frequent checks for health and safety or due to disruptions in routines. Level 4: Continuous Client requires support with a large 458 11.4% Day and Nighttime number of activities that typically occur Intermittent Check daily OR is only able to maintain health and safety for less than 2 hours, if at all. Client also requires occasional health and safety checks or support during overnight hours. Level 5: Continuous Client is only able to maintain health 2,293 57.3% Day + Continuous and safety for less than 2 hours, if at Night all, OR requires support with a large number of activities that occur daily or almost every day AND requires nighttime staff within the home. Level 6: Community The client is part of the Community 416 10.4% Protection Program Protection Program and requires constant supervision support to ensure community and client safety. Source: Data from the WA Developmental Disabilities Administration and the Resource Manager Guidebook Supported Living Assessment Process Since 2007, the Washington SL program has used an evidence-based assessment instrument called the Supports Intensity Scale (SIS) to evaluate a support needs. client’s The SIS, which was developed in 2004 by the American Association on Intellectual and Developmental Disabilities, measures an support needs in personal, individual’s and social activities in order to identify and describe the types and intensity of the supports the individual requires. The state-employed CMs conduct a structured interview with each client or the guardian to identify the type and frequency of supports client’s needed to participate in daily activities. In Washington, the results of the SIS are used to calculate the number of daily direct support hours, called Instruction and Support Services (ISS) hours, a client will need. In addition to direct support time, ISS hours also include the following: Staff night time hours for clients who require overnight support and/or supervision Staff transportation time to homes travel between clients’ hours worked on ISS (only for agencies with fewer than 20 Administrator’s employees) Staff training hours The assessment predicts ISS hours for a client as if the client lived alone. The results of each assessment are then reviewed by DDA-employed Resource Managers (RM) who are responsible for considering additional factors that may affect a support needs, such client’s
frequent checks for health and safety or due to disruptions in routines. Level 4: Continuous Day and Nighttime Intermittent Check Client requires support with a large number of activities that typically occur daily OR is only able to maintain health and safety for less than 2 hours, if at all. Client also requires occasional health and safety checks or support during overnight hours. 458 11.4% Level 5: Continuous Day + Continuous Night Client is only able to maintain health and safety for less than 2 hours, if at all, OR requires support with a large number of activities that occur daily or almost every day AND requires nighttime staff within the home. 2,293 57.3% Level 6: Community Protection Program The client is part of the Community Protection Program and requires constant supervision support to ensure community and client safety. 416 10.4% Source: Data from the WA Developmental Disabilities Administration and the Resource Manager Guidebook Supported Living Assessment Process Since 2007, the Washington SL program has used an evidence-based assessment instrument called the Supports Intensity Scale (SIS) to evaluate a client’s support needs. The SIS, which was developed in 2004 by the American Association on Intellectual and Developmental Disabilities, measures an individual’s support needs in personal, and social activities in order to identify and describe the types and intensity of the supports the individual requires. The state-employed CMs conduct a structured interview with each client or the client’s guardian to identify the type and frequency of supports needed to participate in daily activities. In Washington, the results of the SIS are used to calculate the number of daily direct support hours, called Instruction and Support Services (ISS) hours, a client will need. In addition to direct support time, ISS hours also include the following: Staff night time hours for clients who require overnight support and/or supervision Staff transportation time to travel between clients’ homes Administrator’s hours worked on ISS (only for agencies with fewer than 20 employees) Staff training hours The assessment predicts ISS hours for a client as if the client lived alone. The results of each assessment are then reviewed by DDA-employed Resource Managers (RM) who are responsible for considering additional factors that may affect a client’s support needs, such
WA%20Supported%20Living%20Payment%20Methodology%20Analysis%20-%20Final%20Report.docx