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Regional Reduced Fare Permit-Applicant Information Health Care Provider-Medical Eligibility Criteria
<br /> What is it? Where is it issued? immil Non-Ambulatory Disabilities 2. Persons who,by reason of visual impairment,do not qualify for
<br /> 1. WheelchalrUser.Impairments which,regardless of cause,confine a Driver's License under regulations of the Washington State
<br /> The Regional Reduced Fare Permit simplifies travel for senior Any eligible person may apply for a Regional Reduced Ind rod Lalstowheelchairs. Department of Motor Vehicles.
<br /> and disabled riders of public transportation around Puget Fare Permit at the customer service offices of any of the MEM Semi-Ambulatory Physical Disabilities 1=11 Hearing Disabilities
<br /> Sound.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 /> difficulty including,but not limited to,individuals using a long leg brace,a or more of the following:
<br /> Puget Sound region recognize this identification card: - Pierce County Ferries,Sound Transit and Washington State 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 /> •Clallam Transit•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 /> •Grays Harbor Transit•Intercity Transit•Jefferson Transit by any of the other systems. eligible for a reduced fare permit under this subsection. with standardized testing materials.
<br /> •King 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 /> •Mason Transit•Pierce County Ferries•Pierce Transit•Skagit Transit How long is it valid? any two major limbs.(American Rheumatism Association criteria maybe used Washington or by an audiologist certified by the American Speech-
<br /> as a guideline for the determination of arthritic handicap;Therapeutic Grade Language-Hearing Association.
<br /> •Sound Transit•Washington State Ferries Permits issued topersons 65 or older and topersons III,Functional Class III,or Anatomical State III or worse is evidence of arthritic
<br /> •Whatcom Transportation Authority handicap.) Neurological Disabilities
<br /> permanently disabled will be valid indefinitely.No renewal 3. Loss of Extremities.Persons who suffer anatomical deformity of or 1. Epilepsy.
<br /> With the Regional Reduced Fare Permit,eligible persons 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 any seizure with loss of awareness within the
<br /> do not need to carry more than one permit to receive the above the tarsal region.Loss of major function may be due to degenerative last 6 months.
<br /> years may receive temporary permits.If documentation changes associated with vascular or neurological deficiencies,traumatic loss b.Persons exhibiting seizure-free control for a continuous period of more
<br /> reduced fare benefits of multiple systems within the region. does not include an expiration date,the RRFP will be valid of muscle 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 /> Who is eligible? for three years.These permits,which carry an expiration 4. Cerabeonascular Accident.Persons displaying one of the foliowing,four 2. Neurological Handicap.A person disabled by cerebral palsy,multiple
<br /> sclerosis,muscular dystrophy,or other neurological and physical impairments
<br /> date,may be renewed only if the disability continues months post-CVA:
<br /> Any 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 any two extremities;or
<br /> following conditions can obtain a Regional Reduced Fare c.Ataxia affectingtwo extremities substantiated byMental Disabilities
<br /> providers as permanently disabled may receive permanentappropriate cerebellar 1. Developmental Disabilities-Permanent Permit.Persons disabled
<br /> Permit(the agencies reserve the right to contact your signs or proprioceptive loss.
<br /> permits.Participating agencies retain the right to ask for 5. Respiratory.Person suffering respiratory impairment(dyspnea)of Class 3 or due to intellectual disability,autism or other conditions found to be closely
<br /> Health Care Provider for verification). associated with intellectual disability or to require treatment similar to that
<br /> certification upon loss of a permit or at any other time. greater as defined by'Guidelines to the Evaluation of Permanent Impairment: required by intellectually disabled individuals and:
<br /> Permanent Permit: The Respiratory System:Journal of the American Medical Association,194:919
<br /> (1965). a.The disability originates before such individual attains age 18;
<br /> 1. Is at least 65 years of age. What does it cost? 6. Cardiac.Persons suffering functional classification III or N and therapeutic b.The condition has continued,or can be expected to continue,indefinitely;
<br /> 2. Is currently certified by the Veterans Health Administra- classifications C,D,or E cardiac disease as defined by Diseases of the Heart c.The condition substantially limits one or more major life activities on an
<br /> An individual must pay a fee of$3.00 to obtain the permit. and Blood Vessels-Nomenclature and Criteria for Diagnosis,New Heart ongoing basis.
<br /> tion at a 40%or greater disability level. 2. Adult Cognition Impairments-Permanent Permit Persons whom by
<br /> Replacement permits may obtained from the issuing Assoc.(6"Edition).
<br /> Temporary Permit: 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 /> 3. Is now eligible for Social Security Disability Benefits or agency for$3.00. 8. Disorders of Spine.Persons disabled by one or more of the following: 18 experience ongoing impairment(s)in cognition that substantially limit(s)
<br /> a.Fracture of vertebra,residuals or,with cord involvement with appropriate one or more major life activities,including individuals who meet SSA,551,or
<br /> now receives Supplemental SecurityIncome Benefits SSDI eligibility criteria.
<br /> PP How does it work? motor and sensory loss;or 3. Serious Persistent(Chronic)Mental Illness-Permanent Permit.
<br /> because of disability.(Applicant must show current b.Generalized osteoporosis with pain,limitation of back motion,
<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 /> 4. Has a valid Medicare card issued by the Social Security eligibility to pay a reduced fare.The permit has no cashof flexion 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, i. Calcification of the anterior and alteral ligaments as shown by x-ray;or a.Having a mental disorder diagnosis based on criteria in the Diagnostic and
<br /> ii.Dilateral ankylosis of sacroiliac joints and abnormal apophseal Statistical Manual of Mental Disorders(DSM);
<br /> 5. Has a 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 /> 6. Is currently participating in a vocational career program ORCA,standard ORCA transfer rules apply.The permit 9. Nerve Root Compression Syndrome.A person disabled dueto any cause by: assistance and participating in a state or federally funded workactivity
<br /> a.Pain and motion limitation in back of neck and center or workshop;
<br /> with the Washington State Individual Educational holder must paythe amount of the reduced fare on each c.Permanently placed in a supervised or supported living arrangement;
<br /> b.Cervical or lumbar nerve nsot comotor andn as leevx abnormalities.
<br /> aly appropriate d.Addressingmental health needs participating in anytraining/
<br /> Program(IEP). system used,and use of the permit is subject to any time radicular distribution of sensory,motorreFlexabnormalltles. �'t p n
<br /> 7. Has a Washington Department of Licensing issued 10.Motor.Persons disabled by one or more of the following: rehabilitation program or therapy established under federal,state,county,
<br /> restrictions in effect by each system. a.Faulty coordination or palsy from brain,spinal,or peripheral nerve injury;or Regional Support Network(RSN),or city government agency.
<br /> disabled parking identification in conjunction with a 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 /> Permanent or Tem orar Permit Case-b -Case' perceptiveness not accounted for in prior categories. in their ability to take part in major life activities and who meet one of the
<br /> P y l Y )• following:
<br /> 8. Has a valid Regional ADA Paratransit card. If you have comments or questions regarding the Regional 11.HIV Disease.A person disabled by HIV disease who meets Social Security diagnosisDiagnostic eligibility criteria or who meets Washington State(GAU/Welfare)medical a.Havinga mental disorder based on criteria in the Dia nostic and
<br /> 9. Has obvious physical impairments meeting one or more Reduced Fare Permit,please contact you local agency. criteria. Statistical Manual of Mental Disorders(DSM);
<br /> Participating agencies are listed on the last page of this b.Living in a group boarding home setting,receiving state or federal financial
<br /> of the medical criteria listed to the right. visual Disabilities assistance and participating in a state or federally funded work activity
<br /> 10.Is certified by a Washington state-licensed Physician(M.D), brochure. 1. Persons disabled because of: center or workshop;
<br /> 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 /> Psychiatrist,Psychologist(Ph.D.),Physician's Assistant(RA.), b.Contraction of the visual field: funded state or federal work activity center or workshop;
<br /> Advanced Registered Nurse Practitioner(A.R.N.P.),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 dr therapy established under federal,state,county,
<br /> and regulations in all programs and activities.For more information,or to ii.To 10 degrees or less from the point of fixation;or Regional Support Network(RSN),or city government agency.
<br /> tion,or Osteopathic Physician(D.O.)as meeting one or more iii.To 20%or less visual field efficiency.
<br /> obtain aTitle VI Complaint Form,please contact the appropriate agency.
<br /> of the medical criteria listed to the right.
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