WAC 388-845-0060. Can your waiver enrollment be terminated?

DDA may terminate your waiver enrollment if DDA determines that: (1) Your health and welfare needs cannot be met in your current waiver or for one of the following reasons: (a) You no longer meet one or more of the requirements listed in WAC 388-845-0030 ; (b) You do not have an identified need for a waiver service at the time of your annual person-centered service plan; (c) You do not use a waiver service at least once in every 30 consecutive days and your health and welfare do not require monthly monitoring to avoid institutionalization; (d) You are on the community protection waiver and: (i) You choose not to be served by a certified residential community protection provider-intensive supported living services (CP-ISLS); (ii) You engage in any behaviors identified in WAC 388-831-0240 (1) through (4); and (iii) DDA determines that your health and safety needs or the health and safety needs of the community cannot be met in the community protection program; (e) You choose to unenroll from the waiver; (f) You reside out-of-state; (g) You cannot be located or do not make yourself available for the annual waiver reassessment of eligibility; (h) Your needs exceed the maximum funding level or scope of services under the basic plus waiver as specified in WAC 388-845-3080 ; (i) Your needs exceed what can be provided under WAC 388-845-3085 ; (j) You refuse to participate with DDA in: (i) Service planning; (ii) Required quality assurance and program monitoring activities; or (iii) Accepting services agreed to in your person-centered service plan as necessary to meet your health and welfare needs; or (k) You are in a hospital, jail, prison, nursing facility, ICF/IID, or other institution for at least one full calendar month, are under the care of that institution or entity, and: (i) At the end of that full calendar month and there is no immediate plan for you to return to the community; (ii) At the end of the 12th month following the effective date of your current person-centered service plan, as described in WAC 388-845-3060 ; or (iii) At the end of the waiver fiscal year, whichever date occurs first. (2) Services offered on a different waiver can meet your health and welfare needs and DDA enrolls you on a different waiver.