1. DDS SERVICES WHO WE SERVE, ELIGIBILITY & SERVICE STRUCTURE

2. MISSION STATEMENT The Department is creating, in partnership with others, innovative and genuine opportunities for individuals with intellectual disabilities* to participate fully and meaningfully in, and contribute to, their communities as valued members. *We are now serving individuals with a diagnosis of Autism Spectrum Disorder (ASD), Prader-Willi and Smith-Magenis Syndromes (and who do not have an intellectual disability), Acquired Brain Injury (ABI), and other waiver-eligible individuals.

3. WHO DOES DDS SERVE?

4.  Children Birth – 21 Years of Age;  Is domiciled in Massachusetts; and,  Has intellectual disability* or a closely related developmental condition, or a developmental delay if under the age of 5; and,  Demonstrates severe functional impairments as defined in DDS regulations, 115 CMR 2.01. *Intellectual disability is synonymous in definition with mental retardation.

5.  22 Years of Age & Older;  Is domiciled in Massachusetts, which generally means residing and intending to remain in Massachusetts permanently or for an indefinite period; and,  Has intellectual disability* as defined in DDS regulations, 115 CMR 2.00 Definitions (eff. Dec 2012) *Intellectual disability is synonymous in definition with mental retardation.

6. Closely Related Developmental Conditions means genetic, neuro-developmental or physical disorders that have a significant overlap with intellectual disability, and result in similar support needs. For the purposes of 115 CMR 6.06: Child Eligibility for Family Supports(1), closely related developmental conditions may include: a)Williams Syndrome; b)Prader-Willi Syndrome; c)Lesch-Nyhan Syndrome; d)Angelman Syndrome; e)Cri du Chat Syndrome; f)Down Syndrome; g)Fragile X Syndrome; h)Cerebral Palsy; i)Pervasive Developmental Disorders, including the following specified autism spectrum disorders: Autistic Disorder, Rett’s Syndrome, Childhood Disintergrative Disorder and Pervasive Developmental Disorder – not Otherwise Specified (NOS); j)Spina Bifida (Myelomeningocele type MMC)); k)Tuberous Sclerosis; l)Fetal Alcohol Syndrome; or m)Any other developmental disorder that the Department determines to be a closely- related developmental condition.

7. SPECIALTY POPULATIONS Served by DDS Through 2 Residential Waivers ABI-RH Waiver:Acquired Brain Injury – Individuals 22 and older with an Acquired Brain Injury who need service in a provider-operated residence that has supervision & staffing 24 hours a day, 7 days a week MFP-RS Waiver:Money Follows the Person – Individuals 18 years and older with an Acquired Brain Injury or other impairment who need service in a provider – operated residence that has supervision & staffing 24 hours a day, 7 days a week

8. DDS ORGANIZATION & SERVICE STRUCTURE

9. *ABI-MFP Teams work out of the Regional Offices.

10. DDS ADULT SERVICE OPTIONS (BASED ON ASSESSED AND FUNDING AVAILABILITY) VendorState-OperatedSelf-Directed Supports Agency with Choice Operated By Qualified Organizations ------------------------ Hires & Trains Employees Operated By State Employees --------------------- Hires & Trains Employees Self-Directed Employer Model via an Fiscal Intermediary -------------------------------- Participant/ Designee Choose Employees Hires & Trains with assistance from DDS Service Coordinators Operated By Co- Employment Model --------------------- Specific Agency with Participant Designee; Choose Employees that the Agency Hires; Training in Collaboration w/Participant

11. Residential Services:  24/7 Residential Home  Shared Living – also referred to as Placement Supports Individual Supports: Enables individuals to live as independently as possible in the community include;  help with food shopping,  cooking,  banking,  and housekeeping. DDS ADULT SERVICE OPTIONS

12. Employment Supports: Employment Supports provide supervision, training, and/or transportation that enable individuals to get paid jobs.  Supported Employment  Competitive Employment  Group Supported Employment Community Day Supports Helps individuals to build and maintain their ability to participate in community activities by focusing on:  communication,  self-care,  relationship building  and community involvement. DDS ADULT SERVICE OPTIONS

13. ABI-MFP ELIGIBILITY CRITERIA

14. ABI ELIGIBILITY CRITERIA Applicant Must:  Be a MassHealth member or eligible for MassHealth Standard once in the community (based on special waiver financial rules);  Have sustained an ABI at the age of 22 or older;  Be currently residing in a nursing facility, chronic disease or rehabilitation hospital for at least 90 days when applying for the waiver;  Have expected annual care costs that do not exceed the individual cost limit for the waiver to which they applied;  Be in need of waiver services, and able to be safely served in the community with the services available in the waiver. Additionally, there must be open slots in the waiver.

15. MFP ELIGIBILITY CRITERIA Applicant Must:  Be living in a nursing home or long-stay hospital for at least 90 consecutive days, excluding Medicare rehabilitation days;  Be 18 years old or older & have a disability, or be 65+ years of age;  Meet the clinical requirements for & be in need of MFP waiver services;  Be able to be safely served in the community within the terms of the MFP waivers;  Meet the financial requirements to qualify for MassHealth – special financial rules exist for waiver participants; Additionally, there must be open slots in the waiver.

16. CRITERIA FOR BOTH ABI & MFP HOMES  Transition to an MFP-qualified residence in the community. A qualified residence includes:  a home owned or leased by the applicant or family member  an apartment with an individual lease or a community-based residential setting in which no more than 4 unrelated individuals reside; or  an assisted-living residence that has an apartment with separate living, sleeping, bathing and cooking areas, lockable entrance & exit doors, and meets other criteria.

17. HOW TO APPLY FOR DDS & ABI-MFP SERVICES

18. HOW TO APPLY FOR DDS SERVICES If you meet the criteria forBirth – 5 Years of Age Child – 21 Years of Age Adult – 22+ Years of Age Contact your Regional Intake & Eligibility Team for an Eligibility Application. For a list of Regional Eligibility Teams, go Online to: http://www.mass.gov/eohhs/consumer/disability-services/services-by- type/intellectual-disability/support/developmental-services-eligibility- application.html#form

19. HOW TO APPLY FOR ACQUIRED BRAIN INJURY (ABI) & MONEY FOLLOWS THE PERSON MFP WAIVERS DOWNLOAD THE APPLICATION FORM(S) http://www.mass.gov/eohhs/docs/masshealth/ abi/abi-a-rh.pdf http://www.mass.gov/eohhs/docs/masshealth/ mfp-demowaivers/mfp-rs.pdf