1. Division of Developmental disabilities
What is DDD?
Division of Developmental disabilities

2. What is ddd?
The Division of Developmental Disabilities (DDD), within the Arizona Department of Economic Security (ADES), is the state program that provides supports and services for eligible people who have at least one of the following diagnoses:
Autism
Cerebral Palsy
Epilepsy
Cognitive or Intellectual disability
Under the age of 6 and are AT RISK for a developmental disability

3. Who is eligible? Self-care: Eating, hygiene, bathing, etc.
To be eligible for DDD the person must have qualifying diagnosis and meet 3 out of 7 functional limitations.
Self-care: Eating, hygiene, bathing, etc.
Receptive and expressive language: Communicating with others
Learning: Acquiring and processing new information
Mobility: Moving from place to place
Self-direction: Managing personal finances, protecting self-interest, or making independent decisions which may affect well-being
Capacity for independent living: Needing supervision or assistance on a daily basis
Economic self-sufficiency: Being able to financially support oneself

4. Eligibility determination
Specially trained intake staff at DDD will make the initial eligibility determination. If eligibility is uncertain, a committee that includes DDD’s medical Director will review documentation and make a final determination.
Eligibility is redetermined at the ages of 6 and 18
Eligibility can be redetermined at any time if evaluations indicate that supports and services may no longer be needed

5. DDD+ALTCS=services
When a person is made eligible for DDD they must also apply to ALTCS.
To be eligible for ALTCS the person must meet medical and financial requirements.
DDD receives federal funds to provide services for people who are also eligible for ALTCS.
DDD services without ALTCS approval only cover case management and are titled “Targeted”

6. What is altcs?
ALTCS (pronounced ALTECS) is an acronym for the Arizona Long Term Care System. ALTCS is an Arizona Medicaid program (AHCCCS) that is designed to help disabled individuals afford the care that they need. The program requires an application and typically takes between 60 and 90 days for approval.

7. ALTCS Eligibility
The Arizona Long Term Care program is for disabled individuals that need long term care. There are two components to the application.
The first is a financial assessment, determining whether or not the applicant can afford to pay for necessary care on their own.
A person may not have more than $2,000 in cash or assets. Monthly income cannot exceed 300% of the federal benefit rate (SSI).
The second component is the functional and medical assessment, which determines whether a person is truly in need of long term care. Total need is determined by points – a successful application scores 60 points or higher.
A person must have medical and functional needs and be at risk for institutionalization.

8. Planning
The DDD support coordinator, with team and member’s involvement, is responsible for developing and implementing a plan for services
Annual meetings are held with member and team and the Individual Service Plan (ISP) or Annual Review and Update Packet is completed
As a behavioral health case manager we should make our best effort to be present at annual planning meetings and subsequent 90 day reviews
Always request ISP or Annual document for AZCA file

9. Services: ATC Attendant Care
provides a direct care worker or DCW to assist a person to create or maintain healthy living conditions. DCW can help with tasks like bathing, dressing
Attendant Care Supervision- Can be approved for supervision when other methods have been tried and deemed inappropriate
*Attendant care is put in place when a teaching service is not appropriate. ATC limits a person’s independence and is not usually approved for children unless it is to help parents that have their own limitations. Think short term approval after a parent has a surgery and is recovering or a parent with a degenerative condition and a child that needs transferred

10. Services: DTT and DTS Day Treatment and Training
This service provides specialized sensory-motor, cognitive, communicative, behavioral training, supervision, and as appropriate, counseling, to promote skill development in independent living, self-care, communication and social relationships.
Approved at a rate of 4 hours a day 5 days a week for a total of 20 hours a week. Usually takes place after school and over the summer.
Provided in a community setting

11. Services: HAH Habilitation
This service provides learning opportunities designed to help a member develop skills and independence.
Increase or maintain independence and socialization skills
Increase or maintain safety and community skills
Increase or maintain the member’s health and safety
Essential activities required to meet personal and physical needs
Alternative and/or adaptive communication skills
Self-help/living skills
Develop the member’s support system to reduce the need for paid services
Help family members learn how to teach the member a new skill

12. Services: ECM/ECB Habilitation Early Childhood Autism Specialized
This service provides a variety of interventions to maximize the independence and functioning of young children with autism or at risk for autism, such as special developmental skills, behavior intervention, and sensorimotor development. Additionally, this service is designed to teach and strengthen the skills of the parent/caregiver through participation when this service is provided.
The service hours provided by the Masters level Consultant and the Bachelors Level Consultant combined may not exceed 150 hours per child for a two-year period or
If the service is determined to be medically necessary, based on the review of the data and documentation, authorization will be issued in six month increments (six units per month) as long as medically necessary, but only until the child is eligible for a first grade school program.

13. Services: ECM/ECB continued
Eligibility must be determined prior to the age of four
The child must be eligible for ALTCS
An assessment/evaluation by a Psychiatrist, Developmental Pediatrician, or a Licensed Psychologist that identifies the child as having or at risk for having autism and learning and/ or behavior challenges that are likely to continue without intensive behavioral instruction

14. Services: rsp
Respite
This service provides short-term care to relieve caregivers. Members who are cared for by Respite providers must be eligible for supports and services through the Division. Respite providers may be required to be available on a 24- hour basis. Respite services are intended to temporarily relieve unpaid caregivers. Respite services are not intended as a permanent solution for placement or care. The number of hours authorized for Respite services must be used for Respite services and cannot be transferred to another service.
*Respite services cannot exceed 600 hours per DDD in a benefit year. If you have a client with DDD/ALTCS and you are approving respite, coordinate with SC as the family will be responsible for out of pocket expense if they use more than allotted 600 hours.

15. Services: OT, PT, SPT
Therapy services provide medically necessary activities to develop, improve, or restore functions/skills. Therapy services require a prescription, are provided or supervised by a licensed therapist, and are not intended to be long term services.
Occupational therapy may address the use of the body for daily activities such as, dressing, sensory and oral motor development, movement, and eating.
Physical therapy may address the movement of the body related to walking, standing, balance, transferring, reaching, sitting, and other movements.
Speech therapy may address receptive and expressive language, articulation, fluency, eating, and swallowing.
A second hour a week of SPT or OT can be approved for feeding therapy

16. Resources Diapers: 480-285-1296 Formula: 480-240-3200
ALTCS:
DDD: