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 Washington Administrative Code (Last Updated: November 23, 2016)
 Title 388. Social and Health Services, Department of
 Chapter 388-845. DDA home and community based services waivers.

  Section 388-845-1015. Are there limits to the extended state plan services you can receive?  

Latest version.
  • (1) Clinical and support needs for extended state plan services are limited to those identified in your DDA assessment and documented in the person-centered service plan/individual support plan.
    (2) Additional therapy may be authorized as a waiver service only after you have accessed what is available to you under medicaid and any other private health insurance plan.
    (3) The department does not pay for treatment determined by DSHS to be experimental.
    (4) The department and the treating professional determine the need for and amount of service you can receive:
    (a) The department may require a second opinion from a department selected provider.
    (b) The department will require evidence that you have accessed your full benefits through medicaid before authorizing this waiver service.
    (5) The dollar amount for basic plus waiver aggregate services limit the amount of service you may receive.
    (6) The dollar amount for your annual allocation on the IFS waiver limit the amount of service you may receive.
    [Statutory Authority: 2014 c 139, 2014 c 166, 2015 3rd sp.s. c 4, RCW 71A.12.030, and 71A.12.120. WSR 16-17-009, § 388-845-1015, filed 8/4/16, effective 9/4/16. Statutory Authority: RCW 71A.12.030 and 2012 c 49. WSR 13-24-045, § 388-845-1015, filed 11/26/13, effective 1/1/14. Statutory Authority: RCW 71A.12.030, 71A.12.120, 2009 c 194, and 2008 c 329 § 205 (1)(i), and Title 71A RCW. WSR 10-22-088, § 388-845-1015, filed 11/1/10, effective 12/2/10. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. WSR 06-01-024, § 388-845-1015, filed 12/13/05, effective 1/13/06.]
2014 c 139, 2014 c 166, 2015 3rd sp.s. c 4, RCW 71A.12.030, and 71A.12.120. WSR 16-17-009, § 388-845-1015, filed 8/4/16, effective 9/4/16. Statutory Authority: RCW 71A.12.030 and 2012 c 49. WSR 13-24-045, § 388-845-1015, filed 11/26/13, effective 1/1/14. Statutory Authority: RCW 71A.12.030, 71A.12.120, 2009 c 194, and 2008 c 329 § 205 (1)(i), and Title 71A RCW. WSR 10-22-088, § 388-845-1015, filed 11/1/10, effective 12/2/10. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. WSR 06-01-024, § 388-845-1015, filed 12/13/05, effective 1/13/06.