WAC 388-828-4400
WAC 388-828-4400. How does DDA determine if you meet the eligibility requirements for ICF/IID level-of-care if you are age 16 or older?
If you are age 16 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 25% for two or more of the six subscales in the SIS support needs scale;
(3) You have a percentile rank over 50% 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: A1 Bathing and taking care of personal hygiene and grooming needs 2 or more 4 3 or more 2 A2 Dressing 2 or more 4 3 or more 2 A3 Using the toilet 2 or more 4 3 or more 2 A4 Preparing food 2 or more 4 3 or more 2 A5 Eating food 2 or more 4 3 or more 2 A6 Taking care of clothes, including laundering 2 or more 2 or more 3 or more 1 A7 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 Taking medications 2 or more 4 3 or more 2 C2 Ambulating and moving about 2 or more 4 3 or more 2 C3 Avoiding health and safety hazards 2 or more 3 or more 3 or more 2 C6 Maintaining a nutritious diet 2 or more 2 or more 3 or more 1 C8 Maintaining emotional well-being 2 or more 3 or more 3 or more 2 D1 Learning and using problem-solving strategies 2 or more 3 or more 3 or more 2 D5 Learning self-management strategies 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 G3 Managing money and personal finances 2 or more 2 or more 3 or more 1
Question # of SIS
support needs scale
Text of question
Your score for
"Type of support" is:
And your score for
"Frequency of support" is:
A1
Bathing and taking care of personal hygiene and grooming needs
2 or more
4
3 or more
2
A2
Dressing
2 or more
4
3 or more
2
A3
Using the toilet
2 or more
4
3 or more
2
A4
Preparing food
2 or more
4
3 or more
2
A5
Eating food
2 or more
4
3 or more
2
A6
Taking care of clothes, including laundering
2 or more
2 or more
3 or more
1
A7
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
Taking medications
2 or more
4
3 or more
2
C2
Ambulating and moving about
2 or more
4
3 or more
2
C3
Avoiding health and safety hazards
2 or more
3 or more
3 or more
2
C6
Maintaining a nutritious diet
2 or more
2 or more
3 or more
1
C8
Maintaining emotional well-being
2 or more
3 or more
3 or more
2
D1
Learning and using problem-solving strategies
2 or more
3 or more
3 or more
2
D5
Learning self-management strategies
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
G3
Managing money and personal finances
2 or more
2 or more
3 or more
1