esck†IENnaM/MBIkmµviZIvayt´m¬ DDA –kmµviZIvayt´m¬ DDA (DDA Assessment) ®tUv◊nbeg˚IteLIg edIm∫Ivas'sÊg'emIl/MBIt®mUvkaresvaobtΩm∏rbs'®bCaBl rdƒmñak'@ EdlTTYlkmµviZIvayt´m¬enH.

kmµviZI DDA CYynayk®Kb'®KgsMNuMer]gkñ¨gkarer\bcMEpnkars®mab'esvakmµ nigkmµviZIobtΩm∏ Ø¥®sbeTAtamt®mUvkar rbs'®bCaBlrdƒ EdlmanBikarPaBBIkMeNIt…BIekµgv‡y.

rdƒsPa®tUvEt/num‡tzvka nigCMnYyepßg@edIm∫I®T®Tg'esvakmµ CUn®bCaBlrdƒ EdlmanBikarPaBBIkMeNIt…BIekµgv‡y. enAeBlNakarvayt´m¬emIl/MBIt®mUvkarrbs'®bCaBlrdƒTaMgenH ®tUv◊neZ√Iedaye®bIxñatrg√as'vayt´m¬EtmYydUc@Kña ehIy enaHrdƒsPa nigmÂn†I/ñk/numtic∫ab'd´T@eT\t TMngCanwgyl'za Bt·manenH/acØ¥BYkeKeC]Tukcit†◊n ehIy man®beyaCn— s®mab'e®bI®◊s'CMnYydl'dMeNIrkar/numtiesck†Ise®mccit†rbs'BYkeK.

etIkmµviZIvayt´m¬ DDA CYy®bCaBlrdƒ EdlmanBikarPaBBIkMeNIt…BIekµg v‡yy"agdUcem†g?kmµviZIvayt´m¬ DDA KWvas'sÊg'emIl/MBIt®mUvkarobtΩm∏rbs'®bCaBlrdƒmñak'@ kñ¨gkarcUlrYmskmµPaBepßg@. bEnΩm elIenHeTAeT\t kmµviZIenHvas'sÊg'emIl/MBIt®mUkarobtΩm∏elI≤riyabz, kar®bkbkargar, esvaEzTaMsuxPaB, nig t®mUkarEpñk/ñkelIemIlEzTaMrbs'®bCaBlrdƒmñak'@. kmµviZIvayt´m¬ DDA kMNt'kmµviZI nigesvakmµ Edl®bCaBl rdƒmñak'@manlk≈Nsm∫t†iTTYl nigTMhMbrimaN´nesvakmµ EdlBYkeK/ac®tUv◊n/nuJÔatØ¥TTYl.

etInrNa®tUvcUlrYmkñ¨gkmµviZIvayt´m¬ DDA?nayk®Kb'®KgsMNuMer]g (Case Manager) nwgeTACYb®bCaBlrdƒ EdlmanBiPaBBIkMeNIt…ekµgv‡yedaypÊal' eday rYm/mdMeNIry"agticNas'edaymnusßmñak' Edlsal'/tiziCnc∫as'las'. /ñktMNag®sbc∫ab'®tUv◊n/eJÇIj Ø¥ cUlrYmCanicç.

etIkmµviZIvayt´m¬enHnwg®tUve®bIeBlyUrb"uNˆa?CaZmµta bTsm∏as´nkarvayt´m¬enHe®bIeBl®bEhlBI 2 eTA 4 em"ag /a®s‡ytamkt†amYycMnYn. CaoTahrN— karvayt´m¬elIkdMbUge®bIeBlyUrCagkarvayt´m¬saeLIgvij. ebIBlrdƒmñak'enaH®tUvkaresvaEzTaMsuxPaBpÊal'x¬Án xagEpñkkmµviZI Medicaid (emDIexd) pgenaH enaHkarvayt´m¬enHrwtEt®tUve®bIeBlyUrbn†ic.

etIkmµviZIvayt´m¬ DDA ®tUveZ√IeLIgjwkjab'b"uNˆa?®bCaBlrdƒEdlTTYlesvakmµbg'´z¬nwg®tUvTTYlkmµviZIvayt´m¬enHy"agticNas'mYyqñaMm†g. ebIt®mUvkarrbs'BlrdƒrUb enaHmankarE®b®bYlenAkñ¨g/ML¨geBl´nqñaMkMNt' enaH/tiziCn®bEhlCa/acnwg®tUvkarkarvayt´m¬NamYyCabEnΩm.

ebIman/tiziCnNamñak'mincg'TTYlkarvayt´m¬ enaHetInwgmankar/√IekIteLIg dl'/tiziCnrUbenaH?ebIman/tiziCnNamñak'mincg'TTYlkarvayt´m¬ DDA eT ehIy/tiziCnrUbenaHrs'enAkñ¨gshKmn—enH enaHnaykdƒan Bi◊knwgdwgzaetIKat'®tUvkaresvaobtΩm∏®bePTNaNas'. /tiziCnrUbenaH/acbdiesZ minTTYlyknUvkarvayt´m¬ NamYy◊n k°b"uEn†naykdƒan DDA min/ac/nuJÔatØ¥/tiziCnrUbenaHTTYlesvakmµNamYy edayKµankarvayt´m¬ DDA ◊neLIy.

