cakÏAEnk Developmental
Disabilities Administration
o˚gkan Children's Intensive In-Home
Behavioral Support Waiver
EvÆeKXay™WmfvkehqatagwwnlaYn˙Rd™tIÆ: dshs.wa.gov/dda/service-and-information-request
swkHaH™wgkanRd™tIÆ: dshs.wa.gov/DDA/dda/find-an-office
otHafvkehqa:
buk˚qnÏU™tIƆ™wgkankanwU™msUnµkanFzgSWg HlJ kan†id†BSJÆSanSamadotHaÏAEnk Washington Telecommunication Relay Service odYkanbIbHaelk 7-1-1 HlJ 1-800-833-6388 (TTY)..
egJÆwnRKhzbewqakanSAlASid
DSHS 22-1755 LA (3/18) Laotian
Chelan, Douglas, Ferry, Grant, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens
Adams, Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Klickitat, Walla Walla,
Whitman, Yakima
Island, San Juan, Skagit, Snohomish, Whatcom
King
Kitsap, Pierce
Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Lewis,
Mason, Pacific, Skamania, Thurston, Wahkiakum
(800) 319-7116 [email protected]
(866) 715-3646 [email protected]
(800) 567-5582 [email protected]
(800) 974-4428 [email protected]
(800) 735-6740 [email protected]
(888) 707-1202 [email protected]
˚av†I otrASzb ElA wIEml˙
kaneKXaeTig Waiver˚µh™wgKMewqakancqdsJÆeKXanµ, HlJ efJÆwcApÆWnRpepznkanSAlA SidyÆag wJÆnSamadTJkehzdRd™[email protected]µÏU™czdkansÆvYeHlJwkM rAnI (CRM). T™aHakvÆa CRM bBmIevlavÆag, VH™SzÆg ˚vamRv™nµSaYotrASzbbBcÆaYegint™wgTiÆntIÆTJkkÆavyUÆfaYR†™H™wgkant™wgTiÆn HlJ YJÆn˚µh™wgKMtagwwnlaYn˙Rd™tIÆ www.dshs.wa.gov/dda/service-and-information-request. kanSwd˚ÆwgnµkqdeknkanbMri kanSµlzbkanSA lASidbBRd™hzb pAkznkaneKXaeTigkanbMrikan. kanSAlASid E†ÆlAyÆagmIKwbeKdVncµnvn Kwg˚qnÏU™tIÆSamadTJkhzbVs™. DDA mISidwµnadtIÆcA†xgKwbeKdkancqdsJÆeKXaVSÆ wIg†amkanmIRv™VH™Vs™VnegintjnSµlzbÏU™eKXahÆvmnµkanSAlASid˚qnVHmÆ.
SidtikanFzgerJÆwgcakwµnadkan pqk˚wgtuk@˚qnmISidVnkanFzgerJÆwgcakwµnadkanpqk˚wgnµkan†zdSin†Blqg Rpn[EnvVdEnvnjÆgodYbBkÆWvnµo˚gkan HlJ kanbMrikan:
• egJÆwnRKhzbewqaKwgÏAEnk DDA Rd™TJkpA†ieSd, †zd HlJ ÏAEnk DDA Rd™TÆvgdjgyÆagbBmIeHdÏqnVnkanpA†ibzdkanVSÆ˚µh™wgKM; HlJ
• sAnid HlJ cµnvnKwgkanbMrikantIÆTJkwAnuYadVH™Rd™hzb; HlJ
• kanpA†ieSd, kanludlqg, HlJ kan†zdkanbMrikan; HlJ
• kanpA†ieSdkanelJwkewqatÆanHmMVH™kanbMrikan; HlJ
• T™aHakvÆaRd™Y™aYRpyUÆSATantIÆwaSzYyUÆbÆwnwJÆn, tIÆbBEmÆnbÆwnelJwk ewqaKwg˚qnVd˚qnnjÆg; HlJ
• kanpA†ieSdKwgÏAEnk DDA tIÆcAehzd†am˚µh™wgKMbBVH™SqÆgVb Ec™gkanRpHa˚qnwJÆn˚qnVd˚qnnjÆg; HlJ
• kanesqacqdsJÆcako˚gkanSAlASid; HlJ
• kanpA†ieSdVn˚µh™wgKMtIÆcAhzbewqakanbMrikan ICF/IID EtntIÆvÆa cAEmÆnkanbMrikanSAlASid; HlJ
• ÏAEnk DDA fqbeHznvÆakanbMrikantIÆmIRv™VH™VnkanSAlASidpzd cubznSamad†wbSAnwg˚vam†™wgkand™anSuKAfab ElA˚vamyUÆdImI Ehg ElA buk˚qnbBeHznf™wmnµ; HlJ
• ˚qnVd˚qnnjÆgRd™TJk†Ira˚apAemInÏqnvÆabB†™wgkanlAdzbkanpiÆnpqv ICF/IID; HlJ
• buk˚qnRd™TJk†Ira˚apAemInÏqnvÆabBSwd˚ÆwgnµegJÆwnRKhzbewqa Kwg CIIBS.
