Ongoing Additional Requirements (OAR)
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Ongoing Additional Requirements (OAR)


Revised November 28, 2011



WAC 388-473-0010What are ongoing additional requirements and how do I qualify?
WAC 388-473-0020When do we authorize meals as an ongoing additional requirement?
WAC 388-473-0040Food for service animals as an ongoing additional requirement.
WAC 388-473-0050Telephone services as an ongoing additional requirement.
WAC 388-473-0060Laundry as an ongoing additional requirement.
WAC 388-478-0050Payment standards for ongoing additional requirements.

See Ongoing Additional Requirements in the Eligibility A-Z Manual for more information about role of the Financial Worker in setting up service for the client.


Definition

An "Ongoing Additional Requirement" is a benefit that is needed by a person that maintains their independent living situation or allows them to live in an environment that is as independent as possible.


Eligibility Determination 

  1. A person may request Ongoing Additional Requirements benefits from either their Financial or Social Worker. If the request is made to the Financial Worker, the Financial Worker must give a referral to the Social Worker. 

  2. The Social Worker verifies the need and determines eligibility for these benefits through an assessment.  This may include an interview, collateral contacts, or a home visit.

  3. Notify the Financial Worker via inter-office memo of your decision.

  4. We do not approve Ongoing Additional Requirement benefits if:

    1. The assistance they are requesting is available to them through another program, or
    2. The person lives in a licensed adult family home or boarding home.

WAC 388-473-0010

WAC 388-473-0010

Effective October 1, 2013

WAC 388-473-0010 What are ongoing additional requirements and how do I qualify?

Ongoing additional requirement" means a need beyond essential food, clothing, and shelter needs and is necessary to help you continue living independently. 

  1. We may authorize ongoing additional requirement benefits if you are active in one of the following programs:

    1. Temporary Assistance for Needy Families (TANF), or Tribal TANF;

    2. State Family Assistance (SFA);

    3. Pregnant Women Assistance (PWA);

    4. Refugee Cash;

    5. Aged, Blind, or Disabled( ABD) cash assistance; or

    6. Supplemental Security Income (SSI).

  2. You apply for an ongoing additional requirement benefit by notifying staff who maintain your cash assistance that you need additional help to live independently.

  3. We authorize ongoing additional requirement benefits only when we determine the item is essential to you. We make the decision based on proof you provide of:

    1. The circumstances that create the need; and

    2. How the need affects your health, safety and ability to continue to live independently.

  4. We authorize ongoing additional requirement benefits by increasing your monthly cash assistance benefit.

  5. We use the following review cycle table to decide when to review your need for the additional benefit(s).

    Program

    Frequency (Months)

    TANF/RCA

    6 Months

    ABD

    12 Months

    SSI

    24 Months

    All

    Any time need or circumstances are expected to change

  6. Monthly payment standards for ongoing additional requirements are described under WAC 388-478-0050.

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.

Worker responsibilities

1.      Document the reason for the request for benefits as well as the facts supporting the approval or denial of benefits in the case progress notes.

2.   Provide the Financial Worker with the eligibility decision and a summary of this information by inter-office communication memo (available in ICMS). 

3.   If Ongoing Additional Requirements benefits are approved, the Financial Worker will notify the person and generate payment.

4.   Review eligibility for Ongoing Additional Requirements as requested by a Financial Worker.


WAC 388-473-0020
WAC 388-473-0020

Effective October 17, 2005

WAC 388-473-0020 When do we authorize meals as an ongoing additional requirement?

  1. We authorize additional requirement benefits for meals when we decide all of the following conditions are true:

    1. You meet the criteria in WAC 388-473-0020

    2. You are physically or mentally impaired in your ability to prepare meals; and

    3. Getting help with meals would meet your nutrition or health needs and is not available to you through another federal or state source; such as the community options program entry system (COPES), Medicaid personal care (MPC), or informal support such as a relative or volunteer.

  2. When we decide to provide meals as an additional requirement, we choose whether to authorize this benefit as restaurant meals or home-delivered meals.

  3. We authorize restaurant meals when:

    1. You are unable to prepare some of your meals;

    2. You have some physical ability to leave your home; and

    3. Home-delivered meals are not available or would be more expensive.

  4. We authorize home-delivered meals when:

    1. You are unable to prepare any of your meals;

    2. You are physically limited in your ability to leave your home; and

    3. Home-delivered meals are available.

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 388-473-0040

WAC 388-473-0040

Effective September 1, 2000

WAC 388-473-0040 Food for service animals as an ongoing additional requirement.

