Supports for Children

Children’s Intensive In-Home Services (CIIS)

• Overview
• CIIS Programs and Eligibility
• CIIS Provider Application Processing
• Forms
• Contacts

Overview

CIIS Programs and Eligibility

• Medically Fragile Children’s Unit (MFCU)

  Provides support services for children age birth to 18 who have very intense medical needs, are technology dependent and require nursing care.
  
  Eligibility: A clinical criterion as conducted by MFCU nursing staff with input from the families and medical community. DD eligibility is not required. Family income is not a factor for eligibility.

• Intensive Behavior Program

  Provides support services for children up to age 18 who demonstrate intense behaviors that are dangerous to themselves or others. Typically, the entire household must make extreme adaptations to keep everyone safe.
  
  Eligibility: A behavioral criterion as conducted by CIIS staff and reviewed by the CIIS behavioral team. The child must be determined DD eligible by their Community Development Disabilities Program (CDDP). Family income is not a factor for eligibility.

• Medically Involved Program

  Provides support services for children to age 18 who have a medical condition requiring total assistance with all activities of daily living (ADLs). These children are not technology dependent but due to their size and weight require maximum interventions.
  
  Eligibility: A medically involved criterion as conducted by CIIS staff with input from the families and medical community. DD eligibility is not required. Family income is not a factor for eligiblity.

CIIS Provider Application Processing

Nita Cannon
DHS/SPD/CIIS
500 Summer St., E10
Salem, OR 97301

Printable Forms

• CIIS Medically Involved Children’s Program Referral -SDS 4538 (Word) or (PDF)
• CIIS Intensive Behaviors Program Referral - SDS 4539 (Word) or (PDF)
• CIIS Provider timesheet (4 line) (Word)
• CIIS Provider timesheet (6 line) (Word)

Contacts

• For further information or to make a referral:
  Anyone can refer a child to the program. When appropriate, DD eligibility must be established through the local Community Developmental Disabilities Programs before an evaluation for services can take place.

• For Behavior Program:
  Call (971) 673-2995 or fax (971) 673-2971 Attn: Tara Davidenas

• For Medically Involved Program:
  Call (971) 673-2995 or fax (971) 673-2971 Attn: Tara Davidenas

• For Medically Fragile Children’s Unit:
  Call (971) 673-3000 or fax (971) 673-2971 Attn: MFCU intake

• For Provider Application and Processing information:
  Call (503) 947-5188 or

• For families of children with disabilities outside of the Salem area:
  Call 1-888-390-5437