ÏU™hzbkansÆvYeHlJw†™wgRd™Swd˚Æwgnµkqdekn†BlqgRpn[tuk@yÆag:
• epznlUk˚™aÏU™tIÆmIegJÆwnRKRd™hzbKwgÏAEnk DDA odYwIg†am RCW 71A.10.020(5).
• mI˚vameSzWwqg˚AodYwIg†amkqdekntIÆTJkkB†xgRv™El™vyUÆVnkqdHmaY Social Security Act.
• h™wgKMewqakanbMrikanpiÆnpqvrAYAYav/Medicaid ElA mIraYRd™tIÆfiSUdRd™sjÆgbBkaYekIn 300% Kwgmad†ATankan sÆvYeHlJwegin SSI KwgrzdTAbankag.
– T™aHakvÆaepznedzkn™wY, raYRd™ ElA szbSinKwgfBEmÆcAbBTJk ficarAna˚idRlÆVSÆ
– T™aHakvÆaepznÏU™VHYÆwaSzYyUÆnµ˚UÆÏqvemzW, raYRd™ ElA szbSinKwg ˚UÆÏqvemzWcAbBTJk ficarAna˚idRlÆVSÆ.
• mIszbSin†CkvÆa $2,000 HlJ yUÆVno˚gkan Apple Health for Workers with Disabilities (HWD).
• Swd˚ÆwgnµrAdzbKwgkanpiÆnpqvtIÆTJkewqaVH™yUÆVnSATabznkan piÆnpqvpankagSµlzbbuk˚qntIÆmI˚vameSzWwqg˚Ad™anpznYaEnv˚id (ICF/IID) †amtIÆTJkTJkficarAnaeHznodYkanpAemInÏqnKwg ÏAEnk DDA.
• EÏnkanbMrikanlvmSUnVSÆbuk˚qn (PCSP) SAEdgVH™eHznvÆa ˚vam†™wgtagd™anwAnamzY, ˚vampwdfzY, ElA kanƒjkƒqnVH™ dI˚JnSamadTJk†wbSAnwgRd™EnvVdyUƆamsumnumsqntIÆmIkan bMrikanSAlASid ElA/HlJ kan˚vb˚umebiÆgnµpAcµedJwn.
• †qklqgeHznf™wmtIÆcAhzbewqakanbMrikanwIgVSÆehJwn ElA sumnumsqnEtn tIÆvÆacAEmÆn ICF/IID.
• Sµlzb CIIBS etqÆanxn, buk˚qnnxnYzgcA†™wg:
– mIwaYu 18 pI RpeTig 17 pI SµlzbkancqdsJÆeb{wg†Xn(hzbVs™RpeTigwaYu 20 pI);
– TJkpAemInÏqnVneb{wg†XnvÆayUÆVnkanSÆWg†BkanczdHaVH™yUÆ nwkehJwnSUg ElA h™aYEhgY™wnkanpAfjdtIÆmIbznHa;ElA;
– waSzYyUÆnµ˚wb˚qvÏU™tIÆeHzn†qklqgtIÆcAeKXahÆvmVno˚gkan CIIBS.
WAHKIAKUMcounty
Region 2
Region 3
Region 1
P ACIFI Ccounty
GRAYS HARBORcounty
JEFFERSO Ncounty
CLALLA Mcounty
MASO Ncounty
T HURSTO Ncounty
LEWIScounty
S KAMANI Acounty
COWLITZcount
CLARKcounty
KLICKITA Tcounty
YAKIMAcounty
KITTITA Scounty
PIERCEcounty
KINGcounty
CHELA Ncounty
S NOHOMIS Hcounty
S KAGI Tcounty
W HATCOMcounty
OKANOGANcounty
FERRYcounty
STEVEN Scounty
PEN DOREILLE
county
SPOKANEcounty
LINCOL Ncounty
WHITMA Ncounty
ADAM Scounty
GRANTcounty
DOUGLAScounty
F RANKLINcounty
WALLA WALLAcounty
COLUMBI Acounty
GARFIELDcounty
ASOTINcounty
BENTONcounty
S AN JUANcounty
KITSAPcounty
Region 1 Region 2 Region 3
ISLANDcounty
I SLANDcounty
kanpÆWnEpgsIvid
kanpÆWnEpgsIvid
kanbznrAYaYodYSAlUbkÆWvkzb Waiverkqm Department of Social and Health Service’s Developmental Disabilities Administration (DDA) mIo˚gkan Home and Community-Based Service (HCBS) Medicaid Waiver H™ao˚gkan. kanSAlASid E†ÆlAo˚gkanSAenI VH™mIkanbMrikanwznecaAcqgefJÆwcA†wbSAnwg˚vam†™wgkantagd™anwAnamzY ElA ˚vampwdfzYyUÆVnsumnumsqn. o˚gkan Children’s Intensive In-Home Behavioral Support (CIIBS) waiver SAenIVH™mIkanbMrikanHlaY@yÆagemJÆwevlabBmIRv™VH™ÏÆanEHlÆgsÆvYeHlJw wJÆn@(pAkznfzYewksqn, Medicaid, ohghWn,wJÆn@.)