  1. A "service animal" is an animal that is trained for the purpose of assisting or accommodating a person with a disability's sensory, mental or physical disability. 

  2. We authorize benefits for food for a service animal if we decide the animal is necessary for your health and safety and supports your ability to continue to live independently.

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

What is a service animal?

The ADA defines a service animal as any guide dog, signal dog, or other animal individually trained to provide assistance to an individual with a disability. If they meet this definition, animals are considered service animals under the ADA regardless of whether they have been licensed or certified by a state or local government.

Service animals perform some of the functions and tasks that the individual with a disability cannot perform for him or herself.  Guide dogs are one type of service animal, used by some individuals who are blind. This is the type of service animal with which most people are familiar. But there are service animals that assist persons with other kinds of disabilities in their day-to-day activities.

Some examples include:

  • Alerting persons with hearing impairments to sounds.
  • Pulling wheelchairs or carrying and picking up things for persons with mobility impairments.
  • Assisting persons with mobility impairments with balance.

A service animal is not a pet.


SOCIAL WORKER RESPONSIBILITIES

1.   Use the following criteria to determine if the person's need for a service animal qualifies as an On-going Additional Requirement.

The animal:

a.  Must help the person with a sensory, mental, or physical disability.

b. The training does not need to be formal, but the animal should be trained to help the person with tasks related to the disability. Do not ask for proof of training.


EXAMPLE

The client indicates the dog is to help with the blindness to get around.


2. If the use of the animal in assisting the client seems questionable, you can request verification from the client's medical professional that the animal provides assistances with the disability.


EXAMPLE

The dog is used to calm down the patient.  It seems questionable.  You can ask the client to provide a statement from the treating doctor, psychiatrist, or other medical professional on how the animal helps the clients with the disability.


3.  Approve Ongoing Additional Requirements when the above conditions are met.

4. Notify the Financial Worker of your decision using the inter-office communication memo available in ICMS.

5. For HCS cases, the HCS SW or Area Agency on Aging (AAA) case manager makes the determination of the need of OAR. Notify the financial worker of your decision using the DSHS 14-443 financial social service communication form. (This form is located in the barcode ECR under the forms tab.)


WAC 388-473-0050

WAC 388-473-0050

Effective September 1, 2000

WAC 388-473-0050 Telephone services as an ongoing additional requirement.

We authorize benefits for telephone services when we decide: 

  1. Without a telephone, your life would be endangered, you could not live independently, or you would require a more expensive type of personal care; and

  2. You have applied for the Washington telephone assistance program (WTAP) through your local telephone company.

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.

worker responsibilities

Before authorizing benefits for telephone services, verify the person is receiving local telephone service under the Washington Telephone Assistance Program (WTAP). You can verify this by contacting the local telephone company.

WAC 388-473-0060
WAC 388-473-0060

Effective September 1, 2000

WAC 388-473-0060 Laundry as an ongoing additional requirement.

We authorize benefits for laundry when we decide:

  1. You are not physically able to do your own laundry; or 

  2. You do not have laundry facilities that are accessible to you due to your physical limitations.

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 388-478-0050
WAC 388-478-0050

Effective September 1, 2000

WAC 388-478-0050 Payment standards for ongoing additional requirements.

An "ongoing additional requirement" is a continuing need that you have for which you require additional financial benefits in order to continue living independently.  The "payment standard" for ongoing additional requirement benefits is the amount of money needed to pay for these items or services.  We use the following payment standards for ongoing additional requirements approved under WAC 388-473-0020 through WAC 388-473-0060:

  1. Restaurant meals: $187.09 per month (or $6.04 per day with the payment rounded down to the nearest dollar amount); 

  2. Laundry: $11.13 per month;

  3. Service animal food: $33.66 per month;

  4. Home delivered meals: The amount charged by the agency providing the meals;

  5. Telephone: The local flat rate for the area; or the discounted amount established under the Washington telephone assistance program (WTAP) rate, whichever is less.

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.

NOTE: If the amount the person needs is higher than the standards in WAC 388-478-0050, the worker should request an exception to rule to allow a higher payment standard.

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Modification Date: November 28, 2011