Division Of Developmental Disabilities (DDD) Provider .
The Alabama Department of Mental Health’sDivision of Developmental Disabilities (DDD)Provider Operational Guideline ManualServe · Empower · SupportPromoting the health and well-being of Alabamians with mental illness,developmental disabilities and substance use disorders.DDD implements the Mission and Vision of the Alabama Department ofMental Health by assuring that people with Developmental Disabilities areprovided quality supports and services to lead meaningful lives through theirchoice of employment, home and relationships.Effective November 1, 2019The Alabama Department of Mental HealthDivision of Developmental Disabilities
Operational Guidelines ManualELIGIBILITY, ENROLLMENT AND DISENROLLMENT . 61.1. Intake/Information and Referral. 61.2. Waiting List. 81.2.a. Criteria for Determining Eligibility and Placement on the Waiting List . 81.2.b. Wait List Eligibility Applications from ADMH Inpatient Facilities . 91.2.c. Waiting List – Entry to Services . 91.2.d. Wait List Selection Process . 101.3. Inventory for Client and Agency Planning (ICAP) for Community Services . 121.4. Criticality Assessment . 131.5. Request for Psychological Testing. 141.6. Waiver Services . 151.6.a. Wait List for Services to Children . 151.6.b. Waiver to Waiver Transfers . 161.6.c. Termination of Waiver . 161.6.d. Waiver Admission & Discharge . 17INDIVIDUAL RIGHTS . 182.1. Appeals. 182.1.a. Waiver/Wait List Eligibility Appeals . 182.1.b. Appeals Process for Adverse Actions- Services Decisions . 192.2. Dissatisfaction of Services . 212.3. Informal Conference- Services . 232.4 Other . 242.4.1 Forensic Cases . 24INDIVIDUAL SUPPORT PLANNING AND IMPLEMENTATION . 253.1. Plan of Care . 25SUPPORT COORDINATION AND CASE MANAGEMENT . 264.1. Funding for Support Coordination Agencies . 264.2. Request for Action/Services. 274.3. Redetermination . 294.4. Summary Program of Habilitation . 314.5. Monitoring - Individual Experience Assessment Survey . 324.6. RFA Recoupment Policy . 402
PROVIDER REQUIREMENTS AND OTHER INFORMATION . 415.1. New Provider Enrollment. 41Phase ONE - Overview . 41Phase TWO – Orientation (capacity 50) . 41Phase THREE – Selection of “Setting” . 44Phase FOUR – New Provider Orientation . 45Phase FIVE – Initiation of service to Medicaid Beneficiary . 46Phase SIX – HCBS Settings Rule Compliance (MUST MEET 100% COMPLIANCE) . 465.2. Temporary Operating Authority (TOA) Process . 475.3. New Provider Enrollment with Alabama Medicaid Agency . 495.4. Validation of Provider HCBS Self-Assessment . 505.5. Monitoring of Waiver Services. 525.6. Monitoring of Special Staffing. 545.7. Regional Provider Meetings . 565.8. Provider Name Change Process . 575.9 New Systems Software Releases . 59QUALITY MANAGEMENT. 606.1. Certification Review Process . 606.2. Provider Training and Technical Assistance . 66BEHAVIORAL SERVICES . 687.1. Behavioral Services Procedural Guidelines . 687.2. Special Level of Staffing Restrictions . 697.3. Comprehensive Support Systems (CSS) Teams. 71WAIVER SERVICES . 738.1. IRBIs. 738.1.a. For DMH and DHR Funded School Aged Children. 738.1.b. Absentee Rates . 738.2. Housing Specialist Access Request. 748.3.SUPPORTED EMPLOYMENT . 758.3.1. Discovery Assessment/Profile . 758.3.2. Pre-Vocational Services- Pathway to Employment . 768.3.3. Vocational Rehabilitation . 778.3.4. Individual Supported Employment Services . 798.3.4.a. Job Developer. 798.3.4.b. Job Coach . 808.3.5. Supported Employment Small Group . 813
8.3.6. Transportation . 828.3.7. Benefits Planning and Reporting. 83STATE OF ALABAMA DEPARTMENT OF MENTAL HEALTHDivision of Developmental DisabilitiesRSA Union Building100 North Union Street, Suite 486P.O. Box 301410Montgomery, AL 36130-14104
Letter from Associate CommissionerOctober 31, 2019Thank you for your participation in the Alabama Department of Mental Health’s Division of DevelopmentalDisabilities (ADMH-DDD), serving individuals with intellectual and developmental disabilities. The developmentof a service delivery system that is responsive to the needs of people with disabilities is a priority for the ADMHDDD. Therefore, this first version of the ADMH-DDD provider manual represents the Division’s commitment toprovide a statewide system, of services and supports, that is efficient and effective.Alabama Administrative Code regulation 580-5-29.01 sets forth our Division’s authority and responsibility toestablish reasonable rules, policies, orders and regulations that provide details of carrying out its duties andresponsibilities. It is important to note this manual is the ADMH-DDD’s first effort to document policies,practices and procedures that were indicated a priority by internal staff to improve on certain practices and toensure facilitation of the same are in alignment with expectations set forth in this manual across all regions.Although some of the guidelines may directly relate to direct service providers, the manual does not encompassall provider requirements.As the ADMH-DDD embarks on further improving person centered practices and individual choice of thoseserved, this manual will continue to evolve and be updated to reflect progress towards those efforts.ADMH-DDD perceives providers and all stakeholders as partners in a common goal to provide quality, personcentered, and cost-effective services, to individuals with intellectual and developmental disabilities so they maylive fulfilling and rewarding lives. We look forward to future work around guidelines that include stakeholderengagement and evaluation of the ADMH-DDD service delivery system.Sincerely,Terry L. PezentAssociate Commissioner, ADMH-DDD5
