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PDFWAC 388-845-2143

What are the limits to specialized evaluation and consultation services?

The following limits apply to your receipt of specialized evaluation and consultation:
(1) You must be enrolled on the community protection waiver.
(2) Specialized evaluation and consultation support needs must be identified in your DDA assessment and must be documented in your person-centered service plan.
(3) Specialized evaluation and consultation is limited to services that are:
(a) Consistent with waiver objectives of avoiding institutionalization; and
(b) Not a covered benefit under the medicaid state plan.
(4) This service must not replace one-on-one, group, or other treatments to address a mental health condition which are covered by the medicaid state plan.
[Statutory Authority: RCW 71A.12.030, 71A.12.120, and 42 C.F.R. 441.301 (c)(6). WSR 23-18-035, ยง 388-845-2143, filed 8/29/23, effective 9/29/23.]
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