The following limits apply to your receipt of therapeutic adaptations:

1. (1) Therapeutic adaptations are limited to one adaptation request every five waiver years.
2. (2) Funding is limited to the aggregate budget in the basic plus and IFS waiver or $15,000 on the CIIBS waiver.
3. (3) Modifications may not add square footage to the home or convert nonliving space into living space.
4. (4) The department requires a written recommendation by a behavioral health provider, occupational therapist, or physical therapist within the waiver participant's current therapeutic plan.
5. (5) Therapeutic adaptations are limited to items not otherwise covered under the state plan, including EPSDT, but consistent with waiver objectives of avoiding institutionalization.
6. (6) Therapeutic adaptations require prior approval by the DDA regional administrator or designee.
7. (7) Therapeutic adaptations are limited to those identified in the client's person-centered service plan.
8. (8) Written consent from the home's landlord is required before starting any therapeutic adaptation for a rental property. The landlord must not require removal of the therapeutic adaptation at the end of the waiver participant's tenancy as a condition of the landlord approving the therapeutic adaptation to the waiver participant's home.

[Statutory Authority: RCW 71A.12.030, 71A.12.120, and 42 C.F.R. 441.301 (c)(6). WSR 23-18-035, § 388-845-2155, filed 8/29/23, effective 9/29/23. Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 21-19-108, § 388-845-2155, filed 9/20/21, effective 10/21/21.]