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Dear DDA Stakeholder:
The Department of Social and Health Services (DSHS) Developmental Disabilities Administration (DDA) is
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
extended through October 20, 2018.
The amendments (277-469 pages) are available online. A brief summary follows:
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DSHS and Health Care Authority intend to amend the above-mentioned waivers with an
effective date of February 1, 2019.
- The proposed amendments update
the client assessment tool, Supports Intensity Scale. The change achieves 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 that measures the pattern and intensity of
supports for individuals age 16 and older.
DDA proposes updating the current assessment tool to the SIS-A. The
SIS-A will determine the Intermediate Care Facility/Individuals with
Intellectual Disabilities level of care. In addition, SIS-A will identify health
and welfare needs, determine behavioral and medical acuity levels, and
identify 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.
The proposed changes will have little to no impact on current or
future DDA waiver participants.
The amendments can be read in their entirety on DSHS’s website. Official notices are also
located in the Washington State Register and in DSHS field services offices.
Send comments to DDAWaiverAmendments@dshs.wa.gov during the comment period, now through October 20, 2018.
All future announcements of amendments, 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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