Section 388-832-0180. Are there limits to the therapy I may receive?

The following limitations apply to therapy you may receive:

(1) Additional therapy may be authorized as a service only after you have accessed what is available to you under medicaid and any other private health insurance plan or school;

(2) DDD does not pay for treatment determined by DSHS to be experimental;

(3) DDD determines the need and amount of services you will receive based upon information received from the therapist;

(a) DDD may require a second opinion from a DDD selected provider.

(b) DDD requires you to provide evidence that you have accessed your full benefits through medicaid, private insurance and the school before authorizing this service.

(4) The need for therapies must be identified in your ISP and, in combination with other IFS services, may not exceed your IFS allocations.

(5) Other restrictions per WAC 388-832-0333 also apply.

[Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-0180, filed 5/13/09, effective 6/13/09. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 2007 c 283. WSR 08-16-121, § 388-832-0180, filed 8/5/08, effective 9/5/08.]

RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-0180, filed 5/13/09, effective 6/13/09. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 2007 c 283. WSR 08-16-121, § 388-832-0180, filed 8/5/08, effective 9/5/08.

Rules

388-832-0333,