Compare State Systems | Beyond Childhood

Important: These ratings describe the usability and transparency of official adult-service pathways and evidence. They do not measure service quality, capacity, funding adequacy, eligibility, provider fit, or individual outcomes.

What a zero means: Beyond Childhood completed the documented official-source search but did not find a qualifying public route or evidence set. It does not mean the underlying resource, provider, rate, or service does not exist. Send us a missing official resource.

Rating dimension

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Public source usability

How usable the official public source set is for a family trying to find the adult developmental-disability front door and the next step.

What qualifies

An official, publicly accessible source set identifies the adult developmental-disability front door without requiring an account or professional intermediary.

Missing evidence: Score 0 only after the complete official-source search succeeds but finds no qualifying public route or evidence. Use Could Not Evaluate only when a technical, access, contradiction, or currentness failure prevents a valid review.

Freshness: Recheck direct entry and locator sources monthly; recheck supporting process sources quarterly.

How 0–4 works

0: The complete search found no qualifying public route or evidence, or qualifying evidence satisfied none of the observable indicators.
1: One indicator is present.
2: Two indicators are present.
3: Three indicators are present.
4: All four indicators are present.

Observable indicators

A direct start action is stated.
A phone, locator, or local-routing method is provided.
At least two distinct access stages are explained in family-facing language.
The source set connects the family to eligibility, services, provider discovery, and review/status help.

What it means: A higher score means the official web path is easier to use. It does not mean services are easier to obtain.

