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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 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-care
        • 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 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 Disabilities Determination Application may be a challenging process. For assistance, we recommend contacting a Short Term Assistance and Referral STAR) 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 STAR Roster to find a STAR 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 STAR 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 (STAR) representatives are able to assist with this process as well.

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

The primary difference between the ISW and the IDD waiver is that the ISW has a limit on costs of up to $17,500 per year, and does not offer extensive out of home supports like group home.

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.

Can an individual be considered for both the ISW and the IDD waiver?

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.

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 W​aiver 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

      $43.92

      Supported Living  (18 & older)

      $43.72

      In-home Supports (17 & under)

      $43.72

      Supported Employment

      $49.68

      Respite

      $25.68

      Chore Services

      $27.48

      Intensive Active Treatment

      $91.76

      Transportation (per trip)

      $15.11


      ISW Cost Calculator*

      Please be aware that the calculator offers a way to estimate the total cost of your services. Prior approval by SDS of all services is still required and will be based on regulation and individual needs as identified in your plan of care. (You must have Microsoft Excel 97-2003 or higher to use this tool.)

Useful Forms and Information:

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