Management of IDD Service Funds D-02

PURPOSE:

The purpose of this policy is to outline the role Sedgwick County Developmental Disability Organization (SCDDO) has in managing resources and assisting individuals, determined eligible for the Intellectual and/or Developmental Disability (IDD) Program, in applying for funding through State and local resources.

POLICY:

SCDDO will manage resources consistent with the contract between the Secretary of Kansas Department for Aging and Disability Services (KDADS) and a Community Developmental Disability Organization (CDDO) and established Sedgwick County Government policies and procedures.

PROCEDURES:

1. Home and Community Based Services for individuals with IDD (HCBS-IDD) Program
   1. Eligibility and access to funding is determined by KDADS and SCDDO’s responsibilities are directed by the KDADS and CDDO annual contract.
   2. The Statewide Waiting List is managed by KDADS. Upon receiving a Notice of Action (NOA) that an individual has been approved for HCBS-IDD Program funding and services have been authorized, SCDDO will provide options counseling.
   3. Individuals may bypass the waiting list if they meet exception criteria as outlined by the KDADS and CDDO annual contract and the KDADS Crisis and Exception policy found on the KDADS website or available by contacting SCDDO. Individuals/ guardians requesting waiting list exception access should work with their Targeted Case Manager (TCM) to submit the required documentation to SCDDO Funding Committee for review. If an individual does not have a TCM, contact should be made with SCDDO for assistance.
   4. Individuals currently on the HCBS-IDD Program, in crisis, needing immediate access to additional service(s) or units of service, should contact their Managed Care Organization (MCO) Care Coordinator (CC).

2. State Aid (SA) Resources
   1. SA resources received through the KDADS and CDDO contract will be used for approved priority services as defined by the State Taxonomy and according to the State fiscal year.
   2. Individuals/guardians requesting SA resources should work with their TCM to submit the required documentation to SCDDO Funding Committee for review. If an individual does not have a TCM, contact should be made with SCDDO for assistance.
      1. To access and maintain SA Day and Residential Resources:
         1. Individuals must be 18 years of age or older.
         2. Not currently receiving or eligible at time of application for HCBS-IDD Program services.
         3. Be eligible for and maintain Title XIX The SCDDO Funding Committee will monitor Medicaid coverage and exceptions may be made to support Employment First initiatives.
         4. If offered HCBS-IDD Program funds, individuals will not have the option to continue to access SA funding. An exception may be requested through SCDDO Funding Committee if the individual is not expected to maintain HCBS tier level eligibility in the following year.
         5. If funds are not available upon request, individuals not eligible for the HCBS Program services waiting list will be added to the local waiting list and future allocations based on the application date.
         6. Individuals choosing to self-direct will work with their TCM to submit a needs assessment to SCDDO for review and approval by the Funding Committee.
         7. Individuals must choose a provider within 14 calendar days of accepting funding and enter into services within 60 calendar days of choosing a provider.
         8. Recipients will have their level of need reviewed annually to ensure the individual’s needs are adequately met.
      2. Family Support, Incidental Consumer Supports, and One Time Funds:
         1. 1. SCDDO will review program criteria and procedures annually.
            2. Allocations are not ongoing and must be applied for TCM providers and individuals/guardians, who do not have a TCM, will be notified when funding resources are available.
            3. Applications should be submitted in accordance with established guidelines. Guidelines are located at sedgwickcounty.org/cddo or upon request.
            4. Individuals applying for funds must exhaust all other community resources including Medicaid and/or private insurance prior to submitting the request to SCDDO.