1. Overview of Developmental Disabilities Services ~
Community Developmental Disabilities Programs (CDDP)
Presenters:
Alexis Alberti, Multnomah County Program Supervisor H.S.Transition Team
Stacie Mullins, Clackamas County Lead Eligibility Specialist

2. Who We Are: A Community Developmental Disability Program (CDDP)
Community Developmental Disabilities Programs (CDDPs) employ Service Coordinators to provide individually focused care coordination and planning to children and adults with Intellectual and/or Developmental Disabilities. Our goal is to increase overall quality of life, promote independence, and integration into the community by providing resource linkage and in home and community supports for individuals we serve.

3. Community Developmental Disabilities Program (CDDP
Our program is voluntary.
Families can decline services at any time if they do not find our services to be relevant or helpful.
We work in teams/collaboration with parents, legal guardians, the courts, CASA’s, the schools, vocational rehabilitation counselors, therapists, psychiatrists, and other members of the child’s/client’s natural network of support.
Each client is assigned a Service Coordinator to work with.

4. What does a Service Coordinator do?
They work in collaboration with the client and their support team to identify ways to support the client throughout the year.
They help develop Annual Support Plans/ISP’s.
They help individuals and families obtain resources.
Examples of resources:
Help in the home with activities of daily living
Respite
Family training
Behavior consultation
Community inclusion opportunities, vocational support, career development planning
Adaptive equipment
If necessary, help in locating out of home placement
Transportation
Any other services needed to reach the supports identified in the Annual plan/ISP.

5. Service Coordinators cont’d
They Assist in coordinating emergency interventions.
Participate as a liaison between the child and school.
Guide and support the individual and family to plan for the future
Assist in creating a transition plan that is meaningful to the individual and family.
Monitors health, safety, financial record keeping, medication/MARS, and other supports for clients in foster care.

6. Service Coordinator cont’d:
The Service Coordinator emphasizes the importance of person centered planning when working with agencies and the individual’s support team.
Person Centered Principles include:
Looking at what areas are meaningful and relevant to the individual and their family.
Emphasizing the strengths of the family and individual.
Exploring how to increase the individual’s own ability to manage challenges by focusing on their areas of strength.
Focusing on how to keep individual’s in their natural environment / family home and facilitate increased community inclusion and supports.

7. Service Coordinator cont’d:
At a minimum, the Service Coordinator meets yearly with families/teams to create a family support plan/ISP for the individual.
The Service Coordinator has specialized training and experience working with individuals impacted by developmental and intellectual disabilities.
They are a great resource of knowledge and expertise in the field of ID/DD.
They Conduct monitoring visits monthly, quarterly, semi-annually, and/or annually as outlined in the OAR’s.

8. How we monitor and support Individuals and Families in Oregon:
Family Support/Annual Plan development and review
Help develop Kplan funded In-home supports for people MEDICAID eligible
Children’s Intensive In-home Support referrals
Personal Care Support (funded by Medicaid’s State Plan PC program)
Locating, certifying, and funding DD Foster Homes and other out of home placements (when needed)
Monitoring services to individual’s in foster care, (permanently or temporarily) to ensure continuity of services, health and safety, and provision of needed supports
High-School Transition and Brokerage Support Planning, and quality of life planning for adults.
Career development planning

9. Our Demographics:
Multnomah County CDDP is responsible for 3,751 adults and children impacted by Intellectual and Developmental Disabilities.
Clackamas County CDDP is responsible for 2,395 adults and children impacted by Intellectual and Developmental Disabilities;
In Multnomah County we have approximately 76 Service Coordinators with individual caseloads ranging between individuals per caseload.
In Clackamas County there are approximately 30 Service Coordinators with individual caseloads ranging between individuals per caseload.
Approximately 85% of children and 50% of adults currently being served in the metro area live at home.
Adults are able to choose between CDDP and Brokerage Case Management services.

10. Intake, Eligibility and Administrative Hearings
OAR

11. Intake process…
Before a service coordinator can be assigned, and before an individual can access services through a CDDP, they must first complete and intake process and be determined eligible.
CDDPs have Eligibility Specialists who are responsible for making the eligibility determinations.
We all follow the same OAR requirements, but each CDDP will have their own intake process.
To begin the intake process or to make a referral contact:
Multnomah County – Mary
Clackamas County Intake Line (503)

12. Application - Criteria
Oregon resident
Apply in county of origin. Kids (<18) apply in the county where the guardian resides, and adults apply in the county where they reside.
Must have an application signed and dated by the individual or their legal guardian.
Applicants are required to provide documentation of US citizenship or permanent residency

13. How the process works:
Once a signed and completed application is obtained, we have 90 days to make an eligibility determination.
During this time we are required to gather all current and historical eligibility documentation, and determine if we have sufficient information to make an eligibility decision.
This timeline can be extended upon mutual agreement between the individual/guardian and the CDDP.

