Chemical Dependency Treatment Requirements For ABD, PWA, And HEN Referral

Created on: 
Oct 21 2014

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

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


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.