WAC 388-826-0580
WAC 388-826-0580. What are DDA's responsibilities for a client in the out-of-home services program?
When a client receives services through the out-of-home services program, DDA must:
(1) Facilitate the development of the child and family engagement plan under WAC 388-826-0560 before the start of service and at each annual assessment;
(2) Visit the client in their setting at least every 90 days;
(3) Develop the client's person-centered service plan as required under WAC 388-845-3055 ;
(4) Assist families to access a client's medically necessary physical or behavioral health benefits, which may include attending care conferences and sharing information with medicare, medicaid, or private health insurance representatives for purposes of care coordination;
(5) Assist families to access a client's necessary educational services, which may include attending school meetings;
(6) Monitor the client's services by:
(a) Facilitating individual team meetings on a quarterly basis;
(b) Reviewing the individual instruction and support plan;
(c) Reviewing the quarterly report;
(d) Reviewing incident reports and follow-up measures involving the client; and
(e) Authorizing payment for services.
(7) Determine eligibility for medicaid coverage under chapters 182-513 and 182-515 WAC;
(8) Determine the client's participation amount, if any;
(9) Monitor the provider to ensure the provider complies with contract requirements, which includes compliance with DDA policies; and
(10) Refer a client for a nurse delegation assessment by a registered nurse delegator, if required under chapter 246-945 WAC.