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PDFWAC 388-823-1010

When will DDA review my eligibility to determine if I continue to meet the eligibility requirements for DDA?

(1) DDA will review your eligibility:
(a) If you are age 19 and:
(i) Your most recent eligibility determination was completed before your 16th birthday; and
(ii) You are eligible with intellectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition similar to intellectual disability.
(b) If you are age 19 and are eligible with another neurological or other condition similar to intellectual disability and have used academic delays as evidence of your substantial functional limitations.
(c) Before authorization of any DDA-paid service if you are not currently receiving paid services and your most current eligibility determination was made before June 1, 2005.
(d) If new information becomes available that does not support your current eligibility determination.
(e) If you were determined eligible due solely to your eligibility for fee-for-service (FFS) medically intensive children's program (MICP) services and you are no longer eligible for FFS MICP services.
(2) If DDA does not receive all of the documentation necessary to determine you are eligible during a review, DDA will terminate your eligibility:
(a) On your 20th birthday if the review is because you are age 19; or
(b) 90 days after DDA requests the information if the review is because:
(i) You have requested a paid service;
(ii) New information is available that does not support your current eligibility determination; or
(iii) You are no longer eligible for FFS MICP services under chapter 182-551 WAC.
[Statutory Authority: RCW 71A.16.020 and 71A.16.040. WSR 24-01-119, § 388-823-1010, filed 12/19/23, effective 1/19/24. Statutory Authority: RCW 71A.12.030. WSR 19-14-119, § 388-823-1010, filed 7/3/19, effective 8/3/19. Statutory Authority: RCW 71A.12.030 and 71A.10.020. WSR 18-15-046, § 388-823-1010, filed 7/13/18, effective 8/13/18. Statutory Authority: RCW 71A.12.030, 71A.12.120 and 74.08.090. WSR 14-12-046, § 388-823-1010, filed 5/29/14, effective 7/1/14. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 74.08.090. WSR 14-07-028, § 388-823-1010, filed 3/10/14, effective 4/10/14. Statutory Authority: RCW 71A.10.020, 71A.12.030, 71A.12.050, 71A.12.070, 71A.16.020, 71A.16.030, 71A.16.040, 71A.16.050, and chapters 71A.10, 71A.12, and 71A.16 RCW. WSR 05-12-130, § 388-823-1010, filed 6/1/05, effective 7/2/05.]
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