Current through Register Vol. 24-18, September 15, 2024
(1)
Qualification. To qualify for a special needs rate in addition to
the base rate, the consumer must request a special needs review for the child.
The child must either:
(a) Be thirteen up to
nineteen years of age and be under court supervision; or
(b) Be less than nineteen years of age and
have a verified physical, mental, emotional, or behavioral condition that
requires a higher level of care needed in the child care setting.
(2)
Required
documentation. The documentation must:
(a) Support the severity of the condition and
level of care required to meet that child's need;
(b) Describe the child's additional needs
above the daily routine care required under chapter 170-295, 170-296A, or
170-297 WAC, for child care providers who are licensed or certified, or WAC
170-290-0130 and 170-290-0138 for child care providers who provide
in-home/relative care;
(c) Address
relevant areas, such as ambulatory assistance, feeding, hygiene assistance,
communication, or behavior as applicable and as needed by the child;
(d) Include completed DEL special needs
request forms from both the consumer and the provider; and
(e) Have the child's condition and need for
higher level of care verified by a qualified individual who is not employed by
the child care facility nor a relative of the provider or the child's family,
and is either a:
(i) Health, mental health,
education or social service professional with at least a master's degree;
or
(ii) Registered nurse.
New verification is not required at review or due to a
change in provider, if the child's condition has been verified to be life-long
and not improving;
(f) Include one or more of the following
completed forms from a person listed in (e) of this subsection:
(i) Medical or psychological reports from a
mental health professional;
(ii)
Medical reports or statements from a medical health profession;
(iii) Individualized education plan
(IEP);
(iv) Individual health plan
(IHP);
(v) Individual family
service plan (IFSP);
(vi) Basic
health records from the health care provider; or
(vii) Comprehensive assessments from a mental
health professional.
(g)
For one-on-one care, the name of the person providing the care.
(3)
Special needs
review.
(a) DSHS processes all Level 1
special needs cases for children under thirteen within thirty calendar days
from the date of the special needs request.
(b) DEL and DSHS jointly review Level 2
special needs cases for children under thirteen.
(c) DEL and DSHS jointly review all special
needs requests for children thirteen years of age through nineteen years of
age.
(d) All requests for Levels 1
and 2 special needs rates are decided within fifteen consecutive days of the
initial request. The fifteen-day time limit begins on the day after the date
that the consumer and provider provide all of the required verification for
that case as provided in this section.
(e) The provider will be notified of the
approval or denial of a Level 2 special needs rate request within fourteen
calendar days of the decision.
(4)
Purpose of special needs
rate. WCCC does not pay for the provider's training needs to care for a
specific child or for the child's equipment needs while in the child care
setting. The special needs rate is for care provided in addition to the daily
routine care required under chapter 170-295, 170-296A, or 170-297 WAC, for
child care providers who are licensed or certified, or WAC 170-290-0130 and
170-290-0138 for child care providers who provide in-home/relative
care.
Statutory Authority:
RCW
43.215.060 and
43.215.070. WSR 17-18-051, §
170-290-0220, filed 8/31/17,
effective 10/1/17. Statutory Authority:
RCW
43.215.060,
43.215.070, and chapter 43.215
RCW. WSR 16-09-059, §
170-290-0220, filed 4/15/16,
effective 5/16/16; WSR 14-03-060, §
170-290-0220, filed 1/13/14,
effective 2/13/14; WSR 12-11-025, §
170-290-0220, filed 5/8/12,
effective 6/8/12. Statutory Authority:
RCW
43.215.060,
43.215.070, 2006 c 265, and
chapter 43.215 RCW. WSR 09-22-043, §
170-290-0220, filed 10/28/09,
effective 12/1/09. WSR 08-08-047, recodified as §
170-290-0220, filed 3/27/08,
effective 3/27/08. Statutory Authority:
RCW
74.04.050,
74.12.340,
74.13.085, and 2003 1st sp.s. c
25. WSR 04-08-021 and 04-08-134, § 388-290-0220, filed 3/29/04 and 4/7/04,
effective 5/28/04. Statutory Authority:
RCW
74.04.050 and C.F.R. Parts 98 and 99 (Child
Care Development Fund Rules). WSR 02-01-135, § 388-290-0220, filed
12/19/01, effective 1/19/02.