CHAPTER 1ELIGIBILITY, ENROLLMENT AND DISENROLLMENT1.1. Intake/Information and ReferralResponsible Office: Support Coordination/Call CenterReference: Settlement Agreement in Susan J., et al, v Bob Riley, et al; Case Management Standard OperationalProcedures (SOP), Medicaid Waiver, Administrative Code: CHAPTER 580-5-31PROGRAM ADMINISTRATIVE STANDARDS; 580-5-31-.14; Consumer Eligibility and Level of Care Determinations forADMH-MR Medicaid Waiver ProgramsStatement: The Alabama Department of Mental Health Division of Developmental Disabilities (ADMH-DD)designated a statewide 1-800 Call Center (CC) as the initial point of contact to request Home and Community BasedServices (HCBS) as a part of the settlement in the Susan J. vs. the State of Alabama and ADMH-DD.Purpose/Intent: The CC is the centralized point of contact to initiate and ensure the request of referrals will beexpedited. The CC handles hundreds of calls each month from people all over the state as well as across thecountry seeking information and services. Through a series of questions, the CC staff records each caller’s requestand determines whether or not the application process should be initiated or if the caller should be directed toanother human service agency. For persons who have an intellectual disability, demographic information is takenand referred to the designated Intellectual Disabilities (ID) Support Coordination Agency covering the county ofresidence of the person in need of service. CC staff discloses and explains the requirements of the waiverprograms. The intake information is maintained by a CC staff person for follow-up to ensure timely contact by theSupport Coordination Agency (SCA). To access ADMH-DD administered waiver services, all request must come tothe CC. Regardless of the location of the caller, the county in which the person resides will dictate the regionaloffice and support coordination agency (SCA) to which the referral will be sent.Scope: Support Coordination Agency (SCA) and Call Center StaffDefinitions: Alabama Department of Mental Health Division of Developmental Disabilities (ADMH-DD); Call Center(CC); Home and Community Based Services (HCBS), Support Coordination Agency (SCA)- formerly referred to asCase Management Agency, Support Coordinator (SC)- formerly referred to as case manager, Division ofDevelopmental Disabilities Information Management System (DDD IMS)Procedures: Those seeking services for person with intellectual disabilities through the Alabama Department ofMental Health Division of Developmental Disabilities should:1. Contact the Division of Developmental Disabilities Call Center at 1-800-361-4491.2. The Call Center staff will complete the initial contact application on referrals for individual’s three (3) yearsof age and up who meet the eligibility requirements and will request the Intellectual Quotient (IQ)(69 andbelow) of the person in need of services in addition to other pertinent information.3. CC staff will accept calls from the individual requesting services, the legal guardian, the primary caregiver,or other interested parties who have consent to relay information and who will be responsible withassisting with the referral process.4. Within two business days, an initial contact form will be sent via a note in DDD IMS to the local designatedsupport coordination agency or other designated point of entry.5. CC staff will make referrals to the SCA based solely on verbal report of the caller. CC staff will not deny achance to any caller of receiving services if there is a possibility that the person is eligible for the waiver.6. The CC staff does not determine eligibility unless the caller states that they or the person for whom theyare calling do not have an intellectual disability.7. CC staff will make a referral to the SCA even if there is no evidence of the person for whom the service isrequested is eligible or has Medicaid.6