Public source usability — 51 scored; 0 Could Not Evaluate
State	Rating	Dimension rank	Confidence	Checked	Why
Alabama	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Call Center, support-coordination, eligibility-document, regional-review, and priority-list route; current official waiting-list, opening, reconfirmation, enrollment, assessed-need, and service-authorization overview; current official five-region county map with office, incident, on-call, certification, and quality contacts; current official county-and-category provider listing Exact location: Start the Alabama waiver application; Understand Alabama DD waiver access; Find the Alabama DD Regional Office for your county; Search Alabama's certified provider directory; Use Alabama DD waiver appeals; Review the current Alabama DD operating manual; Action Kit start-alabama-dd-waiver-application Start the Alabama waiver application — Alabama Department of Mental Health; checked 2026-08-02. Understand Alabama DD waiver access — Alabama Department of Mental Health; checked 2026-08-02. Find the Alabama DD Regional Office for your county — Alabama Department of Mental Health; checked 2026-08-02. Search Alabama's certified provider directory — Alabama Department of Mental Health; checked 2026-08-02. Use Alabama DD waiver appeals — Alabama Department of Mental Health; checked 2026-08-02. Review the current Alabama DD operating manual — Alabama Department of Mental Health; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Alaska	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DD criteria, application, Registry, waiver-draw, Notice-to-Proceed, and care-coordinator route; current official regional DDRC application, Medicaid-document, option, and referral help; current official DD determination, Registry, IDD, ISW, application-review, service-request, and program-management owner; current official DD, DDRR, waiver, provider, fair-hearing, and support-document form hub Exact location: Apply for an Alaska developmental-disability determination; Find an Alaska Developmental Disabilities Resource Connection; Use Alaska's IDD Unit; Open Alaska's approved SDS forms; Review Alaska waiver-provider certification and complaints; Review Alaska HCBS waiver options and eligibility; Use Alaska's current Uni-08 fair-hearing route; Action Kit start-alaska-dd-determination Apply for an Alaska developmental-disability determination — Alaska Department of Health; checked 2026-08-02. Find an Alaska Developmental Disabilities Resource Connection — Alaska Department of Health; checked 2026-08-02. Use Alaska's IDD Unit — Alaska Department of Health; checked 2026-08-02. Open Alaska's approved SDS forms — Alaska Department of Health; checked 2026-08-02. Review Alaska waiver-provider certification and complaints — Alaska Department of Health; checked 2026-08-02. Review Alaska HCBS waiver options and eligibility — Alaska Department of Health; checked 2026-08-02. Use Alaska's current Uni-08 fair-hearing route — Alaska Department of Health; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Arizona	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDD application, adult eligibility, office, contact, and administrative-review entry; current official application instructions, records checklist, and submission routes; current official HCBS Qualified Provider directory; provider-supplied availability fields require direct verification; current official planning participation, provider choice, Support Coordinator choice, service correction, and grievance rights Exact location: Start the Arizona DDD eligibility process; Use the DDD eligibility application checklist; Search Arizona DDD qualified providers; Review individual and family rights in Arizona DDD; Review DDD health plans and HCBS authorization; Appeal a DDD Notice of Adverse Benefit Determination; Action Kit start-arizona-ddd-application Start the Arizona DDD eligibility process — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Use the DDD eligibility application checklist — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Search Arizona DDD qualified providers — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Review individual and family rights in Arizona DDD — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Review DDD health plans and HCBS authorization — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Appeal a DDD Notice of Adverse Benefit Determination — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Arkansas	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDS Intake and Referral route, including telephone and online request; current official CES clinical-review, functional-criteria, waitlist, slot-offer, service, and provider-list route; current official Medicaid application and DDS Intake and Referral route; current official PASSE care-coordination, person-centered service-plan, integrated-service, and eligibility overview Exact location: Start with Arkansas DDS Intake and Referral; Review the Arkansas CES Waiver; Apply for Arkansas services; Understand Arkansas PASSE care coordination; Open the Arkansas CES provider list; Review the Arkansas Independent Assessment manual; Use Arkansas PASSE beneficiary support; File an Arkansas DHS appeal; Action Kit start-arkansas-dds-intake Start with Arkansas DDS Intake and Referral — Arkansas DHS; checked 2026-08-02. Review the Arkansas CES Waiver — Arkansas DHS; checked 2026-08-02. Apply for Arkansas services — Arkansas DHS; checked 2026-08-02. Understand Arkansas PASSE care coordination — Arkansas DHS; checked 2026-08-02. Open the Arkansas CES provider list — Arkansas DHS; checked 2026-08-02. Review the Arkansas Independent Assessment manual — Arkansas DHS; checked 2026-08-02. Use Arkansas PASSE beneficiary support — Arkansas DHS; checked 2026-08-02. File an Arkansas DHS appeal — Arkansas DHS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
California	4/4	#1	High	2026-08-02	All four usability indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: DDS supplies a regional-center locator and connected explanations of eligibility, entitlement, planning, services, and provider-directory limitations. Exact location: DDS Regional Center Listings, Lanterman Act, IPP, Services, and Provider Directory status pages Regional Center Eligibility and Services — California DDS; checked 2026-08-02. Find a Regional Center — California DDS; checked 2026-08-02. Individual Program Planning — California DDS; checked 2026-08-02. Regional Center Service System Guide — California DDS; checked 2026-08-02. Self-Determination Program FAQ — California DDS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Colorado	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Find the Case Management Agency and Community Center Board for your county; Colorado intellectual and developmental disability services and supports; Find Colorado HCBS and IDD providers; Health First Colorado appeals; Action Kit start-colorado-cma-intake Find the Case Management Agency and Community Center Board for your county — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Colorado intellectual and developmental disability services and supports — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Find Colorado HCBS and IDD providers — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Health First Colorado appeals — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Connecticut	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDS eligibility and applications; Apply for DDS services; DDS intellectual-disability eligibility requirements; DDS qualified-provider information; DSS Autism Waiver provider enrollment and contacts; DDS Options for Appeal; DDS ombudsperson and complaint route; Action Kit start-connecticut-dds-application DDS eligibility and applications — Connecticut Department of Developmental Services; checked 2026-08-02. Apply for DDS services — Connecticut Department of Developmental Services; checked 2026-08-02. DDS intellectual-disability eligibility requirements — Connecticut Department of Developmental Services; checked 2026-08-02. DDS qualified-provider information — Connecticut Department of Developmental Services; checked 2026-08-02. DSS Autism Waiver provider enrollment and contacts — Connecticut Department of Social Services; checked 2026-08-02. DDS Options for Appeal — Connecticut Department of Developmental Services; checked 2026-08-02. DDS ombudsperson and complaint route — Connecticut Department of Developmental Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Delaware	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current online, paper, Spanish, help, timeline, and appeal route; current eligibility and service overview; current service and county provider listings; current official forms and standards register Exact location: Apply for DDDS services; About DDDS eligibility and adult services; DDDS Authorized Provider Network; DDDS forms, policies, and provider standards; Action Kit start-delaware-ddds-application Apply for DDDS services — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. About DDDS eligibility and adult services — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. DDDS Authorized Provider Network — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. DDDS forms, policies, and provider standards — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Florida	4/4	#1	High	2026-08-02	All four usability indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The official set supplies application modes, regional routing, iBudget and support-coordination guidance, and a provider search. Exact location: APD Apply, iBudget, Provider Search, and Planning Resources pages Get Started with APD Services — Florida Agency for Persons with Disabilities; checked 2026-08-02. APD Online Application — Florida Agency for Persons with Disabilities; checked 2026-08-02. APD Documentation of a Developmental Disability — Florida Agency for Persons with Disabilities; checked 2026-08-02. APD Pre-enrollment — Florida Agency for Persons with Disabilities; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Georgia	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Apply for DD Services; Find a Regional Field Office; Find DBHDD Services and Provider Search; FY 2027 Community Provider Manuals; Contact DBHDD Constituent Services; Action Kit start-georgia-dd-application Apply for DD Services — Georgia DBHDD; checked 2026-08-02. Find a Regional Field Office — Georgia DBHDD; checked 2026-08-02. Find DBHDD Services and Provider Search — Georgia DBHDD; checked 2026-08-02. FY 2027 Community Provider Manuals — Georgia DBHDD; checked 2026-08-02. Contact DBHDD Constituent Services — Georgia DBHDD; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Idaho	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official adult-DD application, criteria, regional submission, independent-assessment, notice, and service-choice route; current official Idaho Medicaid online, telephone, written-notice, renewal, and appeal route; current official Traditional plan-developer, Individual Support Plan, provider-list, and conflict-boundary route; current official adult-DD provider and plan-developer list route Exact location: Apply for Idaho adult developmental-disability programs; Apply for Idaho Medicaid; Use Idaho Traditional support services; Find Idaho adult-DD plan developers and providers; Review Idaho developmental-disability agency information; Use Idaho Medicaid appeals and fair hearings; Action Kit apply-idaho-medicaid Apply for Idaho adult developmental-disability programs — Idaho Department of Health and Welfare; checked 2026-08-02. Apply for Idaho Medicaid — Idaho Department of Health and Welfare; checked 2026-08-02. Use Idaho Traditional support services — Idaho Department of Health and Welfare; checked 2026-08-02. Find Idaho adult-DD plan developers and providers — Idaho Department of Health and Welfare; checked 2026-08-02. Review Idaho developmental-disability agency information — Idaho Department of Health and Welfare; checked 2026-08-02. Use Idaho Medicaid appeals and fair hearings — Idaho Department of Health and Welfare; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Iowa	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current online, telephone, mail, fax, email, local-office, preparation, and enrollment route; current seven-waiver eligibility, service, application, and waiting-list overview; current application flow, waiting-list, comparison, forms, contacts, and program resources; current SSA and Iowa HHS disability-determination routes and limits Exact location: Apply for Iowa Medicaid; Compare Iowa HCBS waiver programs; Use Iowa HCBS program and waiver resources; Understand Iowa disability determination; Start and troubleshoot Iowa HCBS; Find an Iowa Medicaid provider; Prepare for the current Iowa HCBS assessment; Appeal an Iowa HHS or managed-care action; Action Kit complete-iowa-program-eligibility Apply for Iowa Medicaid — Iowa Health and Human Services; checked 2026-08-02. Compare Iowa HCBS waiver programs — Iowa Medicaid; checked 2026-08-02. Use Iowa HCBS program and waiver resources — Iowa Medicaid; checked 2026-08-02. Understand Iowa disability determination — Iowa Health and Human Services; checked 2026-08-02. Start and troubleshoot Iowa HCBS — Iowa Medicaid; checked 2026-08-02. Find an Iowa Medicaid provider — Iowa Medicaid; checked 2026-08-02. Prepare for the current Iowa HCBS assessment — Iowa Medicaid; checked 2026-08-02. Appeal an Iowa HHS or managed-care action — Iowa Health and Human Services Appeals; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Kansas	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official I/DD eligibility, CDDO entry, waiting-list, offer, MCO, provider-choice, and self-direction authority; current official HCBS Access Guide with county-linked entry points and human-help routes; current official CDDO program-eligibility policy that is separate from functional and financial eligibility; current official I/DD individual-choice, provisional-plan, CDDO access, and provider-affiliation form hub Exact location: Start the Kansas I/DD waiver pathway; Find the Kansas HCBS entry point for your county; Review Kansas I/DD program-eligibility policy; Use current KDADS I/DD and CDDO forms; Use the KanCare appeals and fair-hearing hub; Contact the independent KanCare Ombudsman; Action Kit find-kansas-cddo-start-eligibility Start the Kansas I/DD waiver pathway — Kansas Department for Aging and Disability Services; checked 2026-08-02. Find the Kansas HCBS entry point for your county — Kansas Department for Aging and Disability Services; checked 2026-08-02. Review Kansas I/DD program-eligibility policy — Kansas Department for Aging and Disability Services; checked 2026-08-02. Use current KDADS I/DD and CDDO forms — Kansas Department for Aging and Disability Services; checked 2026-08-02. Use the KanCare appeals and fair-hearing hub — KanCare; checked 2026-08-02. Contact the independent KanCare Ombudsman — Kansas Office of Public Advocates; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Kentucky	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: How to Apply for Waiver Services; Kentucky HCBS Waiver Programs; Michelle P. Waiver; Supports for Community Living Waiver; Kentucky Medicaid Provider Directory; SCL and MPW Regulations; Your Rights as a Waiver Participant; Action Kit start-kentucky-waiver-applications How to Apply for Waiver Services — Kentucky Department for Medicaid Services; checked 2026-08-02. Kentucky HCBS Waiver Programs — Kentucky Department for Medicaid Services; checked 2026-08-02. Michelle P. Waiver — Kentucky Department for Medicaid Services; checked 2026-08-02. Supports for Community Living Waiver — Kentucky Department for Medicaid Services; checked 2026-08-02. Kentucky Medicaid Provider Directory — Kentucky Department for Medicaid Services; checked 2026-08-02. SCL and MPW Regulations — Kentucky DBHDID; checked 2026-08-02. Your Rights as a Waiver Participant — Kentucky Department for Medicaid Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Louisiana	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official OIDD single-point-of-entry, four-waiver, tiered-waiver, urgency, and service route; current official Human Services District and Authority contact route; current official person-centered-plan, plan-approval, resource-coordination, monitoring, and self-direction assistance route; current official regional and service-type provider listing; listing is not availability or quality evidence Exact location: Start with Louisiana OIDD services and programs; Find the Louisiana Local Governing Entity; Understand Louisiana OIDD Support Coordination; Search Louisiana Freedom of Choice providers; Review Louisiana Medicaid Self-Direction; Apply for or manage Louisiana Medicaid; Review Louisiana Medicaid waiver services; Appeal a Louisiana Medicaid action; Action Kit start-louisiana-oidd-application Start with Louisiana OIDD services and programs — Louisiana Department of Health; checked 2026-08-02. Find the Louisiana Local Governing Entity — Louisiana Department of Health; checked 2026-08-02. Understand Louisiana OIDD Support Coordination — Louisiana Department of Health; checked 2026-08-02. Search Louisiana Freedom of Choice providers — Louisiana Department of Health; checked 2026-08-02. Review Louisiana Medicaid Self-Direction — Louisiana Department of Health; checked 2026-08-02. Apply for or manage Louisiana Medicaid — Louisiana Department of Health; checked 2026-08-02. Review Louisiana Medicaid waiver services — Louisiana Department of Health; checked 2026-08-02. Appeal a Louisiana Medicaid action — Louisiana Department of Health; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Maine	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application packet, records, regional intake, ten-day contact, eligibility, and appeal route; current official MaineCare, disability-determination, and long-term-care application forms and submission routes; current official residential, case-management, employment, representative-payee, community-support, and broker directory; current official late-2025 service-specific licensing transition and oversight route Exact location: Apply for Maine Adult Developmental Disability Services; Apply for MaineCare; Search the Maine OADS provider directory; Review Maine HCBS provider licensing; Use the Maine OADS grievance and appeal route; Action Kit start-maine-adult-developmental-services Apply for Maine Adult Developmental Disability Services — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Apply for MaineCare — Maine DHHS, Office for Family Independence; checked 2026-08-02. Search the Maine OADS provider directory — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Review Maine HCBS provider licensing — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Use the Maine OADS grievance and appeal route — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Maryland	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDA Eligibility Application Process; Regional Offices; DDA Eligibility Application; DDA Guide to Services — October 2025; DDA Advocacy Support Unit; Maryland Provider Search; Action Kit start-dda-eligibility-application DDA Eligibility Application Process — Maryland DDA; checked 2026-08-02. Regional Offices — Maryland DDA; checked 2026-08-02. DDA Eligibility Application — Maryland DDA; checked 2026-08-02. DDA Guide to Services — October 2025 — Maryland DDA; checked 2026-08-02. DDA Advocacy Support Unit — Maryland DDA; checked 2026-08-02. Maryland Provider Search — Maryland DDA-linked directory; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Minnesota	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Minnesota Developmental Disabilities Waiver; County and Tribal Nation human-services directory; Disability Hub Minnesota and home-community services; DHS licensed-program lookup and oversight; Minnesota Health Care Programs provider directory; Minnesota HCBS 245D provider standards; Disability-services appeals, conciliation, and reconsideration; Action Kit start-minnesota-dd-waiver Minnesota Developmental Disabilities Waiver — Minnesota Department of Human Services; checked 2026-08-02. County and Tribal Nation human-services directory — Minnesota Department of Human Services; checked 2026-08-02. Disability Hub Minnesota and home-community services — Minnesota Department of Human Services; checked 2026-08-02. DHS licensed-program lookup and oversight — Minnesota Department of Human Services; checked 