The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. The 2023-2025 DDA Strategic Plandescribes our work and expected outcomes to accomplish the mission. Copyright Maryland.gov. You must have a contract with DHR to be funded for these services. Check List: List of Board Members and their affiliations. Those who are required to complete the 70-hour training will also be required to become certified as a Home Care Aide through the Department of Health. Developmental Disabilities Administration (DDA), Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Facilities, Finance and Analytics Administration (FFA), Developmental Disabilities Guiding Values, 2022Developmental Disabilities Administration Caseload and Cost Report. A policy and procedure manual that contains all requirements found in IDAPA 16.03.21, https://adminrules.idaho.gov/rules/current/16/160321.pdf. The DDA typically assigns an independent case manager referred to as a Coordinator of Community Services (CCS) to assist with the application process. People with developmental disabilities will have full lives in the communities of their choice where they are included, participate, and are active citizens. 04/04/2023 Informing Families - 2023 Summer Bulletin. You may be trying to access this site from a secured browser on the server. 04/12/23 Informing Families - Spring Newsletter, 04/10/23 2023 Community Summit -DSHS Developmental Disabilities Administration is proud to announce Community Summit 2023. You should also review information about the Community Pathways Waiver, the Family Supports Waiver, and the Community Supports Waiver. %%EOF JavaScript is required to use content on this page. Please enable JavaScript in your browser. Thank you for your interest in contracting with the Developmental Disabilities Administration (DDA). If you don't receive a letter, please call theRegional Office. DDA also requires that you have a board of directors so you will want to begin to form your board. ), Community Residential Training Evaluation, Residential Training Roster / Reimbursement, Training and CE Tracking Tool for Supported Living, Group Training Home,and Group Home Providers, Community Residential Services Quality Assurance Tool, Community Residential Services Quality Assurance Tool Tracker, Home Environment QA Tool and Routine Maintenance Schedule, Infection Control/Response Quality Assurance Tool, Plan Due Date Tracking tool for Supported Living, Group Home, LSR and Crisis Diversion Providers, Residential Transition Exchange of Information, Alternative Living (AL) Services Overview, Supported Living, Group Training Home, and Group Home Program Locator, AL Services Initial Training Requirements, AL Services Ongoing Training Requirements, Request Certified Community Residential Service and Support Initial Application and Instructions at. The department will notify the agency with a written decision regarding certification. A written code of ethics policy required in IDAPA16.03.21. Request a copy of the application for services. The following description and applications are available for review and completion: DDA Waiver Provider Application Review Process. Please turn on JavaScript and try again. endstream endobj startxref The DHS will only issue contracts when they have a need for services. The department will review the application form and materials to determine if the agency has met all of the regulatory requirements and has the necessary systems in place to ensure the implementation of those requirements. Tickets are available. Future Needs means the person does have a need for services within the next three years. If you are interested in becoming a contracted provider, please call your local DDA office and ask for the contracts department: Contracts Types of DDA Contracts You must have a detailed business plan and a line of credit that will allow you to provide services until you receive payment from DDA. For questions about the Supported Living program, please contact: Megan Kwak,Community Residential Services If you are interested in becoming a contracted provider, please call your localDDAoffice and ask for the contracts department: Developmental Disabilities Administration Contracts, Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Developmental Disabilities Administration (DDA), Facilities, Finance and Analytics Administration (FFA). In addition to the budget sheets you will need to submit a completed Level of Intensity Score Sheet. Services may be long-term, intermittent, or hourly. The DDA typically assigns an independent case manager referred to as a Coordinator of Community Services (CCS) to assist with the application process. The Developmental Disabilities Administration is transforming lives by providing support and fostering partnerships that empower people to live the lives they want. If needed they will consult with a subject matter expert. endstream endobj startxref Box 83720 Please review information on the DDA website regarding the services that we provide. Please