Harvey-Marion County CDDO
Harvey-Marion County CDDO
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HMCDDO Eligibity application & Process

Eligibility Application

Eligibility Application - Webform
Eligibility Application - Paper Form

HMCDDO Eligibility Process

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 for IDD System Eligibility. 

  • You can complete the application process via webform link above, in person, or you can also request a copy of the application be mailed/emailed to you. 
  • If you have obtained the HMCDDO application packet from our website,  or you are using the HMCDDO webform application you are free to complete the application and return it to the HMCDDO either in person, by mail, email or webform. Please just make sure that your entire packet has been completed in full, and let our office know if you have any questions along the way.
  • 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 the one 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. 

HMCDDO System Access Protocol

system eligibility

Intellectual Disability Definition

The Kansas Developmental Disabilities Reform Act (DDRA) eligibility criteria for having an intellectual disability is defined as:


***  Intellectual Disability  ***
Substantial limitations in present functioning that is manifested during the period from birth to age 18 years and is characterized by significantly sub-average intellectual functioning existing concurrently with deficits in adaptive behavior including related limitations in two or more of the following applicable adaptive skill areas:


Communication, Self-care, Home living, Social skills, Community use, Self-direction, Health and safety, Functional academics, Leisure and work

 

This diagnosis must be made by a healthcare professional that is licensed to make DSM-V diagnosis.  Some examples of healthcare professionals in Kansas who can make this diagnosis are Licensed Psychologists (LP); Licensed Specialist Clinical Social Worker (LSCSW); Licensed Clinical Professional Counselor (LCPC); Licensed Clinical Psychotherapist (LCP); and Licensed Clinical Marriage and Family Therapist (LCMFT).

Developmental Disability Definition

The Kansas Developmental Disabilities Reform Act (DDRA) eligibility criteria for having a developmental disability is defined as:  


***  Developmental Disability  ***

A Severe/Chronic Developmental Disability, which:

  • Is attributable to a mental or physical impairment, or multiple sensory impairments, a combination of mental and physical impairments, physical and sensory impairments, mental and sensory impairments or a condition which has received a dual diagnosis of intellectual disability and mental illness;
  • Is manifest before 22 years of age;
  • Is likely to continue indefinitely;
  • Results, in the case of a person five years of age or older, in a substantial limitation in three or more of the following areas of major life functioning:


Self-care, Receptive and expressive language development and use, Learning and adapting, Mobility, Self-direction, Capacity for independent living, Economic self-sufficiency;

  • Reflects a need for a combination and sequence of special interdisciplinary or generic care, treatment, specialized communications techniques or other services which are lifelong, or extended in duration and are individually planned and coordinated; and
  • Does not include individuals who are solely and severely emotionally disturbed or seriously or persistently mentally ill or have disabilities solely as a result of the infirmities of aging.


***  Children with a Developmental Disability  ***

  • A child with a developmental disability applies to children under the age of six and includes the following criteria:
    • Is attributable to a mental or physical impairment or a combination of mental and physical impairments; and
    • Is likely to continue indefinitely; and
    • Results in at least three (3) developmental delays as measured by qualified professionals using appropriate diagnostic instruments or procedures and
    • Reflects a need for a combination and sequence of special, interdisciplinary or generic care, treatment, or other services which are lifelong or extended in duration and are individually planned and coordinated; and
    • Does not include individuals who are solely severely emotionally disturbed or seriously and persistently mentally ill.

Kansas eligibility Policy

Functional Assessment

  • 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.”

HMCDDO Service Access Protocol

Program (hcbs) eligibility

HCBS Access Guide

hcbs Access guide

Eligibility Packet

HMCDDO Application (pdf)Download
HMCDDO Application Information (pdf)Download

Blank Authorizations to Release Information

Harvey County SPED Authorization Form (pdf)Download
Marion County SPED Authorization Form (pdf)Download
Health Ministries Clinic Authorization Form (pdf)Download
Cottonwood Pediatrics Authorization Form (pdf)Download
Axtell Clinic Authorization Form (pdf)Download
Children's Mercy Authorization Form (pdf)Download
Prairie View Authorization Form (pdf)Download
Neurology Center of Wichita Authorization Form (pdf)Download
Your Journey Counseling Services Authorization Form (pdf)Download
Sedgwick County SPED Authorization Form (pdf)Download
Wesley Pediatric Specialists - Dr. Valerie Kerschen (pdf)Download

BLANK FORMS

HMCDDO Blank Authorization (pdf)Download
HMCDDO Physical Examination Form (pdf)Download
HMCDDO Psychological Testing Information & Resources (pdf)Download
Kansas IDD System Eligibility Policy (pdf)Download
HMCDDO Notice of Privacy Practices for Webforms (pdf)Download
HMCDDO Transition Checklist for Parents (ages 5-21) (pdf)Download
HMCDDO Service Provider Directory (pdf)Download
CSP-Adverse-Incident-Definitions-and-Protocol (pdf)Download
  • HMCDDO Staff Login

Harvey-Marion County CDDO

Harvey-Marion County CDDO 500 N. Main Street Suite 204 Newton, KS 67114

(316) 283-7997

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