A person aged 6 years to adulthood must 1) voluntarily apply, 2) be an Arizona resident, and 3) be diagnosed with a developmental disability (listed below) which developed before the age of 18 and is likely to continue indefinitely, and 4) there must also be significant limitations in daily life skills related to the disability (see second chart below).
||A licensed physician with expertise in diagnosing neurological disorders, such as a neurologist, or specialist in rehabilitation medicine, shall diagnose cerebral palsy. The physician shall submit a report to the Department documenting the diagnosis of cerebral palsy and include available medical records supporting the diagnosis.
A physician specializing in neurology shall diagnose epilepsy.
- The physician specializing in neurology shall submit a report to the Department documenting the active diagnosis of epilepsy and include the following:
- Electroencephalogram (EEG) report;
- A description of the nature and frequency of the seizures, including current anti-seizure medication; and
- Confirmation of the ongoing nature of the disorder.
- If the records of a neurological evaluation cannot be obtained or a diagnosis is not made by a physician specializing in neurology, the Division Medical Director shall review the available medical records to confirm a diagnosis of epilepsy."
|Autism Spectrum Disorder
A psychiatrist, neurologist, licensed psychologist, or developmental pediatrician who has expertise in diagnosing autism shall make an autism diagnosis. A pediatrician who has completed specialized training approved by the Department in the diagnosis of autism may also make an autism diagnosis. The psychiatrist, neurologist, licensed psychologist, developmental pediatrician, or pediatrician with specialized training shall submit a diagnostic report regarding the individual documenting the presence of diagnostic criteria for autism, including the presence of the required number of symptoms of autism based on current guidelines established by the American Psychiatric Association.
|Intellectual (Cognitive) Disabilities
A licensed psychologist trained to perform psychological evaluations utilizing standardized, culturally appropriate, and psychometrically sound measures shall diagnose cognitive/intellectual disability by considering the following:
- Other mental disorders identified in current guidelines established by the American Psychiatric Association, including Schizophrenia, Bipolar Disorder, Attention Deficit Hyperactivity Disorder, and Substance Abuse;
- Significant disorders related to language or language differences;
- Physical factors, including sensory impairments, motor impairments, acute illness, chronic illness, and chronic pain;
- Testing performed during an acute inpatient hospitalization;
- Educational or environmental deprivation; and
- Psychosocial factors.
||A Licensed Primary Care Physician, Developmental Pediatrician, Neonatologist, or Clinical Geneticist shall diagnose Down Syndrome. The physician shall submit the diagnostic prenatal or postnatal genetic testing results and a report to the Department documenting how the practitioner came to the diagnosis based on the diagnostic prenatal or postnatal genetic testing.
In addition to being diagnosed with at least one developmental disability, the person must show significant limitations in daily life skills due to their qualifying diagnosis in three (3) of the following. (Note: The age of the person is taken in to consideration when identifying significant limitations in daily life skills.)
|Daily Life Skill
||Substantial Functional Limitations
|Receptive and Expressive Language
- Cannot communicate with others.
- Cannot communicate effectively without the assistance of others or a mechanical device.
- The person cannot participate in age appropriate learning without assistance.
- The person needs assistance with making decisions that affect their well being.
- Does not have safety awareness skills.
- Needs help with personal finances.
- Needs significant help with bathing, toileting, tooth brushing, dressing and grooming (taking care of themselves).
- Or the time to complete self-care activities takes so long it affects attendance or success in school, employment or other activities of daily living.
- Fine and motor skills are impaired.
- The person needs assistance from a mechanical device like a wheelchair or a walker to move from place to place.
- The time it takes for the person to move takes so long that it affects keeping a job or completing activities of daily living.
|Capacity for Independent Living
- The person needs daily supervision to help with health and safety.
- This includes completing household chores, preparing simple meals, using microwaves or other household equipment, using public transportation and shopping for food and clothing.
- Can’t perform tasks to keep a job.
- The person is limited in what they can earn.
- Considering all expenses and the disability, the person earns below federal poverty level.
Denial of Eligibility: Request an Administrative Review
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The Eligibility Specialist working your case will need to contact you the first week. This will be done either by phone (during regular business hours), email or U.S.mail. Please respond immediately as this can cause a delay in a decision. If you do not have your Eligibility Specialist's contact information, please contact Customer Service at 1-844-770-9500 or [email protected] for assistance.
“Re-determination” is the process when the Division of Developmental Disabilities (DDD) looks at the information we have about you or your child and decides if you or your child continues to be eligible or need DDD services. During the re-determination process, you or your child will continue to receive supports and services. Re-determination will happen when your child reaches age eighteen. Learn more about the re-determination process.