Action Needed

Dear Companion Home Provider,

Developmental Disabilities Administration (DDA) Home and Community Based Services Waivers were renewed and went into effect on September 1, 2017.  Access to Behavioral Health and Nursing services covered under the Waivers has changed as a part of the renewal.

You may be asked by a Case Resource manager (CRM) to assist the client you support to access his or her Managed Care Organization (MCO) or Behavioral Health Organization (BHO) for these services.  When requesting an intake evaluation, describe the behavior or symptoms you hope to have assessed.  Please avoid using terms common to DDA, such as Positive Behavior Support Plan (PBSP), as the terms may not be familiar to the MCO or BHO.

DDA is requesting that you support the client to access services through their MCO or BHO.  The client should either be enrolled in service or receive an “Adverse Benefit Determination” letter following his or her appointment with a behavioral health provider.  Please forward a copy of the letter to the client’s DDA CRM so they can evaluate whether or not the client can be supported by waiver funded services.  To avoid disruption of services, please start this process at least two months prior to the client’s annual DDA assessment.

If you have any questions, please contact the client’s CRM.

Thank you!

Kelly Hampton

AFH/CH/AL/ARC Program Manager