2889 0 obj <>stream :sV^.U2}D=&^VFmSb4R\2WflAArj|WRxsI*t"(h-j.,#`FzLc FNT__. 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? 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. JavaScript is required to use content on this page. Request a copy of the application for services. Add the date and place your e-signature. National Human Trafficking Hotline - 24/7 Confidential. It looks like your browser does not have JavaScript enabled. For questions about Companion Homes, please contact: Olga Lutysk,Community Residential Services Program Manager Pages - Developmental Disabilities Administration Example: Yes, I would like to receive emails from Informing Families. 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. The Developmental Disabilities Administration is transforming lives by providing support and fostering partnerships that empower people to live the lives they want. Please join us as we return to an in-person conference with a Hybrid option for attendees. DSHS DDA Waiver Services: What services are available, how to find providers, and more. By DDA Application Process Developmental Disabilities Administration Website Call the DDA office for the Region (Central, Western, Southern, or Eastern) in which you live. If the result indicates a review is required, contracts staff will request professional references and will send you the required paperwork. JavaScript is required to use content on this page. The letter includes information related to requesting a reconsideration and appeal rights. , We do this by focusing on six areas: Self-Determination, Self-Advocacy, Supporting Families, Housing, Employment, and Assistive Technology.. 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. A sample format can be found here: A copy of the proposed organizational chart or plan for staffing the agency. The process includes completing the DDA Application for Eligibility, submitting supporting documentation, an interview by a DDA representative, and a DDA determination. If needed an individual can request assistance in completing the DDA Application for Eligibility. Additional Information Regarding Application Submission. 2709 0 obj <> endobj Once certified, if you are wanting to become a Medicaid provider, complete the Medicaid provider enrollment application. You can complete this by visiting, Death, Stillbirth, and Miscarriage Records, Child and Family Services and Foster Care, Aid to the Aged, Blind, and Disabled Cash Assistance (AABD), Temporary Assistance for Families in Idaho (TAFI), Supplemental Nutrition Assistance Program (SNAP), Per and Polyfluoroalkyl Substances (PFAS), Alzheimers Disease and Related Dementias, Women's Cancer Screening (Women's Health Check), National Accreditation Center Inspections, National Accreditation Staffing Requirements, National Accreditation Current Verification of Report. 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. An application is considered complete when all required documents are received and in compliance with rules and regulations. 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). Developmental Disabilities Administration Counties & Provider You can request an Intake Packet from the clients DDA Case Resource Manager, local DDA office staff, or the DDA contract staff for your region. *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.