WAC 182-515-1511 Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA) - General eligibility.

WAC 182-515-1511 Home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA) - General eligibility.

Effective February 25, 2023

  1. To be eligible for home and community based (HCB) waiver services authorized by the developmental disabilities administration (DDA), a person must:
    1. Meet specific program requirements under chapter 388-845 WAC;
    2. Be an eligible client of the DDA;
    3. Meet the disability criteria for the supplemental security income (SSI) program under WAC 182-512-0050;
    4. Need the level of care provided in an intermediate care facility for the intellectually disabled (ICF/ID);
    5. Have attained institutional status under WAC 182-513-1320;
    6. Be able to reside in the community and choose to do so as an alternative to living in an ICF/ID;
    7. Be assessed for HCB waiver services, be approved for a plan of care, and receive HCB waiver services under (a) of this subsection, and:
      1. Be able to live at home with HCB waiver services; or
      2. Live in a department-contracted facility with HCB waiver services, such as:
        1. A group home;
        2. A group training home;
        3. A child foster home, group home, or staffed residential facility;
        4. An adult family home (AFH); or
        5. An adult residential care (ARC) facility.
      3. Live in the person's own home with supported living services from a certified residential provider; or
      4. Live in the home of a contracted companion home provider.
  2. A person is not eligible for home and community based (HCB) waiver services if the person:
    1. Is subject to a penalty period of ineligibility for the transfer of an asset under WAC 182-513-1363; or
    2. Has a home with equity in excess of the requirements under WAC 182-513-1350.
  3. See WAC 182-513-1315 for rules used to determine countable resources, income, and eligibility standards for long-term care (LTC) services.
  4. Current income and resource standard charts are found at http://www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/program-standard-income-and-resources.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.