WAC 388-106-0213   How are my needs assessed if I am a child applying for MPC services?  If you are a child applying for MPC services, the department will complete a CARE assessment and:

     (1) Consider and document the role of your legally responsible natural/step/adoptive parent(s).

     (2) The CARE tool will determine your needs as met based on the guidelines outlined in the following table:


Activities of Daily Living (ADLs)
Ages
▪ = Code status as Met 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Medication Management
Independent, self-directed,

administration required, or

must be administered		 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Locomotion in RoomNote
Independent, supervision,

limited or extensive		 ▪ ▪ ▪ ▪
Total ▪ ▪
Locomotion Outside

RoomNote
Independent or supervision ▪ ▪ ▪ ▪ ▪ ▪
Limited or extensive ▪ ▪ ▪ ▪
Total ▪ ▪
Walk in RoomNote
Independent, supervision,

limited or extensive		 ▪ ▪ ▪ ▪
Total ▪ ▪
Bed Mobility
Independent, supervision,

limited or extensive		 ▪ ▪ ▪
Total ▪ ▪
Transfers
Independent, supervision,

limited, extensive or total

& under 30 pounds		 ▪ ▪ ▪
(Total & 30

pounds or more = no age limit)
Toilet Use
Support provided for

nighttime wetting only

(independent, supervision,

limited, extensive)		 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Independent, supervision,

limited, extensive		 ▪ ▪ ▪ ▪ ▪ ▪
Total ▪ ▪ ▪ ▪
Eating
Independent, supervision,

limited, extensive, or total		 ▪ ▪ ▪
Bathing
Independent or supervision ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Physical help/transfer only

or physical help/part of

bathing		 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Total ▪ ▪ ▪ ▪ ▪
Dressing
Independent or supervision ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Limited or extensive ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Total ▪ ▪ ▪ ▪ ▪
Personal Hygiene
Independent or supervision ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Limited or extensive ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Total ▪ ▪ ▪ ▪ ▪
Instrumental Activities of Daily Living
Ages
▪ = Code status as Met 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Telephone
Independent, supervision, limited, extensive, or total ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Transportation
Independent, supervision, limited, extensive, or total ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Shopping
Independent, supervision, limited, extensive, or total ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Wood Supply
Independent, supervision, limited, extensive, or total ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Housework
Independent, supervision, limited, extensive, or total ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Finances
Independent, supervision, limited, extensive, or total ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Meal Preparation
Independent, supervision, limited, extensive, or total ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪


     NOTE: If the activity did not occur, the department codes self performance as total and status as met.


Ages
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Additional guidelines based

on age
Diagnosis

Is client comatose? = No		 ▪ ▪ ▪ ▪ ▪ ▪
Pain Daily = No ▪ ▪ ▪ ▪ ▪ ▪
Any foot care needs
Status = Need met ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Any skin care (other than

feet)
Status = Need met ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Speech/Hearing
Score comprehension as

understood		 ▪ ▪ ▪
MMSE

can be administered = no		 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Memory
Short term memory ok ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Long term memory ok ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Depression
Select interview = unable to

obtain		 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Decision making
Rate how client makes

decisions = independent		 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Bladder/Bowel
Support provided for

nighttime wetting only - Individual management =

Does not need/use		 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪
Support provided for daytime

wetting - Individual Management = Does not

need/use		 ▪ ▪ ▪ ▪ ▪ ▪
Treatment
Passive range of motion

Need = No		 ▪ ▪ ▪ ▪

     (3) In addition, determine that the status and assistance available are met or partially met over three-fourths of the time, when you are living with your legally responsible natural/step/adoptive parent(s).



[Statutory Authority: RCW 74.08.090, 74.09.520. 07-24-026, § 388-106-0213, filed 11/28/07, effective 1/1/08; 07-10-024, § 388-106-0213, filed 4/23/07, effective 6/1/07. Statutory Authority: RCW 74.08.090, 74.09.520, 74.39A.010 and 74.39A.020. 06-05-022, § 388-106-0213, filed 2/6/06, effective 3/9/06. Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0213, filed 5/17/05, effective 6/17/05.]