o˚gkan Children’s Intensive In-Home Behavioral Support (CIIBS) waiver wU™msUsavHnuÆmÏU™tIÆSÆWg†BkanczdVH™ yUÆnwkehJwnY™wnkanpAfjdtIÆepznbznHa.o˚ghÆag CIIBS kÆWvfznnµkan vagEÏnhwbd™anElAkanwU™msUkanpAfjddImuÆgVSÆ˚wb˚qv.o˚gkan CIIBS waiver hzbVs™edzkn™wYwaYu 8 pI Ha 20 pI.
T™aHakvÆa˚vam†™wgkanSµlzbkanbMrikantIÆTJk†Ira˚apAemInÏqnebiÆg El™vkaYekInKwbeKdKwgkanbMrikantIÆTJkewqaVH™faYR†™o˚gkan CIIBS waiver, ÏAEnk DDA cAtµ˚vamfAYaYam†BlqgRpn[wIk etJÆwnjÆg HlJ HlaYetJÆwefJÆwcA†wbSAnwg˚vam†™wgkantagd™an SuKAfab ElA ˚vamyUÆdImIEhg.
• s[bwkkanwU™msU†amtzmmAsadtIÆmIRv™VH™†JÆmwIk;
• el[m†XnehzdkanYqkevxn†BkqdrAbWbefJÆwcASzÆgwwkmaerJÆwgkaneKXaeTigkanbMrikantIÆbBEmÆnSAlASidtIÆmIyUÆbBVH™lvmyUÆVno˚gkanSAlASid CIIBS waiver nwkcakkanwU™msU†amtzmmAsad;
• VH™owkadtIÆcAh™wgKMewqakanSAlASidtagwJÆntIÆmIkanbMrikantIƆ™wgkan;
• SAenIkanczdVH™yUÆVnSATabznkanpiÆnpqvpankagSµlzbbuk˚qnÏU™tIÆmI˚vam eSzWwqg˚Ad™anSA†ipznYa (ICF/IID).
T™aHakvÆabBmItagelJwkewqayUÆK™agetign[czkyÆag†wbSAnwg ˚vam†™wg kantagd™anSuKAfab ElA ˚vamyUÆdImIEhg, ÏAEnk DDA cA†zdegJÆwn RKRd™hzbkanSAlASid. T™aHakvÆaTJk†zdcakkan SAlASidEl™v, ˚qnnxn wadcAYzgmIegJÆwnRKRd™hzbyUÆkanbMrikan bBSAlASidKwgÏAEnk DDA.
kanbMrikanKwg WaiverVs™bwk˙HmaYVSÆefJÆwcASAEdgVH™ CRM eHznvÆakan bMrikanEnvVdEdÆtIÆSqnVc:
kanbMrikan†amsumnumsqn
kanKqnSqÆgRpma – kanVs™egin˚JnVH™ÏU™VH™kanbMrikanSµlzb kanKqnSqÆgRpmatIÆbBEmÆnkanfAYabantIƆ™wgkanefJÆwcAeKXa Ha kanbMrikanSAlASidtIÆTJkkÆavecaAcqgyUÆVn PCSP.
kanbMrikanKwgnzkvisakan
kanbMrikanehzdVH™SuKAfabkanpAfjdVH™tuÆntÆWg – kanbMrikanefJÆwcAsÆvYeHlJw ElA wU™msUVnrAHvÆagfavAedJwdh™wn SuKAfabkanpAfjd. wznn[lvmewqakanwU™msU ElA kanpjkSakanpA fjdtIÆdI, ElA kanpiÆnpqvnwnohgHmMVnfavAedJwdh™wn.
kanbMrikanpiÆnpqvSuKAfaborkcidVH™tuÆntÆWg – kanpiÆnpqvnwnohgHmMVnfavAedJwdh™wn – kanbMrikanpiÆnpqvyUƆamehJwn ElA kanpAfjdsqÆv ˚avSµlzbÏU™tIƆqkyUÆVnkanSÆWgwzn†AraYh™aYEhglqgRpVnkantµgan tagcidVc ElA yUÆVnkanSÆWgwzn†AraYKwgkannwnohgHmMorkcid.