2026-08-02. Minnesota Health Care Programs provider directory — Minnesota Department of Human Services; checked 2026-08-02. Minnesota HCBS 245D provider standards — Minnesota Department of Human Services; checked 2026-08-02. Disability-services appeals, conciliation, and reconsideration — Minnesota Department of Human Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Mississippi	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional Center evaluation, level-of-care, Planning List, Medicaid, Support Coordination, Plan of Care, provider choice, BIDD approval, and service-start sequence; current official regional-program, service-area, evaluation, and contact route; current official evaluation, onset, Medicaid, and person-centered-plan overview; current official certified-provider finder, availability-warning, helpline, and crisis route Exact location: Start Mississippi IDD and ID/DD Waiver services; Find Mississippi IDD Regional Programs; Review Mississippi IDD and person-centered planning FAQs; Find Mississippi certified service providers; Review current Mississippi IDD provider documents; Find the Mississippi Medicaid Regional Office and after-application route; Request a Mississippi Medicaid eligibility hearing; Action Kit start-mississippi-regional-center-evaluation Start Mississippi IDD and ID/DD Waiver services — Mississippi Department of Mental Health; checked 2026-08-02. Find Mississippi IDD Regional Programs — Mississippi Department of Mental Health; checked 2026-08-02. Review Mississippi IDD and person-centered planning FAQs — Mississippi Department of Mental Health; checked 2026-08-02. Find Mississippi certified service providers — Mississippi Department of Mental Health; checked 2026-08-02. Review current Mississippi IDD provider documents — Mississippi Department of Mental Health; checked 2026-08-02. Find the Mississippi Medicaid Regional Office and after-application route — Mississippi Division of Medicaid; checked 2026-08-02. Request a Mississippi Medicaid eligibility hearing — Mississippi Division of Medicaid; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Missouri	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official referral, application, records, MAAS, decision, and eligibility-appeal process; current official county-linked Regional Office map, directory, eligibility, and system entry; current official provider enrollment, provider-relations, service-manual, oversight, event, contract, and operational hub; current official MO HealthNet, DMH, DHSS, evidence, representation, and state-benefit hearing route Exact location: Start Missouri DDD referral and application; Find the Missouri DDD Regional Office; Use Missouri DDD service-provider resources; Use the Missouri state-benefit hearing route; Action Kit start-missouri-regional-office-referral Start Missouri DDD referral and application — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Find the Missouri DDD Regional Office — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Use Missouri DDD service-provider resources — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Use the Missouri state-benefit hearing route — Missouri Department of Social Services, Division of Legal Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Montana	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official eligibility, Vineland, waitlist, offer, TCM, PSP, provider, and self-direction route; older linked artifacts are bounded; current official five-region and satellite-office contact route; current official DDP, 0208, Targeted Case Management, regional, provider, and self-directed overview; current official forms-and-tools hub; dates on individual artifacts must be evaluated before operational use Exact location: Start Montana DDP eligibility and 0208 waiver access; Find the nearest Montana DDP Regional Office; Review Montana Developmental Disabilities Program services; Open Montana DDP forms and tools; Search Montana DDP provider resources; Use the Montana Office of Administrative Hearings; Action Kit start-montana-ddp-eligibility Start Montana DDP eligibility and 0208 waiver access — Montana DPHHS; checked 2026-08-02. Find the nearest Montana DDP Regional Office — Montana DPHHS; checked 2026-08-02. Review Montana Developmental Disabilities Program services — Montana DPHHS; checked 2026-08-02. Open Montana DDP forms and tools — Montana DPHHS; checked 2026-08-02. Search Montana DDP provider resources — Montana DPHHS; checked 2026-08-02. Use the Montana Office of Administrative Hearings — Montana DPHHS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Nebraska	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official iServe, DD-10, telephone, mail, email, fax, preparation, eligibility, level-of-care, waiver, funding, plan, and contact route; current official DD-10 and multilingual HCBS application register; current official FSW, DDAD, CDD, service coordination, services, agency, independent-provider, and self-direction route; current official July 2026 DD policy, agency and independent directories, incident, quality, fee-schedule, enrollment, and provider-responsibility register Exact location: Start a Nebraska HCBS DD waiver application; Open Nebraska's multilingual HCBS application forms; Compare Nebraska's three DD waivers and services; Find Nebraska DD agency and independent providers; Respond to a Nebraska HCBS notice of decision; Use the current Nebraska fair-hearing form; Action Kit start-nebraska-dd-waiver-application Start a Nebraska HCBS DD waiver application — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Open Nebraska's multilingual HCBS application forms — Nebraska DHHS; checked 2026-08-02. Compare Nebraska's three DD waivers and services — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Find Nebraska DD agency and independent providers — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Respond to a Nebraska HCBS notice of decision — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Use the current Nebraska fair-hearing form — Nebraska DHHS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Nevada	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official three-Regional-Center, eligibility, service-coordination, service, and application route; current official Desert, Rural, and Sierra Regional Center office and intake contacts; current official January 2025 application and checklist and July 2025 financial forms in English and Spanish; current official eligibility evidence, review, notification, and appeal-process source; the complete current notice controls case deadlines Exact location: Start Nevada Developmental Services; Find a Nevada Developmental Services office; Open current Nevada Developmental Services forms; Review Nevada Developmental Services intake and eligibility policy; Use Nevada Developmental Services service coordination; Search current Nevada Regional Center providers; Review Nevada's ID Waiver; Action Kit start-nevada-regional-center Start Nevada Developmental Services — Nevada ADSD; checked 2026-08-02. Find a Nevada Developmental Services office — Nevada ADSD; checked 2026-08-02. Open current Nevada Developmental Services forms — Nevada ADSD; checked 2026-08-02. Review Nevada Developmental Services intake and eligibility policy — Nevada ADSD; checked 2026-08-02. Use Nevada Developmental Services service coordination — Nevada ADSD; checked 2026-08-02. Search current Nevada Regional Center providers — Nevada ADSD; checked 2026-08-02. Review Nevada's ID Waiver — Nevada Medicaid; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
New Hampshire	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official developmental-services entry, program, waiver, provider, and contact hub; current official ten-region Area Agency directory and catchment map; current official application, DD eligibility, level-of-care, service-coordination, planning, service, appeal, and participant-direction rules; current official Area Agency application, comprehensive screening, preliminary recommendation, emergency-arrangement, and hearing authority Exact location: Start with New Hampshire Developmental Services; Find the correct New Hampshire Area Agency; Read New Hampshire's current He-M 500 rules; Review RSA 171-A:6 service-system entry; Find New Hampshire developmental-service providers; Use New Hampshire developmental-services provider resources; Action Kit start-new-hampshire-area-agency-application Start with New Hampshire Developmental Services — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Find the correct New Hampshire Area Agency — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Read New Hampshire's current He-M 500 rules — New Hampshire Office of Legislative Services; checked 2026-08-02. Review RSA 171-A:6 service-system entry — New Hampshire General Court; checked 2026-08-02. Find New Hampshire developmental-service providers — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Use New Hampshire developmental-services provider resources — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
New Jersey	4/4	#1	High	2026-08-02	The official path is broad and family-facing. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: DDD supplies an application route, county Community Services Office routing, support-coordination guidance, and provider-search help. Exact location: DDD Apply page; Provider Search quick guide; Support Coordination page Apply for Division of Developmental Disabilities Services — New Jersey DDD; checked 2026-08-02. Provider Search Quick Guide — New Jersey DDD; checked 2026-08-02. Care Management and Support Coordination — New Jersey DDD; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
New Mexico	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, eligibility, Central Registry, and Regional Office route; current official Regional Office intake and application-assistance route; current official diagnostic, functional, onset, residency, and application authority; current official case-management, ISP, budget, service, and provider route Exact location: Apply for New Mexico DD Waiver eligibility; Find New Mexico DDSD Regional Offices; Review New Mexico DD Waiver eligibility requirements; Plan New Mexico DD Waiver services and budgets; Review Mi Via planning and fiscal supports; Review New Mexico DD Waiver allocation; Use the New Mexico Medicaid fair-hearing route; Action Kit start-new-mexico-dd-application Apply for New Mexico DD Waiver eligibility — New Mexico Health Care Authority DDSD; checked 2026-08-02. Find New Mexico DDSD Regional Offices — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review New Mexico DD Waiver eligibility requirements — New Mexico Health Care Authority; checked 2026-08-02. Plan New Mexico DD Waiver services and budgets — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review Mi Via planning and fiscal supports — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review New Mexico DD Waiver allocation — New Mexico Health Care Authority DDSD; checked 2026-08-02. Use the New Mexico Medicaid fair-hearing route — New Mexico Health Care Authority; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
New York	4/4	#1	High	2026-08-02	All four usability indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The Front Door supplies a direct phone route and connects families to eligibility, waiver, regional, care-coordination, and provider resources. Exact location: OPWDD Front Door, Eligibility, HCBS Waiver, and Provider Directory pages OPWDD Front Door — New York OPWDD; checked 2026-08-02. OPWDD Eligibility — New York OPWDD; checked 2026-08-02. Apply for the OPWDD HCBS Waiver — New York OPWDD; checked 2026-08-02. OPWDD Provider Directory — New York Open Data and OPWDD; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
North Dakota	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional DD referral, eligibility, services, provider, self-direction, appeal, and grievance route; current official county-to-eight-region DD office and intake contact route; current official DD program, service, provider, and current-waiver-document route; conflicting effective-date labels are not generalized; current official Traditional I/DD waiver service, Medicaid-member, and crisis overview Exact location: Start North Dakota developmental-disability services; Find the correct North Dakota Regional DD Office; Review North Dakota Developmental Disabilities Services; Review the North Dakota Medicaid member handbook; Find North Dakota DD providers and service options; Review North Dakota Medicaid and I/DD waiver eligibility; File a North Dakota Medicaid appeal; Action Kit start-north-dakota-dd-services Start North Dakota developmental-disability services — North Dakota HHS; checked 2026-08-02. Find the correct North Dakota Regional DD Office — North Dakota HHS; checked 2026-08-02. Review North Dakota Developmental Disabilities Services — North Dakota HHS; checked 2026-08-02. Review the North Dakota Medicaid member handbook — North Dakota HHS; checked 2026-08-02. Find North Dakota DD providers and service options — North Dakota HHS; checked 2026-08-02. Review North Dakota Medicaid and I/DD waiver eligibility — North Dakota HHS; checked 2026-08-02. File a North Dakota Medicaid appeal — North Dakota HHS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Ohio	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DODD Contact Form; County Boards of Developmental Disabilities Rules; DODD Certification and Registration Verification; Ohio Medicaid Provider Search; Free Choice of DODD Waiver Providers; County Board Complaints and Appeals of Adverse Action; Action Kit start-ohio-county-board-eligibility DODD Contact Form — Ohio Department of Developmental Disabilities; checked 2026-08-02. County Boards of Developmental Disabilities Rules — Ohio Laws; checked 2026-08-02. DODD Certification and Registration Verification — Ohio Department of Developmental Disabilities; checked 2026-08-02. Ohio Medicaid Provider Search — Ohio Department of Medicaid; checked 2026-08-02. Free Choice of DODD Waiver Providers — Ohio Laws; checked 2026-08-02. County Board Complaints and Appeals of Adverse Action — Ohio Laws; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Oklahoma	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Liberty intake, application-submission, status-update, email, telephone, and mailing route; current official DDS application form; current official contracted-provider list updated January 21, 2026; current official DDS program, self-direction, residential, vocational, and provider contact directory Exact location: Start the Oklahoma DDS application; Download the Oklahoma DDS application; Find current Oklahoma DDS provider agencies; Use the Oklahoma DDS provider and contact directory; Review Oklahoma DDS eligibility requirements; File an Oklahoma DDS client grievance; Review Oklahoma Human Services fair hearings; Action Kit start-oklahoma-dds-application Start the Oklahoma DDS application — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Download the Oklahoma DDS application — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Find current Oklahoma DDS provider agencies — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Use the Oklahoma DDS provider and contact directory — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Review Oklahoma DDS eligibility requirements — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. File an Oklahoma DDS client grievance — Oklahoma Human Services; checked 2026-08-02. Review Oklahoma Human Services fair hearings — Oklahoma Human Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Oregon	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current application, eligibility, and adult-service overview; current CDDP and brokerage directory route; current provider-reported vacancy evidence; current provider oversight Exact location: Apply for Oregon I/DD services and review eligibility; Oregon I/DD provider and partner directories; Residential provider profiles and vacancy reports; I/DD certification, endorsement, and licensing; Administrative hearings for Oregon I/DD services; Action Kit start-oregon-idd-application Apply for Oregon I/DD services and review eligibility — Oregon Department of Human Services; checked 2026-08-02. Oregon I/DD provider and partner directories — Oregon Department of Human Services; checked 2026-08-02. Residential provider profiles and vacancy reports — Oregon Department of Human Services; checked 2026-08-02. I/DD certification, endorsement, and licensing — Oregon Department of Human Services; checked 2026-08-02. Administrative hearings for Oregon I/DD services — Oregon Department of Human Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Rhode Island	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current application, criteria, records, help, and complete-application timeline; current public provider list; current standards, rate, funding-level, and service-request register; current rights, discrimination, and QA reporting guidance Exact location: Apply for Rhode Island DD services; Find Rhode Island DD service providers; Review DD provider tools, FY26 rates, and funding levels; Know DD service rights; Appeal a Rhode Island DD decision; Action Kit start-rhode-island-dd-application Apply for Rhode Island DD services — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Find Rhode Island DD service providers — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Review DD provider tools, FY26 rates, and funding levels — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Know DD service rights — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Appeal a Rhode Island DD decision — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
