{"component": "definition", "props": {"groups": [{"size": 67, "samples": [{"hash": "lKb2D5e0wB1", "uri": "https://lawfilesext.leg.wa.gov/law/WSRPDF/2022/10/22-10-061.pdf", "label": "lawfilesext.leg.wa.gov", "score": 17.3139438629, "published": false}, {"hash": "cGyksj4z7sc", "uri": "https://lawfilesext.leg.wa.gov/law/wsr/2022/02/22-02EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 16.8979988098, "published": false}, {"hash": "6ntZSrPLIVP", "uri": "https://lawfilesext.leg.wa.gov/law/WSRPDF/2022/02/22-02EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 16.6590843201, "published": false}], "snippet_links": [{"key": "condition-of", "type": "clause", "offset": [10, 22]}, {"key": "a-child", "type": "definition", "offset": [23, 30]}, {"key": "availability-of", "type": "clause", "offset": [48, 63]}, {"key": "skilled-care", "type": "definition", "offset": [81, 93]}, {"key": "health-care-professional", "type": "clause", "offset": [101, 125]}, {"key": "trained-staff", "type": "clause", "offset": [139, 152]}, {"key": "care-setting", "type": "definition", "offset": [178, 190]}, {"key": "these-conditions", "type": "clause", "offset": [192, 208]}, {"key": "the-technology", "type": "clause", "offset": [265, 279]}, {"key": "support-and-services", "type": "clause", "offset": [281, 301]}, {"key": "received-by", "type": "definition", "offset": [308, 319]}, {"key": "medically-fragile-children", "type": "clause", "offset": [324, 350]}, {"key": "the-child", "type": "clause", "offset": [378, 387]}], "snippet": "means the condition of a child who requires the availability of twenty-four-hour skilled care from a health care professional or specially trained staff or volunteers in a group care setting. These conditions may be present all the time or frequently occurring. If the technology, support and services being received by the medically fragile children are interrupted or denied, the child may, without immediate health care intervention, experience death.", "hash": "dc8bc9921254b6de1edab573b835e263", "id": 1}, {"size": 14, "samples": [{"hash": "c9vKNbq3XZj", "uri": "https://lawfilesext.leg.wa.gov/law/wsrpdf/2024/19/24-19-056.pdf", "label": "lawfilesext.leg.wa.gov", "score": 19.467590332, "published": false}, {"hash": "36DbAyK8Bb4", "uri": "https://lawfilesext.leg.wa.gov/law/wsr/2024/19/24-19PERM.pdf", "label": "lawfilesext.leg.wa.gov", "score": 19.4399433136, "published": false}, {"hash": "XTT1XrTEkw", "uri": "https://lawfilesext.leg.wa.gov/law/wsrpdf/2024/18/24-18-052.pdf", "label": "lawfilesext.leg.wa.gov", "score": 19.3599758148, "published": false}], "snippet_links": [{"key": "condition-of", "type": "clause", "offset": [10, 22]}, {"key": "a-child", "type": "definition", "offset": [23, 30]}, {"key": "availability-of", "type": "clause", "offset": [48, 63]}, {"key": "skilled-care", "type": "definition", "offset": [72, 84]}, {"key": "a-health-care", "type": "clause", "offset": [90, 103]}, {"key": "family-member", "type": "clause", "offset": [157, 170]}, {"key": "the-technology", "type": "clause", "offset": [247, 261]}, {"key": "received-by", "type": "definition", "offset": [291, 302]}, {"key": "medically-fragile-children", "type": "clause", "offset": [307, 333]}, {"key": "the-child", "type": "clause", "offset": [361, 370]}], "snippet": "means the condition of a child who requires the availability of 24-hour skilled care from a health care professio- nal or specially trained family or foster family member. These condi- tions may be present all the time or frequently occurring. If the technology, support, and services being received by the medically fragile children are interrupted or denied, the child may, without im- mediate health care intervention, experience death.", "hash": "826a3df52dc9cf1c57671e5de4aab3de", "id": 2}, {"size": 13, "samples": [{"hash": "e8BuOCkczz7", "uri": "https://www.dshs.wa.gov/sites/default/files/rpau/documents/103P-18-20-040.pdf", "label": "www.dshs.wa.gov", "score": 8.2395620346, "published": false}, {"hash": "jTXX4zAyyap", "uri": "https://www.dshs.wa.gov/sites/default/files/ALTSA/rcs/documents/esf/SHS-4526.4.pdf", "label": "www.dshs.wa.gov", "score": 