dds services who we serve, eligibility & service structure
TRANSCRIPT
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DDS
SERVICES
WHO W
E SE
RVE, ELIG
IBILI
TY &
SERVIC
E ST
RUCTURE
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MISSION STATEMENT
The Department is creating, in partnership with others, innovative and genuine opportunities for individuals with intellectual disabilities* to participate fully and meaningfully in, and contribute to, their communities as valued members.* We are now serving individuals with a diagnosis of Autism Spectrum Disorder (ASD), Prader-Willi and Smith-Magenis Syndromes (and who do not have an intellectual disability), Acquired Brain Injury (ABI), and other waiver-eligible individuals.
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WHO
DOES DDS
SERVE?
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Children Birth – 21 Years of Age; Is domiciled in Massachusetts; and, Has intellectual disability* or a closely
related developmental condition, or a developmental delay if under the age of 5; and,
Demonstrates severe functional impairments as defined in DDS regulations, 115 CMR 2.01.
*Intellectual disability is synonymous in definition with mental retardation.
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22 Years of Age & Older; Is domiciled in Massachusetts, which
generally means residing and intending to remain in Massachusetts permanently or for an indefinite period; and,
Has intellectual disability* as defined in DDS regulations, 115 CMR 2.00 Definitions (eff. Dec 2012)
*Intellectual disability is synonymous in definition with mental retardation.
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Closely Related Developmental Conditions means genetic, neuro-developmental or physical disorders that have a significant overlap with intellectual disability, and result in similar support needs. For the purposes of 115 CMR 6.06: Child Eligibility for Family Supports(1), closely related developmental conditions may include:a)Williams Syndrome;b)Prader-Willi Syndrome;c)Lesch-Nyhan Syndrome;d)Angelman Syndrome;e)Cri du Chat Syndrome;f)Down Syndrome;g)Fragile X Syndrome;h)Cerebral Palsy;i)Pervasive Developmental Disorders, including the following specified autism spectrum disorders: Autistic Disorder, Rett’s Syndrome, Childhood Disintergrative Disorder and Pervasive Developmental Disorder – not Otherwise Specified (NOS);j)Spina Bifida (Myelomeningocele type MMC));k)Tuberous Sclerosis;l)Fetal Alcohol Syndrome; orm)Any other developmental disorder that the Department determines to be a closely-related developmental condition.
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SPECIALTY POPULATIONS
Served by DDS Through 2 Residential Waivers
ABI-RH Waiver: Acquired Brain Injury – Individuals 22 and older with an Acquired Brain Injury who need service in a provider-operated residence that has supervision & staffing 24 hours a day, 7 days a week
MFP-RS Waiver: Money Follows the Person – Individuals 18 years and older with an Acquired Brain Injury or other impairment who need service in a provider –operated residence that has supervision & staffing 24 hours a day, 7 days a week
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DDS ORGANIZ
ATIO
N
& SERVIC
E STR
UCTURE
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*ABI-MFP Teams work out of the Regional Offices.
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DDS ADULT SERVICE OPTIONS(BASED ON ASSESSED AND FUNDING AVAILABILITY)
Vendor State-Operated Self-Directed SupportsAgency with
Choice
Operated By
Qualified
Organizations
------------------------
Hires & Trains Employees
Operated By
State
Employees
---------------------
Hires & Trains Employees
Self-Directed Employer Model via an Fiscal
Intermediary
--------------------------------
Participant/ Designee Choose Employees Hires & Trains with assistance from DDS Service Coordinators
Operated By Co-Employment Model
---------------------
Specific Agency with Participant
Designee; Choose Employees that the
Agency Hires; Training in
Collaboration w/Participant
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Residential Services:
24/7 Residential Home
Shared Living – also referred to as Placement Supports
Individual Supports: Enables individuals
to live as independently as possible in the community include;
help with food shopping, cooking, banking, and housekeeping.
DDS ADULT SERVICE OPTIONS
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Employment Supports: Employment Supports provide supervision, training, and/or transportation that enable individuals to get paid jobs.
Supported Employment Competitive EmploymentGroup Supported Employment
Community Day Supports
Helps individuals to build and maintain their ability to participate in community activities by focusing on:
communication, self-care, relationship building and community
involvement.
DDS ADULT SERVICE OPTIONS
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ABI-MFP
ELIGIB
ILITY
CRIT
ERIA
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ABI ELIGIBILITY CRITERIAApplicant Must: Be a MassHealth member or eligible for MassHealth Standard
once in the community (based on special waiver financial rules); Have sustained an ABI at the age of 22 or older; Be currently residing in a nursing facility, chronic disease or
rehabilitation hospital for at least 90 days when applying for the waiver;
Have expected annual care costs that do not exceed the individual cost limit for the waiver to which they applied;
Be in need of waiver services, and able to be safely served in the community with the services available in the waiver.
Additionally, there must be open slots in the waiver.
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MFP ELIGIBILITY CRITERIA
Applicant Must: Be living in a nursing home or long-stay hospital for at least 90 consecutive
days, excluding Medicare rehabilitation days; Be 18 years old or older & have a disability, or be 65+ years of age; Meet the clinical requirements for & be in need of MFP waiver services; Be able to be safely served in the community within the terms of the MFP
waivers; Meet the financial requirements to qualify for MassHealth – special financial
rules exist for waiver participants;
Additionally, there must be open slots in the waiver.
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CRITERIA FOR BOTH ABI & MFP HOMES
Transition to an MFP-qualified residence in the community. A qualified residence includes:a home owned or leased by the applicant or family member
an apartment with an individual lease or a community-based residential setting in which no more than 4 unrelated individuals reside; or
an assisted-living residence that has an apartment with separate living, sleeping, bathing and cooking areas, lockable entrance & exit doors, and meets other criteria.
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HOW T
O APP
LY F
OR
DDS &
ABI-MFP
SERVIC
ES
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HOW TO APPLY FOR DDS SERVICES
If you meet the criteria for Birth – 5 Years of AgeChild – 21 Years of AgeAdult – 22+ Years of Age
Contact your Regional Intake & Eligibility Teamfor an Eligibility Application.
For a list of Regional Eligibility Teams, goOnline to:
http://www.mass.gov/eohhs/consumer/disability-services/services-by-type/intellectual-disability/support/developmental-services-eligibility-application.html#form
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HOW TO APPLY FOR ACQUIRED BRAIN INJURY (ABI) & MONEY FOLLOWS THE PERSON MFP WAIVERS
DOWNLOAD THE APPLICATION FORM(S)
http://www.mass.gov/eohhs/docs/masshealth/abi/abi-a-rh.pdf
http://www.mass.gov/eohhs/docs/masshealth/mfp-demowaivers/mfp-rs.pdf