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CO <br /> egional Reduced Fare Permit—Applicant Information Health Care Provider— Medical Eligibility Criteria <br /> hat is it? Where is it issued? czameNon-Ambulatory Disabilities 2. Persons who,by reason of visual Impairment,do not qualify for <br /> 1. Wheelchair-User.Impairments which,regardless of cause,confine a Driver's License under regulations of the Washington State <br /> e Regional Reduced Fare Permit simplifies travel for senior Any eligible person may apply for a Regional Reduced individuals to wheelchairs. Department of Motor Vehicles. <br /> d disabled riders of public transportation around Puget Fare Permit at the customer service offices of any of the laMMI Semi-Ambulatory Physical Disabilities Min Hearing Disabilities <br /> und.The following public transportation systems in the participating transit agencies.King County Water Taxi, 1. Restricted Mobility.Impairments which cause Individuals to walk with 1. Persons disabled because of hearing Impairments manifested by one <br /> get Sound region recognize this identification card; Pierce County Ferries,Sound Transit and Washington State difficulty Including,but not limited t lndMduals using a long leg brace,a or more of the following: <br /> walker or crutches to achieve mobility,or birth defects and other muscular/ a.Better ear pure tone average of 90 dB HL(unaided)for tones at 500,1,000, <br /> IallamTransit•Community Transit•Everett Transit Ferries do not issue the permits but will honor those issued skeletal disabilities,Including dwarfism,causing mobility restriction.Persons 2,000 Hz;or <br /> currently undergoing chemotherapy or radiation treatment are considered b.Best speech discrimination score at or below 40%(unaided)as measured <br /> rays Harbor Transit.Intercity Transit•Jefferson Transit by any of the other systems. <br /> eligible fora reduced fare permit under this subsection. with standardized testing materials. <br /> ing County Metro Transit•King County Water Taxi•Kitsap Transit 2. Arthritis.Persons who suffer from arthritis causing a function motor defect In 2. Eligibility may be certified by a physician licensed by the State of <br /> lasso Transit.Pierce County Ferries.Pierce Transit.SkagitTransit How long is it valid? any two major limbs.(American Rheumatism Association criteria may be used WashingtonorbyanaudiologistcertifiedbytheAmericanSpeech- <br /> sandTranslt•Washington State Ferries as a guideline for the determination of arthritic handicap;Therapeutic Grade Language-Hearing Association. <br /> ihatcom Transportation Authority Permits issued to persons 65 or older and to persons IlL Functional Class III,or Anatomical State III or worse Is evidence of arthriticEMNeurological Disabilities <br /> permanently disabled will be valid indefinitely.No renewal handicap) <br /> th the Regional Reduced Fare Permit,eligible persons p Y 3. Loss of Extremities.Persons who suffer anatomical deformity of or 1• Epilepsy. <br /> is necessary.Persons with disabilities that will last up to five amputation of both hands,one hand and one foot,or lower extremity at or a.Persons who have suffered anyseizurewlth loss of awareness wilhin rue <br /> not need to carry more than one permit to receive the above the tarsal region.Loss of major funcdon may be due to degenerative last months. <br /> Juced-fare benefits of multiple systems within the region. years may receive temporary permits,if documentation changes associated with vascular or neurological deficiencies,traumatic loss b.Persons exhibiting seizure-free control For acontnuous period of mom <br /> does not include an expiration date,the RRFP will be valid ofmusde mass or tendons,bony or fibrous ankylosis at unfavorable angle,or than six months duration are not included In the statement of epilepsy <br /> • Joint subluxation or instability. defined In this section. <br />'ho is eligible? for three years.These permits,which carry an expiration 4. Cerebrovascular Accident.Persons displaying one of the following,four 2. Neurological Handicap.Aperson disabled bycerebral palsy,multiple <br /> date,may be renewed only if the disability continues months post-CVA: <br /> sclerosis,muscular dystrophy,or other neurological and physical impairments <br /> y person who presents proof of one of more of the a.Pseudobulbar palsy;or not controlled by medication <br /> beyond that date.Persons certified by approved health care b.Functional motor defect in anytwo extremities;or <br /> lowing conditions can obtain a Regional Reduced Fare Mental Disabilities <br /> providers as permanently disabled may receive permanent c Ataxia affecting two extremities substantiated by appropriate cerebellar <br /> rmit(the agencies reserve the right to contact your signs or proprioceptive loss. 1. Developmental Disabilities—Permanent Permit.Persons disabled <br /> permits.Participating agencies retain the right to ask for s. Respiratory.Person suffering respiratory impairment(dyspnea)of Class 3 or due to Intellectual disability,autism or other conditions found to be closely <br /> alth Care Provider for verification). <br /> certification upon loss of a permit or at any other time. greater as defined by'Guidelines to the Evaluation of Permanent impairment associated with intellectual disability carica require treatment similar to that <br /> rmanent Permit: required by intellectually disabled individuals and: <br /> The Respiratory System;Journal of the American Medical Assodadon,194919 <br /> Ts�+t least 65 years of age. What does it cost? (1965)• a.The disability originates before such individual attains age 18 <br /> 61�Urrently certified by the Veterans Health Administra- <br /> G. cardiac.Persons suffering functional classification Ill or IV and therapeutic b.The condition has continued,or can be expected to continue,indefinitely; <br /> An individual must payafeeof$3.00toobtainthe permit. classifications4D,orEcardiacdiseaseasdefinedbyDiseasesoftheHeart cThe condition substantially limits one ormore major life activitiesonan <br /> tion at a 40%or greater disability level. p and Blood Vessels—Nomenclature and Criteria for Diagnosis,New York Heart ongoing basis. <br /> mporary Permit: Replacement permits may be obtained from the issuing Assoc(6.Edition). 