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attains age eighteen,which has continued or can be expected to continue indefinitely,and which <br />constitutes a substantial limitation to the individual. <br />I."Developmental Disabilities Administration DDA"means a division within the Department of Social <br />and Health Services. <br />m."DDA Regional office (DDA Region)"means the regional DDA office that supports DDA clients. <br />n."Division of Vocational Rehabilitation (DVR)"means a division within the Department of Social and <br />Health Services <br />o."Employment Outcome Payment"means a payment to providers for transition students born <br />between specific dates;have high acuity;are authorized for Individual employment;and student <br />obtains a competitive integrated job within a specific timeframes.If the job is a minimum of ten <br />hours of work per week an additional amount will be include in the payment. <br />p."General Terms and Conditions"means the contractual provisions contained within that agreement, <br />which govern the contractual relationship between DSHS and the county. <br />q."Medicaid Home and Community Based Services (HCBS)"means services that occur in a Client's <br />home or community rather than institutions or other isolated settings.These programs serve a <br />variety of targeted populations groups,such as people with intellectual or developmental <br />disabilities,physical disabilities,and/or mental illnesses <br />r."Job Foundation Report"is a document derived from employment readiness activities performed by <br />students who are between ages 19 through 20 that identifies actionable next step for employment. <br />The employment service providers developing the Job Foundation report will be supporting <br />students with employment activities on average of 35 hours. <br />s."Preadmission Screening and Resident Review (PASRR)"means individuals with intellectual <br />disabilities or related conditions (IDIRC)who have been referred for nursing facility (NF)care. <br />t."Person Centered Service Plan or PCSP"means a document that authorizes and identifies the DDA <br />paid services to meet a Client's assessed needs.Formerly referred to as the Individual Support <br />Plan. <br />u_"Quality Assurance"means an adherence to all Program Agreement requirements,including DDA <br />Policy 6.13,Provider Qualifications for Employment and Day Program Services,County Guidelines <br />and the Criteria for Evaluation,as well as a focus on reasonably expected levels of performance, <br />quality,and practice. <br />v."Quality Improvement"means a focus on activities to improve performance above minimum <br />standards and reasonably expected levels of performance,quality and practice. <br />w."Service Provider"is a qualified Client service vendor who is contracted to provide Employment and <br />Day Program services. <br />x."Subcontractor"is the service provider contracted by the County to provide services. <br />2.Purpose:This Program Agreement is entered into between the Developmental Disabilities <br />Administration and the County in accordance with chapter 71A.14 RCW.Its purpose is to advance the <br />state legislative policy to provide a coordinated and comprehensive state and local program of services <br />for persons with developmental disabilities. <br />3.Client Eligibility:Client eligibility and service referral are the responsibility of DDA under chapter 388- <br />DSHS Central Contract Services <br />1769CP Contract Amendment (12-10-21)Page 4