Chemical Dependency Treatment Requirements for ABD, PWA, and HEN Referral
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Chemical Dependency Treatment Requirements for ABD, PWA, and HEN Referral


Revised December 30, 2013



Purpose: We are agents of change who empower our clients to improve their own lives.

WAC 388-447-0120How does alcohol or drug dependence affect my eligibility for referral to the housing and essential needs (HEN) program?
WAC 388-449-0220How does alcohol or drug dependence affect my eligibility for the ABD cash and Pregnant Women Assistance programs?

WAC 388-449-0220

WAC 388-449-0220

Effective November 1, 2011

WAC 388-449-0220 How does alcohol or drug dependence affect my eligibility for the ABD cash and Pregnant Women Assistance programs?

1.    You must complete a chemical dependency assessment when we have information that indicates you may be chemically dependent.

2.    You must accept an assessment referral and participate in drug or alcohol treatment if a certified chemical dependency counselor indicates a need for treatment, unless you meet one of the following good cause reasons:

a.    We determine that your physical or mental health impairment prevents you from participating in treatment.

b.    The outpatient chemical dependency treatment you need isn't available in the county you live in.

c.    You need inpatient chemical dependency treatment at a location that you can't reasonably access.

3.    If you refuse or fail to complete an assessment or treatment without good cause, your benefits will end until you provide proof you are pursuing an assessment or treatment as required.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

WAC 388-447-0120

WAC 388-447-0120

Effective January 1, 2014

WAC 388-447-0120 How does alcohol or drug dependence affect my eligibility for referral to the housing and essential needs (HEN) program?

  1. When we have information that indicates you may be chemically dependent, you must complete a chemical dependency assessment unless you have good cause to not do so.
  2. You must participate in drug or alcohol treatment if a certified chemical dependency professional indicates a need for treatment, unless you have good cause to not do so.
  3. We consider the following to be good cause for not following through with a chemical dependency assessment or treatment:
    1. We determine that your physical or mental health impairment prevents you from participating in treatment;
    2. The outpatient chemical dependency treatment you need isn't available in the county where you live; or
    3. The inpatient chemical dependency treatment you need isn't available at a location you can reasonably access.
  4. If you refuse or fail to complete an assessment or treatment without good cause, your HEN referral eligibility will end following advance notification rules under WAC 388-458-0030.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

Clarifying Information

1. If there is an indication of a potential substance use disorder, ABD/HEN Referral/PWA recipients must complete a chemical dependency assessment as a condition of eligibility. Indications of a potential substance use disorder include:

•  A note regarding alcohol on the breath (AOB) or signs of intoxication by a medical provider or DSHS staff.

•  A diagnosis of a substance –related disorder.
 
•  Medical or mental health chart notes indicating overuse or misuse of prescribed medication.

•  Recent legal problems associated with substance use (e.g. DUI, Possession of Controlled Substance).

•  Concern regarding the person’s substance use expressed by family members, friends, or past employers.

2. If the chemical dependency assessment indicates a need for treatment, ABD/HEN Referral/PWA recipients must participate in recommended treatment as a condition of eligibility.

3. Chemical dependency assessments are valid for 6 months. If a person is assessed as dependent, no additional assessments are needed for 6 months.


WORKER RESPONSIBILITIES

1. If there is an indication of a substance use disorder or chemical dependency, notify the ABD/PWA/HEN Referral recipient that they must complete a chemical dependency assessment using the 14-529 (ABD) or 14-527 (HEN Referral).

2. If the chemical dependency assessment indicates a need for treatment, notify the ABD/PWA/HEN Referral recipient that they must participate in treatment using the 14-529 (ABD) or 14-527 (HEN Referral).

3. Track participation in the chemical dependency assessment and treatment using the CD Treatment tab of the ICMS Case Plan screen. Treatment monitoring is required for all recipients assessed as in need of substance use disorder or chemical dependency treatment.
 
4. If the recipients fails to follow through with an assessment or treatment, send  the 14-522 (ABD) or 14-528 (HEN Referral).   If the recipient does not respond to the 14-522 (ABD) or 14-528 (HEN Referral), assume non-cooperation without good cause.

5. Good cause for failure to complete a chemical dependency assessment or treatment is limited to the following:

• The recipient’s physical or mental impairment prevents them from participating based on a review of available objective medical evidence;

• The outpatient substance use disorder or chemical dependency treatment the recipient needs is not available in the county where they reside; or

• The inpatient substance use disorder or chemical dependency treatment the recipient needs is not available in an area they can reasonably access.


6. If the recipient fails to follow through with a chemical dependency assessment or treatment without good cause, terminate ABD/PWA/HEN Referral using ACES Reason Code 578.
 
7. The individual remains ineligible for the ABD/PWA/HEN Referral programs until they reapply and provide proof they have resolved their non-cooperation status.

Modification Date: December 30, 2013