Determination of Eligibility B-02

PURPOSE:

The purpose of this policy is to explain the procedures Sedgwick County Developmental Disability Organization (SCDDO) uses to determine eligibility for individuals seeking services consistent with the Developmental Disability Reform Act K.S.A Chapter 39 Article 18 and K.A.R. 30-64-23.

POLICY:

Eligibility determinations will be completed by SCDDO for individuals seeking access to Intellectual and/or Developmental Disability (IDD) Program services. Individuals determined eligible prior to the age of 7 or as defined below will be required to follow the re-determination procedures as described in this policy.

PROCEDURES:

1. All individuals seeking IDD Program services must complete the application process and provide documentation of a qualifying diagnosis from a healthcare professional.
2. Applicants age 7 and older may be required to obtain a psychological evaluation. It is the responsibility of the applicant and/or guardian to obtain this evaluation and return it to SCDDO.
3. Once the full application has been received the file will be forwarded to the appropriate staff for determination based on the criteria and/or deficits required by Kansas Department of Aging and Disability Services (KDADS). Eligibility will be determined within 10 business days.
4. For individuals determined eligible for IDD Program services, SCDDO will mail a notification of eligibility and informational packet within six calendar days of eligibility determination.
5. Appointments for functional assessment and/or options counseling, leading to appropriate referrals, will be completed within 30 calendar days of eligibility determination.
6. For individuals determined not eligible for IDD Program services, SCDDO will mail a notification letter within six calendar days of eligibility determination and include appeal rights as well as information related to other community resources.
7. Eligibility Re-determinations:
   1. All children (0-6 years of age) will have their eligibility verified following their 7^th birthday.
   2. If the individual is determined eligible during a crisis situation, hospitalization or other special circumstance SCDDO may establish a timeline for re-determination.
   3. Any community service provider (CSP) or professional working with the individual may request a re-determination of eligibility by contacting SCDDO if it is believed that he/she no longer meets the IDD eligibility criteria
   4. SCDDO will send written notice to the individual/guardian and their targeted case management provider (TCM), if applicable, when a re-determination is needed. A re-determination of eligibility must be completed following the above listed procedures.
   5. The TCM and/or SCDDO will assist the individual in obtaining and submitting documentation of an IDD diagnosis from a qualified healthcare professional within 60 calendar days of the initial notice of re-determination
   6. Individuals who are receiving IDD Program services and are not responding to the request for re-determination will be terminated as outlined in the SCDDO Termination Policy.
   7. If the individual is determined eligible, IDD Program services and/or waiting list placements will continue uninterrupted.
   8. If the individual is determined not eligible for IDD Program services, the individual may appeal based on the SCDDO Eligibility Appeal Policy (B-07).