- Your meeting eligibility requirements for the specific service;
- Having an assessed need for the service; and
- Available funding for the service. The availability of funding does not apply to Medicaid
State Plan services or services available under the DDD Medicaid Home and Community Based Waivers
Programs and Services that may be available to DDD clients include:
Adult Family Homes
Adult Family Homes are regular neighborhood homes where staff assumes responsibility for the safety and well-being of the adult. A room, meals, laundry, supervision and varying levels of assistance with care are provided. Some provide occasional nursing care. Some offer specialized care for people with mental health issues, developmental disabilities or dementia. The home can have two to six residents and is licensed by the state. Find an Adult Family Home in your area
Alternative Living Services
Alternative Living Services are instructional services provided by an individual contractor. The service focuses on community-based individualized training to enable a client to live as independently as possible with minimal residential services.
DDD Community Protection Program
The DDD Community Protection Program provides intensive 24-hour supervision for
clients who have been identified as posing a risk to their community due to the crimes they have
committed. This program is an opportunity for participants to live successfully in the community
and continue to remain out of prison or other justice system settings. Environmental and programmatic
safeguards are in place to protect neighbors and community members, to the extent possible, from
behaviors that pose a risk to people or property and/or interfere with the rights of others.
This structured, specialized environment gives participants the opportunity to make positive choices
to resolve or manage the behaviors that require intensive intervention and supervision.
Companion Homes provide residential services and supports in an adult foster care
model to no more that one adult DDD client. The services are offered in a regular family residence
approved by DDD to assure client health, safety, and well-being. DDD reimburses the provider for
the instruction and support service. Companion homes provide 24-hour available supervision.
DDD does not provide dental services. If you are looking for a dentist to provide dental services to children, go to http://www.insurekidsnow.gov/state/washington/washington_oral.html. The list indicates if the dentist can accommodate children with special needs. If you do not find a dentist in your area on the list, use your local phone book. Most dentist offices will tell you over the phone if they are accepting new patients.
If you have Medicaid, you can also call the medical or dental societies in your county to ask if they know of providers taking new Medicaid patients. If they cannot help you, call the Medical Assistance Customer Service Center (1-800-562-3022) and ask about Medicaid providers in your community. The center operators can often direct you to providers who may be able to help.
To find out more about what dental services the Medicaid program may purchase, click on the links below:
HCA Medicaid Provider Guide: Dental-Related Services
Early Support for Infants and Toddlers (ESIT)
Provides early intervention services, including family resources coordination,
for eligible children from birth to age 3 and their families. ESIT website.
Employment and Day Program Services
Employment and Day Program services are contracted with counties and include:
- Child Development services are designed to meet the developmental needs of each eligible child and the needs of the family related to enhancing the child’s development. Services may include specialized instruction, speech-language pathology, occupational therapy, physical therapy, assistive technology, and vision services and to the maximum extent appropriate are provided in natural environments.
- Employment services provide ongoing support services and training for eligible persons
with paid jobs in a variety of settings and work sites. These include individual supported
employment, group supported employment, and prevocational services. These may be
individual or group options in the community and specialized industry settings.
- Individual Supported Employment services are part of an individual’s pathway to employment and are tailored to individual needs, interests, abilities, and promote career development. These are individualized services necessary to help persons with developmental disabilities obtain and continue integrated employment at or above the state’s minimum wage in the general workforce. These services may include intake, discovery, assessment, job preparation, job marketing, job supports, record keeping and support to maintain a job.
- Group Supported Employment services are a part of an individual’s pathway to integrated jobs in typical community employment. These services include many of the elements described in Individual Supported Employment and offer ongoing supervised employment for groups of no more than 8 workers with disabilities in the same setting. Examples include enclaves, mobile crews, and other business models employing small groups of workers with disabilities in integrated employment in community settings.
- Pre-Vocational services are a part of a pathway to integrated jobs in typical community employment. These services are intended to be short term and include many of the elements described in Individual Supported Employment and offer training and skill development for groups of workers with disabilities in the same setting. Services are provided by agencies established to provide services to people with disabilities.
- Community Access services assist individuals to participate in activities that promote individualized skill development, independent living and community integration. Activities must provide individuals with opportunities to develop personal relationships with others in their local communities and to learn, practice, and apply life skills that promote greater independence and community inclusion.
- Individualized Technical Assistance services are a part of an individual’s pathway to individual employment. This service provides assessment and consultation to the employment provider, client and their support system to identify and address existing barriers to employment. This is in addition to supports received through supported employment services or pre-vocational services for individuals who have not yet achieved their employment goal.
