HMCDDO Application Packet

Community Developmental Disability Organizations (CDDOs) are given statutory authority to make eligibility determinations for services. That authority, known as Single Point of Entry, is found in the Developmental Disabilities Reform Act 

(K.S.A. 39-1805).

To begin the process, a phone call to our office (316) 283-7997; or an email to keving@harveymarioncddo.com will initiate the intake process. During this time, we will gather all initial contact information and then proceed to the application piece. 

• You can complete the application process in person, or you can also request a copy of the application be mailed/emailed to you. There will need to be a phone conference to go over all of the application materials and service options to ensure that all required components have been met.
• If you have obtained the HMCDDO application packet from our website, then you are free to complete the application and return it to the HMCDDO either in person, by mail or by email. If you mailed or emailed the packet back to the office, we will also require a brief in-person or phone conference with the applicant to further review the packet to ensure that all of the required components of the packet have been completed. 
• The I/DD application, as well as the notification of service options, will be considered complete when all pieces of information (listed below) in the application packet have been submitted.
• The individual for which services are being applied for does not need to be present for the intake. Information can be provided by a representative, guardian or parent on behalf of the individual. 
• If the individual is their own guardian, they will need to be present to sign any paperwork regarding the application packet. 

Required information to determine eligibility for I/DD services:

· I/DD Application

· Medical Examination/ Physical

· Psychological Evaluation (age 7 & up)

· Copy of Social Security Card

· Copy of Government issued ID (if Applicable)

· Copy of Medical Insurance Card

· Guardianship Paperwork (if Applicable)

· Signed authorizations to gather background & diagnostic information

* Your application will be considered complete and ready to begin the determination process once all of the above items have been received. 

The Eligibility Determination Process:

1. A HMCDDO Access Specialist will then review the information gathered from the Application Packet. 
2. All authorization forms will be sent to the applicable entities to gather all relevant diagnostic records & data.
3. After receiving all of the required data, a review of the information will be completed to make a final determination.
4. You will then be notified via written letter of your “approval” or “denial” of the Eligibility Determination Phase by the HMCDDO.
5. If you are determined eligible, and the individual is over the age of 5, a secondary appointment will then be scheduled for a functional assessment (further defined below) screening to enter into the State of Kansas system. The individual applying for services must be present for this screening. 

• After you have been determined “eligible” or that you meet the criteria as set forth in the Developmental Disabilities Reform Act (DDRA) in the Eligibility Phase, you will be contacted by the HMCDDO Functional Assessment Coordinator to participate in the Functional Assessment process.
• The assessment is used to determine your functional eligibility for the Home and Community-Based Services (HCBS) – Intellectual/Developmentally Disabled (IDD) Waiver Program. The outcome (resulting in a tier score from 0-5) is intended to accurately reflect your current level of necessary supports.
• The assessment will take place at a location of your choice, with who you choose to participate (we recommend those who know you best), and in person.
• During the meeting, the Assessment Coordinator will ask you a series of questions related to demographic information, ability to perform a variety of daily living skills, medical conditions, any challenging behaviors, and so on.
• The assessment will then be entered into the State’s electronic system to be scored, and the resulting tier score will be mailed to you via a “Notice of Action.”