review all of the information but the required forms can be found here: http://marylandpublicschools.org/programs/Pages/Special-Education/IRC/Forms.aspx. {]Xb#1 C Unless exempt, all IPs are required to complete a basic training within 120 days of the first day they work. Additional Information Regarding Application Submission. DDA Services Become a Provider for DDA Companion Home Provider Companion Home Provider Become a Companion Home Provider! Please contact unit staff for any questions or assistance. Please review the certification checklistfound at the bottom of this page to ensure completeness of this section. After the initial request for assistance or the application has been received, a DDA representative will contact you to schedule an interview and review the information. Please join us as we return to an in-person conference with a Hybrid option for attendees. 201 W. Preston Street, Baltimore, MD 21201-2399, Developmental Disabilities Administration, Home and Community-Based Services (HCBS) final rule, Provides a coordinated service delivery system for people with developmental disabilities. You may be trying to access this site from a secured browser on the server. Make sure your agency is registered with the Idaho Secretary of State by visiting their website: Complete an application for Developmental Disabilities Agencies Certificateusing the DDA-RH portal link found on this page. To file a complaint, click DDA-RH Portal on the right side of this page; once in the portal click on "Complaint Form," follow the directions from there. The Developmental Disabilities Administration is transforming lives by providing support and fostering partnerships that empower people to live the lives they want. The DDS/DDA Provider Relations Specialist or designated staff reviews the application to determine whether an applicant submitted the required documentation as outlined in the Medicaid Provider Application and General Provisions of the HCBS waiver regulations. Change the blanks with smart fillable fields. hWTW"I@;P 2786 0 obj <> endobj >x?m4 ]I`, i. Only applications submitted to that email address will be considered. You may be trying to access this site from a secured browser on the server. Step 3:Complete an application for Developmental Disabilities Agencies Certificateusing the DDA-RH portal link found on this page. Submit your completed application with required attachments and the Provider Agreement to Conditions of Participation to providerapplications.dda@maryland.gov. , 5D0ed9#W5X=(I?% yC For questions about Companion Homes, please contact: Olga Lutysk,Community Residential Services Program Manager Enter your email in the field below, let us know you're not a robot, and click the SIGN UP button. You will then receive information about login to the DDA data and billing system and will be scheduled for training in using the system. K4%_My+_QO+VtJP6_H3]^,5xg{vWZ=p~GE,cK? DDA will review the application packet and will let you know the status of your application by email. In order for the DDA to determine whether a person is eligible, the person or someone acting on their behalf must complete the DDA application process. You will need to have a business name. The saved file and any required attachments should be attached to the email and emailed to: providerapplications.dda@maryland.gov. If you have any general questions about DDA Quality Assurance, contact Lori Gianetto Bare, Residential Quality Assurance Unit Manager. The CCS will submit the application or updates to the application, supporting documentation, and information obtained during the interview to the DDA. All applications are in a fillable format and should be completed and saved to your computer. 2967 0 obj <>stream The process includes completing the DDA Application for Eligibility, submitting supporting documentation, an interview by a DDA representative, and a DDA determination. They will also determine a priority category - Crisis Resolution, Crisis Prevention, Current Request, or that services are needed in the future. Once certified, if you are wanting to become a Medicaid provider, complete the Medicaid provider enrollment application. Add the date and place your e-signature. {))R,'wZ{nwx(==W:1*m!9jZ-g RSVP for the event by April 12. will assess all the information to determine whether the applicant meets either of the DDA eligibility categories - Developmentally Disabled or Supports Only. Be sure to fill out and sign everything according to the directions and return all required documents as soon as possible to avoid delays. Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Developmental Disabilities Administration (DDA), Facilities, Finance and Analytics Administration (FFA), Rates and Reimbursement Documents forSupported Living, Group Homes, and Group Training Homes, Supported Living, Group Homes, and Group Training Homes, Background Check Tracking Tool for Supported Living and Group Home Providers, Background Check Frequently Asked Questions, Character, Competency, and Suitability Review Form, Actions to Take Before and After Someone Passes Away, Estate Recovery: Repaying the State for Medical and Long Term Services and Supports, Making The Most Of Social Security Benefits, Resource Guide: Managing Finances for Clients in Community Residential Services Programs, Plan of Correction (POC) Template- Region 1, Plan of Correction (POC)Template - Region 2, Plan of Correction (POC) Template - Region 3, Positive Behavior Support Data Collection Tool, Food Management and Health Promotion Strategies, Residential Provider Information Changes Form (Name, Address, etc. Our firm License and Cert. The following documentation is required to be uploaded with your application for it to be considered complete. Any provider interested in becoming a DDA licensed program for Children with Developmental Disabilities or a DDA licensed program for Medically Fragile Children should complete the DDA provider application for childrens services. The first step in becoming a DDA licensed provider is to register your business as a Maryland corporation with the Maryland State Department of Assessment and Taxation (SDAT). *Clarification Note An interested provider who currently does not have an identified qualified clinician may still submit the Behavioral Supports Provider application but must provide Janet Furman, Director of Provider Relations, for approval the qualified clinicians name, copy of license and training/experience in applied behavior analysis, as well as a sample behavior assessment and behavior plan the qualified clinician authored, before starting to provide behavior support services. An official website of the United States governmentHere's how you know Official websites use .gov A .govwebsite belongs to an official government organization in the United States. Service providers are an integral part in Transforming Lives across Washington State! DDA requires that you have experience providing the services you are applying to provide and share the DDA vision for services. Please turn on JavaScript and try again. Please review COMAR 14.31.05-.07 for more information on the requirements for children's programs. Any provider interested in becoming a DDA licensed program for Children with Developmental Disabilities or a DDA licensed program for Medically Fragile Children should complete the DDA provider application for children's services. You can complete this by visitinghttps://www.idmedicaid.com/default.aspxor if you are applying to provide children's DD Medicaid services, review these instructions. DSHS DDA Waiver Services: What services are available, how to find providers, and more. This web page is intended as a resource for residential providers who contract with DDA. To open an ICF/IDD home funded through the Medicaid State Plan, interested providers must contact DHCF and Department of Health, Health Regulatory and Licensing Administration (DOH/HRLA) license and certification. Companion homes are established in typical family settings. 222 0 obj <> endobj hb``` cb/ 2g c pX;3g,b``h@ha` , 2829 0 obj <>/Filter/FlateDecode/ID[<7486B1C82E6F17469EE512D82C806907>]/Index[2709 181]/Info 2708 0 R/Length 234/Prev 807377/Root 2710 0 R/Size 2890/Type/XRef/W[1 3 1]>>stream 201 W. Preston Street, Baltimore, MD 21201-2399, Developmental Disabilities Administration, Home and Community-Based Services (HCBS) final rule, https://health.maryland.gov/crccp/Pages/administrators.aspx, http://marylandpublicschools.org/programs/Pages/Special-Education/IRC/index.aspx, http://marylandpublicschools.org/programs/Pages/Special-Education/IRC/Forms.aspx. Applicants and their representatives will receive a formal letter from the DDA stating the eligibility and priority category determinations. A sample format can be found here: A copy of the proposed organizational chart or plan for staffing the agency. Once you have received your Maryland Medicaid provider number you will need to complete the DDA contracts and other required forms. Create a flexible, person-centered, family-oriented system of support so people can have full lives., 201 W. Preston Street, 4th FloorBaltimore, MD 21201Phone: (410) 767-5600Fax: (410) 767-5850Toll Free: (844) 253-8694. From an accredited hospital Download Brochure Apply Today! Generally children's programs are funded by the Department of Human Services (DHS). Depending on the number of hours and type of service provided, all others will complete a 30 or 70 hour basic training. If needed an individual can request assistance in completing the DDA Application for Eligibility. Please turn on JavaScript and try again. 