Eligibility

How do I apply for a determination of DDA eligibility?

To apply for a determination of eligibility by DDA, print the required forms or request to have them mailed to you and return them to the regional DDA office with supporting evidence of your eligible condition and substantial limitations.

Documentation supporting your request for eligibility is required.  You will need to provide information such as educational, psychological, and medical records and evaluations that will assist in determining whether your disability meets DDA eligibility requirements. Upon your request, DDA staff can assist you with completing the application and/or acquiring documentation.

Please be aware that eligibility cannot be determined until DDA receives your signed application and all required information.

How do I obtain the eligibility application forms?

Request to have an eligibility packet mailed to you by completing the online Service and Information Request or print the forms listed below.  

Forms are in PDF unless otherwise noted.

You will need to submit eligibility paperwork before requesting DDA services. If you have applied and been determined eligible for DDA but do not have a Case Resource Manager (CRM), please call the number below corresponding to your county of residence, or see the Service Referral and Information Request Page.

Region 1

Counties: Chelan, Douglas, Ferry, Grant, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens
Toll Free: 1-800-319-7116
Email: R1ServiceRequestA@dshs.wa.gov

Region 1

Counties: Adams, Asotin, Benton, Columbia, Franklin, Garfield, Grant, Kittitas, Klickitat, Walla Walla, Whitman, Yakima
Toll Free: 1-866-715-3646
Email: R1ServiceRequestB@dshs.wa.gov

Region 2

Counties: Island, San Juan, Skagit, Snohomish, Whatcom
Toll Free: 1-800-567-5582
​Email: R2ServiceRequestA@dshs.wa.gov

Region 2

County: King
Toll Free: 1-800-974-4428
​Email: R2ServiceRequestB@dshs.wa.gov

Region 3

Counties: Kitsap, Pierce
Toll Free: 1-800-735-6740
​Email: R3ServiceRequestA@dshs.wa.gov

Region 3

Counties: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Lewis, Mason, Pacific, Skamania, Thurston, Wahkiakum
Toll Free: 1-888-707-1202
​Email: R3ServiceRequestB@dshs.wa.gov
 
If you have a Case Resource Manager assigned to you and you would like to request DDA services you may request services through your Case Resource Manager or you may submit a written request. 
 

Frequently Asked Questions

Q: What do I do if I need help completing the application or obtaining supporting documentation?

A: Please contact your local DDA office and let them know you need help completing the application or obtaining documentation.

Q: Where do I return the completed application and copies of supporting documents?

A: Return the application and supporting documents to the office corresponding to the county where you reside.

Q: What is a developmental disability as defined by law?

A: Under RCW 71A.10.020(5) the definition of a developmental disability is:

A disability attributable to:

  • Intellectual Disability;
  • Cerebral Palsy;
  • Epilepsy;
  • Autism; or
  • Another neurological or other condition similar to intellectual disability.

Which:

  • Originated before the individual attained age eighteen;
  • Continued or can be expected to continue indefinitely, and
  • Results in substantial limitations to an individual's intellectual and adaptive functioning.

Q: How is DDA eligibility determined?

A: The criteria for determining eligibility are defined in WAC Chapter 388-823 effective JULY 1, 2014.

  • Applying for a determination of eligibility WAC 388-823-0010 through 0115
  • Determination of a developmental disability WAC 388-823-0200 through 0770
  • Inventory for Client and Agency Planning (ICAP) WAC 388-823-0910 through 0940
  • Eligibility expiration, reviews, and reapplication WAC 388-823-1000 through 1090
  • Client rights and complaint procedures WAC 388-823-1095 and 1100

Q: What documentation is required for a DDA eligibility determination?

REQUIRED DOCUMENTATION TABLE

ELIGIBILITY CONDITION

AGE

DIAGNOSIS

DIAGNOSTICIAN

OTHER RECORDS

Developmental Delay

Birth to Age 3

and

Age 4 through 9

Developmental Delay

A professional qualified to administer developmental assessments or evaluations

  • Birth to Age 3 – One qualifying delay or ESIT eligibility
  • Ages 4 through 9 – Three or more delays of -1.5 SD or 25% of chronological age

Medically Intensive

Birth through age 17

 

 

Eligible for Medically Intensive Children’s Program

Intellectual Disability

Age 4 and older

Intellectual Disability (formerly
Mental Retardation)

 

A Licensed Psychologist, Washington Certified School Psychologist or other school psychologist certified by the National Assoc. of School Psychologists

  • Full Psychological report including a Full Scale IQ score of more than two standard deviations below the mean, and
  • Adaptive skills test score of more than two standard deviations below the mean.

