Section 388-828-4400. How does DDD determine if you meet the eligibility requirements for ICF/MR level of care if you are age sixteen or older?

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

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

(2) You have a percentile rank that is over twenty-five percent for two or more of the six subscales in the SIS support needs scale;

(3) You have a percentile rank that is over fifty percent 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:

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

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