Empowering Lives: Understanding the Services of the Maryland Developmental Disabilities Administration

The Maryland Developmental Disabilities Administration (DDA) plays a vital role in supporting individuals with intellectual and developmental disabilities (IDD) across the state. Its mission is to create a flexible, person-centered system that empowers individuals to live full lives in their communities, promoting inclusion, participation, and active citizenship.

This blog post will delve into the diverse services the DDA provides, highlighting how they aim to enhance the lives of Maryland residents with IDD.

What is the DDA?

The Maryland DDA is the state agency responsible for funding and overseeing community-based services and supports for children and adults with developmental disabilities. A developmental disability is defined as a severe, chronic disability that:

• Is attributable to a mental or physical impairment (or a combination), other than solely mental illness.
• Manifests before the age of 22.
• Is likely to continue indefinitely.
• Results in a substantial limitation in major life activities, requiring ongoing support.

The DDA operates through a network of regional offices and partners with local Coordination of Community Services (CCS) agencies to deliver individualized support.

The Maryland DDA is the state agency responsible for funding and overseeing community-based services and supports for children and adults with developmental disabilities. A developmental disability is defined as a severe, chronic disability that:

• Is attributable to a mental or physical impairment (or a combination), other than solely mental illness.  
• Manifests before the age of 22.
• Is likely to continue indefinitely.
• Results in a substantial limitation in major life activities, requiring ongoing support.

The DDA operates through a network of regional offices and partners with local Coordination of Community Services (CCS) agencies to deliver individualized support.

Key Service Areas Provided by the DDA:

The DDA offers a wide array of services designed to meet the unique needs and preferences of individuals with IDD. These services can be broadly categorized as follows:

1. Coordination of Community Services (CCS):

• This is a foundational service providing case management. CCSAs help individuals navigate the DDA system, understand available services, develop person-centered plans, and connect with appropriate supports and resources.
• They assist with the eligibility application process, conduct assessments, and ensure ongoing monitoring of services.

2. Medicaid Waiver Programs:

The majority of DDA-funded services are accessed through Home and Community-Based Services (HCBS) Medicaid Waivers. These waivers allow individuals to receive services in their own homes and communities rather than in institutions. Key services offered under these waivers include:

• Residential Services: A range of living options are available, including:
  • Community Living: Support in small group homes (provider-owned or operated).
  • Supported Living: Assistance for individuals living in their own apartments or homes (rented or owned).
  • Individualized Residential Alternatives (IRAs): Tailored residential supports based on individual needs.
  • Family Home Providers: Living with a family that provides support.
  • Community Living – Enhanced Supports: For individuals with more significant behavioral or medical needs in provider-operated homes.
• Meaningful Day Services: These services focus on providing opportunities for learning, skill development, community engagement, and employment. Options include:
  • Day Habilitation: Activities to increase independence, develop skills, and promote community integration.
  • Supported Employment: Assistance with finding and maintaining paid employment in integrated settings. This includes career exploration, job development, on-the-job support, and follow-along services.
  • Community Development Services: Activities and supports to help individuals participate in community activities and build social connections.
• Personal Supports: Direct assistance with daily living activities, such as:
  • Personal care (e.g., bathing, dressing, eating).
  • Homemaker services (e.g., cleaning, laundry).
  • Community integration and participation.
  • Support with social and behavioral needs.
• Respite Care: Temporary relief for unpaid caregivers, allowing them to take a break while ensuring the individual with IDD receives necessary care.
• Behavioral Support Services: Assessment, development of behavior support plans, and ongoing monitoring to address challenging behaviors and promote positive outcomes.
• Assistive Technology and Environmental Modifications: Providing devices, equipment, and home adaptations to increase independence and safety.
• Transportation: Assistance with getting to and from services and community activities.
• Nursing Support Services: Consultation, case management, and delegated nursing tasks as needed.
• Self-Directed Services: Individuals have greater control over their services and budgets, allowing them to choose and manage their own supports.
• Housing Support Services: Assistance with finding and maintaining housing, understanding tenant rights, and accessing housing-related financial assistance.

3. Low Intensity Support Services (LISS):

• For individuals who meet the DDA eligibility criteria but have less intensive support needs.
• Provides a flexible funding source for a variety of supports and services to promote independence and community participation.

To be eligible for DDA services in Maryland, individuals must meet specific criteria, including:

• Having a developmental disability that began before age 22 and is expected to continue indefinitely.
• Demonstrating a need for ongoing support to live independently.
• Meeting the functional criteria indicating a substantial limitation in major life activities.
• Applying through the DDA’s eligibility process, which involves an application, supporting documentation (including diagnostic and functional assessments), and an interview.
• Being eligible for a Medicaid Waiver (for most services).

The DDA prioritizes services based on urgency of need, with categories such as Crisis Resolution, Crisis Prevention, Current Request, and Future Needs. Transitioning youth (ages 21-22) also have a specific priority for services.

Accessing DDA Services:

The first step in accessing DDA services is to complete the eligibility application, which can be found on the Maryland Department of Health website or by contacting a regional DDA office. Once eligibility is determined, individuals work with a CCS agency to develop a person-centered plan that outlines their goals, preferences, and the services needed to achieve them.

The DDA’s Commitment to Person-Centeredness:

A core principle of the DDA is person-centeredness. This means that all services and supports are designed with the individual at the center of the planning process. Their preferences, choices, strengths, and goals are the driving force behind the development and delivery of services.

The Maryland Developmental Disabilities Administration provides a comprehensive network of services and supports aimed at empowering individuals with IDD to live fulfilling and inclusive lives in their communities. By understanding the range of available services and the eligibility process, individuals and their families can navigate the system effectively and access the supports needed to thrive. The DDA’s commitment to person-centered practices ensures that services are tailored to meet the unique needs and aspirations of each individual, fostering greater independence, well-being, and community engagement.