When a client receives services through the out-of-home services program, DDA must:

1. (1) Facilitate the development of the child and family engagement plan under WAC 388-826-0560 before the start of service and at each annual assessment;
2. (2) Visit the client in their setting at least every 90 days;
3. (3) Develop the client's person-centered service plan as required under WAC 388-845-3055;
4. (4) Assist families to access a client's medically necessary physical or behavioral health benefits, which may include attending care conferences and sharing information with medicare, medicaid, or private health insurance representatives for purposes of care coordination;
5. (5) Assist families to access a client's necessary educational services, which may include attending school meetings;

6. (6) Monitor the client's services by:

   1. (a) Facilitating individual team meetings on a quarterly basis;
   2. (b) Reviewing the individual instruction and support plan;
   3. (c) Reviewing the quarterly report;
   4. (d) Reviewing incident reports and follow-up measures involving the client; and
   5. (e) Authorizing payment for services.
7. (7) Determine eligibility for medicaid coverage under chapters 182-513 and 182-515 WAC;
8. (8) Determine the client's participation amount, if any;
9. (9) Monitor the provider to ensure the provider complies with contract requirements, which includes compliance with DDA policies; and
10. (10) Refer a client for a nurse delegation assessment by a registered nurse delegator, if required under chapter 246-945 WAC.

[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, amended and recodified as s 388-826-0580, 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, § 388-826-0070, filed 7/15/21, effective 8/15/21. Statutory Authority: RCW 71A.12.030 and 74.13.350. WSR 18-23-004, § 388-826-0070, filed 11/7/18, effective 12/8/18. Statutory Authority: RCW 74.13.350. WSR 02-22-057, § 388-826-0070, filed 10/31/02, effective 12/1/02.]