If you are age 16 or older, DDA determines you to be eligible for ICF/IID level-of-care from your SIS scores. Eligibility for ICF/IID level-of-care requires that your scores meet at least one of the following:

1. (1) You have a percentile rank over nine percent for three or more of the six subscales in the SIS support needs scale;
2. (2) You have a percentile rank over 25% for two or more of the six subscales in the SIS support needs scale;
3. (3) You have a percentile rank over 50% in at least one of the six subscales in the SIS support needs scale;
4. (4) You have a support score of one or two for any of the questions listed in the SIS exceptional medical support needs scale;

5. (5) You have a support score of one or two for at least one of the following items in the SIS exceptional behavior support needs scale:

   1. (a) Prevention of assaults or injuries to others;
   2. (b) Prevention of property destruction (e.g., fire setting, breaking furniture);
   3. (c) Prevention of self-injury;
   4. (d) Prevention of PICA (ingestion of inedible substances);
   5. (e) Prevention of suicide attempts;
   6. (f) Prevention of sexual aggression; or
   7. (g) Prevention of wandering.
6. (6) You have a support score of two for any of the questions listed in the SIS exceptional behavior support needs scale; or

7. (7) You meet or exceed any of the qualifying scores for one or more of the following SIS questions:

   Question # of SISsupport needs scale	Text of question	Your score for"Type of support" is:	And your score for"Frequency of support" is:
   A1	Bathing and taking care of personal hygiene and grooming needs	2 or more	4
   3 or more	2
   A2	Dressing	2 or more	4
   3 or more	2
   A3	Using the toilet	2 or more	4
   3 or more	2
   A4	Preparing food	2 or more	4
   3 or more	2
   A5	Eating food	2 or more	4
   3 or more	2
   A6	Taking care of clothes, including laundering	2 or more	2 or more
   3 or more	1
   A7	Housekeeping and cleaning	2 or more	2 or more
   3 or more	1
   B6	Shopping and purchasing goods and services	2 or more	2 or more
   3 or more	1
   C1	Taking medications	2 or more	4
   3 or more	2
   C2	Ambulating and moving about	2 or more	4
   3 or more	2
   C3	Avoiding health and safety hazards	2 or more	3 or more
   3 or more	2
   C6	Maintaining a nutritious diet	2 or more	2 or more
   3 or more	1
   C8	Maintaining emotional well-being	2 or more	3 or more
   3 or more	2
   D1	Learning and using problem-solving strategies	2 or more	3 or more
   3 or more	2
   D5	Learning self-management strategies	2 or more	3 or more
   3 or more	2
   F1	Using appropriate social skills	2 or more	3 or more
   3 or more	2
   G3	Managing money and personal finances	2 or more	2 or more
   3 or more	1

[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 24-23-058, s 388-828-4400, filed 11/15/24, effective 1/1/25; WSR 21-19-093, § 388-828-4400, filed 9/17/21, effective 10/18/21. Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 19-02-020, § 388-828-4400, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-4400, filed 4/23/07, effective 6/1/07.]