DDS Services

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DDS Services

• Who we serve, Eligibility service structure

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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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Whodoes 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
• Williams Syndrome
• Prader-Willi Syndrome
• Lesch-Nyhan Syndrome
• Angelman Syndrome
• Cri du Chat Syndrome
• Down Syndrome
• Fragile X Syndrome
• Cerebral Palsy
• Pervasive Developmental Disorders, including the
  following specified autism spectrum disorders
  Autistic Disorder, Retts Syndrome, Childhood
  Disintergrative Disorder and Pervasive
  Developmental Disorder not Otherwise Specified
  (NOS)
• Spina Bifida (Myelomeningocele type MMC))
• Tuberous Sclerosis
• Fetal Alcohol Syndrome or
• 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 Organization service structure
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(No Transcript)
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DDS Adult Service options (Based on Assessed and
funding availability)
Vendor State-Operated Self-Directed Supports Agency 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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Dds ADUlt Service options

• 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.

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Dds ADUlt Service options

• Employment Supports
• Employment Supports provide supervision,
  training, and/or transportation that enable
  individuals to get paid jobs.
• Supported Employment
• Competitive
• Employment
• Group 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.

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ABI-MFPEligibility criteria
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ABI Eligibility Criteria

• Applicant 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 to apply fordds abi-mfp services
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How to apply for dds services

• If you meet the criteria for Birth 5 Years of
  Age
• Child 21 Years of Age
• Adult 22 Years of Age
• Contact your Regional Intake Eligibility Team
• for an Eligibility Application.
• For a list of Regional Eligibility Teams, go
• Online to
• http//www.mass.gov/eohhs/consumer/disability-serv
  ices/services-by-type/intellectual-disability/supp
  ort/developmental-services-eligibility-application
  .htmlform

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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-demo
  waivers/mfp-rs.pdf