WAC 388-825-254   Service need level rates.  (1) The department shall base periodic service authorizations on:

     (a) Requests for family support services described in WAC 388-825-252 (2) and (5);

     (b) Service need levels. The amount of SSP (state supplementary payment) available to an individual will be included when calculating the monthly allocation of state family support dollars.

     (c) Availability of family support funding;

     (d) Authorization by a review committee, in each regional office, which reviews each request for service;

     (e) The amounts designated in subsection (2)(a) through (d) of this section are subject to periodic increase if vendor rate increases are mandated by the legislature.

     (2) Service need level lid amounts as follows:

     (a) Clients designated for service need level one (WAC 388-825-256) may receive up to fifteen thousand four hundred dollars per year or twenty-nine thousand four hundred dollars per year if the individual requires licensed nursing care in the home:

     (i) If an individual is receiving funding through medicaid personal care or other DSHS in-home residential support, the maximum payable through family support shall be six thousand eight hundred dollars per year;

     (ii) If the combined total of family support services at this maximum plus in-home support is less than six thousand eight hundred dollars additional family support can be authorized to bring the total to six thousand eight hundred dollars per year.

     (b) Clients designated for service need level two (WAC 388-825-256) may receive up to six thousand dollars per year if not receiving funding through medicaid personal care:

     (i) If an individual is receiving funds through medicaid personal care or other DSHS in-home residential support service, the maximum receivable through family support shall be three thousand four hundred dollars per year;

     (ii) If the combined total of family support services at this maximum plus in-home support is less than six thousand dollars, additional family support can be authorized to bring the total to six thousand dollars per year.

     (c) Clients designated for service need level three (WAC 388-825-256) may receive up to three thousand four hundred dollars per year provided the individual is not receiving medicaid personal care. If the individual is receiving medicaid personal care or other DSHS in-home residential support service, the maximum receivable through family support shall be one thousand seven hundred dollars per year; and

     (d) Clients designated for service level four (WAC 388-825-256) may receive up to one thousand seven hundred dollars per year family support services.

     (3) The department shall authorize family support services contingent upon the applicant providing accurate and complete information on disability-related requests.

     (4) The department shall ensure service authorizations do not exceed maximum amounts for each service need level based on the availability of funds.



[Statutory Authority: RCW 71A.12.030, 2005 c 518 § 205 (1)(a). 06-11-082, § 388-825-254, filed 5/16/06, effective 6/16/06. Statutory Authority: RCW 71A.12.030, 71.A12.120 [71A.12.120], and chapter 71A.12 RCW. 04-22-068, § 388-825-254, filed 10/29/04, effective 11/29/04. Statutory Authority: RCW 71A.12.030, 71A.10.020 and 2002 c 371. 04-02-014, § 388-825-254, filed 12/29/03, effective 1/29/04. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 2001 2nd sp.s. c 7. 02-01-074, § 388-825-254, filed 12/14/01, effective 1/14/02. Statutory Authority: RCW 71A.12.030 and 71A.12.040. 00-23-106, § 388-825-254, filed 11/21/00, effective 12/22/00; 00-08-090, § 388-825-254, filed 4/5/00, effective 5/6/00. 99-19-104, recodified as § 388-825-254, filed 9/20/99, effective 10/21/99. Statutory Authority: RCW 71A.12.030, 71A.12.040 and Title 71A RCW. 97-13-051, § 275-27-222, filed 6/13/97, effective 7/14/97.]