 |
Washington Administrative Code (Last Updated: November 23, 2016) |
 |
Title 388. Social and Health Services, Department of |
|
Chapter 388-71. Home and community services and programs. |
Section 388-71-0718. What is the adult day care center's responsibility in developing the client's negotiated care plan?
Latest version.
- (1) Upon referral of a COPES or RCL eligible client by the department or authorized case manager, the ADC center will respond in writing to the department or authorized case manager within two working days of receipt of the referral and its ability to process and evaluate the referred client. The ADC center must conduct an intake evaluation based on an interview with the client and/or the client's representative to assess the center's ability to meet the client's needs as identified in the department service plan.(2) The case manager will provide the client's service plan to the adult day care provider within five working days after the client or client's representative has signed it.(3) The ADC center will schedule intake evaluations visits with the referral client and/or their representative to evaluate the ADC center's ability to meet the needs of the client as defined in the client's service plan.(4) Within ten working days from the initial date of client attendance at the day care center, the center must determine whether it can meet the client's needs, how those needs will be met, and whether to accept the client to the program. The center must not accept a client whose needs the center cannot meet. The center will document in the client's file the date he/she was accepted into the ADC program.(5) Within thirty calendar days of acceptance into the program, the day care center must work with the client and/or their representative to develop and complete a negotiated care plan signed by the client or the client's representative and the day care center.(6) This care plan must be updated annually and when their is a significant change in the client's condition and needs. The care plan when updated, annually or after significant change, must be shared with the client's case manager. The care plan must:(a) Be consistent with the department-authorized service plan and include all day care services authorized in the service plan;(b) Document the client's needs as identified in the service plan, the adult day care services that will be provided to meet those needs, and when, how, and by whom the services will be provided;(c) Document the client's choices and preferences concerning the provision of care and services, and how those preferences will be accommodated;(d) Document potential behavioral issues identified in the assessment, service plan, or through the intake evaluation, and how those issues will be managed;(e) Document contingency plans for responding to a client's emergent care needs or other crises; and(f) Be approved by the client's case manager.(7) The adult day care center must keep at least the current negotiated care plan in the client's file, must offer a copy of the plan to the client or client representative, and must provide a copy to the client's case manager. The case manager must review the negotiated care plan for inclusion of services that are appropriate and authorized for the client's care needs.(8) The negotiated care plan must limit the frequency of services to the number of days authorized in the department-authorized service plan.(9) The day care center must review each service in the negotiated care plan if the client's condition changes, and determine if the care plan continues to meet the client's needs. Changes in the client's condition or unanticipated absences of more than three consecutive days of scheduled service must be reported to the client's case manager within one week. Unanticipated absences by way of example may include absences due to client illness or injury, or a change in transportation access. The case manager may follow-up with the client and determines if any updates to the assessment, service plan, and service authorization are needed.