The Developmental Disabilities Administration (DDA) has key functions it carries out for individuals and families, for the provider network that delivers services throughout the community, for the District government, the Federal government, and the Federal Court in the matter of Evans v. Gray.
OFFICE OF THE DEPUTY DIRECTOR FOR DDA
The Developmental Disability Services Administration provides daily leadership, budget oversight, policy development, and direction for the Service Coordination Unit, Intake and Eligibility Unit, Medicaid Waiver Unit and Provider Resource Management Unit and the Health and Wellness Unit. The office also reviews and analyzes management reports, provides program recommendations to the Director and DC Health Care Finance Administration, and implements DDA’s long-term strategic planning efforts.
SERVICE PLANNING & COORDINATION DIVISION
The Service Coordination Division assists all persons within the DDA service delivery system, in receiving those services identified in their respective person-centered Individual Service Plan (ISP). This division plans and facilitates the provision of quality services and supports, reviews the implementation and delivery of services and supports identified in the person-centered ISP, takes corrective action as necessary, assists with problem solving, advocates for the individual and his/her family, and coordinates services.
INTAKE AND ELIGIBILITY UNIT
The purpose of the Intake and Eligibility Unit is to receive and process initial applications to determine eligibility for individuals with intellectual and developmental disabilities. This work unit is responsible for establishing the protocols and standards by which screening and processing of all applications/requests for services and supports and to ensure that eligibility is determined consistent with Agency policies and procedures as well as all federal and District laws. The Unit also ensures applicants are referred to other District and generic social service agencies for potential benefits and other available supports regardless of eligibility for DDA services.
MEDICAID WAIVER UNIT
The Medicaid Waiver Unit is responsible for administering, planning, coordinating, developing and implementing a network of services defined by the Developmental Disability (DD) Waiver implemented under the Federal Medicaid Home and Community Based Waiver program. The Medicaid Waiver Unit reviews and approves initial eligibility for waiver enrollment; reviews and approves waiver services based on submission of appropriate documentation; processes annual renewal of plan of care and level of care; maintains waiver records; submit prior authorizations to providers, persons receiving services and DCHF; and processes service additions, changes, and cancellations from plans of care. The Unit conducts utilization reviews to ensure services authorized are delivered, and field audits to verify provider compliance with applicable HCBS waiver rules.
PROVIDER/RESOURCE MANAGEMEN UNIT (PMRU)
This Unit manages the service provider recruitment, enrollment and performance functions, and residential referral processes. This mission of the PRMU is to create, recruit, and develop an adequate provider network in the District and surrounding jurisdictions as appropriate and necessary to accommodate DDA consumers and to provide technical assistance to providers during the application and start up phases of operation. The Unit is responsible to ensure all services are aligned with the appropriate funding source, and coordinated with the management of existing service resources in the ICF/MR and waiver group home system.
HEALTH AND WELLNESS UNIT
The Health and Wellness Unit of DDA provides clinical support to individuals by serving as a resource to other DDA work units and by conducting oversight activities of provider agencies. The oversight includes monitoring of health management care plans, behavior support plans, meal protocols, and other treatment regimens required to optimize individual health status. The Health and Wellness Unit provides assessments, evaluations, screenings, and recommendations for health care delivery in ICF/MRs, supervised apartments, natural homes, foster providers, hospitals, and other nursing care facilities. Collaborative efforts between the Health and Wellness Unit, intergovernmental agencies (DHCF, DMH, and others) comprise the efforts to minimize barriers to the receipt of optimal and appropriate health care and habilitation needs for those served.
Quality Management Division (QMD)
The purpose of the Quality Management Division is to protect individuals from harm, safeguard the health and wellness of individuals, conduct provider certification reviews, implement the HCBS quality management plan and guide the DDA Quality Improvement efforts. QMD provides oversight and monitoring through investigations, delivers technical assistance to DDA and provider staff, manages the Mortality Review process and manages data collection and analysis.The office also ensures DDA’s compliance with all federal and District mandates and regulations to promote positive outcomes for people with intellectual and developmental disabilities. Quality Management accomplishes these functions through the following program areas.
OFFICE OF RIGHTS AND ADVOCACY
The Office of Rights and Advocacy provides a forum to advance and protect the rights of individuals with disabilities that are served by the DDA. The office also facilitates the Human Rights and Restrictive Controls Committees and provides training on rights issues.
QUALITY IMPROVEMENT UNIT
This Unit is charged with establishing and evaluating performance against standards for program operations that reflect sound practices and demonstrates program accountability. The Quality Unit also is responsible for establishing procedures by which DDA analyzes, reviews, tracks, and identifies trends in DDA data; engages in continuous quality improvement; provides technical assistance in assuring the health, safety, and protection from harm for all people; and, promotes best practices and positive outcomes for all people with intellectual and developmental disabilities through provider certification reviews, data analysis and the development of systemic change recommendations.
OFFICE OF INCIDENT MANAGEMENT AND ENFORCEMENT
Incident Management and Enforcement Unit (IMEU) identifies, reports, investigates and enforces recommended remedial actions for serious reportable incidents, including deaths, and reportable incidents. The purpose of incident management and enforcement is to identify factors that may have contributed to the incident, to recommend necessary preventive measures, and to use this information on an individual and aggregate basis to improve care and habilitation supports and services for all persons in the system.