DDS

SERVICES

WHO W

E SE

RVE, ELIG

IBILI

TY &

SERVIC

E ST

RUCTURE

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.

WHO

DOES DDS

SERVE?

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.

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.

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.

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

DDS ORGANIZ

ATIO

N

& SERVIC

E STR

UCTURE

*ABI-MFP Teams work out of the Regional Offices.

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

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Specific Agency with Participant

Designee; Choose Employees that the

Agency Hires; Training in

Collaboration w/Participant

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

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

ABI-MFP

ELIGIB

ILITY

CRIT

ERIA

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.

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.

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.

HOW T

O APP

LY F

OR

DDS &

ABI-MFP

SERVIC

ES

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

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