kanwU™msUkanpAfjdVH™RpVntagdI ElA kanpjkSa – kanwU™msUtIÆ Ek™RK ˚vam†™wgkantagSuKAfabkanpAfjd. SiÆgeHlqÆan[lvmewqakaneKXa EskEsgodYkqgefJÆwcASqÆgeSImkanpAfjdsjÆgcAehzdVH™˚unnAfabKwg sIvidVH™dIK{n ElA kaneKXaVnsumnumsqn.
kan†Ira˚apAemInÏqnebiÆgkanSÆWgwzn†AraY – kan†Ira˚apAemIn ÏqnebiÆgkanpAfjdhunEhg, eƒXarqbkvn, warqmtagefd, HlJ nµlÆaefJÆw cAficarAnaebiÆg˚vam†™wgkanVnkanbMrikantagorkcid, fAYa ban HlJ kanbµbzd.
kanpjkSa ElA kanƒjkƒqnSµlzbfAnzkgan/˚wb˚qv –kanƒjkƒqn ElA kanpjkSaEbbvisakanVH™EkÆ˚wb˚qv ElAs[nµVH™ÏU™VH™kanbMrikanodYkqgefJÆwcA†wbSAnwg˚vam†™wgkanVH™dIK{nkvÆaekqÆa. kanpjkSakMmIRv™VH™.
kanbMrikanVH™kanebiÆgEYgdUEl
kanyudfzksqÆv˚av – kanÏÆwn˚aYrAYASxnVH™EkÆbuk˚qnÏU™tIÆwaSzYyUÆnµ ElA ebiÆgEYgdUEllUk˚™a.
ÏAlidtAfzn ElA kanbMrikan
etzkonolcIsÆvYeHlJw - ÏAlidtAfzn ElA kanƒjkƒqntIÆTJkVs™ efJÆwcASqÆgeSIm HlJ hzkSa˚vamSamadVnkantµgan.
kanpzb†qvVH™eKXakzbSAfabEvdl™wm – kandzdEpgtaghUbhÆagVS ÆehJwntIÆcµepznSµlzbbuk˚qntIÆcAdµenInkandµrqgsIvidyUÆVnsumnumsqn.
e˚JÆwgnuÆgfieSd - e˚JÆwgnuÆgbBcµkzdtIÆTJkdzdEpgVSÆ˚vam†™wgkan tIÆkÆWvfznnµ˚vameSzWwqg˚A.
wubpAkwnfAYabanfieSd ElA e˚JÆwgVs™SwY – wubpAkwn ElAe˚JÆwgVs™SwYtIÆcµepzntagd™ankanfAYabantIÆbBmIRv™VH™faYR†™o˚gkan Medicaid (Apple Care).
wubpAkwn ElA e˚JÆwgVs™SwYbµbzdhzkSa - e˚JÆwgVs™SwYtIƆ™wg kanefJÆw cAvagVs™EÏnkanwU™msUkanbµbzdhzkSa HlJ kan pAfjddI.
kandzdEpgYanfaHanA-kandzdEpgVH™eHmaASqmVSÆYan faHanAsjÆgwµnvY˚vamSAdvk˚vam†™wgkanKwgtÆan ElA wU™msUkanlvmeKXanµsumnumsqn.
cqÆgVs™p{m˚UÆmJHqvn[efJÆwcAvagEÏnSµlzbkan†Ira˚apAemInÏqnpAcµpI. Case resource manager (CRM) cAwAtibaYeTigkanbMrikan ElA kqdkµnqd, ElA bzntjkkanbMrikantIÆTJkelJwkewqayUÆVnEÏnkan Person-centered service plan (PCSP). kanbMrikanbag yÆag†™wgmIkankvdebiÆg˚Jn ElA kanwAnumzdkÆwntIÆmzncATJkewqaVH™. SwbTamnµ CRM kÆWvkzbvÆaraYrAwWdEnvVdEdÆtIƆ™wgkanSµlzb kanwAnumzdlÆvgHn™a. kanbMrikanyUÆVnSIÆKAEnglvmewqa:
• kanbMrikan†amsumnumsqn – SqÆgeSImkaneKXahÆvmKwglUk˚™aElA kanpzb†qveKXanµsumnumsqn
• kanbMrikanKwgnzkvisakan – kanbMrikanwU™msUtIÆTJkewqaVH™odYnzk visakantIÆmISznYa
• kanbMrikanVH™kanebiÆgEYgdUEl – kanwU™msUSµlzbÏU™eKXahÆvm ElA ÏU™VH™kanebiÆgEYgdUElKwgeKqaecXa
• ÏAlidtAfzn ElA kanbMrikan – wubpAkwn, e˚JÆwgVs™SwY ElA kan bMrikanfieSdSµlzbÏU™eKXahÆvmnµ