PDFWAC 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 DSHS "enhanced adult residential care-specialized dementia care ("EARC-SDC")," which is defined in WAC 388-110-220. You may be eligible to receive EARC-SDC services in a licensed assisted living facility under the following circumstances:
(a) You are enrolled in CFC, 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 scale score of 3 or more; and any one or more of the following:
(i) An unmet need for assistance with the activity of daily living (ADL) of eating as defined in WAC 388-106-0010;
(ii) Inappropriate toileting menses activities;
(iii) Rummages/takes belongings of others;
(iv) Disrupts household at night when others are sleeping and requires intervention(s);
(v) Wanders/exit seeking;
(vi) Wanders/not exit seeking;
(vii) Left home and gotten lost;
(viii) Inappropriate spitting;
(ix) Inappropriate nakedness;
(x) Eats nonedible substances/objects (Pica)(persistent for at least a month);
(xi) Sexual acting out;
(xii) Delusions;
(xiii) Hallucinations;
(xiv) Assaultive (not during personal care);
(xv) Breaks, throws items;
(xvi) Combative during personal care;
(xvii) Easily irritable/agitated requiring intervention;
(xviii) Obsessive regarding own health or body functions;
(xix) Repetitive movement/pacing;
(xx) Unrealistic fears or suspicions;
(xxi) Nonhealth related repetitive anxious complaints/questions;
(xxii) Resistive to care with words/gestures (does not include informed choice);
(xxiii) Verbally abusive;
(xxiv) Yelling/screaming;
(xxv) Inappropriate verbal noises; or
(xxvi) Accuses others of stealing.
[Statutory Authority: RCW 74.08.090 and 74.09.520. WSR 20-23-124, § 388-106-0033, filed 11/18/20, effective 12/19/20. Statutory Authority: RCW 74.08.090, 74.09.520, 74.39A.400 and 42 C.F.R. § 441.500-590. WSR 16-04-020, § 388-106-0033, filed 1/22/16, effective 2/22/16. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 14-15-071, § 388-106-0033, filed 7/15/14, effective 8/15/14; WSR 14-02-094, § 388-106-0033, filed 12/31/13, effective 2/1/14.]