WAC 388-825-560   What department restrictions apply to FSP?  The following department restrictions apply to FSP:

     (1) FSP services are authorized only after you have accessed what is available to you under medicaid, and any other private health insurance plan, school or child development services.

     (2) All FSP service payments must be agreed to by DDD and the client in a written service plan.

     (3) The department will contract directly with a service provider, or a parent for the reimbursement of goods or services purchased by the parent. FSP funding cannot be authorized for services or treatments determined by the department to be experimental.

     (4) Your choice of qualified providers and services is limited to the most cost effective option that meets your assessed need.

     (5) Respite care cannot be a replacement for child care while the parent or guardian is at work regardless of the age of the child.

     (6) The department shall not authorize a birth parent, adoptive parent, stepparent or any other primary caregiver or their spouse living in the same household with the client to provide respite, nursing, therapy or counseling services.

     (7) FSP will not pay for conference registrations.

     (8) FSP will not pay for behavior management/counseling procedures, modifications, or equipment that are restrictive.

     (9) FSP will not pay for services provided after the death of the eligible client. Payment may occur after the date of death, but not the service.

     (10) FSP will not pay for employment services if you are under age twenty-one or are designated to receive DDD funded transition services.



[Statutory Authority: RCW 71A.12.030, 71A.12.040, 2005 c 518 § 205 (1)(e), Title 71A RCW. 06-19-036, § 388-825-560, filed 9/13/06, effective 10/14/06; 06-06-040, § 388-825-560, filed 2/23/06, effective 3/26/06.]