Washington State Register, Issue 07-05 WSR 07-05-014 WSR 07-05-014 BASIC PERMANENT RULES WAIVER SERVICES YEARLY LIMIT DEPARTMENT OF Speech, hearing and lan- SOCIAL AND HEALTH SERVICES guage services (Aging and Disability Services Administration) [Filed February 9, 2007, 4:03 p.m., effective March 12, 2007] Staff/family consultation and training Effective Date of Rule: Thirty-one days after filing. Transportation Purpose: The division of developmental disabilities has received approval from the federal Centers for Medicare and EMPLOYMENT/DAY PRO- May not exceed Medicaid Services (CMS) to increase the dollar maximum GRAM SERVICES: $((6500)) 6631 for certain services in the basic and basic plus waivers within Community access per year the home and community based service (HCBS) waivers. Person-to-person Citation of Existing Rules Affected by this Order: Prevocational services Amending WAC 388-845-0205 and 388-845-0210. Supported employment Statutory Authority for Adoption: RCW 71A.12.030, 71A.12.120. Sexual deviancy evaluation Limits are deter- Adopted under notice filed as WSR 07-02-065 on mined by DDD December 29, 2006. Respite care Limits are deter- Number of Sections Adopted in Order to Comply with mined by respite Federal Statute: New 0, Amended 0, Repealed 0; Federal assessment Rules or Standards: New 0, Amended 2, Repealed 0; or Personal care Limits are deter- Recently Enacted State Statutes: New 0, Amended 0, mined by CARE Repealed 0. assessment Number of Sections Adopted at Request of a Nongov- ernmental Entity: New 0, Amended 0, Repealed 0. MENTAL HEALTH STABILI- Limits are deter- Number of Sections Adopted on the Agency's Own Ini- ZATION SERVICES: mined by a mental tiative: New 0, Amended 0, Repealed 0. Behavior management and health profes- Number of Sections Adopted in Order to Clarify, consultation sional or DDD Streamline, or Reform Agency Procedures: New 0, Mental health crisis diver- Amended 0, Repealed 0. sion bed services Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Mak- Skilled nursing ing: New 0, Amended 0, Repealed 0; or Other Alternative Specialized psychiatric ser- Rule Making: New 0, Amended 2, Repealed 0. vices Date Adopted: January [February] 8, 2007. Emergency assistance is $6000 per year; Jim Schnellman, Chief only for services contained Preauthorization Office of Administrative Resources in the Basic waiver required AMENDATORY SECTION (Amending WSR 06-01-024, AMENDATORY SECTION (Amending WSR 06-01-024, filed 12/13/05, effective 1/13/06) filed 12/13/05, effective 1/13/06) WAC 388-845-0205 Basic waiver services. WAC 388-845-0210 Basic Plus waiver services. BASIC WAIVER SERVICES YEARLY LIMIT BASIC PLUS AGGREGATE SERVICES: May not exceed WAIVER SERVICES YEARLY LIMIT Behavior management and $((1425)) 1454 AGGREGATE SERVICES: May not exceed consultation per year on any Behavior management $((6070)) 6192 Community guide combination of and consultation per year on any these services combination of Environmental accessibil- Community guide these services ity adaptations Environmental accessi- Occupational therapy bility adaptations Physical therapy Occupational therapy Specialized medical equip- Physical therapy ment/supplies Skilled nursing Specialized psychiatric ser- Specialized medical vices equipment/supplies [ 1 ] Permanent WSR 07-05-016 Washington State Register, Issue 07-05 BASIC PLUS some daily accounting functions on weekends and/or holi- WAIVER SERVICES YEARLY LIMIT days. Instead, they would perform these functions on the day following the weekend or holiday. Wording was added to Specialized psychiatric each of the mentioned rules as follows: "Provided, if the services accounting department does not work on weekends or federal Speech, hearing and or state holidays, they must complete these duties on the next language services day that they work." Staff/family consulta- Citation of Existing Rules Affected by this Order: tion and training Amending WAC 230-40-835, 230-40-865, 230-40-870, and 230-40-885. Transportation Statutory Authority for Adoption: RCW 9.46.070. EMPLOYMENT/DAY May not exceed Adopted under notice filed as WSR 07-01-057 on PROGRAM SERVICES: $((9500)) 9691 December 15, 2006. per year Number of Sections Adopted in Order to Comply with Community access Federal Statute: New 0, Amended 0, Repealed 0; Federal Person-to-person Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Prevocational services Repealed 0. Supported employment Number of Sections Adopted at Request of a Nongov- Adult foster care (adult Determined per ernmental Entity: New 0, Amended 4, Repealed 0. family home) department rate Number of Sections Adopted on the Agency's Own Ini- Adult residential care structure tiative: New 0, Amended 0, Repealed 0. (boarding home) Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, MENTAL HEALTH STA- Limits determined Amended 0, Repealed 0. BILIZATION SERVICES: by a mental health Number of Sections Adopted Using Negotiated Rule Behavior management professional or Making: New 0, Amended 0, Repealed 0; Pilot Rule Mak- and consultation DDD ing: New 0, Amended 0, Repealed 0; or Other Alternative Mental health crisis Rule Making: New 0, Amended 4, Repealed 0. diversion bed services Date Adopted: February 12, 2007. Susan Arland Skilled nursing Rules Coordinator Specialized psychiatric services AMENDATORY SECTION (Amending Order 383, filed Personal care Limits determined 4/14/00, effective 5/15/00) by the CARE assessment WAC 230-40-835 Accounting controls for cashier's cage. Licensees required to maintain a cashier's cage shall Respite care Limits are deter- adhere to the following controls to ensure proper accountabil- mined by respite ity for funds. The following restrictions and procedures assessment apply to cashiers and the cage: Sexual deviancy evalu- Limits are deter- (1) Cashiers shall be responsible for at least the follow- ation mined by DDD ing functions: Emergency assistance $6000 per year; (a) Receive cash, checks, and gaming chips from patrons ((in)) is only for ser- Preauthorization for check consolidations, total or partial redemptions or sub- vices contained in the required stitutions; (b) Receive gaming chips from patrons in exchange for Basic Plus waiver cash; (c) Receive traveler's checks and other cash equivalents (including money orders, certified checks, and cashier's checks) from patrons in exchange for currency or coin; WSR 07-05-016 (d) Receive documentation with signatures thereon, PERMANENT RULES required to be prepared for the effective segregation of func- GAMBLING COMMISSION tions in the cashier's cage; [Order 470—Filed February 12, 2007, 12:58 p.m., effective March 15, (e) Receive from security department personnel, chips 2007] and coins removed from gaming tables in exchange for the issuance of a credit; Effective Date of Rule: Thirty-one days after filing. (f) Receive from security department members, requests Purpose: The rules were amended to no longer require for fills in exchange for the issuance of a fill slip and the dis- house-banked operators to have accounting staff perform bursal of gaming chips; Permanent [ 2 ] Washington State Register, Issue 07-05 WSR 07-05-016 (g) Receive cash or chips from the count room; Request for fill. (h) At the end of each shift, the cashiers assigned to the outgoing shift shall count each cage inventory item and (2) A "request for fill" shall be prepared by the gaming record on a cashier's count sheet the face value of each inven- operation supervisor to authorize the cage to prepare a "fill tory item and the total of the opening and closing inventories. slip" for the distribution of chips and coins to gaming tables. The total closing inventory shall be reconciled with the total The original and duplicate of the request for fill shall include opening inventory; the following entries: (i) Prepare the overall cage reconciliation and account- (a) The date, time, and shift of preparation; ing records; and (b) The denomination of gaming chips or coins to be dis- (j) Perform such other functions as necessary to ensure tributed to the gaming tables; proper accountability of funds and chips consistent with these (c) The total amount of each denomination of gaming standards. chips or coins to be distributed to the gaming tables; (2) Signatures attesting to accuracy shall, at a minimum, (d) The game and table number to which the gaming be contained on the following: chips or coins are to be distributed; (a) Cashier's count sheet; and (e) The signature of the gaming operation supervisor; (b) Cage inventory countsheet, which includes the signa- and tures of the cashiers assigned to the incoming and outgoing shifts. (f) The signature of the security department employee (3) At the conclusion of the daily gaming activity, copies that distributed the chips and coins. of the cashier's count sheet, cage inventory count sheet and Transporting requests. related documentation shall be forwarded to the accounting department for agreement of opening and closing inventories, (3) After preparation of the request for fill, the original of and agreement of amounts thereon to other forms, records such request shall be transported directly to the cashier's cage and documentation for recording of transactions: Provided, by security. That if the accounting department does not work on week- ends or federal or state holidays, the triplicate copy of the Duplicate copies of the request. fill/credit slip must be removed and sent to accounting on the next day that the accounting department works. (4) The duplicate copy of the request for fill shall be placed by the dealer or floor supervisor in public view on the gaming table to which the gaming chips or coins are to be AMENDATORY SECTION (Amending Order 403, filed received. Such duplicate copy shall not be removed until the 6/19/01, effective 7/20/01) chips and coins are received, at which time the request for fill WAC 230-40-865 Distributing chips and coins to and fill slip are deposited in the drop box.