Overview
The Limitation Extension process allows you to ask for more personal care hours to correct, improve or prevent a worsening condition. It’s for people under age 21 who are eligible for personal care.
A Limited Extension is only authorized if your need exceeds what was authorized by:
- Your DDCS CARE Assessment; and
- An Exception to Rule.
A Limitation Extension comes after requesting an ETR.
How to Make a Request
You or your legal representative can ask for a Limitation Extension by sending a written request. Include any documentation that you believe will show your need for additional hours.
Required Documentation:
- An explanation of the hours you need to complete your Activities of Daily Living and Instrumental Activities of Daily Living.
- Documentation of the supports available to you over the course of a week; and
- An explanation of why informal supports are not available to meet your needs.
To request a Limitation Extension packet, email LEcommittee@dshs.wa.gov. Please include the client’s name, address and your contact information.
Eligibility
You can request a Limitation Extension if:
- You have already asked for an ETR for personal care and received a DDCS ETR decision; or,
- More than 30 calendar days have passed since you asked for an ETR, and you have not received a decision.
The LE Committee may ask you for more information. They may also ask for an in-home review of your functional abilities by an occupational therapist or another qualified medical professional.
When the LE Committee makes their decision, you will receive a Planned Action Notice. The PAN will explain the decision. If you disagree with the decision, you have the right to an administrative hearing.
Documents
Forms
- DSHS 10-503, Limitation Extension Evaluation (doc)
- DSHS 10-504, Limitation Extension Request for Clients Under Age 21 (doc)
- DSHS 10-505, Limitation Extension Task Explanation (doc)
- DSHS 10-506, Limitation Extension Request Checklist (doc)
Resource Links
- Early Periodic Screening, Diagnosis and Treatment (EPSDT)
- Personal Care Assessment Keys
To contact the Limitation Extension Committee: lecommittee@dshs.wa.gov