- 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:
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
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 Dental Program
The DDD Dental Program is focused on prevention of dental disease. Oral hygiene
educational training is provided for people with developmental disabilities and their families,
friends, caregivers, and case managers. Oral hygiene supplies and dental referrals are provided
on a case-by-case basis.
Employment and Day Program
Employment and Day Program services are contracted with counties and include:
- Child Development services provide early intervention services, including family
resources coordination, for eligible children from birth to age 3 and their families.
- 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 employment, prevocational services, and Person to Person. These may be
individual or group options in the community and specialized industry settings.
- Community Access services provide activities, special assistance, advocacy, and education to help
clients whose age or disability currently limits their ability to participate actively in their community.
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
- Therapies
- 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
- Transportation
- Training
- Counseling
- Behavior management
- Parent/Sibling education
- Recreational opportunities
Group Homes
Group Homes are community-based residences serving 2 or more adult clients and are
licensed as either a boarding home 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/MR level services to clients in community settings. DDD offers services under 4 Medicaid
HCBS waivers:
- Basic Waiver;
- Basic Plus Waiver;
- Core Waiver; and
- Community Protection Waiver.
Infant Toddler Early Intervention Program (ITEIP)
Provides early intervention services, including family resources coordination,
for eligible children from birth to age 3 and their families. ITEIP website.
Intermediate Care Facilities for the Mentally Retarded (ICF/MR)
ICF/MRs 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.
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.
Medically Intensive Children’s Program (MICP)
MICP provides in-home private duty nursing services and medical equipment 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
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. RHCs may be ICF/MR-certified and/or licensed nursing facilities. In addition,
respite and other specialized services may be available to clients living in the community. There are
five 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.
Residential Service Guidelines [332 KB  ]
Evaluator's Reference Form (9/10/05) [447 KB  ]
Evaluator's Help List (6/10/05) [227 KB ]
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 Program (VPP)
The VPP offers 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 management 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.
Helpful Related DSHS Websites
No Wrong Door
The DSHS website, "No
Wrong Door", is a resource directory that allows users to go
to information about a variety of concerns and service including abuse
and neglect, adoption, cash support, child support, disabilities, drug
and/or alcohol dependency, food assistance, homelessness, medical care,
juvenile rehabilitation and mental health.
Facing The Future
"Facing
the Future: The State of Human Services in Washington" is a report
produced by the DSHS for the purpose of engaging citizens and our community
partners in a conversation about government's changing role in providing
health and human services.
Artwork reprinted by permission of Martha Perske from PERSKE: PENCIL PORTRAITS
1971-1990 (Nashville: Abingdon Press, 1998).
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