PDFWAC 388-828-5980
How does DDD determine your respite assessment level?
(1) DDD determines your respite assessment level using the following table:
If your Protective Supervision Support Level is: | And your primary caregiver risk level is: | And your backup caregiver risk score is: | And your behavioral acuity level is: | Then your respite assessment level is: |
0 | None | 1 | None | 1 |
0 | None | 1 | Low | 1 |
0 | None | 1 | Medium | 1 |
0 | None | 1 | High | 2 |
0 | None | 2 or 3 | None | 1 |
0 | None | 2 or 3 | Low | 1 |
0 | None | 2 or 3 | Medium | 2 |
0 | None | 2 or 3 | High | 2 |
0 | Low | 1 | None | 1 |
0 | Low | 1 | Low | 1 |
0 | Low | 1 | Medium | 1 |
0 | Low | 1 | High | 2 |
0 | Low | 2 or 3 | None | 1 |
0 | Low | 2 or 3 | Low | 1 |
0 | Low | 2 or 3 | Medium | 2 |
0 | Low | 2 or 3 | High | 2 |
0 | Medium | 1 | None | 1 |
0 | Medium | 1 | Low | 1 |
0 | Medium | 1 | Medium | 1 |
0 | Medium | 1 | High | 2 |
0 | Medium | 2 or 3 | None | 1 |
0 | Medium | 2 or 3 | Low | 1 |
0 | Medium | 2 or 3 | Medium | 2 |
0 | Medium | 2 or 3 | High | 2 |
0 | High | 1 | None | 1 |
0 | High | 1 | Low | 1 |
0 | High | 1 | Medium | 2 |
0 | High | 1 | High | 2 |
0 | High | 2 or 3 | None | 2 |
0 | High | 2 or 3 | Low | 2 |
0 | High | 2 or 3 | Medium | 2 |
0 | High | 2 or 3 | High | 3 |
0 | Immediate | 1 | None | 1 |
0 | Immediate | 1 | Low | 1 |
0 | Immediate | 1 | Medium | 2 |
0 | Immediate | 1 | High | 2 |
0 | Immediate | 2 or 3 | None | 2 |
0 | Immediate | 2 or 3 | Low | 2 |
0 | Immediate | 2 or 3 | Medium | 2 |
0 | Immediate | 2 or 3 | High | 3 |
1 | None | 1 | None | 1 |
1 | None | 1 | Low | 1 |
1 | None | 1 | Medium | 1 |
1 | None | 1 | High | 2 |
1 | None | 2 or 3 | None | 1 |
1 | None | 2 or 3 | Low | 1 |
1 | None | 2 or 3 | Medium | 2 |
1 | None | 2 or 3 | High | 3 |
1 | Low | 1 | None | 1 |
1 | Low | 1 | Low | 1 |
1 | Low | 1 | Medium | 1 |
1 | Low | 1 | High | 2 |
1 | Low | 2 or 3 | None | 1 |
1 | Low | 2 or 3 | Low | 1 |
1 | Low | 2 or 3 | Medium | 2 |
1 | Low | 2 or 3 | High | 3 |
1 | Medium | 1 | None | 1 |
1 | Medium | 1 | Low | 1 |
1 | Medium | 1 | Medium | 2 |
1 | Medium | 1 | High | 3 |
1 | Medium | 2 or 3 | None | 1 |
1 | Medium | 2 or 3 | Low | 2 |
1 | Medium | 2 or 3 | Medium | 2 |
1 | Medium | 2 or 3 | High | 3 |
1 | High | 1 | None | 2 |
1 | High | 1 | Low | 2 |
1 | High | 1 | Medium | 2 |
1 | High | 1 | High | 3 |
1 | High | 2 or 3 | None | 2 |
1 | High | 2 or 3 | Low | 2 |
1 | High | 2 or 3 | Medium | 3 |
1 | High | 2 or 3 | High | 4 |
1 | Immediate | 1 | None | 2 |
1 | Immediate | 1 | Low | 2 |
1 | Immediate | 1 | Medium | 2 |
1 | Immediate | 1 | High | 3 |
1 | Immediate | 2 or 3 | None | 2 |
1 | Immediate | 2 or 3 | Low | 2 |
1 | Immediate | 2 or 3 | Medium | 3 |
