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Available DDD Services & Supports

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The Division provides supports and services based upon need, state and/or federal guidelines, member eligibility and the availability of funds. Most services to children and adults with developmental disabilities are delivered at home and in community-based settings.

Support Coordination (Case Management)

Support Coordinators facilitate a person-centered approach to maximize member and family self-determination, while promoting the values of dignity, independence, individuality, privacy and choice.

The Support Coordinator supports the member by:

  • Explaining a member’s rights and responsibilities to the individual member or representative, including procedures for filing a grievance and/or an appeal.
  • Facilitating service planning and coordination to work with individuals to identify services that will meet their needs in the most cost effective manner and to develop and maintain the member's Planning Document.
  • Assisting to obtain authorized services as well as other aspects of care, as documented in the member's Planning Document.
  • Facilitating/Advocating with the member to resolve issues that impact the member’s progress and access to needed services (both ALTCS services and community resources) to ensure that services provided are beneficial for the member.
  • Monitoring and reassessment of services provided to members and reviewing member service plans and goals based upon changes in the member’s condition.
  • Assessing and determining the need for ALTCS services for assigned members.

The Role of Your Support Coordinator from ArizonaDES on Vimeo.

Additional Services & Supports

The Division offers additional services and supports designed to help members lead self-directed, healthy and meaningful lives. These services are provided to members eligible for the Arizona Long Term Care System (ALTCS). As part of person-centered service plan (PCSP), each members' Support Coordinator will identify member service needs that will be evaluated for medical necessity. Services are re-evaluated at every PCSP planning meeting to ensure continued medical necessity. Below is a list of services members may qualify for based on funding availability and medical necessity.

Day Support Services

Day Treatment and Training Services (Day Programs) provide training, supervision, and activities to a member to develop skills. This service is primarily offered in a community setting. It is intended to help members learn safety skills and socialize. Day Programs are available through DDD or local community resources and may include volunteer opportunities for members such as participation in a local senior activity.

Employment Services

In November 2017, Arizona Governor Doug Ducey signed an Executive Order making Arizona an Employment First state. This Executive Order highlighted the need for greater opportunities for individuals with developmental disabilities to find employment allowing them to increase their self-sufficiency.

The Division of Developmental Disabilities offers various employment supports and services to members that enable them to gain the skills necessary to obtain and retain employment.

Learn more about all of the employment services and supports available to DDD members.

Home Health Aide

The Home Health Aide provides medically necessary health maintenance, continued treatment, or monitoring of health conditions in the person’s home. Services may include assistance with activities of daily living. A Home Health Aide serves as an assistant to the primary caregiver. The aide works under the supervision of a registered nurse, and follows a prescribed plan of care that is based on the person’s medical condition.

Home Modifications

Some people who are eligible for ALTCS may receive some types of home modifications. These modifications remove barriers, making it easier for individuals to be more independent in their homes. This service covers only modifications to an existing structure. It does not cover additions to the home. Modifications can be made to individually or family-owned homes where the person with a disability resides. If the home is rented, the owner must give written consent to modify the home. The owner may require that the renter restore the premises to the condition that existed prior to the modification.

Home Nursing

Skilled nursing services are provided in the person’s home. Services may include care related to a specific condition or coordination of medical services. It may also include accessing other medical services. The nurse follows a prescribed plan of care that is based on the person’s medical condition. Education about medical needs and supports may be provided. 

Housing Opportunities

DDD Affordable Housing Opportunities

The Division of Developmental Disabilities has partnered with County, State, and Federal housing authorities to offer qualified members limited affordable housing opportunities.

Learn more about all of the affordable housing opportunities available through DDD.

AHCCCS Housing and Health Opportunities Program (H2O)

Some members may be eligible for the AHCCCS Housing and Health Opportunities (H2O) Program. The goal of H2O is to help individuals who are eligible for AHCCCS and are homeless or at risk of becoming homeless.

The AHCCCS Housing & Health Opportunities (H2O) strives to:

  • Increase positive health and well-being outcomes for target populations,
  • Reduce the cost of care for individuals successfully housed, and
  • Reduce homelessness and maintain housing stability.

AHCCCS works with the most acute member populations:

  • Members who are experiencing homelessness, are living with an SMI designation, and are living with an active chronic health condition, or
  • Are currently in a correctional facility with a release date scheduled within 90 days, or released from a correctional facility within the last 90 days.

Visit the H2O AHCCCS web page for more information.
 

In-Home Support Services

  • Attendant Care: Provides a trained direct care worker (DCW) to assist a member to create or maintain safe and healthy living conditions. The DCW also assists with maintaining personal cleanliness and activities of daily living. These workers receive training and are tested to ensure their ability to provide essential services.
  • Habilitation: Provides methods and training to increase a member’s ability to become more independent and improve upon life skills. A teaching service, it is often provided during habilitation activities (for example, learning to cook a meal or balance a checkbook). Habilitation may be provided in a member’s home or in their community.
    When a member lives in their own home with or without roommates, they may also receive Habilitation, (Individually Designed Living Arrangement). Training and supervision is provided to increase or maintain the member’s self-help, socialization, and adaptive skills to live and participate in the community. The member is responsible to pay all expenses (e.g., rent, utilities) when living in their own home. 
  • Homemaking: Provides support for a variety of housekeeping tasks. It allows a member to have their home kept in a clean and healthy condition.
  • Respite Care: Provides a trained person to supervise and care for a member for a short period of time to relieve caregivers.

