HTML has links - PDF has Authentication
388-828-4380  <<  388-828-4400 >>   388-828-4420

PDFWAC 388-828-4400

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 take 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.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.]
Site Contents
Selected content listed in alphabetical order under each group