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2. <br />attains age eighteen, wl'rich has continued or can be expected to continue inde1nitely, and which <br />constitutes a substantial limitation to the individual. <br />l. "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 supporls 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 lndividual employment; and student <br />obtains a competitive integrated job within a specific timeframes. lf the job is a minimum of tenhours of work per week an additional amount will be include in the payment. <br />p. "General Terms and Corditions" means the contractual provisions contained within that agreement,which govern the contractual relationship between DSHS and the county. <br />q. "Medicaid Home and Cornmunity Based Services (HCBS)" means services that occur in a Client,shome or community rather than institutions or other isolated settings. These programs serve avariety of targeted populations groups, such as people with intelleitual or develJpmental <br />disabilities, physical disabilities, and/or mental ilinesses <br />r. "Job Foundation Reporl" is a document derived from emplovment readiness activities performed bystudentswhoarebetweenages19through20thatidmployment. <br />The employment service providers developing the Job Foundation report will be supporting' <br />students with employmen: activities on average of 35 hours. <br />s. "Preadmission Screening and Resident Review (PASRR)' means individuals with intellectual <br />disabilities or related concitions (lD/RC) 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 DDApaid services to meet a Client's assessed needs. Formerly referred to as the lndividual SupportPlan. <br />u' "Quality Assurance" means an adherence to all Program Agreement requirements, including DDAPolicy 6.13, Provider QLtstillsations fot Employmen{and Diy Program Services, County cui"oetinesand the Criteria for Evaluation, as well as a focus on reasonably 6xpected levels of periormance,quality, and practrce. -' r-' <br />v' "Quality lmprovement" means a focus on activities to improve performance above minimumstandards 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 andDay Program services. <br />x. "subcontractor" is the service provider contracted by the County to provide services. <br />Purpose: This Program Agreement is entered into between the Developmental DisabilitiesAdministration and the County in accordance with chapter 71A]4 RCW. lts purpose is to advance thestate legislative policy to provide a coordinated and comprehensive state and local program of servicesfor persons with developmental disabilities. <br />3' Client Eligibility: Client eligibility and service referral are the responsibility of DDA under chapter 3gg-DSHS Central Contract Services <br />1769CP Contract Amendment (12-10-2j) page 4