WAC 388-845-3080   What if my needs exceed the maximum yearly funding limit or the scope of services under the Basic or Basic Plus waiver?  (1) If you are on the Basic or Basic Plus waiver and your assessed need for services exceeds the maximum permitted, DDD will make the following efforts to meet your health and welfare needs:

     (a) Identify more available natural supports;

     (b) Initiate an exception to rule to access available nonwaiver services not included in the Basic or Basic Plus waiver other than natural supports;

     (c) Authorize emergency services up to six thousand dollars per year if your needs meet the definition of emergency services in WAC 388-845-0800.

     (2) If emergency services and other efforts are not sufficient to meet your needs, you will be offered:

     (a) An opportunity to apply for an alternate waiver that has the services you need;

     (b) Priority for placement on the alternative waiver when there is capacity to add people to that waiver;

     (c) Placement in an ICF/MR.

     (3) If none of the options in subsections (1) and (2) above is successful in meeting your health and welfare needs, DDD may terminate your waiver eligibility.

     (4) If you are terminated from a waiver, you will remain eligible for nonwaiver DDD services but access to state-only funded DDD services is limited by availability of funding.



[Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-3080, filed 12/13/05, effective 1/13/06.]