Section 388-845-1810 - Are there limits to the specialized equipment and supplies you may receive?The following limits apply to the specialized equipment and supplies you may receive:
(1) Habilitative support needs for specialized equipment and supplies are limited to those identified in your DDA person-centered assessment and documented in your person-centered service plan.(2) Specialized equipment and supplies over $550 require prior approval by the DDA regional administrator or designee.(3) When your medical professional recommends specialized equipment and supplies for you, DDA may require a second opinion by a DDA-selected provider.(4) Items must be of direct medical or remedial benefit to you or required to prevent institutionalization and necessary as a result of your disability.(5) Items requested to address a sensory integration need must have an accompanying therapeutic plan written by a current treating professional.(6) Medications, first aid supplies, antiseptic supplies, personal hygiene products, supplements, and vitamins are excluded.(7) The dollar amounts for aggregate services in your basic plus or CIIBS waiver limit the amount of service you may receive.(8) The dollar amounts for your annual allocation in your individual and family services (IFS) waiver limit the amount of service you may receive.(9) Items excluded from specialized equipment and supplies include:(a) Items of general utility;(b) Items that do not directly support the client as described in WAC 388-845-1800; and(c) Nonspecialized recreational or exercise equipment, including but not limited to trampolines, treadmills, swing sets, and hot tubs.(10) Specialized equipment and supplies are limited to additional services not otherwise covered under the medicaid state plan, including EPSDT, but consistent with waiver objectives of avoiding institutionalization.Wash. Admin. Code § 388-845-1810
Amended by WSR 13-24-045, filed 11/26/13, effective 1/1/2014Amended by WSR 16-17-009, Filed 8/4/2016, effective 9/4/2016Amended by WSR 18-14-001, Filed 6/20/2018, effective 7/21/2018Amended by WSR 20-05-080, Filed 2/18/2020, effective 3/20/2020Amended by WSR 21-19-108, Filed 9/20/2021, effective 10/21/2021Amended by WSR 23-18-035, Filed 8/29/2023, effective 9/29/2023Statutory Authority: RCW 71A.12.030, 71A.12.120 and Title 71A RCW. 07-20-050, § 388-845-1810, filed 9/26/07, effective 10/27/07. Statutory Authority: RCW 71A.12.030, 71A.12.12 [71A.12.120] and chapter 71A.12 RCW. 06-01-024, § 388-845-1810, filed 12/13/05, effective 1/13/06.