Washington State Department of Social and Health Services

Research & Data Analysis Division

DDD provides support services and opportunities for the personal growth and development of persons with developmental disabilities resulting from mental retardation, epilepsy, cerebral palsy, autism or similar neurological conditions that originated before adulthood. DDD clients' disabilities are lifelong and constitute a substantial handicap to everyday functioning. Additionally, children under age 6 may receive services if they have Down Syndrome or have developmental delays of 25% or more below children of the same age. CSDB obtains service and expenditure information for some clients who do not appear in DDD information systems due to the inclusion of an additional source information systems (e.g. the Medicaid Management Information System). DDD also typically reports point-in-time counts rather than annual counts as does CSDB. For these reasons, CSDB client counts and dollar sums may differ fro those reported by DDD.

DDD Services

Included in this presentation:

Excluded in this presentation:

  • Training
  • Payments for DDD Group Home vacancies
  • Respite Care for RHC and SOLA residents
  • Authorized Employment and Day Services ( only the Provided services are reported)

 

Back to top of pageAssessments and Case Management: Case managers perform intakes, eligibility determinations, and reviews and provide information and referral services to applicants and eligible clients. Case managers help eligible DDD clients and their families assess needs, develop and review individual service plans, authorize service provision, link clients with needed medical, social, educational or other services, and provide support and Assistance in handling life crises. Case Management services are not provided to clients living in state institutions; a Habilitation Plan Administrator (HPA) at the institution monitors these clients. While CSDB includes expenditures for all clients receiving Assessments and ongoing Case Management, client counts are reported only for those clients who are determined eligible for ongoing Case Management services.

Back to top of page Residential Habilitation Centers and Nursing Facilities: The following state Residential Habilitation Centers (RHCs) provide residential and habilitation services to persons with developmental disabilities either under Intermediate Care Facilities for the Mentally Retarded (ICF/MR) or Nursing Facility (NF) regulations: Rainier School and the Frances Haddon Morgan Center have only ICF/MR beds; Fircrest and Lakeland Village have both ICF/MR and NF beds; all beds at Yakima Valley are NF. Respite care services, not identified as such in the data, are also included making CSDB counts higher than DDD reports.

Back to top of page Community Residential Services: DDD clients who require Assistance with daily living may receive facility based or non-facility based Community Residential Services. Clients receiving facility based services live in contracted Intermediate Care Facilities for the Mentally Retarded (ICF/MRs), Adult Residential Centers (ARCs), Group Homes, or Adult Family Homes (AFHs) where staff provide support and training. Clients receiving non-facility based services live in their own homes, either alone or with a roommate; contracted agencies provide the necessary support in homes owned or rented by the client. Non-facility based services include Alternative Living, Medical/Dental services (for clients who are not Medicaid-eligible), Supportive Living, State Operated Living Alternatives (SOLAs), Tenant Support, and Other Residential Support. Other Residential Support may include summer recreational activities, specialized aids or equipment purchases, reimbursement for activity fees, client transportation, interpreters, and other community supports such as client allowances or additional staff when needed.

Back to top of page County Services: DDD contracts with county governments to provide services to both adults and children. Adult-oriented services include: (1) Individual Supported Employment which helps clients find and keep jobs in the community, (2) Group Supported Employment which enables clients to work in groups or enclaves at local businesses, (3) Prevocational Employment / Specialized Industries which provides employment in training centers, and (4) Adult Day Health, Community Access, Individual and Family Assistance, and Person to Person services which emphasize development of personal relationships within the individual's local community. Through county contracts, DDD also funds Child Development Services which involve specialized therapeutic or educational activities for infants and toddlers and their families in order to maximize the child's development and enhance parental support.

Note: Expenditures for County administration of these services are not included.

Back to top of page Family Support Services: These services enable families to keep children with developmental disabilities at home. Family Support Services include Respite Care, Attendant Care, and Transportation for attendants or family members. Some clients receiving Family Support Services also receive the following services: Nursing Care, Physical Therapy, Occupational Therapy, Instructional Therapy, Behavioral Therapy, Communication Therapy, and Counseling.

Back to top of page Personal Care Service: DDD provides Personal Care Services to Medicaid-eligible children and adults. The major difference between children's and adult's Personal Care is in the interpretation of the level of need for specific Personal Care tasks. This service enables eligible individuals to remain in their community residences through the provision of semi-skilled maintenance or supportive services. These services can be provided in the person's own home, a licensed Adult Family Home (AFH), or an Adult Residential Center (ARC).

Back to top of page Professional Support Services: DDD funds the following Professional Support Services for adult DDD clients supported by Community Residential Services: Medical and Dental services (for clients Medicaid-eligible), Psychological Services (used to determine eligibility), Professional Evaluations (required by the criminal courts), Counseling, Nursing Care, Behavioral Therapy, Communication Therapy, Physical Therapy, Occupational Therapy, Instructional Therapy, and Other Therapies approved by exception. DDD also funds Professional Support Services for persons with developmental disabilities who live with their families.

Note: CSDB counts for Medical/Dental services include only those clients whose treatment was paid for by DDD. Those clients whose treatment was paid for by the Medical Assistance Administration are included in the MAA counts.

Back to top of page Voluntary Placement - Children: A family may ask for out-of-home placement for their child under 18 due solely to the child's disability. Under certain circumstances, the child may be placed in licensed out-of-home care.

 

Additional Services in Program Total

Some services are small and unlike others. Programs may choose to include these in the program total only, rather than include them with dissimilar services. Client counts and expenditures for the services below appear in the program total only:

The Infant Toddler Early Intervention Program (ITEIP) is reported in the DDD program total only; it will not appear as a separate service in CSDB. ITEIP provides early intervention services, including family resources coordination, for eligible children from birth to age 3 and their families. DSHS is the lead agency and DDD is the programmatic home for ITEIP. CSDB totals for ITEIP include those services administered by Snohomish County and paid through the Social Service Payment System (SSPS). CSDB does not include costs for administration of ITEIP or for services coordinated through non-DSHS agencies.

Note: Detailed ITEIP data is available from the ITEIP Data Management System. This system provides real-time counts of infants and toddlers receiving ITEIP services. Counts include children with active Individualized Family Service Plans (IFSPs), children receiving ongoing services, racial/ethnic breakdowns, primary service settings, number of referrals, and the number of children transitioned.

Changes from the Needs Assessment Data Base (NADB) produced from NADB-Fiscal Year 94 to CSDB-Fiscal Year 99:
  1. summer recreational activities.
  2. equipment purchases.
  3. reimbursement for activity fees.
  4. client transportation.
  1. interpreters.
  2. translators.
  3. psychological services.
  4. Professional evaluations.

Changes from CSDB-Fiscal Year 99 to CSDB-Fiscal Year 00:

Nurse Delegation services were reported in the program total for AASA in CSDB for Fiscal Year 99. They are reported as Community Residential Services in CSDB for Fiscal Year 00 and Fiscal Year 01.

Changes from CSDB-Fiscal Year 00 to CSDB-Fiscal Year 01:

The following County Services are reported for the first time in CSDB for Fiscal Year 01:

Changes from CSDB-Fiscal Year 01 to CSDB-Fiscal Year 02:

County Services were reported separately in CSDB for Fiscal Year 99 and Fiscal Year 00 and in the program totals only for Fiscal Year 01. County Services are once again reported separately for Fiscal Year 02.

Source: CSDB - State Fiscal Year 2002