Section 388-845-1890 - Are there limits to the specialized habilitation I may receive?The following limits apply to your receipt of specialized habilitation:
(1) Specialized habilitation is limited to address a maximum of three goals at a time.(2) Specialized habilitation support needs must be identified in your DDA assessment and specialized habilitation must be documented in your person-centered service plan.(3) Specialized habilitation must not exceed: (a) $6,192 within your total basic plus aggregate budget;(b) Your IFS annual allocation in combination with other waiver services; or(c) $15,000 within your total CIIBS aggregate budget and $6,000 emergency assistance funding when eligible per WAC 388-845-0800 and 388-845-0820.(4) Specialized habilitation does not cover education, vocational, skills acquisition training through community first choice, behavioral health, ABA, skilled nursing, occupational therapy, physical therapy, or speech, language, and hearing services that are covered benefits through the medicaid state plan, including early and periodic screening, diagnosis, and treatment, and part B special education services.(5) Specialized habilitation must not be authorized for a client receiving residential habilitation, unless the client is receiving the service from a companion home provider.(6) Habilitation plans must be documented as formal plans as outlined in the provider's contract.(7) Specialized habilitation, not provided as a stabilization service, requires prior approval by the DDA regional administrator or designee.Wash. Admin. Code § 388-845-1890
Adopted by WSR 21-19-108, Filed 9/20/2021, effective 10/21/2021Amended by WSR 23-18-035, Filed 8/29/2023, effective 9/29/2023