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The Division of Developmental Disabilities Services (DDS) has
adopted the service delivery philosophy of "Service Options". Service Options
are designed so that individuals and their families can have choices in selecting
appropriate services in their local community. This philosophy will allow each
individual to maximize his or her abilities while enjoying a quality of life commensurate
with those abilities. It will also prevent an individual from being forced to access more
expensive and intrusive services.
DDS provides programs and services through the following:
DDS DIRECTOR'S OFFICE is responsible for the
overall coordination of services for people with developmental disabilities in the state
of Arkansas.
The DDS Director's office is the primary point of contact between the agency and the
public. Responsibilities include developing the overall goals and the philosophical
framework within which the agency operates. The Director's offiice coordinates with interested groups to
provide as many services options as possible to meet the needs of people with
developmental disabilities.
Included in the Director's responsibilities are Human Development
Centers and Administrative Support.
DDS COMMUNITY SUPPORT SERVICES SECTION provides a variety of services,
including day programming (early intervention, preschool), respite care, family support,
follow-along, case management, integrated supports, and community integration companions.
Individuals receiving services in the local community receive supervision from trained
service providers in the most appropriate setting. Service providers must meet specified
standards and criteria through either DDS licensure or certification. Community Support
Services includes Field Services, First Connections (Part C Early Intervention), Early
Childhood, Therapeutic Services, and Integrated Services that provide wraparound support
to persons with dual diagnoses (developmental disabilities and mental illness).
Early Intervention and Early Childhood Services for Children Birth to Five Years
of Age:
The First Connections Program (through Parts B & C of the Individuals with
Disabilities Education Act-IDEA) is responsible for the planning, development, and
implementation of statewide services for infants and toddlers (0 to 36 months of age).
Currently, this unit provides services for approximately 3,000 infants and toddlers.
Eleven (11) Developmental Specialists and two (2) Developmental Specialists Managers
provide intake, service option presentations, individual social history development,
referrals, transition to public school, individual service coordination (case management),
assistance and monitoring of early intervention/early childhood contracts, obtaining and
maintaining client data tracking information and case notes. Early Intervention/Early
Childhood services include the following 16 federally mandated components: identification;
evaluation; procedural safeguards; case management; speech, physical and occupational
therapies; audiological services; developmental therapy; family training, health/medical
services; nutrition services; psychological services; social work services and
transportation. Additionally, this program works closely with both the State and Local
Interagency Coordinating Councils, whose responsibility is to provide advice and
assistance regarding early intervention services in the local community. Procedures and
responsibilities designated by Part B & C of the IDEA are developed and supervised by
First Connections staff. Home-based early intervention for infants and toddlers provides
speech/language, physical and occupational therapies, and specialized services are
provided in integrated day care programs, therapeutic settings, or the child's home.
Developmental Services:
DDS Developmental Services plans and provides continuous training for Speech
Pathologists serving community programs as well as technical assistance to licensed
community programs. Contracts for Early Childhood services are monitored by this
unit.
Field Services:
Field Services is responsible for the initial and on-going linkage of persons with
disabilities to needed/requested services and the necessary supports to make those
linkages timely, accountable and satisfactory. Specifically, the function of Field
Services is to listen to what is being requested in terms of services needed and respond
appropriately, making service referrals and performing case management activities based
upon an individual's choice from an array of service options. Field staff functions are:
Intake, service option presentations, individual social history development, referrals,
emergency respite and transition/re-entry, individual service coordination (case
management), inter-agency coordination, case notes, requests for assistance, interstate
compact transfer requests, expediting emergency service requests, monitoring of field
staff functions, obtaining and maintaining client data tracking information. Field
Services has 21 Service Specialists who serve as intake points for individuals ages 6 to
death who are entering the DDS system and are requesting services in the 75 counties
throughout the state. Each Service Specialist is responsible for case management and has
an average caseload of approximately 110 persons. Services include: information and
referral regarding resources available in the individuals own community such as group home
admission; Medicaid waiver; individual/family support services; integrated support
services and application to any of the six Human Development Centers. Consultation and
technical assistance is provided in the areas of individual habilitation, program
development, assessments, individual/parent/guardian rights, individual service plans, and
counseling.
Resource Support:
Resource Support Services authorizes and monitors contracts administered by the
Community Support Services Section, for Integrated Services through the Act 911,
Integrated Supports, and CASSP Programs, prepares contractual reports, monitors/approves
expenditures, and compiles and submits evaluation and financial reports to determine
effectiveness and compliance with state and federal regulations. This unit also has
responsibility for development of contracts for Early Intervention and Early Childhood
programs, and contracting and monitoring services for those persons with multiple needs
requiring integrated "wrap around" services through the Integrated Supports, Act
911, and CASSP programs, and for locating and developing divisional grants.