 

    Medallion Program

    The purpose of the Medallion Program is to provider individual safety and protection during emergencies. The Medallion gives First Responders a 24-hour phone number to call. This helps to assist people during emergencies.

    Key Features

    • Available to all members of the Division of Developmental Disabilities.
    • There is no cost for the program.
    • Members receive a medallion as a bracelet or shoe tag.

    Examples of medallion program options, wrist bracelet and shoe tag.

    How It Works:

    • The Medallion contains a 24-hour hotline number and a unique case number.
    • During an emergency, First Responders will call the 24-hour hotline number listed on the Medallion.
    • The hotline operator will provide information to First Responders, to help assist in identifying the individual.

    For more information, members should contact their Support Coordinator or the Customer Service Center, toll-free at 1-844-770-9500 or via email at [email protected].

    Residential Support Services

    Independent Living Option

    • Individually designed living arrangements (IDLAs): Homes rented or owned by members in the community. IDLAs provide teaching support and personal care for members. This type of setting may also be called “Supported Living”.

    Licensed Homes

    • Developmental Home: A Developmental Home is a family home in which a licensed caregiver provides full-time care and supervision for up to three individuals with developmental disabilities. Child Developmental Homes serve members under the age of 18 and Adult Developmental Homes serve members ages 18 and over.
    • Group Homes and Nursing Supported Group Homes
      • Group Homes: Provide staff who are awake 24-hours a  day to meet a member’s needs and help them learn skills. Ideal for members who need more  assistance with independent skills, including cleaning, hygiene, self-help, etc. Most homes are licensed for three to four  members (no more than six).  
      • Nursing Supported Group Homes: Similar to Group Homes, but Members living in nursing supported group homes must be assessed to receive skilled nursing assistance as part of their DDD Person-Centered Service Plan.
    • Assisted Living Centers/Homes: A residential care facility licensed by the Arizona Department of Health Services (ADHS) to provide supervisory care, personal care, or direct care services as defined in the Arizona Administrative Code (A.A.C.), Title 9, Chapter 10, Article 8. These settings are designed for members who are unable to live in their own home, but do not need nursing facility care.
    • Intermediate Care Facilities: An institutional setting for members with Intellectual Disabilities (ICF/ID) that requires specialized services and active treatment. Services are provided at both private and state operated facilities.

    Respiratory Therapy

    This service provides treatment to restore, maintain, or improve breathing.

    Therapies (Occupational, Physical, and Speech)

    These services maintain or improve the functional abilities of the individual. Therapy services are not intended to be long term. Physical therapy is limited to 15 visits per year for both habilitative and rehabilitative service per individual over the age of 21. 

    Transportation (Medically Necessary, Non-Emergency)

    AHCCCS covers NEMT to or from the closest appropriate AHCCCS registered provider, when a member is not able to find his/her own transportation.

    For NEMT services on and after May 1, 2019, the following also apply:

    For members living in Maricopa and Pima Counties:

    NEMT services to and from a pharmacy are only covered for trips within 15-miles of the pick-up location, except for trips to (1) compounding or specialty pharmacies and (2) pharmacies in an MSIC or IHS/638 facilities.  

    The 15-miles is calculated from the pick-up location to the drop-off location, for one direction.  

    Trips to compounding or specialty pharmacies over 15 miles may be covered if your health plan gives prior authorization for the transportation.  

    Trips to a pharmacy in an MSIC or IHS/638 facility, can go over 15 miles without getting a prior authorization from your health plan.

    The 15-mile distance does not apply to members who do not live in Maricopa or Pima County.

    If you need a ride to an appointment, ask a friend, family member or neighbor first. If you cannot get a ride DDD can help you. Please work with your Support Coordinator if transportation is needed.

    DDD covers medically necessary non-emergency transportation services are covered under the following conditions:

    • The medical or behavioral health service for which the transportation is needed is a covered Division service.
    • The member is not able to provide, secure, or pay for their own transportation, and free transportation is not available, and
    • The transportation is provided to and from the nearest appropriate AHCCCS registered provider.

    Medically Necessary Non-Emergency Transportation Furnished by Non-Ambulance providers must adhere to the following:

    • The member must not require medical care en route.
    • Passenger occupancy must not exceed the manufacturer’s specified seating occupancy.
    • Members, escorts, and other passengers must follow state laws regarding passenger restraints for adults and children.
    • Vehicle must be driven by a licensed driver, following applicable State laws.
    • Vehicles must be insured.
    • Vehicles must be in good working order.
    • Members must be transported inside the vehicle.
    • School-based providers should follow the school-based policies in effect (AMPM Chapter 700).

    Medically necessary non-emergency transportation furnished by ambulance providers is appropriate if:

    1. Documentation that other methods of transportation are contraindicated, and
    2. The member’s medical condition, regardless of bed confinement, requires the medical treatment provided by the qualified staff in an ambulance. 
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