South Carolina	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current centralized intake route and expected contacts; current autism record-review and evaluation guidance; current county and service directory route; current complaint and reconsideration route Exact location: Request BHDD-OIDD eligibility; Autism eligibility and evaluation; Find a BHDD-OIDD service provider; Resolve a BHDD-OIDD complaint or service dispute; File a South Carolina Medicaid appeal; Action Kit start-sc-oidd-eligibility Request BHDD-OIDD eligibility — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Autism eligibility and evaluation — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Find a BHDD-OIDD service provider — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Resolve a BHDD-OIDD complaint or service dispute — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. File a South Carolina Medicaid appeal — South Carolina Department of Health and Human Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Utah	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official online, telephone, packet, preparation, 90-day intake, notice, and hearing-rights route; current official citizenship or residency, disability, onset, diagnosis, adaptive-function, exclusion, and waiting-list authority; current May 2026 official eligibility, application, NAQ, waiting-list, and service-entry guide; current official provider-report route with explicit noncomprehensive-list limitation Exact location: Start the DSPD application; Review Utah DSPD eligibility; Use the current DSPD eligibility and services guide; Find a DSPD provider; Find a DSPD support coordinator; Review current DSPD policies and hearing rights; Request a Utah Medicaid hearing; Action Kit start-utah-dspd-application Start the DSPD application — Utah Division of Services for People with Disabilities; checked 2026-08-02. Review Utah DSPD eligibility — Utah Division of Services for People with Disabilities; checked 2026-08-02. Use the current DSPD eligibility and services guide — Utah Division of Services for People with Disabilities; checked 2026-08-02. Find a DSPD provider — Utah Division of Services for People with Disabilities; checked 2026-08-02. Find a DSPD support coordinator — Utah Division of Services for People with Disabilities; checked 2026-08-02. Review current DSPD policies and hearing rights — Utah Division of Services for People with Disabilities; checked 2026-08-02. Request a Utah Medicaid hearing — Utah Medicaid Office of Administrative Hearings; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Vermont	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDSD entry and policy route; current official agency-network and provider-choice reference; current final adopted HCAR 7.100 application, eligibility, funding, notice, choice, planning, and appeal authority; current official person-centered planning, funding, service, and provider route Exact location: Start with Vermont Developmental Disabilities Services; Find Vermont Designated and Specialized Service Agencies; Review Vermont's final Developmental Disabilities rule; Plan Vermont developmental services; Review Vermont Supportive ISO standards; Review Vermont's current DDSD System of Care controls; Use the Vermont Human Services Board appeal route; Action Kit start-vermont-dd-application Start with Vermont Developmental Disabilities Services — Vermont DDSD; checked 2026-08-02. Find Vermont Designated and Specialized Service Agencies — Vermont DDSD; checked 2026-08-02. Review Vermont's final Developmental Disabilities rule — Vermont Agency of Human Services; checked 2026-08-02. Plan Vermont developmental services — Vermont DDSD; checked 2026-08-02. Review Vermont Supportive ISO standards — Vermont DDSD; checked 2026-08-02. Review Vermont's current DDSD System of Care controls — Vermont DDSD; checked 2026-08-02. Use the Vermont Human Services Board appeal route — Vermont Agency of Human Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Washington	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current form; current; current Exact location: How to enroll in Developmental Disabilities Community Services; Request for DDCS eligibility determination; Find a DDCS office; How to ask DDCS for services; DDCS counties and provider information; DDCS policy manual and current Planned Action Notice policy; Action Kit start-washington-ddcs-enrollment How to enroll in Developmental Disabilities Community Services — Washington Department of Social and Health Services; checked 2026-08-02. Request for DDCS eligibility determination — Washington Department of Social and Health Services; checked 2026-08-02. Find a DDCS office — Washington Department of Social and Health Services; checked 2026-08-02. How to ask DDCS for services — Washington Department of Social and Health Services; checked 2026-08-02. DDCS counties and provider information — Washington Department of Social and Health Services; checked 2026-08-02. DDCS policy manual and current Planned Action Notice policy — Washington Department of Social and Health Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Washington, DC	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current Exact location: How to Apply for DDA Services; DDA Intake and Eligibility Determination Procedure; DDA HCA and Pre-Qualified Provider Listing; Action Kit start-dc-dda-application How to Apply for DDA Services — DC Department on Disability Services / DDA; checked 2026-08-02. DDA Intake and Eligibility Determination Procedure — DC Department on Disability Services / DDA; checked 2026-08-02. DDA HCA and Pre-Qualified Provider Listing — DC Department on Disability Services / DDA; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
West Virginia	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, Acentra, approved-psychologist, medical, financial, capacity, provider, service, and follow-up route; current official IDDW application, policy, freedom-of-choice, grievance, and reporting form route; current official case-management, planning, budget, authorization, provider, and member-responsibility route; current official IDDW provider-search route; listing is not availability or quality evidence Exact location: Start the West Virginia IDDW application; Open West Virginia IDDW policy and forms; Review West Virginia IDDW case-management and service responsibilities; Find a West Virginia IDDW provider; Review West Virginia Personal Options; Apply for West Virginia Medicaid; Review West Virginia IDDW member and provider information; Use the West Virginia IDDW notice and fair-hearing route; Action Kit start-west-virginia-iddw-application Start the West Virginia IDDW application — West Virginia Bureau for Medical Services; checked 2026-08-02. Open West Virginia IDDW policy and forms — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia IDDW case-management and service responsibilities — West Virginia Bureau for Medical Services; checked 2026-08-02. Find a West Virginia IDDW provider — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia Personal Options — West Virginia Bureau for Medical Services; checked 2026-08-02. Apply for West Virginia Medicaid — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia IDDW member and provider information — West Virginia Bureau for Medical Services; checked 2026-08-02. Use the West Virginia IDDW notice and fair-hearing route — West Virginia Bureau for Medical Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Wyoming	4/4	#1	High	2026-08-02	The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, eligibility, waiting-list, case-management, planning, and service guide; current official Supports Waiver application form linked from the HCBS document library; current official participant, application, case-manager, provider, complaint, and incident route; current official public provider and case-manager search route Exact location: Use Wyoming's current Supports Waiver application guide; Start the Wyoming Supports Waiver application; Review Wyoming HCBS participant resources; Find Wyoming DD providers and case managers; Review Wyoming participant-direction responsibilities; Review Wyoming Supports and Comprehensive Waivers; Use the Wyoming Medicaid fair-hearing route; Action Kit start-wyoming-dd-application Use Wyoming's current Supports Waiver application guide — Wyoming Department of Health HCBS Section; checked 2026-08-02. Start the Wyoming Supports Waiver application — Wyoming Department of Health HCBS Section; checked 2026-08-02. Review Wyoming HCBS participant resources — Wyoming Department of Health; checked 2026-08-02. Find Wyoming DD providers and case managers — Wyoming Department of Health; checked 2026-08-02. Review Wyoming participant-direction responsibilities — Wyoming Department of Health; checked 2026-08-02. Review Wyoming Supports and Comprehensive Waivers — Wyoming Department of Health HCBS Section; checked 2026-08-02. Use the Wyoming Medicaid fair-hearing route — Wyoming Department of Health; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Hawaii	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current official two-step DDD eligibility and Medicaid I/DD Waiver admission route; current official island-specific intake, case-management, crisis, complaint, and Consumer-Directed contact route; current official case-management, person-centered planning, qualified-provider, Consumer-Directed, and support route; current official service-by-setting, qualified-provider, provider-brochure, and Consumer-Directed service route Exact location: Start Hawaii DDD intake and eligibility; Find the Hawaii DDD intake office and Case Management Unit; Plan Hawaii DDD and Medicaid I/DD Waiver services; Review Hawaii waiver services and providers; Review Hawaii Consumer-Directed service options; Apply for Hawaii Medicaid; Apply for Hawaii Medicaid I/DD Waiver admission; Request a Hawaii DDD review or hearing; Action Kit start-hawaii-ddd-application Start Hawaii DDD intake and eligibility — Hawaii Department of Health; checked 2026-08-02. Find the Hawaii DDD intake office and Case Management Unit — Hawaii Department of Health; checked 2026-08-02. Plan Hawaii DDD and Medicaid I/DD Waiver services — Hawaii Department of Health; checked 2026-08-02. Review Hawaii waiver services and providers — Hawaii Department of Health; checked 2026-08-02. Review Hawaii Consumer-Directed service options — Hawaii Department of Health; checked 2026-08-02. Apply for Hawaii Medicaid — Hawaii Department of Human Services, Med-QUEST Division; checked 2026-08-02. Apply for Hawaii Medicaid I/DD Waiver admission — Hawaii Department of Health and Med-QUEST Division; checked 2026-08-02. Request a Hawaii DDD review or hearing — Hawaii Department of Health; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Illinois	3/4	#40	High	2026-08-02	The family must move among separate sources; the set does not operate as a connected end-to-end navigation surface. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: The official set gives a local ISC route, 1-888-DD-PLANS, waiver criteria, and PUNS guidance. Exact location: Adult DD waiver page; ISC map; Understanding PUNS flyer DDD Services and Independent Service Coordination — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. Understanding PUNS — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. PUNS Frequently Asked Questions — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Indiana	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current official BDS Gateway, paper application, local office, FSW, CIH, provider, complaint, and eligibility-resource route; current official online and paper application, local-office, waiver, and Supervised Group Living route; current official provider-services, complaint, quality, and BDS Help route; current official HCBS, ICF/IID alternative, provider approval, enrollment, program, and payment context Exact location: Apply for Indiana BDS services and review the I/DD waivers; Use the Indiana Bureau of Disabilities Services front door; Use Indiana BDS quality and provider help; Review Indiana Medicaid HCBS provider and payment material; Open current Indiana BDS policies; Action Kit start-indiana-bds-application Apply for Indiana BDS services and review the I/DD waivers — Indiana FSSA DDARS; checked 2026-08-02. Use the Indiana Bureau of Disabilities Services front door — Indiana FSSA DDARS; checked 2026-08-02. Use Indiana BDS quality and provider help — Indiana FSSA DDARS; checked 2026-08-02. Review Indiana Medicaid HCBS provider and payment material — Indiana Medicaid; checked 2026-08-02. Open current Indiana BDS policies — Indiana FSSA DDARS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Massachusetts	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current; current; current; current Exact location: DDS eligibility for services; DDS eligibility forms; DDS eligibility for adults with autism; Find the DDS office for your city or town; Services for adults with autism only; DDS provider licensing and certification reports; DDS eligibility, planning, and appeals regulation; Action Kit start-massachusetts-dds-application DDS eligibility for services — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS eligibility forms — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS eligibility for adults with autism — Massachusetts Department of Developmental Services; checked 2026-08-02. Find the DDS office for your city or town — Massachusetts Department of Developmental Services; checked 2026-08-02. Services for adults with autism only — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS provider licensing and certification reports — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS eligibility, planning, and appeals regulation — Massachusetts Department of Developmental Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
North Carolina	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current; current; current; current Exact location: NC Innovations Waiver; How to Apply for the NC Innovations Waiver; LME/MCO Directory; Behavioral Health and I/DD Tailored Plans; North Carolina Innovations Clinical Coverage Policy 8-P; NC Medicaid Beneficiary Help and Appeals; NC Medicaid Ombudsman; Action Kit start-nc-innovations-application NC Innovations Waiver — NC Medicaid; checked 2026-08-02. How to Apply for the NC Innovations Waiver — NC Medicaid; checked 2026-08-02. LME/MCO Directory — NC Department of Health and Human Services; checked 2026-08-02. Behavioral Health and I/DD Tailored Plans — NC Medicaid; checked 2026-08-02. North Carolina Innovations Clinical Coverage Policy 8-P — NC Medicaid; checked 2026-08-02. NC Medicaid Beneficiary Help and Appeals — NC Medicaid; checked 2026-08-02. NC Medicaid Ombudsman — NC Medicaid; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Pennsylvania	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current; current; current; current Exact location: Adult Autism Waiver; Apply for the Medicaid Adult Autism Waiver; Adult Community Autism Program; Apply for Medicaid Benefits; Individual Eligibility for ODP Waivers; Intellectual and Developmental Disability Services; Find Intellectual Disability and Autism Providers; Adult Autism Waiver Provider Catalog; Action Kit complete-pennsylvania-waiver-and-medicaid-eligibility Adult Autism Waiver — Pennsylvania DHS / ODP; checked 2026-08-02. Apply for the Medicaid Adult Autism Waiver — Pennsylvania DHS; checked 2026-08-02. Adult Community Autism Program — Pennsylvania DHS / ODP; checked 2026-08-02. Apply for Medicaid Benefits — Pennsylvania DHS; checked 2026-08-02. Individual Eligibility for ODP Waivers — Pennsylvania DHS / ODP; checked 2026-08-02. Intellectual and Developmental Disability Services — Pennsylvania DHS / ODP; checked 2026-08-02. Find Intellectual Disability and Autism Providers — Pennsylvania DHS / ODP; checked 2026-08-02. Adult Autism Waiver Provider Catalog — Pennsylvania DHS / HCSIS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
South Dakota	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current official DDD program and intake route; current official application, record, ICAP, eligibility, coordinator, Medicaid, planning, and provider sequence; version 1 May 2023 remains linked by the current program; current official CHOICES program and service route; current official DDD intake, ICAP, level-of-care, final-eligibility, case-management, and provider-role sequence Exact location: Start with South Dakota Developmental Disabilities intake; Open the South Dakota DDD Application Guide; Review the South Dakota CHOICES Waiver; Review South Dakota DDD and provider responsibilities; Request a South Dakota DSS fair hearing; Action Kit start-south-dakota-ddd-intake Start with South Dakota Developmental Disabilities intake — South Dakota DHS; checked 2026-08-02. Open the South Dakota DDD Application Guide — South Dakota DHS; checked 2026-08-02. Review the South Dakota CHOICES Waiver — South Dakota DHS; checked 2026-08-02. Review South Dakota DDD and provider responsibilities — South Dakota DHS; checked 2026-08-02. Request a South Dakota DSS fair hearing — South Dakota DSS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Tennessee	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current eligibility, Groups 4 through 8, priority, referral-list, benefit, application, and contact authority; current official I/DD, financial, benefit-group, self-referral, service, and Consumer Direction guide; current online, telephone, paper, fax, local-help, preparation, and status route; current enrollment, limited-funding, MCO, DDA regional-intake, and self-referral help route Exact location: Review ECF CHOICES groups, eligibility, and services; Review the current ECF CHOICES brochure; Apply for TennCare; Use Tennessee ECF CHOICES application help; Contact Tennessee LTSS; Get ECF CHOICES rights, complaint, and appeal help; File a TennCare medical appeal; Action Kit complete-tennessee-medicaid-ecf-eligibility Review ECF CHOICES groups, eligibility, and services — TennCare; checked 2026-08-02. Review the current ECF CHOICES brochure — TennCare; checked 2026-08-02. Apply for TennCare — TennCare Connect; checked 2026-08-02. Use Tennessee ECF CHOICES application help — Tennessee Department of Disability and Aging; checked 2026-08-02. Contact Tennessee LTSS — TennCare Long-Term Services and Supports; checked 2026-08-02. Get ECF CHOICES rights, complaint, and appeal help — TennCare Beneficiary Support System; checked 2026-08-02. File a TennCare medical appeal — TennCare Member Medical Appeals; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Texas	3/4	#40	High	2026-08-02	The family must assemble the route across multiple tools rather than one connected family navigation surface. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: The official set gives county/ZIP routing, an intake contact, interest-list explanation, enrollment guidance, and a service-specific FMSA directory. Exact location: LIDDA directory; interest-list training; HCS FMSA directory; HCS enrollment handbook Find a Local Intellectual and Developmental Disability Authority — Texas HHS; checked 2026-08-02. LIDDA Overview and Responsibilities — Texas HHS; checked 2026-08-02. Community Services Interest List Data Entry — Texas HHS; checked 2026-08-02. Request to Change HCS or TxHmL Interest List Information — Texas HHS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Virginia	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current; current; current; current Exact location: Waiver Information for Individuals and Families; Find Help and Local CSB/BHA Entry Points; Navigating the DD Waivers; Support Coordination Handbook; Provider Network Supports; Licensing Information and Residential Bed Report; My Life, My Community; Action Kit start-virginia-dd-waiver-screening Waiver Information for Individuals and Families — Virginia DBHDS; checked 2026-08-02. Find Help and Local CSB/BHA Entry Points — Virginia DBHDS; checked 2026-08-02. Navigating the DD Waivers — Virginia DBHDS / My Life, My Community; checked 2026-08-02. Support Coordination Handbook — Virginia DBHDS; checked 2026-08-02. Provider Network Supports — Virginia DBHDS; checked 2026-08-02. Licensing Information and Residential Bed Report — Virginia DBHDS; checked 2026-08-02. My Life, My Community — Virginia DBHDS partner resource; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Wisconsin	3/4	#40	High	2026-08-02	The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current statewide entry route; current; current ADRC enrollment route; current 2026 scorecards and rights routes Exact location: Find an ADRC or Tribal ADRS; Adult disability programs and services; Apply for Family Care, Partnership, or PACE; Family Care, Partnership, and PACE member help; Family Care managed care organizations; IRIS manuals, service-plan policy, and participant resources; IRIS forms, grievances, appeals, and budget requests; IRIS help, consultant agencies, and fiscal employer agents; Action Kit start-wisconsin-adult-ltc Find an ADRC or Tribal ADRS — Wisconsin Department of Health Services; checked 2026-08-02. Adult disability programs and services — Wisconsin Department of Health Services; checked 2026-08-02. Apply for Family Care, Partnership, or PACE — Wisconsin Department of Health Services; checked 2026-08-02. Family Care, Partnership, and PACE member help — Wisconsin Department of Health Services; checked 2026-08-02. Family Care managed care organizations — Wisconsin Department of Health Services; checked 2026-08-02. IRIS manuals, service-plan policy, and participant resources — Wisconsin Department of Health Services; checked 2026-08-02. IRIS forms, grievances, appeals, and budget requests — Wisconsin Department of Health Services; checked 2026-08-02. IRIS help, consultant agencies, and fiscal employer agents — Wisconsin Department of Health Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Michigan	2/4	#51	High	2026-08-02	The official source set exposes 2 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route. Why and supporting evidence Indicators met: 1, 2 Evidence: current; current; current; current Exact location: Michigan Community Mental Health Services; Official local CMHSP contact list; CMHSP role and statewide public-system entry; 2026 PIHP Customer Services Standards; Michigan licensed-provider directories; Appeal and Grievance Resolution Processes; Michigan Medicaid beneficiary support and hearings; Action Kit start-michigan-cmhsp-intake Michigan Community Mental Health Services — Michigan Department of Health and Human Services; checked 2026-08-02. Official local CMHSP contact list — Michigan Department of Health and Human Services; checked 2026-08-02. CMHSP role and statewide public-system entry — Michigan Department of Health and Human Services; checked 2026-08-02. 2026 PIHP Customer Services Standards — Michigan Department of Health and Human Services; checked 2026-08-02. Michigan licensed-provider directories — Michigan Department of Licensing and Regulatory Affairs; checked 2026-08-02. Appeal and Grievance Resolution Processes — Michigan Department of Health and Human Services; checked 2026-08-02. Michigan Medicaid beneficiary support and hearings — Michigan Department of Health and Human Services; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Access-process transparency