Bt·mans†IBIesvakmµ nigkmµviZIobtΩm∏s®mab'®bCaBlrdƒ EdlmanBikarPaBBIkMeNIt…BIekµgv‡y

kmµviZIvayt´m¬ rbs' Developmental Disabilities Administration

etIkmµviZIvayt´m¬ DDA man/√Ix¬H?karvayt´m¬ DDA manbIEpñk …bIEbbbT (Modules) –

1. Epñkvayt´m¬emIlkarobtΩm∏ Epñkvayt´m¬emIlkarobtΩm∏ (Support Assessment Module) rYmmanxñat®bBlPaBobtΩm∏ (Supports Intensity

Scale, SIS) s®mab'/tiziCnTaMg/s' cab'BI/ayu 16 qñaMeLIgeTA. SIS KWCarg√as'vayt´m¬ Edl◊n®tUvTTYlsal' k®mitzñak'Cati ehIy◊n®tUve®bI®◊s'enAkñ¨grdƒCae®cIn edIm∫Ivas'sÊg'emIlt®mUvkarobtΩm∏ s®mab'®bCaBlrdƒ Edl manBikarPaB. sUmcUlemIleKhTMB‡r www.siswebsite.org/index.ww edIm∫IEs√gyl'Bt·manbEnΩm/MBI SIS.

s®mab'kumar/ayue®kam 16 qñaM eKnwge®bIk®mgsMNYr®bmaN´m∏sMNYr edIm∫Ivas'sÊg'emIlt®mUvkarobtΩm∏rbs'BYk eK. Epñkvayt´m¬emIlkarobtΩm∏k°rYmmannUvkarvayt´m¬emIl/MBIt®mUvkar/ñkemIlEzTaM, bJ˙a≤riyabz, nigkaremIl ®Kb'®KgkarBarpgEdr.

2. Epñkvayt´m¬emIlk®mitesvakmµ Epñkvayt´m¬emIlk®mitesvakmµ (Service Level Assessment Module) ◊n®tUve®bI®◊s' edIm∫Ivayt´m¬emIlkarobtΩm∏

Edl/tiziCn®tUvkar edIm∫I®T®Tg'skmµPaBrs'enA nigkarEzTaMpÊal'x¬Án®bcaM´z©. cem¬IyeTAnwgsMNYrTaMgenHCYy nayk®Kb'®KgsMNuMer]gkñ¨gkarkMNt'emIlesvaEzTaMpÊal'x¬Án Edl/tiziCnrUbenaHnwgTTYl◊n.

3. EpnkarobtΩm∏Gkt†Cn EpnkarobtΩm∏Gkt†Cn (Individual Support Plan, ISP) er\brab'/MBIkarobtΩm∏ EdleKnwgp†l'CUn edIm∫ICYybMeBjt®mUv

karrbs'/tiziCn. ISP er\brab'y"agl÷itl÷n'/MBIk®mitbrimaNesvabg'´z¬ Edl/tiziCnmanlk≈Nsm∫t†i/acnwg TTYl◊n nigzaetInrNanwgp†l'esvaenaH. EpnkarenHk°nwgEvkrkmuxsJÔa´nkarobtΩm∏ Edl/tiziCnman Edlrdƒ min◊nbg'´z¬CUnpgEdr. EpnkarenHnwg®tUveKe◊HBumı ehIy®bKl'CUn/tiziCn enAe®kayvKvayt´m¬ nigvKer\bcMEpn kar.

etIkmµviZIvayt´m¬ DDA kMNt'emIl zaetI/tiziCnmYyrUb@manlk≈Nsm∫t†i TTYlCMnYy◊n y"agdUcem†c?cem¬IyeTAnwgsMNYrTaMgkñ¨gEpñkvayt´m¬emIlkarobtΩm∏ nigEpñkvayt´m¬emIlk®mitesvakmµ nwgbeg˚It◊n/√IEdlehAza “Binʨ®sYc®sav“ (“acuity scores”). Binʨ®sYc®savKWCarg√as'/MBI®bBlPaB´nt®mUvkarobtΩm∏rbs'/tiziCn e®b\beZ\b eTAbuKld´T@eT\t Edl®tUv◊nTTYlkarvayt´m¬Edr. Binʨ®sYc®savrbs'/tiziCn EdlecjBIkarvayt´m¬rbs'BYkeK CYykMNt'emIl/MBIlk≈Nsm∫t†i TTYlkmµviZI nigesvakmµnana dUcCa –

• esvaEzTaMpÊal'x¬Án • esvaEp÷kelIlMenAdƒan nigshKmn— DDA

DSHS 22-1173 CA (Rev. 5/13)

cuHebIámansMNYrbEnΩmeT\t?sUmTUrs‡BÊTak'Tgnayk®Kb'®KgsMNuMer]g …sUmcUlemIleKhTMB‡rkmµviZI vayt´m¬ DDAtam/asydƒan – www.dshs.wa.gov/ddd/CAP.shtml

•esvaCMnYyCMnYsm†gm˚al

•esvabuKl nig®KYsar

• esvabe®mI/tiziCntam lMenAdƒanGkCn

• kmµviZIsiTÛibe®mIkargar …shKmn—

cuHebImannrNamñak'BuMyl'®sbtamlTÛpl´nkarvayt´m¬ DDA?ebImannrNamñak'BuMyl'®sbtamlTÛpl´nkarvayt´m¬ DDA enaHeK/acesñIsuMoTÛrN—◊n. enAkñ¨geBl®bCuMvay t´m¬ nayk®Kb'®KgsMNuMer]gnwgp†l'Bt·mans†IBIsiTÛiesñIsuMoTÛrN—elIesck†Ise®mcrbs'®ksYg EdleyalelIkar vayt´m¬ DDA.