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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 an intellectual or developmental disability. The IDD Unit oversees the Intellectual and Developmental Disabilities waiver (IDD waiver) and, in spring 2018, the new Individualized Supports Waiver (ISW).

The new Individualized Supports Waiver (ISW) was developed to replace the Community Developmental Disabilities Grant (CDDG) program, which will end June 30, 2018. The ISW will also extend supports to individuals who had not been covered by the grant program.

The purpose of both waivers is to offer qualified participants a choice between home and community-based services or supports in an institutional setting.

Important: Before an applicant can be enrolled on the ISW, the proposed ISW regulations need to become final and the federal Centers for Medicare & Medicaid Services (CMS) must approve the ISW application. SDS is accepting public comment on both the proposed regulations and the proposed waiver application until Monday, November 27, 2017, at 5:00pm.

    • To review the ISW draft regulations, please visit the State of Alaska Online Public Notices (Regulations) and review pages 52 -56 of the second to last attachment listed.
    • To review the ISW draft application to CMS, please visit the State of Alaska Online Public Notices (Public Notices). For more detailed information, click on the link in the second to last paragraph. This will direct you to the “Approved HCBS Waivers” page. The “Draft ISW Waiver Application (Entire)” is located in the middle of the page. The yellow highlights in the ISW application indicate areas that are different from the current IDD waiver.

How does an individual become eligible for the ISW or the IDD waiver?

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-care
            • receptive and expressive language
            • learning, mobility
            • self-direction
            • capacity for independent living
            • economic self-sufficiency; 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 Registry also known as the “Wait List”;
  • 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 Disabilities Determination Application may be a challenging process. For assistance, contact a Short Term Assistance and Referral (STAR) program representative who can assist with developmental disability (DD) eligibility, gathering documents and forms for Medicaid eligibility and explain what other services may be available. Review the STAR Roster to find a STAR representative in the individual’s local 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 fill out the Developmental Disabilities Registration and Review (DDRR) form. This can be done with a STAR representative or the individual or their legal representative can submit the form on their own.

Once the individual has submitted his/her DDRR form, it will be scored and placed on the Developmental Disabilities Registry (also known as the “Wait List”). The DDRR score is calculated according to the responses provided. Highest scores are drawn from the Registry as funds become available. Individuals drawn from the Registry will be notified with a certified letter (the “Notice to Proceed” letter) sent to the most current mailing address SDS has on file.

Please note that in January 2018, the DDRR submission method will change and this DDRR link will be deactivated. Contact a STAR representative with any questions about the DDRR application or to find out about the new methods for submitting the DDRR starting January 2018.

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 individuals’ 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 application process.

The Short Term Assistance and Referral (STAR) program is an additional resource that individuals may utilize to complete the ISW or IDD waiver application process

How does an individual meet Level of Care criteria?

The individual’s Care Coordinator will submit the 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.

What is the difference between the ISW and the IDD waiver?

A primary difference between the ISW and the IDD waiver is that the ISW does not offer extensive out of home supports like group home. Also, the ISW has an annual cost limit of up to $17,500. This means participants are able to have “buying power” up to $17,500 each year.

ISW participants are also expected to have access to services and supports from other sources that, in combination with waiver services, are sufficient to assure the participant’s health and welfare, and inclusion in the community.

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

      Chore

      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

      *Care Coordination on the ISW is in addition to the individuals cost limit.
      **IAT will serve all ages until it becomes a Medicaid State Plan Service for children under age 21.

How much do ISW services cost?

Depending upon service needs, the ISW participant’s support plan can be authorized for up to $17,500 of waiver services annually. This individual cost limit will be adjusted to reflect geographic differentials in payment rates. The chart below shows approximate costs for services; please review the Chart of Waiver Service Rates for more information. A Care Coordinator can assist with providing a detailed cost estimate based on the participant’s individual needs.

      Service Category

      Approximate Hourly Cost

      Day Habilitation

      $42.84

      Supported Living  (18 & older)

      $42.64

      In-home Supports (17 & under)

      $42.64

      Supported Employment

      $48.48

      Respite

      $25.04

      Chore Services

      $26.80

      Intensive Active Treatment

      $89.52

      Transportation (per trip)

      $14.74

ISW Frequently Asked Questions (FAQs)

Please review the ISW Frequently Asked Questions for more detailed ISW information.



Please review the ISW Graphic
for a visual representation of the ISW.




Useful Forms and Information:

Helpful Links

Staff Listings

Contacts

    Anchorage Office
    550 W. 8th Ave.
    Anchorage, AK 99501-3574
    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