How many of the major access decisions the official source set explains distinctly.

What qualifies

Official sources describe both the application or intake route and the governing adult developmental-disability eligibility process.

Freshness: Recheck entry sources monthly and policy, prioritization, and appeal sources quarterly.

How 0–4 works

0: The complete search found no qualifying public route or evidence, or qualifying evidence satisfied none of the observable indicators.
1: One indicator is present.
2: Two indicators are present.
3: Three indicators are present.
4: All four indicators are present.

Observable indicators

Application/intake action and eligibility criteria are distinguishable.
Medicaid, waiver, funding, or generic-resource dependencies are distinguished from program eligibility.
Prioritization, interest-list, pre-enrollment, entitlement, or service-status rules are explained.
A specific official reconsideration, review, appeal, or fair-hearing route is visible in the scored source set.

What it means: A higher score means more decision points are visible before a family enters the system. It does not predict eligibility or time to service.

Access-process transparency — 51 scored; 0 Could Not Evaluate
State	Rating	Dimension rank	Confidence	Checked	Why
Alabama	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Call Center, support-coordination, eligibility-document, regional-review, and priority-list route; current official waiting-list, opening, reconfirmation, enrollment, assessed-need, and service-authorization overview; current official five-region county map with office, incident, on-call, certification, and quality contacts; current official eligibility, service, provider-choice, delay, grievance, and Medicaid fair-hearing route Exact location: Start the Alabama waiver application; Understand Alabama DD waiver access; Find the Alabama DD Regional Office for your county; Use Alabama DD waiver appeals; Review the current Alabama DD operating manual; Action Kit start-alabama-dd-waiver-application Start the Alabama waiver application — Alabama Department of Mental Health; checked 2026-08-02. Understand Alabama DD waiver access — Alabama Department of Mental Health; checked 2026-08-02. Find the Alabama DD Regional Office for your county — Alabama Department of Mental Health; checked 2026-08-02. Use Alabama DD waiver appeals — Alabama Department of Mental Health; checked 2026-08-02. Review the current Alabama DD operating manual — Alabama Department of Mental Health; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Alaska	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DD criteria, application, Registry, waiver-draw, Notice-to-Proceed, and care-coordinator route; current official regional DDRC application, Medicaid-document, option, and referral help; current official DD determination, Registry, IDD, ISW, application-review, service-request, and program-management owner; current official DD, DDRR, waiver, provider, fair-hearing, and support-document form hub Exact location: Apply for an Alaska developmental-disability determination; Find an Alaska Developmental Disabilities Resource Connection; Use Alaska's IDD Unit; Open Alaska's approved SDS forms; Review Alaska HCBS waiver options and eligibility; Open Alaska's current waiver and care-coordination rates; Use Alaska's current Uni-08 fair-hearing route; Action Kit start-alaska-dd-determination Apply for an Alaska developmental-disability determination — Alaska Department of Health; checked 2026-08-02. Find an Alaska Developmental Disabilities Resource Connection — Alaska Department of Health; checked 2026-08-02. Use Alaska's IDD Unit — Alaska Department of Health; checked 2026-08-02. Open Alaska's approved SDS forms — Alaska Department of Health; checked 2026-08-02. Review Alaska HCBS waiver options and eligibility — Alaska Department of Health; checked 2026-08-02. Open Alaska's current waiver and care-coordination rates — Alaska Department of Health; checked 2026-08-02. Use Alaska's current Uni-08 fair-hearing route — Alaska Department of Health; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Arizona	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDD application, adult eligibility, office, contact, and administrative-review entry; current official application instructions, records checklist, and submission routes; current official age-18 new-application, records, continued-service, and redetermination route; current official ALTCS application, financial, medical, level-of-care, and service overview Exact location: Start the Arizona DDD eligibility process; Use the DDD eligibility application checklist; Complete the age-18 DDD redetermination; Apply for Arizona Long Term Care System coverage; Work with the DDD Support Coordinator; Review DDD health plans and HCBS authorization; Appeal a DDD Notice of Adverse Benefit Determination; Action Kit start-arizona-ddd-application Start the Arizona DDD eligibility process — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Use the DDD eligibility application checklist — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Complete the age-18 DDD redetermination — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Apply for Arizona Long Term Care System coverage — Arizona Health Care Cost Containment System; checked 2026-08-02. Work with the DDD Support Coordinator — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Review DDD health plans and HCBS authorization — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Appeal a DDD Notice of Adverse Benefit Determination — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Arkansas	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDS Intake and Referral route, including telephone and online request; current official CES clinical-review, functional-criteria, waitlist, slot-offer, service, and provider-list route; current official Medicaid application and DDS Intake and Referral route; current official independent-assessment population, referral, tier, and reassessment source Exact location: Start with Arkansas DDS Intake and Referral; Review the Arkansas CES Waiver; Apply for Arkansas services; Review the Arkansas Independent Assessment manual; Understand Arkansas PASSE care coordination; Use Arkansas PASSE beneficiary support; Apply for Arkansas Medicaid; File an Arkansas DHS appeal; Contact the Arkansas PASSE Ombudsman; Action Kit start-arkansas-dds-intake Start with Arkansas DDS Intake and Referral — Arkansas DHS; checked 2026-08-02. Review the Arkansas CES Waiver — Arkansas DHS; checked 2026-08-02. Apply for Arkansas services — Arkansas DHS; checked 2026-08-02. Review the Arkansas Independent Assessment manual — Arkansas DHS; checked 2026-08-02. Understand Arkansas PASSE care coordination — Arkansas DHS; checked 2026-08-02. Use Arkansas PASSE beneficiary support — Arkansas DHS; checked 2026-08-02. Apply for Arkansas Medicaid — Arkansas DHS; checked 2026-08-02. File an Arkansas DHS appeal — Arkansas DHS; checked 2026-08-02. Contact the Arkansas PASSE Ombudsman — Arkansas DHS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Colorado	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Find the Case Management Agency and Community Center Board for your county; Colorado intellectual and developmental disability services and supports; Supported Living Services Waiver; Developmental Disabilities Waiver; Community First Choice; State Supported Living Services; Health First Colorado appeals; Action Kit start-colorado-cma-intake Find the Case Management Agency and Community Center Board for your county — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Colorado intellectual and developmental disability services and supports — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Supported Living Services Waiver — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Developmental Disabilities Waiver — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Community First Choice — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. State Supported Living Services — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Health First Colorado appeals — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Connecticut	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDS eligibility and applications; Apply for DDS services; DDS intellectual-disability eligibility requirements; DSS Autism Waiver overview; DSS Autism Waiver eligibility and application; DDS Options for Appeal; Request a DSS fair hearing; DDS ombudsperson and complaint route; Action Kit start-connecticut-dds-application DDS eligibility and applications — Connecticut Department of Developmental Services; checked 2026-08-02. Apply for DDS services — Connecticut Department of Developmental Services; checked 2026-08-02. DDS intellectual-disability eligibility requirements — Connecticut Department of Developmental Services; checked 2026-08-02. DSS Autism Waiver overview — Connecticut Department of Social Services; checked 2026-08-02. DSS Autism Waiver eligibility and application — Connecticut Department of Social Services; checked 2026-08-02. DDS Options for Appeal — Connecticut Department of Developmental Services; checked 2026-08-02. Request a DSS fair hearing — Connecticut Department of Social Services; checked 2026-08-02. DDS ombudsperson and complaint route — Connecticut Department of Developmental Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Georgia	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current official route for the controlling NOW and COMP manual; current Exact location: Apply for DD Services; Find a Regional Field Office; Georgia Medicaid Provider Manuals Search; Contact DBHDD Constituent Services; Action Kit start-georgia-dd-application Apply for DD Services — Georgia DBHDD; checked 2026-08-02. Find a Regional Field Office — Georgia DBHDD; checked 2026-08-02. Georgia Medicaid Provider Manuals Search — Georgia Medicaid; checked 2026-08-02. Contact DBHDD Constituent Services — Georgia DBHDD; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Hawaii	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official two-step DDD eligibility and Medicaid I/DD Waiver admission route; current official island-specific intake, case-management, crisis, complaint, and Consumer-Directed contact route; current official online, telephone, mail, fax, application, and eligibility-office route; current official DDD, case-manager, ICF/IID level-of-care, Medicaid, LTC, MQD decision, annual-review, and service-start sequence Exact location: Start Hawaii DDD intake and eligibility; Find the Hawaii DDD intake office and Case Management Unit; Apply for Hawaii Medicaid; Apply for Hawaii Medicaid I/DD Waiver admission; Use the revised Hawaii DDD Intake Booklet; Request a Hawaii DDD review or hearing; Action Kit start-hawaii-ddd-application Start Hawaii DDD intake and eligibility — Hawaii Department of Health; checked 2026-08-02. Find the Hawaii DDD intake office and Case Management Unit — Hawaii Department of Health; checked 2026-08-02. Apply for Hawaii Medicaid — Hawaii Department of Human Services, Med-QUEST Division; checked 2026-08-02. Apply for Hawaii Medicaid I/DD Waiver admission — Hawaii Department of Health and Med-QUEST Division; checked 2026-08-02. Use the revised Hawaii DDD Intake Booklet — Hawaii Department of Health; checked 2026-08-02. Request a Hawaii DDD review or hearing — Hawaii Department of Health; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Idaho	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official adult-DD application, criteria, regional submission, independent-assessment, notice, and service-choice route; current official Idaho Medicaid online, telephone, written-notice, renewal, and appeal route; current official self-direction, support-broker, circle-of-support, fiscal-employer-agent, budget, and training route; current official Traditional plan-developer, Individual Support Plan, provider-list, and conflict-boundary route Exact location: Apply for Idaho adult developmental-disability programs; Apply for Idaho Medicaid; Compare Idaho My Voice, My Choice self-direction; Use Idaho Traditional support services; Open Idaho adult-DD program, rate, and regional guidance; Use Idaho Medicaid appeals and fair hearings; Action Kit apply-idaho-medicaid Apply for Idaho adult developmental-disability programs — Idaho Department of Health and Welfare; checked 2026-08-02. Apply for Idaho Medicaid — Idaho Department of Health and Welfare; checked 2026-08-02. Compare Idaho My Voice, My Choice self-direction — Idaho Department of Health and Welfare; checked 2026-08-02. Use Idaho Traditional support services — Idaho Department of Health and Welfare; checked 2026-08-02. Open Idaho adult-DD program, rate, and regional guidance — Idaho Department of Health and Welfare; checked 2026-08-02. Use Idaho Medicaid appeals and fair hearings — Idaho Department of Health and Welfare; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Indiana	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official BDS Gateway, paper application, local office, FSW, CIH, provider, complaint, and eligibility-resource route; current official online and paper application, local-office, waiver, and Supervised Group Living route; current official application-date, contact, district-office, and portal-correction route; current official July 2026 waiting-list, invitation, reserve-capacity, Medicaid, functional-eligibility, and contact route Exact location: Apply for Indiana BDS services and review the I/DD waivers; Use the Indiana Bureau of Disabilities Services front door; Check or correct an Indiana BDS waitlist record; Review current Indiana HCBS waiting-list information; Open current Indiana BDS policies; Action Kit start-indiana-bds-application Apply for Indiana BDS services and review the I/DD waivers — Indiana FSSA DDARS; checked 2026-08-02. Use the Indiana Bureau of Disabilities Services front door — Indiana FSSA DDARS; checked 2026-08-02. Check or correct an Indiana BDS waitlist record — Indiana FSSA DDARS; checked 2026-08-02. Review current Indiana HCBS waiting-list information — Indiana FSSA DDARS; checked 2026-08-02. Open current Indiana BDS policies — Indiana FSSA DDARS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Iowa	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current online, telephone, mail, fax, email, local-office, preparation, and enrollment route; current seven-waiver eligibility, service, application, and waiting-list overview; current application flow, waiting-list, comparison, forms, contacts, and program resources; current SSA and Iowa HHS disability-determination routes and limits Exact location: Apply for Iowa Medicaid; Compare Iowa HCBS waiver programs; Use Iowa HCBS program and waiver resources; Understand Iowa disability determination; Prepare for the current Iowa HCBS assessment; Understand Iowa HCBS case management; Appeal an Iowa HHS or managed-care action; Action Kit complete-iowa-program-eligibility Apply for Iowa Medicaid — Iowa Health and Human Services; checked 2026-08-02. Compare Iowa HCBS waiver programs — Iowa Medicaid; checked 2026-08-02. Use Iowa HCBS program and waiver resources — Iowa Medicaid; checked 2026-08-02. Understand Iowa disability determination — Iowa Health and Human Services; checked 2026-08-02. Prepare for the current Iowa HCBS assessment — Iowa Medicaid; checked 2026-08-02. Understand Iowa HCBS case management — Iowa Medicaid; checked 2026-08-02. Appeal an Iowa HHS or managed-care action — Iowa Health and Human Services Appeals; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Kansas	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official I/DD eligibility, CDDO entry, waiting-list, offer, MCO, provider-choice, and self-direction authority; current official HCBS Access Guide with county-linked entry points and human-help routes; current official CDDO program-eligibility policy that is separate from functional and financial eligibility; current official disabled-adult KanCare application, telephone, fax, and assistance route Exact location: Start the Kansas I/DD waiver pathway; Find the Kansas HCBS entry point for your county; Review Kansas I/DD program-eligibility policy; Apply for KanCare as an elderly or disabled applicant; Review KanCare Medicaid and current health plans; Use the KanCare appeals and fair-hearing hub; Contact the independent KanCare Ombudsman; Action Kit find-kansas-cddo-start-eligibility Start the Kansas I/DD waiver pathway — Kansas Department for Aging and Disability Services; checked 2026-08-02. Find the Kansas HCBS entry point for your county — Kansas Department for Aging and Disability Services; checked 2026-08-02. Review Kansas I/DD program-eligibility policy — Kansas Department for Aging and Disability Services; checked 2026-08-02. Apply for KanCare as an elderly or disabled applicant — Kansas Department for Aging and Disability Services; checked 2026-08-02. Review KanCare Medicaid and current health plans — Kansas Department of Health and Environment; checked 2026-08-02. Use the KanCare appeals and fair-hearing hub — KanCare; checked 2026-08-02. Contact the independent KanCare Ombudsman — Kansas Office of Public Advocates; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Kentucky	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: How to Apply for Waiver Services; Kentucky HCBS Waiver Programs; Michelle P. Waiver; Supports for Community Living Waiver; Your Rights as a Waiver Participant; Action Kit start-kentucky-waiver-applications How to Apply for Waiver Services — Kentucky Department for Medicaid Services; checked 2026-08-02. Kentucky HCBS Waiver Programs — Kentucky Department for Medicaid Services; checked 2026-08-02. Michelle P. Waiver — Kentucky Department for Medicaid Services; checked 2026-08-02. Supports for Community Living Waiver — Kentucky Department for Medicaid Services; checked 2026-08-02. Your Rights as a Waiver Participant — Kentucky Department for Medicaid Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Louisiana	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official OIDD single-point-of-entry, four-waiver, tiered-waiver, urgency, and service route; current official Human Services District and Authority contact route; current official OIDD eligibility, registry, urgency, slot-offer, medical, financial, and Supports Waiver route; current official Medicaid application, renewal, eligibility, and customer-service route Exact location: Start with Louisiana OIDD services and programs; Find the Louisiana Local Governing Entity; Review the Louisiana Supports Waiver sequence; Apply for or manage Louisiana Medicaid; Appeal a Louisiana Medicaid action; Review Louisiana Medicaid waiver services; Action Kit start-louisiana-oidd-application Start with Louisiana OIDD services and programs — Louisiana Department of Health; checked 2026-08-02. Find the Louisiana Local Governing Entity — Louisiana Department of Health; checked 2026-08-02. Review the Louisiana Supports Waiver sequence — Louisiana Department of Health; checked 2026-08-02. Apply for or manage Louisiana Medicaid — Louisiana Department of Health; checked 2026-08-02. Appeal a Louisiana Medicaid action — Louisiana Department of Health; checked 2026-08-02. Review Louisiana Medicaid waiver services — Louisiana Department of Health; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Maine	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application packet, records, regional intake, ten-day contact, eligibility, and appeal route; current official MaineCare, disability-determination, and long-term-care application forms and submission routes; current official Comprehensive and Support Waiver, MaineCare, medical-eligibility, application, case-manager, and one-waiver-at-a-time route; current official waiver application, classification, change, clinical-review, and annual protocol hub Exact location: Apply for Maine Adult Developmental Disability Services; Apply for MaineCare; Compare Maine Sections 21 and 29; Use current Maine Sections 21 and 29 forms; Use the Maine OADS grievance and appeal route; Action Kit start-maine-adult-developmental-services Apply for Maine Adult Developmental Disability Services — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Apply for MaineCare — Maine DHHS, Office for Family Independence; checked 2026-08-02. Compare Maine Sections 21 and 29 — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Use current Maine Sections 21 and 29 forms — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Use the Maine OADS grievance and appeal route — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Maryland	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDA Eligibility Application Process; Regional Offices; DDA Eligibility Application; DDA Guide to Services — October 2025; DDA Advocacy Support Unit; DDA Medicaid Waiver Application Process; DDA Medicaid Waiver Program; Action Kit start-dda-eligibility-application DDA Eligibility Application Process — Maryland DDA; checked 2026-08-02. Regional Offices — Maryland DDA; checked 2026-08-02. DDA Eligibility Application — Maryland DDA; checked 2026-08-02. DDA Guide to Services — October 2025 — Maryland DDA; checked 2026-08-02. DDA Advocacy Support Unit — Maryland DDA; checked 2026-08-02. DDA Medicaid Waiver Application Process — Maryland DDA; checked 2026-08-02. DDA Medicaid Waiver Program — Maryland DDA; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Massachusetts	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDS eligibility for services; DDS eligibility forms; DDS eligibility for adults with autism; Find the DDS office for your city or town; Massachusetts HCBS waivers; DDS adult intellectual-disability waiver information; MassHealth HCBS waiver-services regulation; DDS eligibility, planning, and appeals regulation; Action Kit start-massachusetts-dds-application DDS eligibility for services — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS eligibility forms — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS eligibility for adults with autism — Massachusetts Department of Developmental Services; checked 2026-08-02. Find the DDS office for your city or town — Massachusetts Department of Developmental Services; checked 2026-08-02. Massachusetts HCBS waivers — MassHealth; checked 2026-08-02. DDS adult intellectual-disability waiver information — Massachusetts DDS and MassHealth; checked 2026-08-02. MassHealth HCBS waiver-services regulation — MassHealth; checked 2026-08-02. DDS eligibility, planning, and appeals regulation — Massachusetts Department of Developmental Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Michigan	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Michigan Community Mental Health Services; Official local CMHSP contact list; CMHSP role and statewide public-system entry; 2026 PIHP Customer Services Standards; Appeal and Grievance Resolution Processes; Michigan Medicaid beneficiary support and hearings; Action Kit start-michigan-cmhsp-intake Michigan Community Mental Health Services — Michigan Department of Health and Human Services; checked 2026-08-02. Official local CMHSP contact list — Michigan Department of Health and Human Services; checked 2026-08-02. CMHSP role and statewide public-system entry — Michigan Department of Health and Human Services; checked 2026-08-02. 