How does DDA determine which health and welfare needs must be addressed in your individual support plan if you are age birth through fifteen?
If you are age birth through fifteen and are receiving DDA HCBS waiver services or reside in a state only residential setting, DDA uses the following tables to determine the health and welfare needs that must be addressed in your individual support plan:
(1) Activities from the support needs assessment for children:
# | Questions in the Support Needs Assessment for Children: | DDA must address in your PSCP if you have an acuity score of: | Health and Welfare Category |
1 | Dress and groom self | 2 or more | Home Living |
2 | Toilet self | 2 or more | Home Living |
3 | Eat at age level | 3 or more | Home Living |
4 | Move around | 3 or more | Home Living |
5 | Communicate | 2 or more | Home Living |
7 | Make choices and take responsibility | 2 or more | Protection and Advocacy |
8 | Explore environment | 3 or more | Community Living |
9 | Meet therapy health needs | 1 or more | Medical Supports |
10 | Help family continue to meet child's needs | 1 or more | Protection and Advocacy |
15 | Identify and respond safely to emergencies | 1 or more | Health and Safety |
16 | Practice age-level safety measures | 2 or more | Protection and Advocacy |
17 | Effectively relate to other students/peers | 3 or more | Employment |
18 | Have behaviors which promote being included | 3 or more | Behavior Supports |
(2) Medical supports from the SIS exceptional medical support needs scale
# | Questions in the Exceptional Medical Support Needs Scale | DDA must address in your PSCP if you have an acuity score of: | Health and Welfare Category |
1 | Inhalation or oxygen therapy | 1 or more | Medical Supports |
2 | Postural drainage | 1 or more | Medical Supports |
3 | Chest PT | 1 or more | Medical Supports |
4 | Suctioning | 1 or more | Medical Supports |
5 | Oral Stimulation or Jaw Repositioning | 1 or more | Medical Supports |
6 | Tube feeding (e.g., nasogastric) | 1 or more | Medical Supports |
7 | Parenteral feeding (e.g., IV) | 1 or more | Medical Supports |
8 | Turning or positioning | 1 or more | Medical Supports |
9 | Dressing of open wound(s) | 1 or more | Medical Supports |
10 | Protection from infectious diseases due to immune system impairment | 1 or more | Medical Supports |
11 | Seizure management | 1 or more | Medical Supports |
12 | Dialysis | 1 or more | Medical Supports |
13 | Ostomy care | 1 or more | Medical Supports |
14 | Lifting and/or transferring | 1 or more | Medical Supports |
15 | Therapy services | 1 or more | Medical Supports |
16 | Hypertension | 1 or more | Medical Supports |
17 | Allergies | 1 or more | Medical Supports |
18 | Diabetes | 1 or more | Medical supports |
19 | Other(s)-Specify | 1 or more | Medical Supports |
(3) Behavioral supports from the SIS exceptional behavior support needs scale
# | Questions in the Exceptional Behavior Support Needs Scale: | DDA must address in your PSCP if you have an acuity score of: | Health and Welfare Category |
1 | Prevention of emotional outbursts | 1 or more | Behavioral Supports |
2 | Prevention of assault or injury to others | 1 or more | Behavioral Supports |
3 | Prevention of property destruction (e.g., fire setting, breaking furniture) | 1 or more | Behavioral Supports |
4 | Prevention of stealing | 1 or more | Behavioral Supports |
5 | Prevention of self-injury | 1 or more | Behavioral Supports |
6 | Prevention of suicide attempts | 1 or more | Behavioral Supports |
7 | Prevention of PICA (ingestion of inedible substances) | 1 or more | Behavioral Supports |
8 | Prevention of nonaggressive but inappropriate behavior (e.g., exposes self in public, exhibitionism, inappropriate touching or gesturing) | 1 or more | Behavioral Supports |
9 | Prevention of sexual aggression | 1 or more | Behavioral Supports |
10 | Prevention of substance abuse | 1 or more | Behavioral Supports |
11 | Prevention of wandering | 1 or more | Behavioral Supports |
12 | Maintenance of mental health treatments | 1 or more | Behavioral Supports |
13 | Managing attention-seeking behavior | 1 or more | Behavioral Supports |
14 | Managing uncooperative behavior | 1 or more | Behavioral Supports |
15 | Managing agitated/over-reactive behavior | 1 or more | Behavioral Supports |
16 | Managing obsessive/repetitive behavior | 1 or more | Behavioral Supports |
17 | Prevention of other serious behavior problem(s)-Specify | 1 or more | Behavioral Supports |
(4) Caregiver from the SIS exceptional behavior support needs scale
# | Question in the DDA Caregiver Status Acuity Scale: | DDA must address in your PSCP if you have a score: | Health and Welfare Category |
6 | How long do you think you expect to continue providing care? | 1 to 6 months or less than 1 month | DDA Caregiver Status |
[Statutory Authority: RCW
71A.12.030 and
71A.12.120. WSR 19-02-020, § 388-828-8040, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW
71A.12.030 and Title
71A RCW. WSR 07-10-029, § 388-828-8040, filed 4/23/07, effective 6/1/07.]
