1. (1) The out-of-home services (OHS) acknowledgment is a document that outlines the rights and responsibilities of the client, parent or legal representative, and the provider while a client is in the OHS program. The OHS acknowledgment is signed annually by the client's parent or legal representative, client if 18 or older, and the provider designee.

2. (2) An OHS acknowledgment must state the following:

   1. (a) Integrated setting requirements under 42 C.F.R. 441.301 (c)(4).
   2. (b) The rights and responsibilities of the parent or legal representative.
   3. (c) DSHS and DDA are offering services through medicaid or roads to community living.
   4. (d) That services provided are voluntary and can be terminated at any time and include termination requirements for the provider under RCW 71A.26.030.
   5. (e) The provider will assist in accessing non-DDA related services including but not limited to education and medically necessary treatments. This includes participation in individual team meetings and development of an individualized education program.
   6. (f) The provider will participate in the creation and implementation of a child and family engagement plan.

[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, amended and recodified as s 388-826-0550, filed 5/21/25, effective 7/1/25. Statutory Authority: RCW 71A.12.030 and chapters 71A.28, 74.13 RCW. WSR 21-15-059, § 388-826-0040, filed 7/15/21, effective 8/15/21. Statutory Authority: RCW 71A.12.030 and 74.13.350. WSR 18-23-004, § 388-826-0040, filed 11/7/18, effective 12/8/18. Statutory Authority: RCW 74.13.350. WSR 02-22-057, § 388-826-0040, filed 10/31/02, effective 12/1/02.]