14. Eligibility Criteria: Intellectual Disability
History of ID must be prior to age 18
Eligibility is based on IQ and adaptive scores
IQ scores are always looked at first, and we can consider IQ scores up to 75
If IQ is 66-75, an adaptive assessment is required
Adaptive assessment must indicate “significant impairment”
Significant impairment must be directly related to Intellectual Disability

15. Eligibility Criteria: Other Developmental Disability
History of DD must be evident prior to age 22
IQ scores are not used
Must have a medical/clinical diagnosis of a QUALIFYING developmental disability
An adaptive assessment is required
Adaptive assessment must indicate “significant impairment” directly related to the developmental disability.
Individual must also require “training and support” similar to someone with an Intellectual Disability

16. Eligibility Notices – Not Eligible
Notification of Planned Action (NOPA) – Not Eligible
Informs the individual that they are not eligible and the reason for the denial.
Provides a list of documents used in making the eligibility decision.
Hearing rights are included and inform the individual that they have 90 days to request a hearing (verbal or in writing)
Individuals can always reapply.

17. Hearing process Hearing requests must be on specific state form
This form can be completed by the individual/guardian or a designated representative. It can also be completed by the eligibility specialist at the CDDP.
This form must be received in Salem within 90 days from the date of the NOPA
Contact eligibility specialist listed on NOPA for assistance
In the event that an individual who is already receiving DD services is determined ineligible, they can request continued services during the hearing process. If the outcome of the hearing is not in their favor, they may be asked to pay for services received during the hearing process.

18. Eligibility Notices – Eligible
Notice of Eligibility Determination – Eligible
Informs the individual that they are determined eligible
Lets them know if their eligibility is considered “provisional.” If so it will let them know when they can expect the next review of eligibility to occur.
Notifies the individual of the service coordinator (or Brokerage) being assigned to them.
Provides a list of documents used in making the determination.

19. Eligibility Redeterminations
Eligibility for children is always provisional
Eligibility for young children must be re-determined by age 7 or 9 for school-age eligibility.
Eligibility for school-age individuals must be re-determined by age 18 for Intellectual Disability and between ages for Other Developmental Disability.
Redetermination process is typically initiated 1 year prior to the redetermination date
Redetermination must be issued any time evidence is obtained that contradicts and eligibility determination.

20. Aligning Eligibility at age 18
Between the ages of 18 and 21(usually at age 18) a young adult goes through a re-determination for both DD services and a re-determination at Social Security regarding eligibility for SSI. These determinations effect the funding and thus the living arrangements that are available to various individuals. This needs to be discussed and planned for accordingly. Every person’s situation may have a slightly different twist.
This is also a very standard transition age timeframe for things like:
School (i.e. OAR mandates to attend IEP meeting, start voc planning, help with community transition supports for those in a modified program)
Guardianship
Access to employment resources and support
Ability to direct their own plan of care
Access to independent living resources.. Etc
Case managers provide transitional services support to assist individuals and their families through this transition.

21. Types of Program Services
Services are categorized in 5 main groups
In-home services – funded services provided in the home to client’s paid for through General Fund or MEDICAID dollars
24 hour supported services – Residential or Foster Care services paid for through MEDICAID dollars
Vocational Services – career development and Day Support Activities paid for by MEDICAID dollars
Supported Living services – In-home and integrated community support provided to adult client’s living independently, and provided by agency providers (vs. PSW’s)
Transportation services – provided to support adult client’s in getting to their vocational/community integrated placement.

22. Funding for program services
Family Support - non MEDICAID, has a $1200 annual plan year cap, and is specific to individuals under the age of 18.
State Plan Personal Care – MEDICAID resource that pays for up to 20 hours per month (more with an exception) of in-home support specific to ADL and IADL needs
Kplan – MEDICAID resource that pays for supports without an hourly cap, but based on the needs assessment’s assessed hours of need for in-home support specific to ADL and IADL needs. Additional services include: Communication Technology, Emergency Response Resources, Nursing Delegation, Adaptive Equipment, Home Modification, Chore Services, Relief Care, Skills Training, Supported Living, Day Support Activities, and Transportation
Waiver – MEDICAID resource that pays for Family Training

23. Other Services are transferrable across the state of Oregon
Adults have the ability to choose between getting their case management from CDDP’s or Brokerages
All MEDICAID funded resource programs have an assessment as part of their criteria
All plans are person centered and self-directed
All MEDICAID funded resource programs have a Monitoring for Health/Safety/Resource component
At age 65 a person can decide if they want services through ADS or our program (CDDP)

24. The goal of our program? ~ Full Inclusion and Enhanced Quality of Life