WA SB5428

Department of Social and Health Services must contract directly with service providers for community inclusion services under home and community-based waivers for individuals with developmental disabilities

Community inclusion services must include incidental personal care, allow flexible provider-client ratios (not restricted to one-to-one), and provide opportunities for peer group interaction

Providers may only bill for direct client services, with exceptions for reasonable transportation fees and up to 15 minutes per week per client for recordkeeping and administrative tasks

Service hours for community inclusion cannot be reduced when integrated into aggregate services subject to dollar limits; services must be provided in typical, integrated community settings and promote skill development and independent living

Long-term care workers providing only community inclusion services are exempted from certified home care aide requirements