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Oops! The broken link to the waiver amendments has been corrected below.
Dear
DDA Stakeholder:
The Department of Social and Health Services’ (DSHS) Developmental
Disabilities Administration (DDA) is in the process of
preparing amendments for five waivers
funded by the Centers for Medicare and Medicaid Services (CMS).
Affected waivers include:
- Individual and Family Services
- Basic Plus
- Core
- Community Protection
- Children’s Intensive In Home Behavioral Support
Stakeholders have an opportunity to review and comment on the draft waiver amendments before being sent to CMS. The official 30-day public comment period is July 27 through August 27, 2018.
The amendments (277-469 pages) are available online. A brief summary follows:
- DSHS
and Health Care Authority intend to
amend the above-mentioned waivers with an effective date of January 1,
2019.
- The
amendments propose to update a portion of the client assessment tool, ‘Supports
Intensity Scale.’ The change will achieve the same result as the
existing tool, with little to no impact on participants. The Supports
Intensity Scale assessment was recently updated by the
publisher, the American Association on Intellectual and Developmental
Disabilities, and renamed the Supports Intensity Scale – Adult
(SIS-A). The SIS-A is a nationally-normed instrument used to measure the
pattern and intensity of supports for individuals age 16 and older. DDA
proposes to update the current assessment tool to the SIS-A for use in
determining the Intermediate Care Facility/Individuals with Intellectual
Disabilities level of care, identifying health and welfare needs,
determining behavioral and medical acuity levels, and identifying support
need acuity levels within the Comprehensive Assessment Reporting and
Evaluation assessment tool.
The
key changes in each waiver amendment are located in Appendix B-6.d, Level
of Care Criteria, and B-6.f, Process for Level of Care
Evaluation/Reevaluation, on the specified pages:
- Individual
and Family Services waiver amendment on page 36;
- Basic
Plus waiver amendment on pages 46-47;
- Core
waiver amendment on pages 47-48;
- Community
Protection waiver amendment on pages 46-47 and;
- Children’s
Intensive In-Home Behavioral Support waiver amendment on pages
36-37.
We believe these proposed changes will have little to no impact on
current or future DDA waiver participants.
The amendments can be read in their entirety on our website. Official notices are also
located in the Washington State Register and in our field services offices.
Send your comments to DSHSDDAWaiverAmendments during the comment period.
All future announcements of waiver amendments,
waiver renewals and new waivers will be made using this communication system in
addition to the Washington Register and flyers in DDA office lobbies.
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