How does DDA determine if you meet the eligibility requirements for ICF/IID level-of-care if you are age sixteen or older?
If you are age sixteen or older, DDA determines you to be eligible for ICF/IID level-of-care from your SIS scores. Eligibility for ICF/IID level-of-care requires that your scores meet at least one of the following:
(1) You have a percentile rank over nine percent for three or more of the six subscales in the SIS support needs scale;
(2) You have a percentile rank over twenty-five percent for two or more of the six subscales in the SIS support needs scale;
(3) You have a percentile rank over fifty percent in at least one of the six subscales in the SIS support needs scale;
(4) You have a support score of one or two for any of the questions listed in the SIS exceptional medical support needs scale;
(5) You have a support score of one or two for at least one of the following items in the SIS exceptional behavior support needs scale:
(a) Prevention of assaults or injuries to others;
(b) Prevention of property destruction (e.g., fire setting, breaking furniture);
(c) Prevention of self-injury;
(d) Prevention of PICA (ingestion of inedible substances);
(e) Prevention of suicide attempts;
(f) Prevention of sexual aggression; or
(g) Prevention of wandering.
(6) You have a support score of two for any of the questions listed in the SIS exceptional behavior support needs scale; or
(7) You meet or exceed any of the qualifying scores for one or more of the following SIS questions:
Question # of SIS support needs scale | Text of question | Your score for "Type of support" is: | And your score for "Frequency of support" is: |
A2 | Bathing and taking care of personal hygiene and grooming needs | 2 or more | 4 |
3 or more | 2 |
A3 | Using the toilet | 2 or more | 4 |
3 or more | 2 |
A4 | Dressing | 2 or more | 4 |
3 or more | 2 |
A5 | Preparing food | 2 or more | 4 |
3 or more | 2 |
A6 | Eating food | 2 or more | 4 |
3 or more | 2 |
A7 | Taking care of clothes, including laundering | 2 or more | 2 or more |
3 or more | 1 |
A8 | Housekeeping and cleaning | 2 or more | 2 or more |
3 or more | 1 |
B6 | Shopping and purchasing goods and services | 2 or more | 2 or more |
3 or more | 1 |
C1 | Learning and using problem-solving strategies | 2 or more | 3 or more |
3 or more | 2 |
C5 | Learning self-management strategies | 2 or more | 3 or more |
3 or more | 2 |
E1 | Taking medications | 2 or more | 4 |
3 or more | 2 |
E2 | Ambulating and moving about | 2 or more | 4 |
3 or more | 2 |
E3 | Avoiding health and safety hazards | 2 or more | 3 or more |
3 or more | 2 |
E6 | Maintaining a nutritious diet | 2 or more | 2 or more |
3 or more | 1 |
E8 | Maintaining emotional well-being | 2 or more | 3 or more |
3 or more | 2 |
F1 | Using appropriate social skills | 2 or more | 3 or more |
3 or more | 2 |
G7 | Managing money and personal finances | 2 or more | 2 or more |
3 or more | 1 |
[Statutory Authority: RCW
71A.12.030 and
71A.16.050. WSR 21-19-093, § 388-828-4400, filed 9/17/21, effective 10/18/21. Statutory Authority: RCW
71A.12.030 and
71A.12.120. WSR 19-02-020, § 388-828-4400, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW
71A.12.030 and Title
71A RCW. WSR 07-10-029, § 388-828-4400, filed 4/23/07, effective 6/1/07.]