Together We Can Program:
Cooperative ventures with other divisions of DHS have improved the quality of services
for persons with multi-divisional needs. DDS is the lead agency designated to administered
the innovational Together We Can Program to provide community-based
"wrap-around" services for these individuals. The Together We Can Program
(TWC)
brings together the participating agencies of: the Department of Human Services (Divisions
of Children and Family Services, Developmental Disabilities Services, County Operations,
Mental Health, Medical Services, Youth Services, and Office of Administrative Services),
the Department of Education, and the Department of Health. The program is currently
operational in 27 counties: Craighead, Drew, Independence, Jefferson, Stone, Sebastian,
Benton, Union, Desha, Baxter, Grant, Greene, Ashley, Cleburne, Bradley, Crawford,
Franklin, Faulkner, Columbia, Logan, Polk, Johnson, Poinsett, Mississippi, Jackson, and
Hempstead.
DDS PROGRAM MANAGEMENT SECTION
performs management of the ACS
Home and Community Based Waiver, Foster Grandparents, policy development, planning,
and the expansion of new and existing services.
ACS Home and Community Based Waiver Services is one such program
that continues to expand and requires changes to accomodate people in the most integrated
setting. Fifty of the licensed community programs have elected to provide Case
Management and direct service delivery through the Medicaid Waiver as an alternative to
institutional placement. Fourteen other providers are certified waiver providers. Adaptive
equipment, environmental modifications, consultation, integrated support services
(including: habilitation; supportive living and alternative living); personal care;
transportation; crisis abatement; supported employment; specialized medical supplies; and
case management are provided to qualifying individuals in their home and community. A
multi-agency plan process is used to identify generic resources, individual's needs,
desired outcomes and provider commitment.
The Medicaid Home and Community Based Waiver Unit
ensures
that home and community based services are maintained as an alternative to institutional
placement. This unit ensures that up to 2,404 eligible persons can receive their choice of
services through community based programs, that their individual program mix is
programmatically correct, and is cost effective under standards established by Medicaid
and the DDS.
This Unit serves as the liaison with the Federal Health Care
Financing Administration (HCFA) and through networking and on-going educational activities
advises and accomplishes changes to improve and expand waiver service opportunities.
Administration to include, review of policy and procedure development and implementation,
plan of care approval, service delivery tracking, monitoring, individual choice, income
and ICF/MR level of care eligibility. Currently 2,183 people are receiving these community
services. Assessments for additional applicants are on-going.
FISCAL OPERATIONS SECTION oversees the DDS budgeting,
licensure, grants administration, technical support, Medicaid Income Eligibility, staff
development, human resources and facilities management activities.
Grants Administration Unit. The primary goal of DDS Grants Administration is to
provide funding, support, technical assistance and monitoring for the 92 DDS
community-based programs in Arkansas. DDS Grants Administration works with the community
programs to assure that persons with developmental disabilities receive appropriate and
quality community services based on their needs and desires. In addition, the unit
processes enrollment of Waiver providers and serves as a DDS Liaison with the Contracts
Section of the Division of Administrative Services.
DDS Licensure and Certification oversees granting of valid licensure
certificates to specific community programs in Arkansas serving individuals who have a
developmental disability. The primary objective for the Licensure unit is to conduct
reviews of community programs and provide an on-going mechanism for the evaluation of the
impact of the programs on services provided to individuals with developmental
disabilities. In addition to reviews, the unit is responsible for conducting technical
assistance to community programs, investigating service concerns, and evaluation research.
DDS Technical Support. The Technical Support Unit provides support to the
Medicaid Home and Community Based Waiver in the implementation and ongoing provision of
services through the processing of approved plans of care. This is accomplished by
ensuring that the funds expended by the community providers for the delivery of services
is available for reimbursement by the creation of Prior Authorization numbers. Technical
assistance for billing discrepancies is also provided to providers and DDS staff by this
unit.
Facilities Management. The facilities management section assists the Human
Development Centers in planning capitol and maintenance projects. This includes processing
professional services contracts, construction contracts and all SBS requirements regarding
these services. Leases, mineral rights, and timber management are facilitated in this
section. This unit serves as a liaison with SBS for the Human Development Centers and
assists the financial section with developing operating budgets and capitol improvement
budgets.
Staff Development. DDS offers training in various DDS related areas such as the
Arkansas Medicaid Home and Community Based Services Waiver Guidelines and Human
Development Center Waiver Conversion. Additional training is developed and provided as the
need is identified. Training sessions are open to consumers, parents/guardians, provider
agencies, advocates and DDS employees.
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