7.8062968254, "published": false}, {"hash": "gaNvr2FEqth", "uri": "https://www.dshs.wa.gov/sites/default/files/rpau/documents/103P-16-14-078.pdf", "label": "www.dshs.wa.gov", "score": 7.2443532944, "published": false}], "snippet_links": [{"key": "skilled-nursing", "type": "definition", "offset": [144, 159]}, {"key": "medically-necessary", "type": "clause", "offset": [184, 203]}, {"key": "examples-of", "type": "clause", "offset": [305, 316]}, {"key": "medical-care-and-treatment", "type": "clause", "offset": [331, 357]}, {"key": "not-limited", "type": "clause", "offset": [408, 419]}, {"key": "signs-and", "type": "clause", "offset": [469, 478]}, {"key": "wound-care", "type": "definition", "offset": [519, 529]}, {"key": "devices-for", "type": "definition", "offset": [578, 589]}, {"key": "and-monitoring", "type": "clause", "offset": [750, 764]}, {"key": "licensed-staff", "type": "clause", "offset": [780, 794]}], "snippet": "means a chronic and complex physical condi\u00ad tion which results in prolonged dependency on specialized medical care that requires frequent daily skilled nursing interventions. If these medically necessary interventions are interrupted or denied, the resi\u00ad dent may experience irreversible damage or death. Examples of special\u00ad ized medical care and treatment for medically fragile residents in\u00ad clude but are not limited to: IV therapies requiring monitoring of vi\u00ad tal signs and dose titration dependent on lab values; wound care re\u00ad quiring external vacuum or other mechanical devices for debridement; complicated wound care requiring other specialized or extensive inter\u00ad ventions and treatment; ventilator or other respiratory device depend\u00ad ence and monitoring; dependence on licensed staff for complex respira\u00ad tory support; and peritoneal or hemodialysis (on-site).", "hash": "877b36fff9e8dee5c8664143cccbf08d", "id": 3}, {"size": 10, "samples": [{"hash": "hTMUe2jOdxT", "uri": "https://www.flrules.org/gateway/readFile.asp?sid=2&tid=15209326&type=1&File=59G-1.010.doc", "label": "Notice", "score": 14.4784393311, "published": false}, {"hash": "dr8dRQIKKLO", "uri": "https://www.flrules.org/gateway/readFile.asp?sid=1&tid=15105342&type=1&File=59G-1.010.doc", "label": "Notice", "score": 14.3552360535, "published": false}, {"hash": "g2Qkt7HaynG", "uri": "https://www.fmda.org/2014Medicaid-Usual-and-Customary-Rule-2014.pdf", "label": "Notice", "score": 12.2279262543, "published": false}], "snippet_links": [{"key": "an-individual", "type": "clause", "offset": [6, 19]}, {"key": "medically-complex", "type": "definition", "offset": [27, 44]}, {"key": "medical-condition", "type": "definition", "offset": [55, 72]}, {"key": "requiring-medical", "type": "definition", "offset": [131, 148]}, {"key": "parenteral-nutrition", "type": "definition", "offset": [211, 231]}, {"key": "medical-supervision", "type": "definition", "offset": [305, 324]}, {"key": "is-likely", "type": "definition", "offset": [368, 377]}], "snippet": "means an individual who is medically complex and whose medical condition is of such a nature that he is technologically dependent, requiring medical apparatus or procedures to sustain life, e.g., requires total parenteral nutrition (TPN), is ventilator dependant, or is dependent on a heightened level of medical supervision to sustain life, and without such services is likely to expire without warning.", "hash": "ceb7c95d6021e35d4367efed054b377e", "id": 4}, {"size": 10, "samples": [{"hash": "lHrMdGM3EfE", "uri": "https://dcyf.wa.gov/sites/default/files/pdf/rules/Foster.homes.pdf", "label": "dcyf.wa.gov", "score": 11.186173439, "published": false}, {"hash": "6BVBKEcPpYw", "uri": "https://www.dcyf.wa.gov/sites/default/files/pdf/rules/CPA.final.rules.pdf", "label": "www.dcyf.wa.gov", "score": 11.1409988403, "published": false}, {"hash": "odfBrLkN4P", "uri": "https://lawfilesext.leg.wa.gov/law/wsrpdf/2022/01/22-01-208.pdf", "label": "lawfilesext.leg.wa.gov", "score": 10.997262001, "published": false}], "snippet_links": [{"key": "condition-of", "type": "clause", "offset": [10, 22]}, {"key": "a-child", "type": "definition", "offset": [23, 30]}, {"key": "availability-of", "type": "clause", "offset": [48, 63]}, {"key": "skilled-care", "type": "definition", "offset": [93, 