2026 PIHP Customer Services Standards — Michigan Department of Health and Human Services; checked 2026-08-02. Appeal and Grievance Resolution Processes — Michigan Department of Health and Human Services; checked 2026-08-02. Michigan Medicaid beneficiary support and hearings — Michigan Department of Health and Human Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Minnesota	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Minnesota Developmental Disabilities Waiver; County and Tribal Nation human-services directory; Disability Hub Minnesota and home-community services; Apply for Medical Assistance and long-term-care services; Disability-services appeals, conciliation, and reconsideration; Action Kit start-minnesota-dd-waiver Minnesota Developmental Disabilities Waiver — Minnesota Department of Human Services; checked 2026-08-02. County and Tribal Nation human-services directory — Minnesota Department of Human Services; checked 2026-08-02. Disability Hub Minnesota and home-community services — Minnesota Department of Human Services; checked 2026-08-02. Apply for Medical Assistance and long-term-care services — Minnesota Department of Human Services; checked 2026-08-02. Disability-services appeals, conciliation, and reconsideration — Minnesota Department of Human Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Mississippi	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional Center evaluation, level-of-care, Planning List, Medicaid, Support Coordination, Plan of Care, provider choice, BIDD approval, and service-start sequence; current official regional-program, service-area, evaluation, and contact route; current official evaluation, onset, Medicaid, and person-centered-plan overview; current official regional-office contact, missing-information, notice, and hearing-help route Exact location: Start Mississippi IDD and ID/DD Waiver services; Find Mississippi IDD Regional Programs; Review Mississippi IDD and person-centered planning FAQs; Find the Mississippi Medicaid Regional Office and after-application route; Request a Mississippi Medicaid eligibility hearing; Action Kit start-mississippi-regional-center-evaluation Start Mississippi IDD and ID/DD Waiver services — Mississippi Department of Mental Health; checked 2026-08-02. Find Mississippi IDD Regional Programs — Mississippi Department of Mental Health; checked 2026-08-02. Review Mississippi IDD and person-centered planning FAQs — Mississippi Department of Mental Health; checked 2026-08-02. Find the Mississippi Medicaid Regional Office and after-application route — Mississippi Division of Medicaid; checked 2026-08-02. Request a Mississippi Medicaid eligibility hearing — Mississippi Division of Medicaid; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Missouri	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official referral, application, records, MAAS, decision, and eligibility-appeal process; current official county-linked Regional Office map, directory, eligibility, and system entry; current official Medicaid application, disability supplement, submission, verification, decision, and help route; current official Comprehensive, Community Support, Partnership for Hope, and MOCDD waiver register Exact location: Start Missouri DDD referral and application; Find the Missouri DDD Regional Office; Apply for MO HealthNet; Compare Missouri's four DD waivers; Use Missouri Support Coordination resources; Check current Missouri DD waiver enrollment; Use the Missouri state-benefit hearing route; Action Kit start-missouri-regional-office-referral Start Missouri DDD referral and application — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Find the Missouri DDD Regional Office — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Apply for MO HealthNet — Missouri Department of Social Services; checked 2026-08-02. Compare Missouri's four DD waivers — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Use Missouri Support Coordination resources — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Check current Missouri DD waiver enrollment — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Use the Missouri state-benefit hearing route — Missouri Department of Social Services, Division of Legal Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Montana	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official eligibility, Vineland, waitlist, offer, TCM, PSP, provider, and self-direction route; older linked artifacts are bounded; current official five-region and satellite-office contact route; current official DDP, 0208, Targeted Case Management, regional, provider, and self-directed overview; current official forms-and-tools hub; dates on individual artifacts must be evaluated before operational use Exact location: Start Montana DDP eligibility and 0208 waiver access; Find the nearest Montana DDP Regional Office; Review Montana Developmental Disabilities Program services; Open Montana DDP forms and tools; Use the Montana Office of Administrative Hearings; Use Montana Targeted Case Management; Action Kit start-montana-ddp-eligibility Start Montana DDP eligibility and 0208 waiver access — Montana DPHHS; checked 2026-08-02. Find the nearest Montana DDP Regional Office — Montana DPHHS; checked 2026-08-02. Review Montana Developmental Disabilities Program services — Montana DPHHS; checked 2026-08-02. Open Montana DDP forms and tools — Montana DPHHS; checked 2026-08-02. Use the Montana Office of Administrative Hearings — Montana DPHHS; checked 2026-08-02. Use Montana Targeted Case Management — Montana DPHHS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Nebraska	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official iServe, DD-10, telephone, mail, email, fax, preparation, eligibility, level-of-care, waiver, funding, plan, and contact route; current official DD-10 and multilingual HCBS application register; current official reviewer-explanation, reapplication, 90-day fair-hearing, representation, evidence, email, and mailing route; current June 2026 official fair-hearing, expedited-request, and continuation-request form Exact location: Start a Nebraska HCBS DD waiver application; Open Nebraska's multilingual HCBS application forms; Respond to a Nebraska HCBS notice of decision; Use the current Nebraska fair-hearing form; Action Kit start-nebraska-dd-waiver-application Start a Nebraska HCBS DD waiver application — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Open Nebraska's multilingual HCBS application forms — Nebraska DHHS; checked 2026-08-02. Respond to a Nebraska HCBS notice of decision — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Use the current Nebraska fair-hearing form — Nebraska DHHS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Nevada	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official three-Regional-Center, eligibility, service-coordination, service, and application route; current official Desert, Rural, and Sierra Regional Center office and intake contacts; current official January 2025 application and checklist and July 2025 financial forms in English and Spanish; current official eligibility evidence, review, notification, and appeal-process source; the complete current notice controls case deadlines Exact location: Start Nevada Developmental Services; Find a Nevada Developmental Services office; Open current Nevada Developmental Services forms; Review Nevada Developmental Services intake and eligibility policy; Use Nevada Developmental Services service coordination; Review Nevada's ID Waiver; Apply for Nevada Medicaid; Action Kit start-nevada-regional-center Start Nevada Developmental Services — Nevada ADSD; checked 2026-08-02. Find a Nevada Developmental Services office — Nevada ADSD; checked 2026-08-02. Open current Nevada Developmental Services forms — Nevada ADSD; checked 2026-08-02. Review Nevada Developmental Services intake and eligibility policy — Nevada ADSD; checked 2026-08-02. Use Nevada Developmental Services service coordination — Nevada ADSD; checked 2026-08-02. Review Nevada's ID Waiver — Nevada Medicaid; checked 2026-08-02. Apply for Nevada Medicaid — Nevada Medicaid; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
New Mexico	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, eligibility, Central Registry, and Regional Office route; current official Regional Office intake and application-assistance route; current official diagnostic, functional, onset, residency, and application authority; current approved July 1, 2026 DD Waiver authority Exact location: Apply for New Mexico DD Waiver eligibility; Find New Mexico DDSD Regional Offices; Review New Mexico DD Waiver eligibility requirements; Review New Mexico's approved July 2026 DD Waiver; Plan New Mexico DD Waiver services and budgets; Apply for New Mexico Medicaid; Use the New Mexico Medicaid fair-hearing route; Review New Mexico DD Waiver allocation; Action Kit start-new-mexico-dd-application Apply for New Mexico DD Waiver eligibility — New Mexico Health Care Authority DDSD; checked 2026-08-02. Find New Mexico DDSD Regional Offices — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review New Mexico DD Waiver eligibility requirements — New Mexico Health Care Authority; checked 2026-08-02. Review New Mexico's approved July 2026 DD Waiver — Centers for Medicare and Medicaid Services; checked 2026-08-02. Plan New Mexico DD Waiver services and budgets — New Mexico Health Care Authority DDSD; checked 2026-08-02. Apply for New Mexico Medicaid — New Mexico Health Care Authority; checked 2026-08-02. Use the New Mexico Medicaid fair-hearing route — New Mexico Health Care Authority; checked 2026-08-02. Review New Mexico DD Waiver allocation — New Mexico Health Care Authority DDSD; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
New York	4/4	#1	High	2026-08-02	All four access-process indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The sources distinguish eligibility, Medicaid/waiver enrollment, service access, and second-step, third-step, and fair-hearing review routes. Exact location: OPWDD Front Door; Eligibility review steps; HCBS Waiver page OPWDD Front Door — New York OPWDD; checked 2026-08-02. OPWDD Eligibility — New York OPWDD; checked 2026-08-02. Apply for the OPWDD HCBS Waiver — New York OPWDD; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
North Carolina	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: NC Innovations Waiver; How to Apply for the NC Innovations Waiver; LME/MCO Directory; Behavioral Health and I/DD Tailored Plans; Apply for NC Medicaid; North Carolina Innovations Clinical Coverage Policy 8-P; NC Medicaid Beneficiary Help and Appeals; NC Medicaid Ombudsman; Action Kit start-nc-innovations-application NC Innovations Waiver — NC Medicaid; checked 2026-08-02. How to Apply for the NC Innovations Waiver — NC Medicaid; checked 2026-08-02. LME/MCO Directory — NC Department of Health and Human Services; checked 2026-08-02. Behavioral Health and I/DD Tailored Plans — NC Medicaid; checked 2026-08-02. Apply for NC Medicaid — NC Medicaid; checked 2026-08-02. North Carolina Innovations Clinical Coverage Policy 8-P — NC Medicaid; checked 2026-08-02. NC Medicaid Beneficiary Help and Appeals — NC Medicaid; checked 2026-08-02. NC Medicaid Ombudsman — NC Medicaid; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
North Dakota	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional DD referral, eligibility, services, provider, self-direction, appeal, and grievance route; current official county-to-eight-region DD office and intake contact route; current official DD program, service, provider, and current-waiver-document route; conflicting effective-date labels are not generalized; current official Medicaid, DD program-management, and ICF/IID level-of-care eligibility route Exact location: Start North Dakota developmental-disability services; Find the correct North Dakota Regional DD Office; Review North Dakota Developmental Disabilities Services; Review North Dakota Medicaid and I/DD waiver eligibility; Review the North Dakota Medicaid member handbook; Review North Dakota Medicaid waivers; File a North Dakota Medicaid appeal; Action Kit start-north-dakota-dd-services Start North Dakota developmental-disability services — North Dakota HHS; checked 2026-08-02. Find the correct North Dakota Regional DD Office — North Dakota HHS; checked 2026-08-02. Review North Dakota Developmental Disabilities Services — North Dakota HHS; checked 2026-08-02. Review North Dakota Medicaid and I/DD waiver eligibility — North Dakota HHS; checked 2026-08-02. Review the North Dakota Medicaid member handbook — North Dakota HHS; checked 2026-08-02. Review North Dakota Medicaid waivers — North Dakota HHS; checked 2026-08-02. File a North Dakota Medicaid appeal — North Dakota HHS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Ohio	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DODD Contact Form; County Boards of Developmental Disabilities Rules; DODD Home and Community-Based Services Waiver Rules; DODD Waiting List Rule; Ohio Medicaid DODD Waiting Lists Rule; Individual Options Waiver Program Information; Level One Waiver Program Information; SELF Waiver Program Information; County Board Complaints and Appeals of Adverse Action; Action Kit start-ohio-county-board-eligibility DODD Contact Form — Ohio Department of Developmental Disabilities; checked 2026-08-02. County Boards of Developmental Disabilities Rules — Ohio Laws; checked 2026-08-02. DODD Home and Community-Based Services Waiver Rules — Ohio Laws; checked 2026-08-02. DODD Waiting List Rule — Ohio Laws; checked 2026-08-02. Ohio Medicaid DODD Waiting Lists Rule — Ohio Laws; checked 2026-08-02. Individual Options Waiver Program Information — Ohio Department of Medicaid; checked 2026-08-02. Level One Waiver Program Information — Ohio Department of Medicaid; checked 2026-08-02. SELF Waiver Program Information — Ohio Department of Medicaid; checked 2026-08-02. County Board Complaints and Appeals of Adverse Action — Ohio Laws; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Oklahoma	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Liberty intake, application-submission, status-update, email, telephone, and mailing route; current official DDS application form; current official eligibility, cohorts, transition, system timing, waiver, self-direction, and service-volume dashboard updated May 31, 2026; current official DDS eligibility, waiver, case-management, plan-of-care, provider, guardianship, and human-help hub Exact location: Start the Oklahoma DDS application; Download the Oklahoma DDS application; Check the Oklahoma DDS dashboard; Use the Oklahoma DDS service hub; Compare Oklahoma HCBS waivers; Review Oklahoma DDS eligibility requirements; File an Oklahoma DDS client grievance; Review Oklahoma Human Services fair hearings; Action Kit start-oklahoma-dds-application Start the Oklahoma DDS application — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Download the Oklahoma DDS application — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Check the Oklahoma DDS dashboard — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Use the Oklahoma DDS service hub — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Compare Oklahoma HCBS waivers — Oklahoma Health Care Authority; checked 2026-08-02. Review Oklahoma DDS eligibility requirements — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. File an Oklahoma DDS client grievance — Oklahoma Human Services; checked 2026-08-02. Review Oklahoma Human Services fair hearings — Oklahoma Human Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Oregon	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current application, eligibility, and adult-service overview; current CDDP and brokerage directory route; current; current multilingual planning resources Exact location: Apply for Oregon I/DD services and review eligibility; Oregon I/DD provider and partner directories; I/DD case management, Oregon Needs Assessment, and service groups; I/DD in-home supports and service-group hours; Current Medicaid waivers and K Plan for I/DD services; Self-advocate guide to the Oregon Needs Assessment and ISP; Complaints about Oregon I/DD services; Administrative hearings for Oregon I/DD services; Action Kit start-oregon-idd-application Apply for Oregon I/DD services and review eligibility — Oregon Department of Human Services; checked 2026-08-02. Oregon I/DD provider and partner directories — Oregon Department of Human Services; checked 2026-08-02. I/DD case management, Oregon Needs Assessment, and service groups — Oregon Department of Human Services; checked 2026-08-02. I/DD in-home supports and service-group hours — Oregon Department of Human Services; checked 2026-08-02. Current Medicaid waivers and K Plan for I/DD services — Oregon Department of Human Services; checked 2026-08-02. Self-advocate guide to the Oregon Needs Assessment and ISP — Oregon Department of Human Services; checked 2026-08-02. Complaints about Oregon I/DD services — Oregon Department of Human Services; checked 2026-08-02. Administrative hearings for Oregon I/DD services — Oregon Department of Human Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Rhode Island	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current application, criteria, records, help, and complete-application timeline; current SIS-A, ANSQ, follow-up, and funding-level process; current case-management, self-directed, community, residential, employment, and transportation overview; current LTSS application packet and help route Exact location: Apply for Rhode Island DD services; Understand the DD assessment process; Review adult DD service options; Apply for Medicaid LTSS; Appeal a Rhode Island DD decision; Action Kit start-rhode-island-dd-application Apply for Rhode Island DD services — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Understand the DD assessment process — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Review adult DD service options — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Apply for Medicaid LTSS — Rhode Island Executive Office of Health and Human Services; checked 2026-08-02. Appeal a Rhode Island DD decision — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
South Carolina	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current centralized intake route and expected contacts; current autism record-review and evaluation guidance; current county and service directory route; current approved-waiver register Exact location: Request BHDD-OIDD eligibility; Autism eligibility and evaluation; Find a BHDD-OIDD service provider; Current South Carolina Medicaid waivers; Current approved ID/RD Waiver; Community Supports Waiver; January 2026 waiver waiting-list update; Resolve a BHDD-OIDD complaint or service dispute; File a South Carolina Medicaid appeal; Action Kit start-sc-oidd-eligibility Request BHDD-OIDD eligibility — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Autism eligibility and evaluation — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Find a BHDD-OIDD service provider — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Current South Carolina Medicaid waivers — South Carolina Department of Health and Human Services; checked 2026-08-02. Current approved ID/RD Waiver — South Carolina Department of Health and Human Services; checked 2026-08-02. Community Supports Waiver — South Carolina Department of Health and Human Services; checked 2026-08-02. January 2026 waiver waiting-list update — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Resolve a BHDD-OIDD complaint or service dispute — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. File a South Carolina Medicaid appeal — South Carolina Department of Health and Human Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
