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PDFWAC 388-106-1405

What services are not covered under New Freedom consumer directed services (NFCDS)?

(1) Goods, services, and supports that are not consistent with the description in WAC 388-106-1400.
(2) Services, supports or items covered by the state plan, medicare, or other programs or services.
(3) Any fees related to health or long-term care incurred by you, including co-pays, waiver cost of care (participation), or insurance.
(4) Home modifications that merely add square footage to your home.
(5) Vacation or travel expenses other than the direct cost of provision of personal care services while on vacation (and you may not use New Freedom funds to pay travel expenses for your provider).
(6) Rent or room and board.
(7) Tobacco or alcohol products.
(8) Lottery tickets.
(9) Entertainment-related items such as televisions, cable, DVD players, stereos, radios, and other electronics, that are nonadaptive in nature.
(10) Vehicle purchases, maintenance, or upgrades that do not include maintenance to modifications related to disability.
(11) Tickets and related costs to attend sporting or other recreational events.
(12) Pets, therapy animals and their related costs (including food and veterinary services).
(13) Postage outside of shipping costs related to approved spending plan items.
(14) Experimental or investigational services, procedures, treatments, devices, drugs, or application of associated services, except when the individual factors of an individual client's condition justify a determination of medical necessity under WAC 182-500-0070.
(15) Monthly service fees for utilities.
(16) Warranties (for equipment, furnishings, or installations).
(17) Cosmetic services and treatments (i.e. manicures, pedicures, face lifts, etc).
(18) Basic groceries, clothing, and footwear.
(19) Any item previously purchased through medicaid funding that is within the health care authority replacement period.
(20) Any goods, services, or supports that are considered of general utility, meaning the service/good/support is not specific to the individuals' needs based on their disabilities or health conditions.
[Statutory Authority: RCW 74.08.090 and 74.09.520. WSR 22-18-047, § 388-106-1405, filed 8/30/22, effective 9/30/22; WSR 13-18-039 and 13-17-125, § 388-106-1405, filed 8/29/13 and 8/21/13, effective 10/1/13; WSR 10-08-074, § 388-106-1405, filed 4/6/10, effective 5/7/10.]
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