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Customers may be determined to be eligible for services by the Department of Economic Security, Division of Developmental Disabilities (DES/DDD). Eligible customers include those who have been diagnosed with an intellectual cognitive disorder, cerebral palsy, seizure disorder, autism, or down syndrome, and who have significant impairment of their functional abilities.
For children less than six years of age, a diagnosis of developmental delay or risk for developmental disability may serve as the qualifying diagnosis for DES/DDD. Arizona Revised Statutes require that DES/DDD be the provider of services to people with a developmental disability.
The PAS process is intended to determine whether a customer’s current functional abilities and medical stability, resulting from a developmental disability, indicate a need for services at the nursing facility (NF) or intermediate care facility (ICF) level of care.
NOTE Customers with developmental disabilities who qualify to receive services from DES/DDD but are not at risk of institutionalization at the NF or ICF level of care, do not qualify for ALTCS.
ALTCS assigns a DD status to each customer depending on eligibility for DES/DDD services. This status is indicated on the PAS Intake Notice. The DD status classifications are:
Potential DD. The customer appears to have a cognitive disability, cerebral palsy, seizure disorder autism, or down syndrome, but eligibility has not been determined by DES/DDD.
DD. DES/DDD has identified the customer has a qualifying developmental disability.
DD in NF. DES/DDD has identified the customer has a qualifying developmental disability and is living in a nursing facility.
Not DD. The customer is not diagnosed as having a qualifying developmental disability or has a DD diagnosis but does not qualify for DES/DDD services.
See Identifying the Appropriate PAS Tool for information on the appropriate PAS instrument to be applied and actions taken depending on an customer’s DD status.
When a customer’s DD status changes, see DD Status Changes.
When a customer is identified as potential DD, see Potential DD.
Children ages six and over who are customers of DES/DDD must have one of the five DD qualifying diagnoses identified above to be considered DD for their ALTCS application or reassessment.
If a child is over age five and has developmental delay only, see PAS for Children Over Age 5 with Developmental Delay Only.
N/A
The following are proof of immediate risk of institutionalization:
PAS score equal to or higher than the applicable PAS threshold score; or
A finding by a physician consultant reviewer that the customer meets this requirement.
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ALTCS |
ARS 36-551 AAC R9-28-303 |