Usdoj Manifested Before the Individual Attains Age 22 Likely to Continue Indefinitely
The Intellectual & Developmental Disabilities (IDD) Unit
The Intellectual and Developmental Disabilities (IDD) Unit is responsible for monitoring service providers and supports systems serving individuals who experience intellectual or developmental disabilities. The IDD Unit oversees the following:
- Developmental Disabilities (DD) eligibility program;
- DD Registry (also known as the "Waitlist");
- Individualized Supports Waiver (ISW);
- Intellectual and Developmental Disabilities (IDD) Waiver.
How does an individual meet Level of Care criteria?
To be eligible for the ISW or IDD waiver, applicants must meet the following criteria:
Be determined through the Developmental Disability Determination Application to experience a developmental disability (DD) as defined by Alaska state law (AS 47.80.900(6):
- (6)"person with a developmental disability" means a person who is experiencing a severe, chronic disability that:
- A) is attributable to a mental or physical impairment or combination of mental and physical impairments;
- B) is manifested before the person attains age 22;
- C) is likely to continue indefinitely;
- D) results in substantial functional limitations in three or more of the following areas of major life activity:
- self-careself-care
- learning
- mobility
- expressive and receptive language
- self-direction
- capacity for independent living
- economic self-sufficency; and
- E) reflects the person's need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or other services that are of lifelong or extended duration and are individually planned and coordinated;
- Submit a current Developmental Disabilities Registration and Review (DDRR) form that has been scored and placed on the DD Registry (also known as the "Waitlist");
- Meet Alaska's level of care (LOC) criteria for Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID LOC); and
- Be enrolled in Medicaid.
How is an individual determined to have a developmental disability (DD)?
In order for an individual with an intellectual and/or developmental disability to receive assistance through the State of Alaska, he/she must be determined developmentally disabled (DD) as defined by Alaska state law AS 47.80.900 (6).
The Division of Senior and Disabilities Services (SDS) recognizes that completing and submitting the Developmental Disability Determination Application may be a challenging process. For assistance, we recommend contacting a Developmental Disabilities Resource Connection (DDRC) program(representative who can assist with developmental disability (DD) application process, gathering documents and forms for Medicaid eligibility, and explaining what other services may be available. Review the DDRC Roster to find a DDRC representative in your area.
How does an individual currently get on the Developmental Disability Registry?
After the individual has been determined to experience a developmental disability, the next step is to complete and submit a >Developmental Disabilities Registration and Review (DDRR) form While this form can be completed by the individual or their representative on their own, they are encouraged to seek assistance from a DDRC representative.
Please review the DDRR Standardized Criteria for more information about how to complete the DDRR.
Once the DDRR form has been submitted, it will be scored and placed on the Developmental Disabilities Registry (also known as the "Waitlist"). The DDRR score is calculated according to the responses provided. Highest scores are drawn from the Registry as funds become available.
If the individual would like to remain on the DD Registry, the individual must submit an updated DDRR form every year.
Once drawn, how can an individual get assistance with the ISW or IDD waiver application process?
Once an individual is drawn for either the ISW or the IDD waiver, SDS sends a "Notice to Proceed" letter with a list of Care Coordinators in the individual's local area. The individual or their legal representative choses a Care Coordinator and after the Care Coordinator has accepted the applicant as a client, the Care Coordinator will help the individual complete the ISW or IDD waiver process
To find a Care Coordinator in your area, please visit the Access Point website and use the "Access Point Quick Guide" to assist you in your search.
How does an individual meet Level of Care criteria?
The individual's Care Coordinator will submit the appropriate ICF/IID Level of Care application. Senior and Disability Services (SDS) will then assess the individual for level of care as defined in 7 ACC 130.215(3).
How does an individual enroll in Medicaid?
All waiver participants must be enrolled in Medicaid to access waiver services. To enroll in Medicaid, contact the Alaska Department of Health and Social Services, the Division of Public Assistance. Short Term Assistance and Referral (DDRC) representatives are able to assist with this process as well.
The primary difference between the ISW and the IDD waiver is that the ISW started with a cost limit of $17,500 (set in 2018), and is adjusted for inflation annually. The current cost limit is $20,750 (July 1, 2022 – June 30, 2023). The ISW does not offer extensive out of home supports like group home services. This table compares the services offered on the IDD waiver and the ISW. Service IDD Waiver ISW Care Coordination* X X Residential Habilitation (4 services) • Family Habilitation X • Group Home X • In-Home Supports < 18 X X (limited) • Supported Living >18 X X (limited) Day Habilitation X X Respite X X Supported Employment X X Environmental Modifications X Intensive Active Treatment (IAT)** X X Meals X Nursing Oversight and Care Management X Specialized Medical Equipment X Specialized Private Duty Nursing X Transportation X X Yes, the DDRR form asks if an individual wants to be considered for the Individualized Supports Waiver (ISW), Intellectual and Developmental Disabilities (IDD) Waiver, or both programs. If an individual is drawn for the ISW, their DDRR form will remain on the DD Registry if: 1) their DDRR form remains current and has been updated within the past year, and 2) the individual has checked the box on the form indicating they want to be considered for both the ISW and the IDD waiver. Depending upon service needs, the ISW participant's support plan can be authorized for up to the current cost limit. This individual cost limit is adjusted to reflect geographic differentials in payment rates. Please review the current Chart of Waiver Service Rates for more information. Care coordinators assist with providing detailed cost estimates based on participants' individual needs.What is the difference between the ISW and the IDD waiver?
Can an individual be considered for both the ISW and the IDD waiver?
How much do ISW services cost?
Useful Forms and Information:
- ISW Frequently Asked Questions (FAQs)
- Developmental Disability (DD) Determination Application
- ISW/IDD Initial Application Checklist
- Developmental Disabilities Links
- SDS DD Registry Annual Reports
- DDRC Roster
- Access Point (to find a Care Coordinator or Provider)
- Access Point Quick Guide
Staff Listings
- IDD Waiver Unit Contact List
- IDD Waiver Unit Organizational Chart
Contacts
Anchorage Office
1835 Bragaw Street, Suite 350
Anchorage, AK 99508
Tel: (907) 269-3666
Fax: (907) 269-3639
Toll Free: 1-800-478-9996
Fairbanks Office
751 Old Richardson Highway,
Suite 100-A
Fairbanks, 99701
Tel: (907) 451-5045
Fax: (907) 451-5046
Toll Free: 1-800-770-1672
Source: https://health.alaska.gov/dsds/Pages/dd/default.aspx
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