South Dakota	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDD program and intake route; current official application, record, ICAP, eligibility, coordinator, Medicaid, planning, and provider sequence; version 1 May 2023 remains linked by the current program; current official fair-hearing route; the complete current notice controls the deadline and case-specific action; current official DDD intake, ICAP, level-of-care, final-eligibility, case-management, and provider-role sequence Exact location: Start with South Dakota Developmental Disabilities intake; Open the South Dakota DDD Application Guide; Request a South Dakota DSS fair hearing; Review South Dakota DDD and provider responsibilities; Action Kit start-south-dakota-ddd-intake Start with South Dakota Developmental Disabilities intake — South Dakota DHS; checked 2026-08-02. Open the South Dakota DDD Application Guide — South Dakota DHS; checked 2026-08-02. Request a South Dakota DSS fair hearing — South Dakota DSS; checked 2026-08-02. Review South Dakota DDD and provider responsibilities — South Dakota DHS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Tennessee	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current eligibility, Groups 4 through 8, priority, referral-list, benefit, application, and contact authority; current official I/DD, financial, benefit-group, self-referral, service, and Consumer Direction guide; current online, telephone, paper, fax, local-help, preparation, and status route; current enrollment, limited-funding, MCO, DDA regional-intake, and self-referral help route Exact location: Review ECF CHOICES groups, eligibility, and services; Review the current ECF CHOICES brochure; Apply for TennCare; Use Tennessee ECF CHOICES application help; Get ECF CHOICES rights, complaint, and appeal help; File a TennCare medical appeal; Action Kit complete-tennessee-medicaid-ecf-eligibility Review ECF CHOICES groups, eligibility, and services — TennCare; checked 2026-08-02. Review the current ECF CHOICES brochure — TennCare; checked 2026-08-02. Apply for TennCare — TennCare Connect; checked 2026-08-02. Use Tennessee ECF CHOICES application help — Tennessee Department of Disability and Aging; checked 2026-08-02. Get ECF CHOICES rights, complaint, and appeal help — TennCare Beneficiary Support System; checked 2026-08-02. File a TennCare medical appeal — TennCare Member Medical Appeals; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Utah	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official online, telephone, packet, preparation, 90-day intake, notice, and hearing-rights route; current official citizenship or residency, disability, onset, diagnosis, adaptive-function, exclusion, and waiting-list authority; current May 2026 official eligibility, application, NAQ, waiting-list, and service-entry guide; current official financial and medical eligibility, limited-space, application-status, DSPD waiver, contact, complaint, and appeal route Exact location: Start the DSPD application; Review Utah DSPD eligibility; Use the current DSPD eligibility and services guide; Apply for Utah Medicaid and waiver coverage; Review DSPD Medicaid eligibility roles; Contact Utah Medicaid about a concern; Understand the DSPD waiting list and NAQ; Review current DSPD policies and hearing rights; Request a Utah Medicaid hearing; Action Kit start-utah-dspd-application Start the DSPD application — Utah Division of Services for People with Disabilities; checked 2026-08-02. Review Utah DSPD eligibility — Utah Division of Services for People with Disabilities; checked 2026-08-02. Use the current DSPD eligibility and services guide — Utah Division of Services for People with Disabilities; checked 2026-08-02. Apply for Utah Medicaid and waiver coverage — Utah Medicaid; checked 2026-08-02. Review DSPD Medicaid eligibility roles — Utah DSPD policy manuals; checked 2026-08-02. Contact Utah Medicaid about a concern — Utah Medicaid; checked 2026-08-02. Understand the DSPD waiting list and NAQ — Utah Division of Services for People with Disabilities; checked 2026-08-02. Review current DSPD policies and hearing rights — Utah Division of Services for People with Disabilities; checked 2026-08-02. Request a Utah Medicaid hearing — Utah Medicaid Office of Administrative Hearings; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Vermont	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDSD entry and policy route; current official agency-network and provider-choice reference; current final adopted HCAR 7.100 application, eligibility, funding, notice, choice, planning, and appeal authority; current official statutory principles for adult services, choice, access, safety, and information Exact location: Start with Vermont Developmental Disabilities Services; Find Vermont Designated and Specialized Service Agencies; Review Vermont's final Developmental Disabilities rule; Review Vermont Developmental Disabilities Act principles; Plan Vermont developmental services; Review Vermont's current DDSD System of Care controls; Apply for Vermont Medicaid; Use the Vermont Human Services Board appeal route; Action Kit start-vermont-dd-application Start with Vermont Developmental Disabilities Services — Vermont DDSD; checked 2026-08-02. Find Vermont Designated and Specialized Service Agencies — Vermont DDSD; checked 2026-08-02. Review Vermont's final Developmental Disabilities rule — Vermont Agency of Human Services; checked 2026-08-02. Review Vermont Developmental Disabilities Act principles — Vermont Legislature; checked 2026-08-02. Plan Vermont developmental services — Vermont DDSD; checked 2026-08-02. Review Vermont's current DDSD System of Care controls — Vermont DDSD; checked 2026-08-02. Apply for Vermont Medicaid — Department of Vermont Health Access; checked 2026-08-02. Use the Vermont Human Services Board appeal route — Vermont Agency of Human Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Washington	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current form; current; current Exact location: How to enroll in Developmental Disabilities Community Services; Request for DDCS eligibility determination; Find a DDCS office; DDCS assessment and Person-Centered Service Plan; How to ask DDCS for services; DDCS policy manual and current Planned Action Notice policy; Action Kit start-washington-ddcs-enrollment How to enroll in Developmental Disabilities Community Services — Washington Department of Social and Health Services; checked 2026-08-02. Request for DDCS eligibility determination — Washington Department of Social and Health Services; checked 2026-08-02. Find a DDCS office — Washington Department of Social and Health Services; checked 2026-08-02. DDCS assessment and Person-Centered Service Plan — Washington Department of Social and Health Services; checked 2026-08-02. How to ask DDCS for services — Washington Department of Social and Health Services; checked 2026-08-02. DDCS policy manual and current Planned Action Notice policy — Washington Department of Social and Health Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Washington, DC	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: How to Apply for DDA Services; DDA Intake and Eligibility Determination Procedure; Home and Community-Based Services Waiver Program; Service Coordination; Action Kit start-dc-dda-application How to Apply for DDA Services — DC Department on Disability Services / DDA; checked 2026-08-02. DDA Intake and Eligibility Determination Procedure — DC Department on Disability Services / DDA; checked 2026-08-02. Home and Community-Based Services Waiver Program — DC Department on Disability Services / DDA; checked 2026-08-02. Service Coordination — DC Department on Disability Services / DDA; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
West Virginia	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, Acentra, approved-psychologist, medical, financial, capacity, provider, service, and follow-up route; current official IDDW application, policy, freedom-of-choice, grievance, and reporting form route; current official member handbook, case management, provider review, authorization, residential-opening, EVV, and Personal Options resource route; current official case-management, planning, budget, authorization, provider, and member-responsibility route Exact location: Start the West Virginia IDDW application; Open West Virginia IDDW policy and forms; Review West Virginia IDDW member and provider information; Review West Virginia IDDW case-management and service responsibilities; Review West Virginia Personal Options; Review the approved July 2025 West Virginia IDDW waiver; Apply for West Virginia Medicaid; Use the West Virginia IDDW notice and fair-hearing route; Action Kit start-west-virginia-iddw-application Start the West Virginia IDDW application — West Virginia Bureau for Medical Services; checked 2026-08-02. Open West Virginia IDDW policy and forms — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia IDDW member and provider information — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia IDDW case-management and service responsibilities — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia Personal Options — West Virginia Bureau for Medical Services; checked 2026-08-02. Review the approved July 2025 West Virginia IDDW waiver — West Virginia Bureau for Medical Services; checked 2026-08-02. Apply for West Virginia Medicaid — West Virginia Bureau for Medical Services; checked 2026-08-02. Use the West Virginia IDDW notice and fair-hearing route — West Virginia Bureau for Medical Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Wisconsin	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current statewide entry route; current; current ADRC enrollment route; current planning and self-direction guidance Exact location: Find an ADRC or Tribal ADRS; Adult disability programs and services; Apply for Family Care, Partnership, or PACE; Being a Full Partner in Family Care and Partnership; Family Care managed care organizations; Enroll in IRIS; IRIS manuals, service-plan policy, and participant resources; IRIS help, consultant agencies, and fiscal employer agents; Medicaid programs and application routes for people with disabilities; File an appeal with a Family Care MCO; Action Kit start-wisconsin-adult-ltc Find an ADRC or Tribal ADRS — Wisconsin Department of Health Services; checked 2026-08-02. Adult disability programs and services — Wisconsin Department of Health Services; checked 2026-08-02. Apply for Family Care, Partnership, or PACE — Wisconsin Department of Health Services; checked 2026-08-02. Being a Full Partner in Family Care and Partnership — Wisconsin Department of Health Services; checked 2026-08-02. Family Care managed care organizations — Wisconsin Department of Health Services; checked 2026-08-02. Enroll in IRIS — Wisconsin Department of Health Services; checked 2026-08-02. IRIS manuals, service-plan policy, and participant resources — Wisconsin Department of Health Services; checked 2026-08-02. IRIS help, consultant agencies, and fiscal employer agents — Wisconsin Department of Health Services; checked 2026-08-02. Medicaid programs and application routes for people with disabilities — Wisconsin Department of Health Services; checked 2026-08-02. File an appeal with a Family Care MCO — Wisconsin Department of Health Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Wyoming	4/4	#1	High	2026-08-02	The official source set distinguishes 4 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, eligibility, waiting-list, case-management, planning, and service guide; current official Supports Waiver application form linked from the HCBS document library; current official participant, application, case-manager, provider, complaint, and incident route; current official waiver-rule, service-requirement, and standards route Exact location: Use Wyoming's current Supports Waiver application guide; Start the Wyoming Supports Waiver application; Review Wyoming HCBS participant resources; Review Wyoming HCBS rules and service requirements; Find Wyoming DD providers and case managers; Review Wyoming Supports and Comprehensive Waivers; Apply for Wyoming Medicaid; Use the Wyoming Medicaid fair-hearing route; Action Kit start-wyoming-dd-application Use Wyoming's current Supports Waiver application guide — Wyoming Department of Health HCBS Section; checked 2026-08-02. Start the Wyoming Supports Waiver application — Wyoming Department of Health HCBS Section; checked 2026-08-02. Review Wyoming HCBS participant resources — Wyoming Department of Health; checked 2026-08-02. Review Wyoming HCBS rules and service requirements — Wyoming Department of Health; checked 2026-08-02. Find Wyoming DD providers and case managers — Wyoming Department of Health; checked 2026-08-02. Review Wyoming Supports and Comprehensive Waivers — Wyoming Department of Health HCBS Section; checked 2026-08-02. Apply for Wyoming Medicaid — Wyoming Department of Health; checked 2026-08-02. Use the Wyoming Medicaid fair-hearing route — Wyoming Department of Health; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
California	3/4	#43	High	2026-08-02	A specific appeal route was not included strongly enough in the scored source set for indicator 4. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: The sources distinguish intake/eligibility, regional-center entitlement, IPP decisions, and funding/generic-resource layers. Exact location: DDS Regional Center Listings; Lanterman Act eligibility; Individual Program Planning Regional Center Eligibility and Services — California DDS; checked 2026-08-02. Find a Regional Center — California DDS; checked 2026-08-02. Individual Program Planning — California DDS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Delaware	3/4	#43	High	2026-08-02	The official source set distinguishes 3 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 4 Evidence: current online, paper, Spanish, help, timeline, and appeal route; current eligibility and service overview; current Lifespan Waiver and DSHP Plus overview; current program-choice and service comparison Exact location: Apply for DDDS services; About DDDS eligibility and adult services; DDDS waiver programs; Compare Lifespan Waiver and DSHP Plus; Apply for Delaware Medicaid and medical assistance; Action Kit start-delaware-ddds-application Apply for DDDS services — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. About DDDS eligibility and adult services — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. DDDS waiver programs — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. Compare Lifespan Waiver and DSHP Plus — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. Apply for Delaware Medicaid and medical assistance — Delaware Division of Social Services; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Florida	3/4	#43	High	2026-08-02	No specific appeal route was sufficiently visible in the scored source set. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: The sources distinguish APD eligibility, Medicaid/iBudget enrollment, and pre-enrollment categories and aggregates. Exact location: APD Apply page; iBudget page; FY2025-26 Q3 pre-enrollment report Get Started with APD Services — Florida Agency for Persons with Disabilities; checked 2026-08-02. APD Online Application — Florida Agency for Persons with Disabilities; checked 2026-08-02. Florida Statute 393.065 — Application and Eligibility — Florida Legislature; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Illinois	3/4	#43	High	2026-08-02	No specific appeal path was sufficiently visible in the scored source set. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: The sources distinguish ISC/PAS intake, Medicaid/waiver criteria, and PUNS prioritization. Exact location: Adult DD waiver eligibility section; ISC map; PUNS flyer DDD Services and Independent Service Coordination — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. Understanding PUNS — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. PUNS Frequently Asked Questions — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
New Hampshire	3/4	#43	High	2026-08-02	The official source set distinguishes 3 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 4 Evidence: current official developmental-services entry, program, waiver, provider, and contact hub; current official ten-region Area Agency directory and catchment map; current official application, DD eligibility, level-of-care, service-coordination, planning, service, appeal, and participant-direction rules; current official Area Agency application, comprehensive screening, preliminary recommendation, emergency-arrangement, and hearing authority Exact location: Start with New Hampshire Developmental Services; Find the correct New Hampshire Area Agency; Read New Hampshire's current He-M 500 rules; Review RSA 171-A:6 service-system entry; Review the approved New Hampshire DD Waiver; Open New Hampshire's HCBS waiver register; Action Kit start-new-hampshire-area-agency-application Start with New Hampshire Developmental Services — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Find the correct New Hampshire Area Agency — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Read New Hampshire's current He-M 500 rules — New Hampshire Office of Legislative Services; checked 2026-08-02. Review RSA 171-A:6 service-system entry — New Hampshire General Court; checked 2026-08-02. Review the approved New Hampshire DD Waiver — New Hampshire DHHS and Centers for Medicare & Medicaid Services; checked 2026-08-02. Open New Hampshire's HCBS waiver register — New Hampshire DHHS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
New Jersey	3/4	#43	High	2026-08-02	The scored source set did not expose a specific appeal route strongly enough for indicator 4. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: The sources distinguish DDD eligibility, Medicaid/waiver enrollment, and Community Care Program priority status. Exact location: DDD Apply and Medicaid pages; FY2026 CCP Priority Waiting List update Apply for Division of Developmental Disabilities Services — New Jersey DDD; checked 2026-08-02. Medicaid Eligibility for DDD Services — New Jersey DDD; checked 2026-08-02. Community Care Program Priority Waiting List Update — New Jersey DDD; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Pennsylvania	3/4	#43	High	2026-08-02	The official source set distinguishes 3 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current; current; current; current Exact location: Adult Autism Waiver; Apply for the Medicaid Adult Autism Waiver; Adult Community Autism Program; Apply for Medicaid Benefits; Individual Eligibility for ODP Waivers; Action Kit complete-pennsylvania-waiver-and-medicaid-eligibility Adult Autism Waiver — Pennsylvania DHS / ODP; checked 2026-08-02. Apply for the Medicaid Adult Autism Waiver — Pennsylvania DHS; checked 2026-08-02. Adult Community Autism Program — Pennsylvania DHS / ODP; checked 2026-08-02. Apply for Medicaid Benefits — Pennsylvania DHS; checked 2026-08-02. Individual Eligibility for ODP Waivers — Pennsylvania DHS / ODP; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.
Texas	3/4	#43	High	2026-08-02	No specific appeal route was sufficiently visible in the scored source set. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: The sources distinguish LIDDA assessment, interest-list placement, waiver offer, Medicaid/level of care, and enrollment. Exact location: LIDDA directory; interest-list purpose and data-entry form; HCS enrollment handbook Find a Local Intellectual and Developmental Disability Authority — Texas HHS; checked 2026-08-02. LIDDA Overview and Responsibilities — Texas HHS; checked 2026-08-02. HCS and TxHmL Interest List Process — Texas HHS; checked 2026-08-02. Request to Change HCS or TxHmL Interest List Information — Texas HHS; checked 2026-08-02. Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.
Virginia	3/4	#43	High	2026-08-02	The official source set distinguishes 3 of four major access decisions. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: current; current; current; current Exact location: Waiver Information for Individuals and Families; Find Help and Local CSB/BHA Entry Points; Navigating the DD Waivers; Support Coordination Handbook; Action Kit start-virginia-dd-waiver-screening Waiver Information for Individuals and Families — Virginia DBHDS; checked 2026-08-02. Find Help and Local CSB/BHA Entry Points — Virginia DBHDS; checked 2026-08-02. Navigating the DD Waivers — Virginia DBHDS / My Life, My Community; checked 2026-08-02. Support Coordination Handbook — Virginia DBHDS; checked 2026-08-02. Limit: A higher result means more decision points are visible; it does not predict eligibility, funding, or time to service.

