DDD - ALTCS

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DDD stands for the Department of Developmental Disabilities. DDD supports people who develop severe and/or chronic disabilities that may limit a person's ability to do the tasks related to daily living. If a child is enrolled in DDD a support coordinator will be assigned to help determine a service plan to meet the needs of the child.

For more information about eligibility, common developmental disability terms, and FAQs, please click here.

Click here to view a booklet designed to give you a brief overview of the functions of the Division of Developmental Disabilities (Division) including:

  • How to apply for supports and services
  • Eligibility requirements
  • Funding
  • Planning for supports and services
  • Description of possible supports and services
  • Listing of local offices for you to contact for further information.

DES’s Division of Developmental Disabilities (DDD) developed “Navigating the System: A Guide for Individuals and Families” to provide a more in depth look at how DDD service systems and processes work and where to get more information. They also developed a “Consumer and Family Tool Box” that gives tips and ideas on how to form a good working relationship between people with developmental disabilities, families, and independent providers.

Certain disabilities qualify children for Arizona Long Term Care System (ALTCS). ALTCS is the State of Arizona's Medicaid program that funds long term care services, for financially and medically eligible Arizona residents.

Once eligibility has been determined for ALTCS services, the child will be enrolled with a Health Plan (Mercy Care, Care 1st or United Healthcare). The health plan will provide the services the child is qualified for. More information can be found in the ALTCS handbook here

DCS should provide you the Notice to Provider for each child placed in your home at the time of placement. The Notice to Provider includes the DCS case manager's contact information, specifications about contact with the child's family, and the child's health coverage number (CMDP number or ALTCS verification information).

This document authorizes foster parents to enroll the child in school and obtain medical care for the child.

For all medical emergencies, dial 911 immediately. For a behavioral health crisis involving the child in your home, contact the Regional Behavioral Health Authority (RBHA) crisis line for your county:

Click here for information about accessing crisis services for your child.

Once a crisis situation has been stabilized, the child's DDD support coordinator and DCS case manager should be notified if they are not already aware of the situation.

If you are a licensed foster parent, in addition to informing the DDD support coordinator and DCS case manager, your licensing specialist should be notified and a DDD incident report must be completed.

If your child qualifies for DDD services, then ask if your child qualifies for respite, which can be up to 600 hours (25 days) per fiscal year.
If you are not licensed, talk to your DDD coordinator about using DDD respite.

If you are a licensed foster parent, contact your licensing worker as DDD respite would need to be approved through your licensing agency.

You can find a covered pharmacy for your plan at the links below:
MercyCare
Care 1st
United Healthcare
Medimpact

Although it is not a requirement to keep a log of medications it is recommended that dosages and medications are logged. Keeping documentation of medications to show the child's doctor could be helpful in determining a medication's effectiveness, determining the correct dosage and preventing medication errors. Keeping medication logs also demonstrates compliance with doctor's orders.

This document will help you organize and store all of the records, information, and documents for a child in foster care.

It is a good idea to store the child's records in a notebook/binder that you can bring to Child and Family Team (CFT) meetings and other appointments. This document will help you organize and store all of the records, information, and documents for a child in foster care. If the child moves to a new foster home, send this notebook/binder to the new care providers.

Also, remember that the child's case record is confidential. Be sure to keep the child's records stored in a secure location in your home that only the foster parents (you) can access.

The insurance card should come through the health plan your child is enrolled in. Your DDD service coordinator, DCS case manager, or licensing worker can assist as well.

If you do not receive a card you can contact the health plan's member services:

MercyCare: (602) 263-3000 or 1-800-624-3879 (TTY/TDD 711).
United Healthcare: Call the number on the back of your member ID card
Care1st: 602-788-1800 or 1-866-560-4042, TTY: 711

Foster parents do not need to pay for these services; ALTCS provides the funding for these services. If you get a bill for a service that is covered, contact the agency that sent you the bill. You are not responsible to pay out of pocket costs, including AHCCCS co-payments. If you continue getting billed, contact the health plan's (Mercy Care, Care 1st, or United Healthcare) member services:

MercyCare: (602) 263-3000 or 1-800-624-3879 (TTY/TDD 711).
United Healthcare: Call the number on the back of your member ID card
Care1st: 602-788-1800 or 1-866-560-4042, TTY: 711

You can find covered providers under your plan at the links below:

You can find a covered pharmacy for your plan at the links below:
MercyCare
Care 1st
United Healthcare

Based on the child's needs, they may qualify for one or more of the following services:

  • Attendant Care
  • Augmentative Communication
  • Behavioral Health
  • Day Treatment
  • Extended Employment Services
  • Habilitation
  • Home Health Aide
  • Home Health Nurse
  • Homemaker
  • Home Modification
  • Hospice
  • Non-Emergency Transportation
  • Respite – up to 600 hours based on assessed needs.
  • Support Coordination
  • Therapies: Occupational, Physical, and Speech.

**If you are a licensed foster parent please speak to your service coordinator and licensing worker as some of the above listed services are to be provided by the foster parent after having completed additional training.

More information can be found in the ALTCS handbook here

A service authorization is an approval from ALTCS or your acute health plan to get the services you have requested. Services must be medically necessary and cost effective. They must also be based on assessments. Some services may have service limits. A Service Plan will be developed that lists the services that will be provided. Your Primary Care Provider (PCP) will approve your acute medical services. Your Support Coordinator may approve some services. Some services need additional review to approve. You can find services that need additonal review here by clicking on the “Help for Individuals & Families” link first.