8.9.10.11.12.13.14.15.The Initial Contact Information Form will be sent to the SCA via the DDD IMS notes. This form will havethe type of referral checked in the box at the top. There are three options; the first is the Initial ApplicationReferral which reflects a first-time applicant requesting services. The second is Referral for Update whichmeans there has been a call received from/for someone who already has been referred to the SCA but aNotice of Incomplete Application was sent to the requester. Third is the Info/Referral only which is usedfor persons looking for services outside of ADMH-DD. The same information sent to SCA is sent to theADMH-DD Regional office Wait List Coordinator. The eligibility determination process continues to be theprerequisite for all categories.CC staff will send a letter to the person calling, verifying the date of call and that their requests have beenforwarded to the designated SCA in their area to continue the application process.CC staff will open a DDD IMS enrollment for the person in need of service. It is the responsibility of the SCAto make a change in DDD IMS reflective of the assigned support coordinator from the CC.CC staff will send the application for services on referrals made by Department of Human Resources (DHR)on children or adults in their custody to the DHR, ADMH-DD contact, to the support coordination agency,to the Regional Community Service Director and the Community Service Waitlist Coordinator.If by 30 days after the referral has been received from the Call Center and the SCA has not contacted theperson or the documents have not been provided by the caller and/or sent to the regional office, then theCC will contact the SCA. This ensures the SCA has made attempts to contact the person requesting services.The SCA must document their efforts to contact the person or their family in DDD IMS notes. Reasonableefforts to contact the person or family member would be two documented phone calls and a letter.If by 60 days after the referral has been received from the CC and contact has not been made ordocuments have not been gathered, then an email will be sent by the call center coordinator to the SCAintake person and the waitlist coordinator requesting a follow-up.The SCA must document their efforts to contact the person or their family in the DDD IMS notes.Reasonable efforts to contact the person or family member would be two documented phone calls and aletter.Once contact with the individual seeking services has been established, the SCA will submit the completedinformation packet for review to the Regional Community Service Office that serves the applicant’s countyand, if approved, the applicant’s name will be placed on the waiting li
Provider Operational Guideline Manual Serve · Empower · Support Promoting the health and well-being of Alabamians with mental illness, developmental disabilities and substance use disorders. DDD implements the Mission and Vision of the Alabama Department of Mental Health by assuring that people with Developmental Disabilities are
A temporary DDD help desk has been established for you to submit questions related to DDD's response to the COVID-19 situation. Fee-For-Service Help Desk: DDD.FeeForService@dhs.nj.gov For any questions related to the fee-for-service system, requests for Tier Assignment Letters and to report PPL-related issues.
Continuum of care for youth and adults with developmental disabilities July 1, 2020 6 developmental disabilities. Many elements of the training are valuable, but additional standards are necessary to support the wide array of need of those with intellectual and developmental disabilities. Training for families is also necessary.
The Center for Disabilities is part of a national network of University Centers of Excellence in Developmental Disabilities Education, Research and Service (UCEDD), authorized by the Developmental Disabilities Assistance and Bill of Rights Act. The Center for Disabilities supports the independence, productivity, and inclusion of individuals with
0403 Oslo Norway Visiting address: Marcus Thranes gate 6, 0473 Oslo, Norway Tel: 47 21 07 81 60 Fax: 47 21 07 81 46 E-mail: whocc@fhi.no ATC classifi cation. Guidelines for ATC classification and DDD assignment 2011. ISSN 1726-4898 ISBN 978-82-8082-438-7
DHS 0078 (12/14) Action Request Transmittal Developmental Disabilities Services Anna Lansky Number: APD-AR-16-040 Authorized signature Issue date: 6/10/2016 Topic: Developmental Disabilities Due date: Subject:
Introduction to Developmental Disabilities Participant's Guide Developmental Disabilities: A Case Study . Meet Sarah Sarah is 17 years old and is doing well as a full-time high school student. She is a member of the band and is the first student in the special education program to ever be on the swim team at her high school.
Nebraska Council on Developmental Disabilities. 2. Department of Health and Human Services 301 Centennial Mall South PO Box 95026 Lincoln, Nebraska 68509-5026. Phone: 402-471-2330. Email: dhhs.ddcouncil@nebraska.gov. To view or print copies of this guide, visit the Nebraska Council on Developmental Disabilities website at:
AM I MY BROTHER’S KEEPER? Lanecia A. Rouse “In the Habit” session for use with devozine meditations for January 12–18, 2015. MAKING THE CONNECTION “The other day I was sitting in a local coffee shop writing a devotion. Needing a break, I looked up from my computer and out a big window in front of me to view the city scene. I noticed outside a woman wearing house shoes, and she seemed .