Group Homes are community-based residences serving 2 or more adult clients and are
licensed as either an assisted living facility or an adult family home. Group Homes contract with DDD to provide
24-hour instruction and support. The provider owns or leases the facility. Clients must pay
participation for room and board to the service provider.
Home and Community Based Services (HCBS) Waivers
HCBS Waivers are designed to allow the provision
of ICF/ID level services to clients in community settings. DDD offers services under 4 Medicaid
- Basic Plus Waiver;
- Children’s Intensive In-Home Behavioral Support Waiver;
- Core Waiver; and
- Community Protection Waiver.
Individual and Family Services Program
The Individual and Family Services Program supports families while caring for a family member with a developmental disability in their home. The program provides families with some of the supports necessary to keep eligible individuals at home with parents or relatives. Families may receive the following services:
- Respite Care
- Architectural and vehicular modifications
- Equipment and supplies
- Specialized nutrition and clothing
- Excess medical costs not covered by another source
- Co-pays for medical and therapeutic services
- Behavior management
- Parent/Sibling education
- Recreational opportunities
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/ID)
ICF/IDs are residential settings that provide habilitation training, 24-hour
supervision, and medical/nursing services for Medicaid eligible clients who are in need of the
active treatment services provided in these facilities.
ICF/IDs are located at Fircrest School, Lakeland Village, and Rainier School, all Residential Habilitation Centers operated by the Developmental Disabilities Administration. There are also privately-operated ICF/IDs located in King and Pierce Counties.
Medicaid Personal Care (MPC)
MPC services provide individual provider or agency support in order to meet a
client's needs for assistance with activities such as bathing, dressing, eating, meal preparation,
housework, and travel to medical services. This service is provided in the person's own home or
adult family home. Clients must meet financial eligibility for Medicaid and functional eligibility
for the MPC program.
Information about your Personal CARE Assessment
Medically Intensive Children’s Program (MICP)
MICP provides in-home private duty nursing services to
eligible children who have medically intensive needs.
The Mental Health Division/DDD Collaborative Work Plan provides therapeutic services to adult
DDD clients who have mental health concerns and who may be at risk of psychiatric hospitalization.
Services may include:
- Crisis prevention, intervention and stabilization services;
- Crisis diversion bed services;
- Psychiatric services;
- Funded residential placement (limited) for clients being discharged from state
psychiatric hospitals; and
- Funded residential placement (limited) for clients who are discharged from crisis diversion beds.
Professional Services may be provided to clients who have been assessed as needing
professional services beyond what they can access through Medicaid and any other available private
health insurance. These may include:
- Nursing provided by a registered nurse (RN) or licensed practical nurse (LPN);
- Therapeutic services, such as occupational therapy, physical therapy or communication therapy;
- Behavior management or counseling; and
- Medical and psychiatric evaluations.
Professional services are available only after Medicaid and any other available private health insurance have been accessed.
Residential Habilitation Centers (RHC)
RHCs are state-operated residential settings that provide habilitation training, 24-hour
supervision, and medical/nursing services for clients who meet Medicaid eligibility and need active
treatment services. An RHC may be certified as an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/ID) and/or licensed as a Nursing Facility. In addition,
respite and other specialized services may be available to clients living in the community. There are
four RHCs in Washington State.
State Supplementary Payment (SSP) Program
The SSP Program provides state only dollars directly to clients so that they may purchase residential, respite, therapy, and other necessary services.
Supported Living Services
Supported Living Services offer instruction and support to persons who live in their
own homes in the community. Supports may vary from a few hours per month up to 24 hours per day of
one-to-one support. Clients pay for their own rent, food, and other personal expenses. DDD contracts
with private agencies to provide Supported Living services.
State Operated Living Alternatives (SOLA)
SOLA programs offer Supported Living services. SOLA programs are operated
by DDD with state employees providing instruction and support to clients.
Voluntary Placement Services (VPS)
Voluntary Placement Services offer a variety of supports to eligible children living in a licensed
setting outside the family home, when the placement is due solely to the child's disability
(RCW 74.13.350). Services include:
- Residence in a DSHS Division of Licensed Resources (DLR) foster home, group care facility, or staffed residential home;
- Respite care to the licensed provider;
- Nursing, therapies and behavior supports not already covered through Foster Care Medical Unit (FCMU) or schools;
- Shared Parenting Plan with the provider and the child's biological/adoptive parent that is designed and
implemented to support the family unit while the child lives outside the family home; and
- Case management by a DDD social worker.
Artwork reprinted by permission of Martha Perske from PERSKE: PENCIL PORTRAITS
1971-1990 (Nashville: Abingdon Press, 1998).