WSR 14-02-094
PERMANENT RULES
DEPARTMENT OF
SOCIAL AND HEALTH SERVICES
(Aging and Long-Term Support Administration)
[Filed December 31, 2013, 9:30 a.m., effective February 1, 2014]
Effective Date of Rule: February 1, 2014.
Purpose: The department is adding new WAC 388-106-0033, to chapter 388-106 WAC on applying for long-term care services, in order to describe when a client may receive enhanced adult residential care-specialized dementia care (SDC). The new WAC clarifies who is eligible to receive SDC services in language that is consistent with the CARE assessment instrument.
Statutory Authority for Adoption: RCW
74.08.090, 74.09.520.
Adopted under notice filed as WSR 13-22-080 on November 6, 2013.
Changes Other than Editing from Proposed to Adopted Version: Text contains only editorial changes. Eligibility was reordered as follows: Put the former (d) in the (b) position, but did not change any of the language.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 1, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 0, Repealed 0.
Date Adopted: December 23, 2013.
Katherine I. Vasquez
Rules Coordinator
NEW SECTION
WAC 388-106-0033 When may I receive services in a facility contracted to provide specialized dementia care services?
(1) You may be eligible to receive services in a licensed assisted living facility that has a DSHS "enhanced adult residential care-specialized dementia care ("EARC-SDC")," which is defined in WAC 388-110-020. You may be eligible to receive EARC-SDC services in a licensed assisted living facility under the following circumstances:
(a) You are enrolled in COPES, as defined in WAC 388-106-0015;
(b) The department has received written or verbal confirmation from a health care practitioner that you have an irreversible dementia (such as Alzheimer's disease, multi-infarct or vascular dementia, Lewy body dementia, Pick's disease, alcohol-related dementia);
(c) You are receiving services in an assisted living facility that has a current EARC-SDC contract, and you are living in the part of the facility that is covered by the contract;
(d) The department has authorized you to receive EARC-SDC services in the assisted living facility; and
(e) You are assessed by the comprehensive assessment reporting evaluation tool ("CARE") as having a cognitive performance score of 3 or above; and any one or more of the following:
(i) An unmet need for assistance with supervision, limited, extensive or total dependence with eating/drinking;
(ii) Inappropriate toileting/menses activities;
(iii) Rummages/takes others belongings;
(iv) Up at night when others are sleeping and requires intervention(s);
(v) Wanders/exit seeking;
(vi) Wanders/not exit seeking;
(vii) Has left home and gotten lost;
(viii) Spitting;
(ix) Disrobes in public;
(x) Eats non-edible substances;
(xi) Sexual acting out;
(xii) Delusions;
(xiii) Hallucinations;
(xiv) Assaultive;
(xv) Breaks, throws items;
(xvi) Combative during personal care;
(xvii) Easily irritable/agitated;
(xviii) Obsessive regarding health/body functions;
(xix) Repetitive movement/pacing;
(xx) Unrealistic fears or suspicions;
(xxi) Repetitive complaints/questions;
(xxii) Resistive to care;
(xxiii) Verbally abusive;
(xxiv) Yelling/screaming;
(xxv) Inappropriate verbal noises; or
(xxvi) Accuses others of stealing.
