1. (1) DDA determines the rate to support a client in a staffed residential home by assessing the client's identified needs.

2. (2) DDA completes a rate assessment, which consists of four cost centers:

   1. (a) Administrative and non-staff costs, including transportation and damage reimbursement, if applicable;
   2. (b) Funds for community inclusion activities as outlined in WAC 388-842-0180;
   3. (c) Consultant and training costs; and

   4. (d) Instruction and support services, which are determined by assessing a client's identified needs and supervision in the following areas:

      1. (i) Activities of daily living as defined in WAC 388-106-0010;
      2. (ii) Instrumental activities of daily living as defined in WAC 388-106-0010; and
      3. (iii) Support and supervision.
3. (3) DDA must conduct a rate assessment before a client starts services with a RHDY provider, if a significant change occurs, or if the household composition changes.

[Statutory Authority: RCW 71A.12.030, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103, s 388-842-0210, filed 7/17/25, effective 8/17/25.]