900. What services may I receive under medical care services?
Section 388-106-0905. Am I eligible to receive medical care services (MCS) residential care services?
Section 388-106-0950. What services may I receive under the residential care discharge allowance?
Section 388-106-0955. Am I eligible for residential care discharge allowance?
Section 388-106-1000. What is the intent of WAC 388-106-1000 through 388-106-1055?
Section 388-106-1005. What services may I receive under private duty nursing (PDN)?
Section 388-106-1010. Am I eligible for medicaid-funded private duty nursing services?
Section 388-106-1020. How do I pay for my PDN services?
Section 388-106-1025. Who can provide my PDN services?
Section 388-106-1030. Are there limitations or other requirements for PDN?
Section 388-106-1035. What requirements must a home health agency meet in order to provide and be paid for my PDN?
Section 388-106-1040. What requirements must an RN, or LPN under the supervision of an RN, meet in order to provide and get paid for my PDN services?
Section 388-106-1045. Can I receive PDN services in a licensed adult family home (AFH)?
Section 388-106-1050. May I receive other long-term care services in addition to PDN?
Section 388-106-1055. Can I choose to self-direct my care if I receive PDN services?
Section 388-106-1100. What services can I receive under the Senior Citizens' Services Act (SCSA) fund?
Section 388-106-1105. How do I apply for SCSA-funded services?
Section 388-106-1110. Am I eligible for SCSA-funded services at no cost?
Section 388-106-1115. What income and resources are exempt when determining eligibility?
Section 388-106-1120. What if I am not eligible to receive SCSA-funded services at no cost?
Section 388-106-1200. What definitions apply to respite care services through the family caregiver support program?
Section 388-106-1205. What are respite care services?
Section 388-106-1210. Who is eligible to receive respite care services through the family caregiver support program?
Section 388-106-1215. Who may provide respite care services through the family caregiver support program?
Section 388-106-1220. How are respite care providers reimbursed for their services through the family caregiver support program?
Section 388-106-1225. Are participants required to pay for the cost of their respite care services through the family caregiver support program?
Section 388-106-1230. What determines emergent and nonemergent respite care services through the family caregiver support program?
Section 388-106-1300. What rights do I have as a client of the department?
Section 388-106-1303. What responsibilities do I have as a client of the department?
Section 388-106-1305. What if I disagree with the result of the CARE assessment and/or other eligibility decisions made by the department?
Section 388-106-1310. When I request a fair hearing on my CARE assessment and another CARE assessment(s) is done between my fair hearing request and the fair hearing, which CARE assessment must the administrative law judge review?
Section 388-106-1315. Do I have a right to an administrative hearing if my total in-home personal care hours or New Freedom budget approved as an exception to rule are reduced or terminated or if my increased residential payment rate approved as an exception to rule is reduced or terminated?
Section 388-106-1400. What services may I receive under New Freedom consumer directed services (NFCDS)?
Section 388-106-1405. What services are not covered under New Freedom consumer directed services (NFCDS)?
Section 388-106-1410. Am I eligible for New Freedom consumer directed services (NFCDS)-funded services?
Section 388-106-1415. When do New Freedom consumer directed services (NFCDS) start?
Section 388-106-1420. How do I remain eligible for New Freedom consumer directed services (NFCDS)?
Section 388-106-1422. What happens to my New Freedom service dollar budget if I am temporarily hospitalized, placed in a nursing facility or intermediate care facilities for the mentally retarded (ICF/MR)?
Section 388-106-1425. How do I pay for New Freedom consumer directed services (NFCDS)?
Section 388-106-1430. Can I be employed and receive New Freedom consumer directed services (NFCDS)?
Section 388-106-1435. Who can direct New Freedom consumer directed services (NFCDS)?
Section 388-106-1440. What is an individual budget?
Section 388-106-1445. How is the amount of the individual budget determined?
Section 388-106-1450. Is the individual budget intended to fully meet all of my needs?
Section 388-106-1455. What happens to individual budget funds when I don't use them?
Section 388-106-1458. How do I create and use my spending plan?
Section 388-106-1460. When can my New Freedom spending plan (NFSP) be denied?
Section 388-106-1465. Who can deny my New Freedom spending plan (NFSP)?
Section 388-106-1470. Are there waiting lists for New Freedom consumer directed services (NFCDS)?
Section 388-106-1475. How do I end enrollment in New Freedom consumer directed services (NFCDS)?
Section 388-106-1480. What are my hearing rights to appeal New Freedom consumer directed services (NFCDS) assessment and eligibility actions?
Section 388-106-1600. What definitions apply to the nursing facility certificate of need?
Section 388-106-1610. What is the purpose of determining nursing facility comparable home and community-based long-term capacity?
Section 388-106-1620. What methodology does the department use to determine statewide or county specific nursing home comparable home and community-based long-term services availability?