201 W. Preston Street, Baltimore, MD 21201-2399, Developmental Disabilities Administration, After the initial request for assistance or the application has been received, a DDA representative will contact you to schedule an interview and review the information. Step 3: Submission of Application Packet DDA Application effective 10 01 2022 Final Version (2).pdf Person-Centered Thinking Person-centered thinking is a philosophy behind service provision that supports positive control and self-direction of people's own lives. BACKGROUND INFORMATION Application is for (select one): Individual Applicant (Sole Applicant registered with SDAT proposing to render waiver services and Applicant hasno employees) Agency (An entity registered with SDAT with 1 or more employees, excluding the owner) Application is for (check all that apply): You need the support of a team to help with your services and treatment. Department on Disability Services - A + A Listen Waiver Application for IDD The full package is available as a PDF document: Request for a Renewal to a 1915 (c) Home and Community-Based Services Waiver The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in 1915 (c) of the Social Security Act. Copyright Maryland.gov. GZA! %PDF-1.6 % Step 3: Complete an application for Developmental Disabilities Agencies Certificate using the DDA-RH portal link found on this page. Request Certified Community Residential Service and Support Initial Application and Instructions at ccrssapplicationsrequest@dshs.wa.gov For questions about the Supported Living program, please contact: Megan Kwak, Community Residential Services (360) 764-9909 megan.kwak@dshs.wa.gov 0 , We do this by focusing on six areas: Self-Determination, Self-Advocacy, Supporting Families, Housing, Employment, and Assistive Technology.. Crisis Resolution means the person is in crisis or emergency situation (for example - abuse, neglect, homeless), Crisis Prevention means the person is or will be in a health or safety crisis within the next year, Current Request means the person needs/wants services; health and safety are not the immediate issues. Dshs Individual Provider 2018-2023 Get the dshs individual provider application 2018 template, fill it out, eSign it, and share it in minutes. After you have submitted a completed intake packet, contracts staff will send a fingerprint appointment form along with instructions on how to contact a DSHS contracted fingerprint technician. You are responsible for marketing your services. Reviews add additional time to the process. The employee file for the current administrator. The letter includes information related to requesting a reconsideration and, DDA Eligibility Application Process - At A Glance, You need supports or assistance to live independently; and. DDA PROVIDER APPLICATION I. hbbd``b`z$gXsuWH0'V$kbM{@ ?H2I@w `$br,F*? The approval process will include a site visit from Medicaid staff as well as vetting the applicant and all administrative staff against the Medicaid exclusion list. Customer information is under Services and Programs. Once certified as a developmental disabilities agency, you will be required to submit a request for request for renewal of certification 90 days before the certificate expires. It looks like your browser does not have JavaScript enabled. Dda Provider Application is a legal document that was released by the Maryland Department of Health - a government authority operating within Maryland.. Form Details: Released on June 2, 2022; The latest edition currently provided by the Maryland Department of Health; Ready to use and print; Click on Done after double-checking everything. Show details How it works Open the wa dshs dda and follow the instructions Easily sign the dshs individual provider with your finger Send filled & signed dshs intake form or save Please enable JavaScript in your browser. For more information, visitwww.communitysymmit.ws, 04/04/23 Get your tickets to our premiere of "UNSEEN: How We're Failing Parent Caregivers & Why It Matters". Any addendums, updates, or changes to the approved application will require an addendum to be submitted. It looks like your browser does not have JavaScript enabled. Prior to that visit, the following documents must be submitted. Once policies and procedures are approved you will be issued a license. The contract is not valid until signed by DSHS staff. submitted the required documentation as outlined in the Medicaid Provider Application and General Provisions of the HCBS waiver regulations. All rights reserved. Please enable scripts and reload this page. All current providers must seek approval from DDA and be re-enrolled as Medical Assistance Providers using new categories of service(s) and procedure codes in the . DDA provider applicants who are referred to OHCQ for licensing will need to submit their policies and procedures to OHCQ. Frequently Asked Questions on IP Contracting with DDA. The DDA regional office Provider relations staff will reach out to you to schedule a time to meet with the regional office. Example: Yes, I would like to receive emails from Informing Families. BACKGROUND INFORMATION Application is for (select one): Individual Applicant (Sole Applicant registered with SDAT proposing to render waiver services and Applicant hasno employees) Agency (An entity registered with SDAT with 1 or more employees, excluding the owner) Application is for (check all that apply): J[Q0}i$U9aEcU(W|e)i]INcU&QMoL29 `BZLh{du'Zk}AS>&o>\c(rKjPmY-i^XH^N(J4w?J2OtEfgWYZthc;XE6hKsa4&YKsTp,=CRBG$?4F~n? Person-Centered Planning Provides a coordinated service delivery system for people with developmental disabilities Partners with people with developmental disabilities and their families to provide leadership and resources to enable these individuals in living fulfilling lives. Please enable JavaScript in your browser. Effective 7/23/17, Respite providers working less than 300 hours in a calendar year will complete 9 hours of mandatory basic training. The CCS will submit the application or updates to the application, supporting documentation, and information obtained during the interview to the DDA Regional Office. Partners with people with developmental disabilities and their families to provide leadership and resources to enable these individuals in living fulfilling lives. How to Become an Individual Provider (IP) for a Client of the Developmental Disabilities Administration (DDA) For eligible clients of DDA who have identified a potential care giver, or for individuals who have been asked to provide personal care or respite services by a client of DDA. Follow directions given by contracts staff and wait for results to be received by DDA. (4A\t}`-vlwsze;37sBb#}|8aE8rB73oOSOg1Bq^5@7W;q>Y>)f`Atfy+I%n6do\K8gp9g=%];mu_zGV=Wn8Yr-d.e|^t endstream endobj startxref 0 At that time, you will receive a call to come in to participate in a short orientation which will include reviewing DSHS and SEIU information and then signing the contract. If the result indicates a review is required, contracts staff will request professional references and will send you the required paperwork. Interested providers should review the information below and submit the DDA Provider Application along with the Provider Agreement to Conditions of Participation and Checklist. By DDA Application Process Developmental Disabilities Administration Website Call the DDA office for the Region (Central, Western, Southern, or Eastern) in which you live. A sample participant file that contains documents meeting the requirements of IDAPA 16.03.21.301.05.a-i. Start a DD Group Home in DC, Maryland or Virginia. It looks like your browser does not have JavaScript enabled. They will publish a statement of need in the Maryland Register. Step 2:Register as an agency with the DHW's Background Check Unit to receive an ID for criminal history as all employees accessing or working with participants will need to have a criminal history clearance for your agency. Please enable scripts and reload this page. Both of these items must be completed using the DDA-RH portal link on this page. A person can complete the DDA Application for Eligibility. All prospective providers are required to submit a completed DDA Medicaid Waiver Provider Application to the Provider Application Specialist in the Provider Resource Management Unit, and must include all supplemental information requested on the provider application checklist. A developmental disabilities agency is a certified entity that provides center and/or home and community-based services to adults and/or children with intellectual disabilities. :sV^.U2}D=&^VFmSb4R\2WflAArj|WRxsI*t"(h-j.,#`FzLc FNT__. 2889 0 obj <>stream Washington State Voter Registration for applicants age 18 or older Documents that support that you have a developmental disability, as described in DSHS Form 14-459 Eligible Conditions Specific to Age and Type of Evidence such as: Educational records Psychological records Medical records 2883 0 obj <>/Filter/FlateDecode/ID[]/Index[2786 182]/Info 2785 0 R/Length 245/Prev 938893/Root 2787 0 R/Size 2968/Type/XRef/W[1 3 1]>>stream Indicate the applicable DDA Regional Office where you or the agency would like to provide services in the subject line of the email. @IF)DE(=`QfAX,B'mcfhj)}4M 9?,\|%H= Xur! Service providers are an integral part in Transforming Lives across Washington State! t+baGbj^x1z|qn;t.a]r/j,#c{)'Wc$Or=P9U=U\eM%q,:$; JI_#Gz;32K =*8l#rx(c8qsqy>K2& Documents and other materials of interest to residential providers will be posted here. All new providers are required to submit a completed DDA Medicaid Waiver Provider Application and submit the required supporting documentation in the form of policies and procedures, licensure and/or certification that demonstrates the provider agency's compliance with the specific rules for each of the waiver services the provider agency is . hbbd```b`6g"El$/3b/ m0lspC3 e;__ w..^$]8aXM.F.A0[D2C#Z E,LJU]t,Vf`0Ju2@2Qg? Complete the empty areas; concerned parties names, addresses and phone numbers etc. They will also determine a priority category - Crisis Resolution, Crisis Prevention, Current Request, or that services are needed in the future. %%EOF The Developmental Disabilities Administration strives to develop and implement public policies that will promote individual worth, self-respect, and dignity such that each individual is valued as a contributing member of the community.
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