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Special Terms and Conditions m. "DDA Regional office (DDA Region)" means the regional DDA office that supports DDA clients. n, "Division of Vocaticrial Rehabilitation (DVR)' means a division within the Department of Social and Health Services o. "Employment Outcome Payment' means a payment to providers for transition students born between specific dates, have high acuity; are authorized for Individual employment; and student obtains a competitive integrated yob within a specific timeframes. If the job is a minimum of ten hours of work per week an additional amount will be Include in the payment. p. "General Terms and Conditions" means the --ontractual provisions contained within that agreement, which govern the contractual relationship between DSHS and the county. q. "Medicaid Home anc Community Based Services (HCBS)" means services that occur in a Client's home or community gather than institutions cr other isolated settings. These programs serve a variety of targeted populatiors groups, such as people with intellectual or developmental disabilities, physica, Disabilities, and/or mental illnesses r. "Job Foundation Report" is a document derived from employment readiness activities performed by students who are between ages 19 through 20 that identifies actionable next step for employment. The employment serjice provider, developing the Job Foundation report will be supporting students with employment activities on average of 35 hours. s. "Preadmission Screening and Resident Review (PASRR)" means individuals with intellectual disabilities or related conditiois (ID/RC) who have been referred for nursing facility (NF) care. t. "Person Centered Service Plan or PCSP" means a document that authorizes and identifies the DDA paid services to meet a Client's assessed needs. Formerly referred to as the Individual Support Plan. u. "Quality Assurance" means an adherence to -all Program Agreement requirements, including DDA Policy 6.13, Pravlde. Quafrflcaflonz for Employment and Day Program Services, County Guidelines and the Criteria for Evaluatior. , as well as a focus on reasonably expected levels of performance, quality, and practice v, Quality Improvement' means a focus on activities to improve performance above minimum standards and reasorably expected levels of performance, quality and practice. w. "Service Provider" is a qualified Client service vendor who is contracted to provide Employment and Day Program services. x. "Subcontractor" is the service provider contracted by the County to provide services. Purpose: This Program agreement is entered into between the Developmental Disabilities Administration and the County in acco-dance with chapter 71A.14 RCW. Its purpose is to advance the state legislative policy to provide a coordinated and comprehensive state and local program of services for persons with developmental disabilities. 3. Client Eligibility: Client eligibility and service referral are the responsibility of DDA under chapter 388- 823 WAC (Eligibility) any -hapter 388-325 WAC (Service Rules). Only persons referred by DDA shall be eligible for direct Clieni services under this Program Agreement. It is DDA's responsibility to determine and authorize tie appropria-e direct se-vice(s) type. Direct Client services provided without a current County Service authorization are not reimbursable under this Program Agreement. DSHS Central Contract Services Page 4 1769CS County Agreement 05-16-202'