Cerebral Palsy

Age 4 and older

Cerebral Palsy

Quadriplegia

Hemiplegia

Diplegia

Licensed Physician

  • Onset prior to age 3, and
  • Information supporting the need for daily direct physical assistance in two or more areas (toileting, bathing, eating, dressing, mobility, or communication).

Epilepsy

Age 4 and older

Epilepsy or

Seizure disorder

Board Certified Neurologist

  • Diagnosis based on medical history and neurological testing,
  • Confirmation from physician or neurologist of uncontrolled and ongoing or recurring seizures, and
  • Adaptive skills test showing substantial limitations in adaptive functioning of more than two standard deviations below the mean.

Autism (per DSM-4)

Age 4 and older

Autism or Autistic Disorder per 299.00 in DSM-IV-TR

A Licensed Psychologist, Advanced Registered Nurse Practitioner (ARNP) associated with an Autism or developmental center or a Board Certified:  Neurologist, Psychiatrist, or Developmental and Behavioral Pediatrician

  • Full evaluation per DSM IV meeting all diagnostic criteria,
  • Evidence of delay or abnormal functioning prior to age 3 in social, language, communication skills or symbolic or imaginative play, and
  • Adaptive skills test showing substantial limitations in adaptive functioning of more than two standard deviations below the mean.

Autism Spectrum Disorder (per DSM-5)

Age 4 and older

Autism Spectrum Disorder 299.00 per DSM-5 including severity levels 2 or 3 in both columns

A Licensed Psychologist, Advanced Registered Nurse Practitioner (ARNP) associated with an Autism or developmental center or a Board Certified:  Neurologist, Psychiatrist, or Developmental and Behavioral Pediatrician

  • Full evaluation per DSM-5 meeting all diagnostic criteria,
  • Evidence of delay or abnormal functioning prior to age 3 in social, language, communication skills or symbolic or imaginative play,
  • Adaptive skills test showing substantial limitations in adaptive functioning of more than two standard deviations, and
  • FSIQ of one standard deviation or more below the mean – or – meet all criteria for Autistic Disorder 299.00 per DSM-4.

Another Neurological or Other Condition Similar to Intellectual Disability

Age 4 and older

Neurological or chromosomal disorder known to cause intellectual and adaptive skills deficits

Licensed Physician

  • Full Scale IQ score of more than 1.5 standard deviations below the mean, and
  • Adaptive skills test showing substantial limitations in adaptive functioning of more than two standard deviations below the mean.

Accepted intellectual tests:  Stanford-Binet 4 & 5, Wechsler Intelligence Scales, Differential Abilities Scale (DAS), Kaufman Assessment Battery for Children (K-ABC), Das-Naglieri Cognitive Assessment System (CAS), and Woodcock-Johnson-III Test of Cognitive Abilities (WJ III(r)

 

Diagnosing professional may select following tests if you have a significant hearing impairment, English is not your primary language, or you are nonverbal: Wechsler Intelligent Scales (WISC or WAIS), Leiter International Scale-Revised (Leiter-R), Comprehensive Test of Non-Verbal Intelligence (C-TONI), and Kaufman Assessment Battery for Children (K-ABC).

Accepted adaptive tests: Vineland Adaptive Behavior Scales (VABS), Scales of Independent Behavior- Revised (SIB-R), and Adaptive Behavior Assessment System (ABAS-II).

Note:  This is a general guide only and DDA may require additional information or assessments. This documentation is the first step in determining eligibility.  DDA eligibility is determined per WAC Chapter 388-823.

 

Q: Will my DDA eligibility expire or need to be reviewed?

Reviews and Expirations

Age

Eligibility Conditions

Expiration Criteria

Review Criteria

4th birthday

All conditions

Expiration effective 4th birthday, unless an eligibility determination was made after the 3rd birthday

None

10th birthday

Developmental delay, Down syndrome

Expiration effective 10th birthday

None

At any age, no later than 18th birthday

Medically Intensive

Expiration effective no later than 18th birthday

None

20th birthday

Intellectual Disability, Autism, Autism Spectrum Disorder, Epilepsy, and another neurological or other condition similar to Intellectual Disability

Expiration effective no later than 20th birthday when academic delays were used as evidence of substantial limitations

None

Age 19 or older

All conditions

None

Prior to authorization of paid services when you are not currently receiving paid services and your current eligibility determination was prior to June 1, 2005

At any age

All conditions

None

Evidence was insufficient, in error, or fraudulent; or new information becomes available that does not support your eligibility

 

Q: Can I reapply for another DDA eligibility decision?

A: You may reapply if:

  • Your eligibility will expire at your next birthday;
  • You were previously eligible but your eligibility has expired;
  • Your eligibility was terminated because DDA could not locate you; or
  • You were previously found ineligible, but now have additional or new information that is acceptable and relevant to a determination.

If you need additional information, please contact us.