STEP 1. Contact Us
If you are enrolled in DDA, you can request services at any time.
If you are not enrolled, applying for DDA eligibility is your first step to requesting services. Click here to get started.
Once you are enrolled with DDA, you have three ways to ask for services:
- Contact your DDA case manager directly. If you don’t know the name of your DDA case manager, call any DDA office and ask them to look that up for you.
- Use our online Service and Information Request form.
- Call your county’s DDA Service and Information Request line.
Nearly all DDA services fall under two Medicaid-funded programs:
- Community First Choice, or CFC for short; and
- Home and Community Based Services waivers, or waivers for short.
You don’t need to know the names of services when you make a request. Just use your own words to describe what will make your life easier. Your DDA case manager will help you find the services and programs to best meet your needs.
To be approved for services, you will need to be enrolled in DDA and meet two types of eligibility: financial and functional.
STEP 2. Financial and Functional Eligibility
To meet financial eligibility for DDA services, you must be Medicaid eligible. If you are not already Medicaid eligible when you ask for services, we will help you get started with that process.
Your DDA case manager will also schedule an assessment of your needs. This assessment will determine your functional eligibility and is a time for you to plan for services with your DDA case manager. The assessment can take place in your home or any location you choose. It takes about three hours.
STEP 3. Receiving Services
After your assessment and financial eligibility is complete, we will send you a Planned Action Notice, or PAN. The PAN describes what you have been approved to receive, including the amount, or if you have been denied. If any of your requests are denied, the PAN explains how to appeal the decision.
Your DDA case manager will discuss provider options and give you a list of providers for your area upon request. You then select a DDA provider for each service that you are approved for, let DDA know your choice, and services can begin.
You will have a new assessment each year to update your goals, strengths and needs, and plan for services. However, you can request new or different services and providers at any time by contacting your case manager.
Medicaid Financial Eligibility: What to Expect
Financial eligibility processes vary by age and the program(s) you are applying for.
Age 18 and Older
If you are requesting services from Community First Choice and a Home and Community Based waiver program, financial eligibility is based on your income and assets. If you receive Supplemental Security Income and are within certain resource limits, you may meet financial eligibility for DDA services as long as you meet all asset requirements. If you are not receiving SSI, please contact Social Security to apply. This will help your DDA service request move more quickly.
Under Age 18
If you are applying for services under Community First Choice, eligibility is based on your household income. CFC has the same income limit as SSI or Modified Adjusted Gross Income, and is based on household size.
If you are requesting services from a Home and Community Based waiver program, financial eligibility is based your income, not your whole household. Once you are financially eligible for a waiver program you can also request services under the Community First Choice program.