For more information you can refer to the ALTCS Member Handbook here

Kinship caregivers/Foster caregivers should provide transportation to medical and behavioral health appointments. If you are unable to provide transportation, contact your DDD Support Coordinator for transportation assistance. CMDP member services may be contacted for additional help. 602.351.2245 option 3

If there are concerns regarding the services the child is receiving you can contact the specific health plan for the child or the Division of Developmental Disabilities Customer Service Center 1-844-770-9500 (toll free) or DDDCustomerServiceCenter@azdes.gov

The Arizona Department of Health recommends following the schedules published by the U.S. Centers for Disease Control and Prevention.

The Arizona Department of Health Services (DHS) maintains an electronic registry of immunizations, and Arizona providers are mandated by law to report all immunizations of children ages birth through 18 in Arizona.

To get a copy of a child's immunization records, fill out the immunization records request form, and fax (602-364-3285) or email (ASIISrequest@azdhs.gov) the form along with a copy of the Notice to Provider, a copy of your driver's license, and instructions for where the records should be faxed, emailed, or mailed back to you.

You can also pick up a copy of a child's immunization records in person at the Arizona Department of Health Services, Immunization Program Office at 150 N. 18th Avenue, Suite 120 Phoenix, AZ 85007 by bringing the notice to provider and a valid ID.

Your DCS case manager or DDD support coordinator can also assist in obtaining the child's immunization records.

A dental examination for each child age 1 year or older as soon as possible but no later than within 30 days of placement.

A child 1 year old and older must see a dentist every six months or as needed.

Click here to view a chart about required medical and dental appointments for children in care.

Within 30 days of placement, foster parents should:

  • Obtain a well-child (EPSDT-Early Periodic Screening, Diagnostic and Treatment) medical examination
  • Identify who will be the child's primary care physician, and notify CMDP with their selection

Each child must have a wellness exam every 12 months. A child under two years of age will have more frequent wellness exams.

For more details on required exams and timelines click here

Your DCS case manager or DDD support coordinator manager will ask you about medical and dental appointments so it is a good idea to keep records of these.

Click here to view a chart about required medical and dental appointments for children in care.

If you have a placed child under 3 years of age and have concerns about how your child:

  • Plays and interacts with others
  • Learns
  • Communicates
  • Moves
  • Sees
  • Hears

You can request early intervention services through The Arizona Early Intervention Program (AzEIP). AzEIP is Arizona's statewide system of supports and services for infants and toddlers (birth to 36 months) with developmental delays or disabilities and their families.

Ensure that the child's caseworker provides you with the Health and Medical Report. Ask the caseworker to provide all medical information that is in the child's file. With the Notice to Provider that you receive upon placement, you can also request records from past medical, dental, vision, and behavioral health providers.

It is a good idea to store the child's records in a notebook/binder that you can bring to Child and Family Team (CFT) meetings and other appointments. This document will help you organize and store all of the records, information, and documents for a child in foster care. If the child moves to a new foster home, send this notebook/binder to the new care providers.

Also, remember that the child's case record is confidential. Be sure to keep the child's records stored in a secure location in your home that only the foster parents (you) can access.

Licensed foster parents are to notify DCS and their licensing agency within 24 hours if their child has an illness, injury, change of medication, or medication error that results in seeking medical attention.

Licensed foster parents are to notify DCS and their licensing agency immediately if their child dies, has a serious illness or injury requiring hospitalization, or receives urgent care or emergency room treatment and whenever emergency services (911) is contacted. Within 24 hours of any of the above noted incidents, licensed foster parents shall complete an Unusual Incident Report form and submit it to their licensing agency.

Unlicensed kinship foster parents are to notify DCS within 2 hours of the following: death of a child or hospitalization (medical or psychiatric).

Unlicensed kinship foster parents are to notify DCS within 48 hours if the child becomes seriously ill.

Ensure that the child's caseworker provides you with the Health and Medical Report. Ask the caseworker to provide all medical information that is in the child's file. With the Notice to Provider that you receive upon placement, you can also request records from past medical, dental, vision, and behavioral health providers.

The Arizona Department of Health Services (DHS) maintains an electronic registry of immunizations, and Arizona providers are mandated by law to report all immunizations of children ages birth through 18 in Arizona.

To get a copy of a child's immunization records, fill out the immunization records request form, and fax (602-364-3285) or email (ASIISrequest@azdhs.gov) the form along with a copy of the Notice to Provider, a copy of your driver's license, and instructions for where the records should be faxed, emailed, or mailed back to you.

You can also pick up a copy of a child's immunization records in person at the Arizona Department of Health Services, Immunization Program Office at 150 N. 18th Avenue, Suite 120 Phoenix, AZ 85007 by bringing the notice to provider and a valid ID.

Your DCS case manager or DDD support coordinator can also assist in obtaining the child's immunization records

  • Provide care to the child in a manner that supports independence, self-esteem, respect, value, and dignity.
  • Actively participate in the child's Planning Team.
  • Attend medical appointments, therapeutic appointments and advanced training to appropriately meet the child's medical/therapeutic needs.
  • Report incidents to the DDD Support Coordinator, DCS case manager, and your licensing worker if you are licensed, as well as complete an unusual incident report form.