105]}, {"key": "health-care-professional", "type": "clause", "offset": [113, 137]}, {"key": "family-member", "type": "clause", "offset": [176, 189]}, {"key": "these-conditions", "type": "clause", "offset": [191, 207]}, {"key": "the-technology", "type": "clause", "offset": [266, 280]}, {"key": "received-by", "type": "definition", "offset": [310, 321]}, {"key": "medically-fragile-children", "type": "clause", "offset": [326, 352]}, {"key": "the-child", "type": "clause", "offset": [380, 389]}], "snippet": "means the condition of a child who requires the availability of ((twenty-four-hour)) 24-hour skilled care from a health care professional or specially trained family or foster family member. These conditions may be present all the time or frequently oc- curring. If the technology, support, and services being received by the medically fragile children are interrupted or denied, the child may, without immediate health care intervention, experience death.", "hash": "da3fcb8442cc0f829224cba65284dc97", "id": 5}, {"size": 9, "samples": [{"hash": "bkzMKpEAX8J", "uri": "http://lawfilesext.leg.wa.gov/law/wsr/2006/10/06-10EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 10.1704311371, "published": false}, {"hash": "37VvaudLwgA", "uri": "https://lawfilesext.leg.wa.gov/law/wsr/2014/09/14-09EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 7.1629023552, "published": false}, {"hash": "5mg6fo2HNVh", "uri": "https://lawfilesext.leg.wa.gov/law/WSR/2014/01/14-01EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 6.9917864799, "published": false}], "snippet_links": [{"key": "condition-of", "type": "clause", "offset": [10, 22]}, {"key": "a-child", "type": "definition", "offset": [23, 30]}, {"key": "chronic-illness", "type": "definition", "offset": [41, 56]}, {"key": "medical-monitoring", "type": "clause", "offset": [136, 154]}], "snippet": "means the condition of a child who has a chronic illness or severe medical disabilities requiring regular nursing visits, extraordinary medical monitoring, or on-going (other than routine) physician's care.", "hash": "ed520a726065b8c4176ddb0159e84efc", "id": 6}, {"size": 7, "samples": [{"hash": "iEVeyRgwmOM", "uri": "http://lawfilesext.leg.wa.gov/law/wsr/2016/16/16-16PERM.pdf", "label": "lawfilesext.leg.wa.gov", "score": 8.3032169342, "published": false}, {"hash": "eEv4Ko5sRxH", "uri": "https://lawfilesext.leg.wa.gov/law/wsr/2016/11/16-11EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 8.1991786957, "published": false}, {"hash": "1Gk5lExO9Rb", "uri": "https://lawfilesext.leg.wa.gov/law/wsr/2015/11/15-11EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 7.6995210648, "published": false}], "snippet_links": [{"key": "physical-condition", "type": "clause", "offset": [28, 46]}, {"key": "medical-care", "type": "clause", "offset": [100, 112]}, {"key": "skilled-nursing", "type": "definition", "offset": [142, 157]}, {"key": "medically-necessary", "type": "clause", "offset": [182, 201]}, {"key": "the-resident", "type": "definition", "offset": [245, 257]}, {"key": "examples-of", "type": "clause", "offset": [303, 314]}, {"key": "care-and-treatment", "type": "clause", "offset": [337, 355]}, {"key": "not-limited", "type": "clause", "offset": [404, 415]}, {"key": "signs-and", "type": "clause", "offset": [463, 472]}, {"key": "wound-care", "type": "definition", "offset": [513, 523]}, {"key": "devices-for", "type": "definition", "offset": [570, 581]}, {"key": "and-monitoring", "type": "clause", "offset": [740, 754]}, {"key": "licensed-staff", "type": "clause", "offset": [770, 784]}], "snippet": "means a chronic and complex physical condition which results in prolonged dependency on specialized medical care that requires frequent daily skilled nursing interventions. If these medically necessary interven- tions are interrupted or denied, the resident may experience irreversible damage or death. Examples of specialized medi- cal care and treatment for medically fragile residents include but are not limited to: IV therapies requiring monitoring of vital signs and dose titration dependent on lab values; wound care requiring external vacuum or other mechanical devices for debridement; complicated