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Developmental Disabilities (DD)

Developmental Disabilities in Roseville, Minnesota

Page posted: 11/29/04		Page reviewed: 5/6/13	Page updated: 11/18/16
Legal authority	Federally approved DD Waiver Plan , Minn. Stat. §252.27 , Minn. Stat. §256B.092 , Minn. R. 9525.0004 to 9525.0036, 42 CFR 483.440
Definition	Developmental Disabilities (DD) Waiver: Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person who meets the waiver eligibility criteria and who would require the level of care provided in an Intermediate Care Facility for Persons with Developmental Disabilities (ICF/DD).
Eligibility	To be eligible for the DD Waiver, a person must choose the DD Waiver and meet all of the following criteria: 1. Eligible for Medical Assistance (MA) based on a disability diagnosis 2. Have a developmental disability or a related condition as defined in Minn. R. 9525.0016, subp. 2 3. Determined by the case manager/service coordinator to meet the ICF/DD level of care criteria 4. Require daily interventions, daily service needs and a 24-hour plan of care that is specified in the community support plan 5. Assessed to need a residential habilitation service that must be included in the person’s community support plan 6. Have made an informed choice of waiver services instead of ICF/DD services 7. Have an assessed need for supports and services over and above those available through the MA State Plan. ICF/DD level of care criteria To meet the requirements for an ICF/DD level of care, a person must meet all of the following: In need of continuous active treatment Have a diagnosis of developmental disability or a related condition Require a 24-hour plan of care Require aggressive and consistent training due to an inability to apply skills learned in one environment to a new environment.
Covered services	The following services are covered under the DD Waiver. For a service-specific policy page, select a service from the list: 24-hour emergency assistance Adult day services Adult day services bath Assistive technology Caregiver living expenses Case management/service coordination Chore services Consumer directed community supports (CDCS) Crisis respite Day training and habilitation Environmental accessibility adaptations Extended personal care assistance Family adult day services Family training and counseling Home-delivered meals Homemaker Housing access coordination Personal support Residential habilitation (in-home family support, supported living services) Respite Specialist services Supported employment services Transitional services Transportation.
Secondary information	Minnesota Rules require that services and supports be designed and delivered consistent with Rule 185 case management goals. For more information, see CBSM – Rule 185 case management . DHS does not reimburse short-term admission to an ICF/DD from the DD Waiver as respite care.
Local waiver administration	Local county or tribal administration acting as agents for the state Medicaid agency and DHS have many responsibilities. See the state and county/tribal responsibilities for waiver management section on CBSM – Waiver programs overview.
Waiver forms	For a comparison grid of forms applicable across and/or specific to waiver programs, see CBSM – Required waiver forms .
Process and procedure	Out of state services Access Assessment Service planning Authorization Reassessment 65 years of age Changing waiver programs Termination
Additional resources	Case Manager’s Guide to Determining ICF/DD Level of Care for ICF/DD and DD Waiver Services, DHS-4147A (PDF) CBSM – DD Waiver waiting list guide CBSM – Waiver/AC provider enrollment and standards CBSM – Waiver general process and procedures (BI, CAC, CADI, DD) CBSM – Waiver programs overview CBSM – Waiver rates and billing DD Screening Document Codebook Developmental Disabilities (DD) Waiver Program brochure, DHS-4849 (PDF)