1 | Immediate | 2 or 3 | High | 4 |
2 or 3 | None | 1 | None | 1 |
2 or 3 | None | 1 | Low | 1 |
2 or 3 | None | 1 | Medium | 2 |
2 or 3 | None | 1 | High | 3 |
2 or 3 | None | 2 or 3 | None | 2 |
2 or 3 | None | 2 or 3 | Low | 2 |
2 or 3 | None | 2 or 3 | Medium | 2 |
2 or 3 | None | 2 or 3 | High | 4 |
2 or 3 | Low | 1 | None | 1 |
2 or 3 | Low | 1 | Low | 1 |
2 or 3 | Low | 1 | Medium | 2 |
2 or 3 | Low | 1 | High | 3 |
2 or 3 | Low | 2 or 3 | None | 2 |
2 or 3 | Low | 2 or 3 | Low | 2 |
2 or 3 | Low | 2 or 3 | Medium | 2 |
2 or 3 | Low | 2 or 3 | High | 4 |
2 or 3 | Medium | 1 | None | 2 |
2 or 3 | Medium | 1 | Low | 2 |
2 or 3 | Medium | 1 | Medium | 2 |
2 or 3 | Medium | 1 | High | 3 |
2 or 3 | Medium | 2 or 3 | None | 2 |
2 or 3 | Medium | 2 or 3 | Low | 2 |
2 or 3 | Medium | 2 or 3 | Medium | 3 |
2 or 3 | Medium | 2 or 3 | High | 4 |
2 or 3 | High | 1 | None | 2 |
2 or 3 | High | 1 | Low | 2 |
2 or 3 | High | 1 | Medium | 2 |
2 or 3 | High | 1 | High | 3 |
2 or 3 | High | 2 or 3 | None | 2 |
2 or 3 | High | 2 or 3 | Low | 2 |
2 or 3 | High | 2 or 3 | Medium | 3 |
2 or 3 | High | 2 or 3 | High | 4 |
2 or 3 | Immediate | 1 | None | 2 |
2 or 3 | Immediate | 1 | Low | 2 |
2 or 3 | Immediate | 1 | Medium | 2 |
2 or 3 | Immediate | 1 | High | 3 |
2 or 3 | Immediate | 2 or 3 | None | 2 |
2 or 3 | Immediate | 2 or 3 | Low | 2 |
2 or 3 | Immediate | 2 or 3 | Medium | 3 |
2 or 3 | Immediate | 2 or 3 | High | 4 |
4 | None | 1 | None | 2 |
4 | None | 1 | Low | 2 |
4 | None | 1 | Medium | 2 |
4 | None | 1 | High | 3 |
4 | None | 2 or 3 | None | 2 |
4 | None | 2 or 3 | Low | 2 |
4 | None | 2 or 3 | Medium | 3 |
4 | None | 2 or 3 | High | 4 |
4 | Low | 1 | None | 2 |
4 | Low | 1 | Low | 2 |
4 | Low | 1 | Medium | 2 |
4 | Low | 1 | High | 3 |
4 | Low | 2 or 3 | None | 2 |
4 | Low | 2 or 3 | Low | 2 |
4 | Low | 2 or 3 | Medium | 3 |
4 | Low | 2 or 3 | High | 4 |
4 | Medium | 1 | None | 2 |
4 | Medium | 1 | Low | 2 |
4 | Medium | 1 | Medium | 3 |
4 | Medium | 1 | High | 3 |
4 | Medium | 2 or 3 | None | 2 |
4 | Medium | 2 or 3 | Low | 3 |
4 | Medium | 2 or 3 | Medium | 3 |
4 | Medium | 2 or 3 | High | 4 |
4 | High | 1 | None | 2 |
4 | High | 1 | Low | 2 |
4 | High | 1 | Medium | 3 |
4 | High | 1 | High | 3 |
4 | High | 2 or 3 | None | 2 |
4 | High | 2 or 3 | Low | 3 |
4 | High | 2 or 3 | Medium | 4 |
4 | High | 2 or 3 | High | 4 |
4 | Immediate | 1 | None | 2 |
4 | Immediate | 1 | Low | 2 |
4 | Immediate | 1 | Medium | 3 |
4 | Immediate | 1 | High | 3 |
4 | Immediate | 2 or 3 | None | 2 |
4 | Immediate | 2 or 3 | Low | 3 |
4 | Immediate | 2 or 3 | Medium | 4 |
4 | Immediate | 2 or 3 | High | 4 |
5 | None | 1 | None | 2 |
5 | None | 1 | Low | 2 |
5 | None | 1 | Medium | 3 |
5 | None | 1 | High | 4 |
5 | None | 2 or 3 | None | 3 |
5 | None | 2 or 3 | Low | 3 |
5 | None | 2 or 3 | Medium | 4 |
5 | None | 2 or 3 | High | 5 |
5 | Low | 1 | None | 2 |
5 | Low | 1 | Low | 2 |
5 | Low | 1 | Medium | 3 |
5 | Low | 1 | High | 4 |
5 | Low | 2 or 3 | None | 3 |
5 | Low | 2 or 3 | Low | 3 |
5 | Low | 2 or 3 | Medium | 4 |
5 | Low | 2 or 3 | High | 5 |
5 | Medium | 1 | None | 2 |
5 | Medium | 1 | Low | 2 |
5 | Medium | 1 | Medium | 3 |
5 | Medium | 1 | High | 4 |
5 | Medium | 2 or 3 | None | 3 |
5 | Medium | 2 or 3 | Low | 3 |
5 | Medium | 2 or 3 | Medium | 4 |
5 | Medium | 2 or 3 | High | 5 |
5 | High | 1 | None | 2 |
5 | High | 1 | Low | 2 |
5 | High | 1 | Medium | 3 |
5 | High | 1 | High | 4 |
5 | High | 2 or 3 | None | 3 |
5 | High | 2 or 3 | Low | 3 |
5 | High | 2 or 3 | Medium | 4 |
5 | High | 2 or 3 | High | 5 |
5 | Immediate | 1 | None | 2 |
5 | Immediate | 1 | Low | 2 |
5 | Immediate | 1 | Medium | 3 |
5 | Immediate | 1 | High | 4 |
5 | Immediate | 2 or 3 | None | 3 |
5 | Immediate | 2 or 3 | Low | 3 |
5 | Immediate | 2 or 3 | Medium | 4 |
5 | Immediate | 2 or 3 | High | 5 |
6 | None | 1 | None | 2 |
6 | None | 1 | Low | 3 |
6 | None | 1 | Medium | 3 |
6 | None | 1 | High | 4 |
6 | None | 2 or 3 | None | 3 |
6 | None | 2 or 3 | Low | 3 |
6 | None | 2 or 3 | Medium | 4 |
6 | None | 2 or 3 | High | 5 |
6 | Low | 1 | None | 2 |
6 | Low | 1 | Low | 3 |
6 | Low | 1 | Medium | 3 |
6 | Low | 1 | High | 4 |
6 | Low | 2 or 3 | None | 3 |
6 | Low | 2 or 3 | Low | 3 |
6 | Low | 2 or 3 | Medium | 4 |
6 | Low | 2 or 3 | High | 5 |
6 | Medium | 1 | None | 3 |
6 | Medium | 1 | Low | 3 |
6 | Medium | 1 | Medium | 3 |
6 | Medium | 1 | High | 4 |
6 | Medium | 2 or 3 | None | 3 |
6 | Medium | 2 or 3 | Low | 4 |
6 | Medium | 2 or 3 | Medium | 4 |
6 | Medium | 2 or 3 | High | 5 |
6 | High | 1 | None | 3 |
6 | High | 1 | Low | 3 |
6 | High | 1 | Medium | 4 |
6 | High | 1 | High | 4 |
6 | High | 2 or 3 | None | 4 |
6 | High | 2 or 3 | Low | 4 |
6 | High | 2 or 3 | Medium | 5 |
6 | High | 2 or 3 | High | 5 |
6 | Immediate | 1 | None | 3 |
6 | Immediate | 1 | Low | 3 |
6 | Immediate | 1 | Medium | 4 |
6 | Immediate | 1 | High | 4 |
6 | Immediate | 2 or 3 | None | 4 |
6 | Immediate | 2 or 3 | Low | 4 |
6 | Immediate | 2 or 3 | Medium | 5 |
6 | Immediate | 2 or 3 | High | 5 |
(2) DDD adds one level to your respite assessment level when your respite assessment level is determined to be a one, two, three, or four and you have a score of four for question two "Other caregiving for persons who are disabled, seriously ill, or under five" in the DDD caregiver status acuity scale. See WAC 388-828-5260.
[Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, ยง 388-828-5980, filed 4/23/07, effective 6/1/07.]