wound care requiring other specialized or extensive interventions and treatment; ventila- tor or other respiratory device dependence and monitoring; dependence on licensed staff for complex respiratory sup- port; and peritoneal or hemodialysis (on-site).", "hash": "abb221767bee56c432cd853a5bc92f5d", "id": 7}, {"size": 6, "samples": [{"hash": "81TxPjygwOa", "uri": "https://www.dcyf.wa.gov/sites/default/files/pdf/rules/WSR.21.17.063.extended.foster.care.pdf", "label": "www.dcyf.wa.gov", "score": 10.8042440414, "published": false}, {"hash": "f90GhcxRaTX", "uri": "https://www.dcyf.wa.gov/sites/default/files/pdf/rules/WSR.21.09.028.emergency.EFC.pdf", "label": "www.dcyf.wa.gov", "score": 10.6386041641, "published": false}], "snippet_links": [{"key": "condition-of", "type": "clause", "offset": [10, 22]}, {"key": "a-child", "type": "definition", "offset": [23, 30]}, {"key": "availability-of", "type": "clause", "offset": [48, 63]}, {"key": "skilled-care", "type": "definition", "offset": [81, 93]}, {"key": "health-care-professional", "type": "clause", "offset": [101, 125]}, {"key": "family-member", "type": "clause", "offset": [164, 177]}, {"key": "these-conditions", "type": "clause", "offset": [179, 195]}], "snippet": "means the condition of a child who requires the availability of twenty-four-hour skilled care from a health care professional or specially trained family or foster family member. These conditions may be present all the time or frequently", "hash": "0dc0026dcc70ef1071decc07e4d18a8b", "id": 8}, {"size": 4, "samples": [{"hash": "8ycylj5NuOv", "uri": "https://app.leg.wa.gov/documents/laws/WSRPDF/2021/06/21-06-007.pdf", "label": "app.leg.wa.gov", "score": 16.0691566467, "published": false}, {"hash": "4SWRljMH4F8", "uri": "https://lawfilesext.leg.wa.gov/law/WSRPDF/2021/18/21-18EMER.pdf", "label": "lawfilesext.leg.wa.gov", "score": 10.8822727203, "published": false}, {"hash": "11FA7c49b7j", "uri": "https://app.leg.wa.gov/documents/laws/WSRPDF/2021/09/21-09EMER.pdf", "label": "app.leg.wa.gov", "score": 10.6618757248, "published": false}], "snippet_links": [{"key": "condition-of", "type": "clause", "offset": [10, 22]}, {"key": "a-child", "type": "definition", "offset": [23, 30]}, {"key": "availability-of", "type": "clause", "offset": [48, 63]}, {"key": "skilled-care", "type": "definition", "offset": [81, 93]}, {"key": "health-care-professional", "type": "clause", "offset": [101, 125]}, {"key": "family-member", "type": "clause", "offset": [164, 177]}], "snippet": "means the condition of a child who requires the availability of twenty-four-hour skilled care from a health care professional or specially trained family or foster family member.", "hash": "b48323788a8ecffd0fcccb009acb0e4c", "id": 9}, {"size": 4, "samples": [{"hash": "9SrtXYQiB8t", "uri": "http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_1151-1200/sb_1171_bill_20160722_chaptered.htm", "label": "Public Contract", "score": 14.1704311371, "published": false}, {"hash": "lT1SnL1S06K", "uri": "http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1101-1150/ab_1147_bill_20150813_chaptered.pdf", "label": "www.leginfo.ca.gov", "score": 7.8076658249, "published": false}, {"hash": "7CNrCxZrDaH", "uri": "http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_1101-1150/ab_1147_bill_20150721_enrolled.pdf", "label": "www.leginfo.ca.gov", "score": 5.7748117447, "published": false}], "snippet_links": [{"key": "health-problem", "type": "definition", "offset": [33, 47]}, {"key": "therapeutic-intervention", "type": "definition", "offset": [62, 86]}, {"key": "skilled-nursing-care", "type": "clause", "offset": [91, 111]}, {"key": "the-day", "type": "definition", "offset": [134, 141]}, {"key": "not-limited", "type": "clause", "offset": [187, 198]}, {"key": "spina-bifida", "type": "definition", "offset": [329, 341]}, {"key": "heart-disease", "type": "definition", "offset": [343, 356]}, {"key": "cystic-fibrosis", "type": "definition", "offset": [395, 410]}], "snippet": "means having an acute or chronic health problem that requires therapeutic intervention and skilled nursing care during all or part of the day. Medically fragile problems include, but are not limited