Waiting List Prioritization

Waiting List Prioritization

Individuals who are on the ID/DD Waiver Wait List, or what will become the “Developmental Disabilities” Waiting List, are assigned a priority needs level of 1, 2 or 3 that is determined by the case manager in consultation with the individual/family.

         Priority One Status                   Priority Two Status                        Priority Three Status

 

When a Waiver slot is not available, the individual is placed on a waiting list.

Only individuals who are determined to be priority one will be considered for the DD Waiver.

CSBs place individuals on the waiting lists in prioritization categories – if you have not been contacted yet, you should call your CSB and ask for your status/update.

Always update your Support Coordinator (Case Manager) with information regarding the individual’s health, safety, change in services, transition from school-IDEA services (until age 27) or other funding sources, etc. (use priority definitions & critical needs summary to trigger updates you need to make)

If you are on the DD Waiver waiting list, and you have not received a call or letter from your local CSB catchment area, or DBHDS staff, call your local CSB and ask for a status update.  If the CSB is unable to provide you with your priority status contact your Regional Support Specialist at DBHDS.

Be sure you know what your priority level is.  If you disagree with your priority level discuss it with your case manager.  If it is not resolved, ask your case manager for appeal rights.

Waiting List Prioritization Appeal Rights

DBHDS is working to draft a standard letter detailing individual appeal rights; and a guidance document to Support Coordinator (Case Manager) of scenarios when the right to appeal is warranted.

You have the right to appeal which category of priority you are placed in the following scenarios:

1) The individual moves from current ID-urgent waiting list to a priority 2 or 3

2) The individual moves from current ID – non- urgent waiting list to a priority

3) All individuals on current DD waiting list to priority 2 or 3; (all get notice of move)

In the new system: 

4) The individual is initially placed on the waiting list and priority level is determined

5) The individual moves from priority 1 to a priority 2 or 3

6) The individual moves from a priority 2 to a priority 3;

7) The individual is removed from the list.

What Happens if I am Priority One?

  • All individuals meeting the Priority One criteria shall have a Critical Needs Summary: Step 1 Review form completed by their support coordinator.
  • Individuals/families should participate with the support coordinator in completing this form and keep a copy.
  • The Critical Needs Summary form for each individual on the waiting list shall be reviewed and updated annually and whenever “critical needs” of the individual change.
  • The Critical Needs Summary form will generate a priority needs score. When slots are available the priority needs score determines who is considered for a waiver slot.
  • Individuals whose scores determine that they will be in the pool for consideration by the Waiver Slot Allocation Committee have a written summary of their needs on the Slot Assignment Review form by the support coordinator which is distributed to the Waiver Slot Allocation Committee.

Individuals and families may collaborate with the support coordinator in the development of the Waiver Slot Review form. Request a copy of the final form before it is presented to the Waiver Slot Allocation Committee.