2. Adultcognitlonlmpalrments—PermanantPermlAPersonswhomby <br /> 7. Dialysis.Persons who must use a kidney dialysis machine in order to live. reason of traumatic brain injury,Illness or other accident occurring after age <br /> Is now eligible for Social Security Disability Benefits or agency for$3.00. e. Disorders of Spine.Persons disabled by one or more of the following: <br /> experience ongoing impairment(s)In cognition that substantialy limits) <br /> nowrece(vesSupplementalSecurityincomeBenefits Ha <br /> How .Fracture of vertebra,residuals or,with cord involvement with appropriate <br /> oneormoremalorlifeactivitiesincludingIndividualswhomeetSSASSI,or <br /> does it work? motor and sensory losses SSD)eligibility criteria. <br /> because of disability.(Applicant must show current b.Generalized osteoporosis with pain,limitation of back motion, 3. serious Persistent(Chronic)Mentallllness—PermanentPermlt <br /> award letter.) The permit is an identification card used as proof of paravertebral muscle spasms,and compression fracture of vertebra;or Individuals with a mental illness with symptoms chronic in nature who <br /> c Ankylosis or fixation of cervical or dorsolumbar spine at 30 degrees or more experience a significant limitation In their ability to take part in major life <br /> Has a valid Medicare card issued by the Social Security eligibility to pay a reduced fare.The permit has no cash offiexion measured from the neutral position and one of the following: activities and who meet one of the following: <br /> Administration. value and may not be used as a transfer between systems, L Calcification of the anterior and alteral ligaments as shown byx-ray;or a.Having a mental disorder diagnosis based on criteria In the Diagnostic and <br /> IL Dllateral ankylosis of saaolliac joints and abnormal apophseal Statistical Manual of Mental Disorders(DSM); <br /> asHa valid ADA Paratransit card from outside the region. except in cases where ORCA was used to pay a fare.If using articulation as shown by x-ray. b.Living in a group/boarding home setting,receiving state or federal financial <br /> Is currently participating in a vocational career program ORCA,standard ORCA transfer rules apply.The permit 9. Nerve Root Compression Syndroma.Aperson diableddue toany cause by: assistance and participating Inastate orfederally funded wodactivity <br /> with the Washington State Individual Educational a.Pain and motion limitation In back ofnecic and center or workshop; <br /> Program(IEP). holder must pay the amount of the reduced fare on each b.Cervical or lumbar nerve root compressionc.Permanentlyplacedsupported IMng arrangement <br /> as evidenced by appropriate In a supervised or <br /> system used,and use of the permit is subject to any time radiculardistdbutlon of sensory,motor and reflex abnormalities. d.Addressing mental health needs by participating in any training/ <br /> .Motor.Persons disabled try one or more of the following: rehabilitation program or therapy established under federal,state,county, <br /> Has a Washington Department of Licensing issued 10. a.Faulty coordination or palsy from brain,spinator peripheral nerve Injury;or Regional Support Network(RSN),ordty government agency. <br /> restrictions in effect by each System <br /> disabled parking identification in conjunction with a <br /> b.A functional motor deficit in any two limbs;or 4. Serious Mental Illness(Acute at-risk)—Temporary Permit.Individuals <br /> government issued photo Identification. Questions? c.Manifestations significantly reducing mobility,coordination,and with a mental Illness who are currently experiencing a significant limitation <br /> rmanent or Temporary Permit(case-by-case): perceptiveness not accounted(a in prior categories. in their ability to take part in major life activities and who meet one of the <br /> Has a valid Regional ADA Paratransit card. If you have comments or questions regarding the Regional 11.HIV Disease.A person disabled by HN disease who meets Social Security following: <br /> Has obvious physicalimpairmentsmeetingoneormore Reduced Fare Permit,please contact oulocala en elggiibiilityaiterlaorwhomeetsWashingtonState(GAu/Weirare)medical a.Having amental disorder diagnosis based oncriteria lnthe Dlagnosdcand <br /> t Y agency. Statistical Manual of Mental Disorders(DSM); <br /> of the medical criteria listed to the right. Participating agencies are listed on the last page of this b.Living In a group/boarding home setting,receiving state or federal financial <br /> Visual Disabilities assistance and participating Ina state or federally funded work activity <br /> Is certified by a Washington state-licensed Physician(M.D.), brochure. 1. Persons disabled because of: center or workshop; <br /> Psychiatrist,Psychologist(Ph.D.),Physician's Assistant(RAJ, a.Visual acuity of 20/200 or less in the better eye with correcting lenses;or c living at home under supervision and participating in a state or federally <br /> b.Contraction of the visual field: funded state or federal work actMty center or workshop; <br /> Advanced Registered Nurse Practitioner(A.R.N.PJ,Audiologist Title VI Notice:All participating agencies In the RRFP program fully I. So the widest diameter of visual field subtending an angular distance Is d.Addressing mental health needs by participating In any training/ <br /> certified by the American Speech-Language-Hearing Associa- comply with Title VI of the Civil Rights Act of 1964 and related statutes no greater than 20 degrees or rehabilitation program or therapy established under federal,state,county, <br /> and regulations In all programs and activities.For more information,or to IL To 10 degrees or less from the point of fixation;or <br /> tion,or Osteopathic Physician(D.0,)as meeting one or more Regional Support Network(RSN),or city government agency. <br /> obtain a Title VI Complaint Form,please contact the appropriate agency. III.To 20%or less visual field efficiency. <br /> of the medical criteria listed to the right <br />