to, HIV disease, severe lung disease requiring oxygen, severe lung disease requiring ventilator or tracheostomy care, complicated spina bifida, heart disease, malignancy, asthmatic exacerbations, cystic fibrosis exacerbations, neuromuscular disease, encephalopathies, and seizure disorders.", "hash": "09df4856b4e6cd3e05256f83f624431d", "id": 10}], "next_curs": "Cl4SWGoVc35sYXdpbnNpZGVyY29udHJhY3RzcjoLEhpEZWZpbml0aW9uU25pcHBldEdyb3VwX3Y1NiIabWVkaWNhbGx5LWZyYWdpbGUjMDAwMDAwMGEMogECZW4YACAA", "definition": {"size": 138, "title": "Medically fragile", "snippet": "means the condition of a child who requires the availability of twenty-four-hour skilled care from a health care professional or specially trained staff or volunteers in a group care setting. These conditions may be present all the time or frequently occurring. If the technology, support and services being received by the medically fragile children are interrupted or denied, the child may, without immediate health care intervention, experience death.", "id": "medically-fragile", "examples": ["<strong>Medically fragile</strong> applies to only those students who have chronic conditions which are severe enough to require specialized health procedures, equipment, and techniques, the absence of which could result in a life-threatening situation.", "Employee agrees that, within ten (10) days after the Termination Date, Employee will submit Employee\u2019s final documented expense reimbursement statement reflecting all business expenses Employee incurred through the Termination Date, if any, for which Employee seeks reimbursement.", "<strong>Medically fragile</strong> students are those who are chronically ill and/or medical \u2013 technology dependent and/or who have life threatening conditions that require immediate medical attention.", "<strong>Medically fragile</strong> students are those who are chronically ill and/or medical or technology dependent and/or who have life threatening conditions that require immediate medical attention.", "<strong>Medically fragile</strong> students: When a general education classroom teacher is assigned a <strong>medically fragile</strong> student, the teacher shall not be expected to perform routine, scheduled maintenance of a medical appliance or apparatus used by the student to sustain his/her bodily functions nor render routine, scheduled care or maintenance of exceptional bodily functions related to the student\u2019s impaired condition.", "Substitutes will be provided when requested for Special Needs Paraprofessionals working with students that are in the following self-contained ESE areas: <strong>Medically fragile</strong>, CSS (autism).", "<strong>Medically Fragile</strong> Day Care <strong>Medically fragile</strong> day care is a non-residential service for children who are medically and/or technology dependent.", "The three sub-populations include: 1) \u201cHigh-End ED Utilizers or \u201cfrequent flyers;\u201d 2) Patients who may frequently call an ambulance or cab to bring them to the ED because they are confused and/or anxious; and 3) <strong>Medically fragile</strong> homeless persons who are discharged from acute care hospitals back to their homeless or transitional without sufficient care giver support.", "<strong>Medically fragile</strong> children\u2019s health needs will be attended to, and treated by medically certified personnel.", "<strong>Medically fragile</strong> students are those students who are required to have an Instructional Assistant \u2013 Special Needs, a Health Care Assistant, and/or a Health Care Assistant LVN who is trained to meet their specific medical needs, e.g, students who have a tracheotomy."], "related": [["medically-necessary", "Medically Necessary", "Medically Necessary"], ["medically-necessary-services", "Medically Necessary Services", "Medically Necessary Services"], ["medically-fit-to-travel", "Medically Fit to Travel", "Medically Fit to Travel"], ["medically-stationary", "Medically stationary", "Medically stationary"], ["medically-necessary-care", "Medically necessary care", "Medically necessary care"]], "related_snippets": [], "updated": "2025-07-15T00:51:33+00:00"}, "json": true, "cursor": ""}}