Provider-discovery transparency

How directly a family can identify authorized providers from an official public source.

What qualifies

An official public method names providers across general adult developmental services or at least two core adult-service categories. A list limited to one specialized program does not meet the denominator.

Freshness: Recheck public search, directory, list, or dataset status monthly.

How 0–4 works

0: The complete search found no qualifying public route or evidence, or qualifying evidence satisfied none of the observable indicators.
1: One indicator is present.
2: Two indicators are present.
3: Three indicators are present.
4: All four indicators are present.

Observable indicators

Families can access it directly without an account or service-coordinator gate.
Providers can be narrowed or grouped by service.
Providers can be narrowed or interpreted by geography or service area.
The source supplies structured provider identity/contact information and a current list, dataset, search, or vacancy signal.

What it means: A higher score means provider names are easier to find. A listing or vacancy signal does not prove acceptance, capacity, quality, or fit.

Provider-discovery transparency — 51 scored; 0 Could Not Evaluate
State	Rating	Dimension rank	Confidence	Checked	Why
Alabama	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official five-region county map with office, incident, on-call, certification, and quality contacts; current official county-and-category provider listing Exact location: Find the Alabama DD Regional Office for your county; Search Alabama's certified provider directory; Action Kit find-verify-alabama-providers Find the Alabama DD Regional Office for your county — Alabama Department of Mental Health; checked 2026-08-02. Search Alabama's certified provider directory — Alabama Department of Mental Health; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Alaska	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official regional DDRC application, Medicaid-document, option, and referral help; current official DD, DDRR, waiver, provider, fair-hearing, and support-document form hub; current official HCBS provider certification, compliance, review, and complaint route Exact location: Find an Alaska Developmental Disabilities Resource Connection; Open Alaska's approved SDS forms; Review Alaska waiver-provider certification and complaints; Action Kit find-verify-alaska-providers Find an Alaska Developmental Disabilities Resource Connection — Alaska Department of Health; checked 2026-08-02. Open Alaska's approved SDS forms — Alaska Department of Health; checked 2026-08-02. Review Alaska waiver-provider certification and complaints — Alaska Department of Health; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Arizona	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official HCBS Qualified Provider directory; provider-supplied availability fields require direct verification; current official planning participation, provider choice, Support Coordinator choice, service correction, and grievance rights Exact location: Search Arizona DDD qualified providers; Review individual and family rights in Arizona DDD; Action Kit find-verify-arizona-providers Search Arizona DDD qualified providers — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Review individual and family rights in Arizona DDD — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Arkansas	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official PASSE care-coordination, person-centered service-plan, integrated-service, and eligibility overview; current official CES consumer page and certified-provider-list route; capacity and fit require direct verification Exact location: Understand Arkansas PASSE care coordination; Open the Arkansas CES provider list; Action Kit find-verify-arkansas-providers Understand Arkansas PASSE care coordination — Arkansas DHS; checked 2026-08-02. Open the Arkansas CES provider list — Arkansas DHS; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Colorado	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current Exact location: Find the Case Management Agency and Community Center Board for your county; Find Colorado HCBS and IDD providers; Action Kit find-verify-colorado-providers Find the Case Management Agency and Community Center Board for your county — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Find Colorado HCBS and IDD providers — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Connecticut	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current Exact location: DDS qualified-provider information; DSS Autism Waiver provider enrollment and contacts; Action Kit find-connecticut-providers DDS qualified-provider information — Connecticut Department of Developmental Services; checked 2026-08-02. DSS Autism Waiver provider enrollment and contacts — Connecticut Department of Social Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Delaware	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current service and county provider listings; current official forms and standards register Exact location: DDDS Authorized Provider Network; DDDS forms, policies, and provider standards; Action Kit find-verify-delaware-providers DDDS Authorized Provider Network — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. DDDS forms, policies, and provider standards — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Florida	4/4	#1	High	2026-08-02	All four discovery indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The official search is directly public and supports service and location-oriented provider discovery with structured results. Exact location: APD Provider Search APD Documentation of a Developmental Disability — Florida Agency for Persons with Disabilities; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Georgia	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current Exact location: Apply for DD Services; Find DBHDD Services and Provider Search; FY 2027 Community Provider Manuals; Action Kit find-verify-georgia-providers Apply for DD Services — Georgia DBHDD; checked 2026-08-02. Find DBHDD Services and Provider Search — Georgia DBHDD; checked 2026-08-02. FY 2027 Community Provider Manuals — Georgia DBHDD; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Idaho	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Traditional plan-developer, Individual Support Plan, provider-list, and conflict-boundary route; current official adult-DD provider and plan-developer list route; current official agency-list and survey-result route Exact location: Use Idaho Traditional support services; Find Idaho adult-DD plan developers and providers; Review Idaho developmental-disability agency information; Action Kit find-verify-idaho-providers Use Idaho Traditional support services — Idaho Department of Health and Welfare; checked 2026-08-02. Find Idaho adult-DD plan developers and providers — Idaho Department of Health and Welfare; checked 2026-08-02. Review Idaho developmental-disability agency information — Idaho Department of Health and Welfare; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Iowa	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current application, provider, complaint, incident, specialist, and waiting-list contact routes; current MCO network and fee-for-service provider-search routes Exact location: Start and troubleshoot Iowa HCBS; Find an Iowa Medicaid provider; Action Kit find-verify-iowa-providers Start and troubleshoot Iowa HCBS — Iowa Medicaid; checked 2026-08-02. Find an Iowa Medicaid provider — Iowa Medicaid; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Kansas	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official I/DD eligibility, CDDO entry, waiting-list, offer, MCO, provider-choice, and self-direction authority; current official HCBS Access Guide with county-linked entry points and human-help routes; current official I/DD individual-choice, provisional-plan, CDDO access, and provider-affiliation form hub Exact location: Start the Kansas I/DD waiver pathway; Find the Kansas HCBS entry point for your county; Use current KDADS I/DD and CDDO forms; Action Kit find-verify-kansas-providers Start the Kansas I/DD waiver pathway — Kansas Department for Aging and Disability Services; checked 2026-08-02. Find the Kansas HCBS entry point for your county — Kansas Department for Aging and Disability Services; checked 2026-08-02. Use current KDADS I/DD and CDDO forms — Kansas Department for Aging and Disability Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Kentucky	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current Exact location: Kentucky HCBS Waiver Programs; Kentucky Medicaid Provider Directory; SCL and MPW Regulations; Action Kit find-verify-kentucky-providers Kentucky HCBS Waiver Programs — Kentucky Department for Medicaid Services; checked 2026-08-02. Kentucky Medicaid Provider Directory — Kentucky Department for Medicaid Services; checked 2026-08-02. SCL and MPW Regulations — Kentucky DBHDID; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Louisiana	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official person-centered-plan, plan-approval, resource-coordination, monitoring, and self-direction assistance route; current official regional and service-type provider listing; listing is not availability or quality evidence; current official applicable-waiver, employer-responsibility, fiscal-employer-agent, EVV, incident, and complaint route Exact location: Understand Louisiana OIDD Support Coordination; Search Louisiana Freedom of Choice providers; Review Louisiana Medicaid Self-Direction; Action Kit find-verify-louisiana-providers-self-direction Understand Louisiana OIDD Support Coordination — Louisiana Department of Health; checked 2026-08-02. Search Louisiana Freedom of Choice providers — Louisiana Department of Health; checked 2026-08-02. Review Louisiana Medicaid Self-Direction — Louisiana Department of Health; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Maine	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official residential, case-management, employment, representative-payee, community-support, and broker directory; current official late-2025 service-specific licensing transition and oversight route Exact location: Search the Maine OADS provider directory; Review Maine HCBS provider licensing; Action Kit find-verify-maine-providers Search the Maine OADS provider directory — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Review Maine HCBS provider licensing — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Maryland	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Exact location: Maryland Provider Search; Action Kit verify-provider-capacity-and-fit Maryland Provider Search — Maryland DDA-linked directory; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Minnesota	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DHS licensed-program lookup and oversight; Minnesota Health Care Programs provider directory; Minnesota HCBS 245D provider standards; Disability Hub Minnesota and home-community services; Action Kit find-verify-minnesota-providers DHS licensed-program lookup and oversight — Minnesota Department of Human Services; checked 2026-08-02. Minnesota Health Care Programs provider directory — Minnesota Department of Human Services; checked 2026-08-02. Minnesota HCBS 245D provider standards — Minnesota Department of Human Services; checked 2026-08-02. Disability Hub Minnesota and home-community services — Minnesota Department of Human Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Mississippi	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional Center evaluation, level-of-care, Planning List, Medicaid, Support Coordination, Plan of Care, provider choice, BIDD approval, and service-start sequence; current official certified-provider finder, availability-warning, helpline, and crisis route; current official provider-document, operational-standard, plan, and support-coordination resource route Exact location: Start Mississippi IDD and ID/DD Waiver services; Find Mississippi certified service providers; Review current Mississippi IDD provider documents; Action Kit find-verify-mississippi-providers Start Mississippi IDD and ID/DD Waiver services — Mississippi Department of Mental Health; checked 2026-08-02. Find Mississippi certified service providers — Mississippi Department of Mental Health; checked 2026-08-02. Review current Mississippi IDD provider documents — Mississippi Department of Mental Health; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Missouri	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official county-linked Regional Office map, directory, eligibility, and system entry; current official provider enrollment, provider-relations, service-manual, oversight, event, contract, and operational hub Exact location: Find the Missouri DDD Regional Office; Use Missouri DDD service-provider resources; Action Kit find-verify-missouri-providers Find the Missouri DDD Regional Office — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Use Missouri DDD service-provider resources — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Montana	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official five-region and satellite-office contact route; current official provider, contracted case-management, regional, and service-directory route Exact location: Find the nearest Montana DDP Regional Office; Search Montana DDP provider resources; Action Kit find-verify-montana-providers Find the nearest Montana DDP Regional Office — Montana DPHHS; checked 2026-08-02. Search Montana DDP provider resources — Montana DPHHS; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Nebraska	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official FSW, DDAD, CDD, service coordination, services, agency, independent-provider, and self-direction route; current official July 2026 DD policy, agency and independent directories, incident, quality, fee-schedule, enrollment, and provider-responsibility register Exact location: Compare Nebraska's three DD waivers and services; Find Nebraska DD agency and independent providers; Action Kit find-verify-nebraska-providers Compare Nebraska's three DD waivers and services — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Find Nebraska DD agency and independent providers — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Nevada	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Targeted Case Management, person-centered ISP, referral, monitoring, and funding-coordination route; current official certified-provider lists, agreements, service types, and Quality Assurance contacts Exact location: Use Nevada Developmental Services service coordination; Search current Nevada Regional Center providers; Action Kit find-verify-nevada-providers Use Nevada Developmental Services service coordination — Nevada ADSD; checked 2026-08-02. Search current Nevada Regional Center providers — Nevada ADSD; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
New Hampshire	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Medicaid-enrolled developmental-services provider directory by service; current official provider enrollment, service, direct-billing, guidance, rate, and operational resource hub Exact location: Find New Hampshire developmental-service providers; Use New Hampshire developmental-services provider resources; Action Kit find-verify-new-hampshire-providers Find New Hampshire developmental-service providers — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Use New Hampshire developmental-services provider resources — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
New Jersey	4/4	#1	High	2026-08-02	The public search satisfies all four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The official guide describes direct Provider Search use with service and geography-related filtering and provider details. Exact location: Provider Search quick guide, search and filter instructions Provider Search Quick Guide — New Jersey DDD; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
New Mexico	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional Office intake and application-assistance route; current official case-management, ISP, budget, service, and provider route; current official consultant, service-plan, budget, and fiscal-management route Exact location: Find New Mexico DDSD Regional Offices; Plan New Mexico DD Waiver services and budgets; Review Mi Via planning and fiscal supports; Action Kit find-verify-new-mexico-providers-workers Find New Mexico DDSD Regional Offices — New Mexico Health Care Authority DDSD; checked 2026-08-02. Plan New Mexico DD Waiver services and budgets — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review Mi Via planning and fiscal supports — New Mexico Health Care Authority DDSD; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
New York	4/4	#1	High	2026-08-02	The general provider dataset satisfies all four indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The official public dataset supplies structured provider records that can be interpreted by service and geography. Exact location: New York Open Data OPWDD provider directory dataset; CCO profile OPWDD Provider Directory — New York Open Data and OPWDD; checked 2026-08-02. Care Coordination Organization Profile — New York OPWDD; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
North Carolina	4/4	#1	High	2026-08-02	NC Medicaid's official Tailored Plan page directly routes families to provider directories and supports service, geography, and structured contact discovery. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official Tailored Plan page says families may use its linked directory to find a provider near them. Exact location: Behavioral Health and I/DD Tailored Plans; North Carolina Innovations Clinical Coverage Policy 8-P; Action Kit find-verify-nc-providers; standardized search protocol and second review Behavioral Health and I/DD Tailored Plans — NC Medicaid; checked 2026-08-02. North Carolina Innovations Clinical Coverage Policy 8-P — NC Medicaid; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
North Dakota	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional DD referral, eligibility, services, provider, self-direction, appeal, and grievance route; current official Traditional I/DD waiver service, Medicaid-member, and crisis overview; current official DD provider-location, provider-managed, self-directed in-home-support, residential, vocational, and family-service route Exact location: Start North Dakota developmental-disability services; Review the North Dakota Medicaid member handbook; Find North Dakota DD providers and service options; Action Kit find-verify-north-dakota-providers Start North Dakota developmental-disability services — North Dakota HHS; checked 2026-08-02. Review the North Dakota Medicaid member handbook — North Dakota HHS; checked 2026-08-02. Find North Dakota DD providers and service options — North Dakota HHS; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Ohio	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DODD Contact Form; DODD Certification and Registration Verification; Ohio Medicaid Provider Search; Free Choice of DODD Waiver Providers; Action Kit request-verify-ohio-providers DODD Contact Form — Ohio Department of Developmental Disabilities; checked 2026-08-02. DODD Certification and Registration Verification — Ohio Department of Developmental Disabilities; checked 2026-08-02. Ohio Medicaid Provider Search — Ohio Department of Medicaid; checked 2026-08-02. Free Choice of DODD Waiver Providers — Ohio Laws; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Oklahoma	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official contracted-provider list updated January 21, 2026; current official DDS program, self-direction, residential, vocational, and provider contact directory Exact location: Find current Oklahoma DDS provider agencies; Use the Oklahoma DDS provider and contact directory; Action Kit find-verify-oklahoma-providers Find current Oklahoma DDS provider agencies — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Use the Oklahoma DDS provider and contact directory — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Oregon	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current CDDP and brokerage directory route; current provider-reported vacancy evidence; current provider oversight Exact location: Oregon I/DD provider and partner directories; Residential provider profiles and vacancy reports; I/DD certification, endorsement, and licensing; Action Kit find-verify-oregon-providers Oregon I/DD provider and partner directories — Oregon Department of Human Services; checked 2026-08-02. Residential provider profiles and vacancy reports — Oregon Department of Human Services; checked 2026-08-02. I/DD certification, endorsement, and licensing — Oregon Department of Human Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Pennsylvania	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current Exact location: Intellectual and Developmental Disability Services; Find Intellectual Disability and Autism Providers; Adult Autism Waiver Provider Catalog; Action Kit search-pennsylvania-odp-providers Intellectual and Developmental Disability Services — Pennsylvania DHS / ODP; checked 2026-08-02. Find Intellectual Disability and Autism Providers — Pennsylvania DHS / ODP; checked 2026-08-02. Adult Autism Waiver Provider Catalog — Pennsylvania DHS / HCSIS; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
South Carolina	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current county and service directory route; current complaint and reconsideration route Exact location: Find a BHDD-OIDD service provider; Resolve a BHDD-OIDD complaint or service dispute; Action Kit find-verify-sc-providers Find a BHDD-OIDD service provider — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Resolve a BHDD-OIDD complaint or service dispute — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
South Dakota	4/4	#1	High	2026-08-02	The official Dakota at Home resource directory exposes statewide developmental-disability provider results with categories, locations, and structured contacts. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official Dakota at Home taxonomy returned 42 home/community developmental-disability program results with structured provider entries. Exact location: Start with South Dakota Developmental Disabilities intake; Open the South Dakota DDD Application Guide; Review the South Dakota CHOICES Waiver; Review South Dakota DDD and provider responsibilities; Action Kit find-verify-south-dakota-providers; standardized search protocol and second review Start with South Dakota Developmental Disabilities intake — South Dakota DHS; checked 2026-08-02. Open the South Dakota DDD Application Guide — South Dakota DHS; checked 2026-08-02. Review the South Dakota CHOICES Waiver — South Dakota DHS; checked 2026-08-02. Review South Dakota DDD and provider responsibilities — South Dakota DHS; checked 2026-08-02. Dakota at Home developmental-disability resource results — South Dakota Department of Human Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Utah	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official provider-report route with explicit noncomprehensive-list limitation; current official support-coordinator contact and choice route Exact location: Find a DSPD provider; Find a DSPD support coordinator; Action Kit find-verify-utah-providers-coordinators Find a DSPD provider — Utah Division of Services for People with Disabilities; checked 2026-08-02. Find a DSPD support coordinator — Utah Division of Services for People with Disabilities; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Vermont	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official agency-network and provider-choice reference; current official person-centered planning, funding, service, and provider route; current official Supportive ISO and self or family management standards Exact location: Find Vermont Designated and Specialized Service Agencies; Plan Vermont developmental services; Review Vermont Supportive ISO standards; Action Kit find-verify-vermont-providers-workers Find Vermont Designated and Specialized Service Agencies — Vermont DDSD; checked 2026-08-02. Plan Vermont developmental services — Vermont DDSD; checked 2026-08-02. Review Vermont Supportive ISO standards — Vermont DDSD; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Virginia	4/4	#1	High	2026-08-02	Virginia DBHDS directly identifies My Life, My Community and its licensing search as family provider-search methods with service, geography, and structured contact information. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official DBHDS page expressly says families can search My Life, My Community for DD waiver providers; licensing search is also public. Exact location: Provider Network Supports; Licensing Information and Residential Bed Report; My Life, My Community; Action Kit search-virginia-dd-providers; standardized search protocol and second review Provider Network Supports — Virginia DBHDS; checked 2026-08-02. Licensing Information and Residential Bed Report — Virginia DBHDS; checked 2026-08-02. My Life, My Community — Virginia DBHDS partner resource; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Washington	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current Exact location: How to ask DDCS for services; DDCS counties and provider information; Action Kit find-verify-washington-providers How to ask DDCS for services — Washington Department of Social and Health Services; checked 2026-08-02. DDCS counties and provider information — Washington Department of Social and Health Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Washington, DC	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Exact location: DDA HCA and Pre-Qualified Provider Listing; Action Kit search-dc-dda-providers DDA HCA and Pre-Qualified Provider Listing — DC Department on Disability Services / DDA; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
West Virginia	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official case-management, planning, budget, authorization, provider, and member-responsibility route; current official IDDW provider-search route; listing is not availability or quality evidence; current official participant-directed Personal Options, employer, fiscal-employer-agent, worker, and budget resource route Exact location: Review West Virginia IDDW case-management and service responsibilities; Find a West Virginia IDDW provider; Review West Virginia Personal Options; Action Kit find-verify-west-virginia-providers-self-direction Review West Virginia IDDW case-management and service responsibilities — West Virginia Bureau for Medical Services; checked 2026-08-02. Find a West Virginia IDDW provider — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia Personal Options — West Virginia Bureau for Medical Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Wisconsin	4/4	#1	High	2026-08-02	Wisconsin's official Family Care route links families to MCO provider directories, with program/service, geography, and structured provider information. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official Family Care page links MCO provider directories; official capitation materials do not supply service-level public rates. Exact location: Family Care, Partnership, and PACE member help; Family Care managed care organizations; IRIS manuals, service-plan policy, and participant resources; IRIS forms, grievances, appeals, and budget requests; IRIS help, consultant agencies, and fiscal employer agents; Action Kit find-verify-wisconsin-providers; standardized search protocol and second review Family Care, Partnership, and PACE member help — Wisconsin Department of Health Services; checked 2026-08-02. Family Care managed care organizations — Wisconsin Department of Health Services; checked 2026-08-02. IRIS manuals, service-plan policy, and participant resources — Wisconsin Department of Health Services; checked 2026-08-02. IRIS forms, grievances, appeals, and budget requests — Wisconsin Department of Health Services; checked 2026-08-02. IRIS help, consultant agencies, and fiscal employer agents — Wisconsin Department of Health Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Wyoming	4/4	#1	High	2026-08-02	The official public provider method exposes 4 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official participant, application, case-manager, provider, complaint, and incident route; current official public provider and case-manager search route; current official participant-direction, employer, worker, budget, and fiscal-support route Exact location: Review Wyoming HCBS participant resources; Find Wyoming DD providers and case managers; Review Wyoming participant-direction responsibilities; Action Kit find-verify-wyoming-providers-workers Review Wyoming HCBS participant resources — Wyoming Department of Health; checked 2026-08-02. Find Wyoming DD providers and case managers — Wyoming Department of Health; checked 2026-08-02. Review Wyoming participant-direction responsibilities — Wyoming Department of Health; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Hawaii	3/4	#43	High	2026-08-02	The official family page directly links a multi-service waiver-provider brochure with structured provider information; no usable geography filter was verified. Why and supporting evidence Indicators met: 1, 2, 4 Evidence: Official DDD family page links the Waiver Provider Brochure and describes multiple waiver services. Exact location: Plan Hawaii DDD and Medicaid I/DD Waiver services; Review Hawaii waiver services and providers; Review Hawaii Consumer-Directed service options; Action Kit find-verify-hawaii-providers-consumer-directed; standardized search protocol and second review Plan Hawaii DDD and Medicaid I/DD Waiver services — Hawaii Department of Health; checked 2026-08-02. Review Hawaii waiver services and providers — Hawaii Department of Health; checked 2026-08-02. Review Hawaii Consumer-Directed service options — Hawaii Department of Health; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Illinois	3/4	#43	High	2026-08-02	The lists satisfy direct access, service grouping, and geographic interpretation, but do not provide a unified current search/dataset experience. Why and supporting evidence Indicators met: 1, 2, 3 Evidence: Two official service-category lists are directly public and include area information. Exact location: DHS CILA provider list and self-direction provider list PUNS Category and Annual Update Clarification — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. Independent Service Coordination Agency Map — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
Rhode Island	3/4	#43	High	2026-08-02	The official public provider method exposes 3 of four discovery indicators. Why and supporting evidence Indicators met: 1, 2, 4 Evidence: current public provider list; current standards, rate, funding-level, and service-request register; current rights, discrimination, and QA reporting guidance Exact location: Find Rhode Island DD service providers; Review DD provider tools, FY26 rates, and funding levels; Know DD service rights; Action Kit find-verify-rhode-island-providers Find Rhode Island DD service providers — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Review DD provider tools, FY26 rates, and funding levels — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Know DD service rights — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit.
California	0/4	#46	High	2026-08-02	Significant public navigation gap. The official statewide Provider Directory expressly denies direct family access; the only public list found is specialized, so no qualifying general family route was found. Why and supporting evidence Indicators met: None; denominator not met Evidence: Official DDS page says direct family access to the Provider Directory is unavailable. Exact location: DDS Provider Directory status page; DDS FMS contact list; standardized search protocol and second review Self-Determination Program FAQ — California DDS; checked 2026-08-02. Provider Directory — California DDS; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit. This means no qualifying public route was found under the documented protocol; it does not mean the resource, provider, or rate does not exist.
Indiana	0/4	#46	High	2026-08-02	Significant public navigation gap. Indiana says the certified county provider list is supplied through the case manager; no qualifying direct public general-provider route was found. Why and supporting evidence Indicators met: None; denominator not met Evidence: Official provider reference says the county provider list is available through the case manager. Exact location: Apply for Indiana BDS services and review the I/DD waivers; Use Indiana BDS quality and provider help; Review Indiana Medicaid HCBS provider and payment material; Action Kit find-verify-indiana-providers; standardized search protocol and second review Apply for Indiana BDS services and review the I/DD waivers — Indiana FSSA DDARS; checked 2026-08-02. Use Indiana BDS quality and provider help — Indiana FSSA DDARS; checked 2026-08-02. Review Indiana Medicaid HCBS provider and payment material — Indiana Medicaid; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit. This means no qualifying public route was found under the documented protocol; it does not mean the resource, provider, or rate does not exist.
Massachusetts	0/4	#46	High	2026-08-02	Significant public navigation gap. The official search found program-specific resources, licensing reports, and an old provider list, but no qualifying current family-facing general DDS provider method. Why and supporting evidence Indicators met: None; denominator not met Evidence: Official-domain results exposed program-specific pages, licensing reports, and a historical provider list, not a current general family method. Exact location: Services for adults with autism only; DDS provider licensing and certification reports; Action Kit find-verify-massachusetts-providers; standardized search protocol and second review Services for adults with autism only — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS provider licensing and certification reports — Massachusetts Department of Developmental Services; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit. This means no qualifying public route was found under the documented protocol; it does not mean the resource, provider, or rate does not exist.
Michigan	0/4	#46	High	2026-08-02	Significant public navigation gap. Official state materials point families to separate PIHP/CMHSP customer-service systems and local directories; no qualifying statewide general provider method was found. Why and supporting evidence Indicators met: None; denominator not met Evidence: Official sources expose PIHP/CMHSP contacts and locally maintained directories; automated 403 responses were retried through indexed official pages. Exact location: 2026 PIHP Customer Services Standards; Michigan licensed-provider directories; Action Kit find-verify-michigan-providers; standardized search protocol and second review 2026 PIHP Customer Services Standards — Michigan Department of Health and Human Services; checked 2026-08-02. Michigan licensed-provider directories — Michigan Department of Licensing and Regulatory Affairs; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit. This means no qualifying public route was found under the documented protocol; it does not mean the resource, provider, or rate does not exist.
Tennessee	0/4	#46	High	2026-08-02	Significant public navigation gap. Official pages describe provider choice and plan obligations, but the completed search found no qualifying direct public general-provider route from the state pathway. Why and supporting evidence Indicators met: None; denominator not met Evidence: Official results described provider-choice requirements but did not surface a qualifying central family route. Exact location: Use Tennessee ECF CHOICES application help; Review ECF CHOICES groups, eligibility, and services; Contact Tennessee LTSS; Action Kit find-verify-tennessee-ecf-providers; standardized search protocol and second review Use Tennessee ECF CHOICES application help — Tennessee Department of Disability and Aging; checked 2026-08-02. Review ECF CHOICES groups, eligibility, and services — TennCare; checked 2026-08-02. Contact Tennessee LTSS — TennCare Long-Term Services and Supports; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit. This means no qualifying public route was found under the documented protocol; it does not mean the resource, provider, or rate does not exist.
Texas	0/4	#46	High	2026-08-02	Significant public navigation gap. The official LIDDA directory finds intake authorities rather than service providers; no qualifying general adult-service provider method was found. Why and supporting evidence Indicators met: None; denominator not met Evidence: Official state search surfaced the LIDDA directory, which routes intake authorities rather than service providers. Exact location: Texas HHS HCS FMSA directory; live HTTP check of former HCS Vacancy Search; standardized search protocol and second review Community Services Interest List Data Entry — Texas HHS; checked 2026-08-02. Limit: Directory or list presence does not prove current capacity, inquiry acceptance, quality, or fit. This means no qualifying public route was found under the documented protocol; it does not mean the resource, provider, or rate does not exist.

Rate-evidence maturity

How much context the official rate evidence preserves beyond a bare dollar amount.

What qualifies

Official evidence states a numeric rate, service, unit, and effective date or effective status.

Freshness: Recheck the controlling rate index or schedule monthly and preserve the exact effective period.

How 0–4 works

0: The complete search found no qualifying public route or evidence, or qualifying evidence satisfied none of the observable indicators.
1: One indicator is present.
2: Two indicators are present.
3: Three indicators are present.
4: All four indicators are present.

Observable indicators

Procedure/service code or modifier is retained.
Geography, tier, ratio, level-of-need, or other material variation is retained.
Provider type, staffing ratio, service intensity, or individual/group context is retained where material.
Version/effective period and base, enhancement, QIP, or other rate-component treatment are explicit.

What it means: A higher score means the rate evidence is safer to interpret. It does not make unlike services or units comparable.

Rate-evidence maturity — 51 scored; 0 Could Not Evaluate
State	Rating	Dimension rank	Confidence	Checked	Why
Alabama	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official rate-document hub; numeric applicability requires current program confirmation Exact location: Open the Alabama ID and LAH waiver-rate hub; Action Kit verify-alabama-rate-authorization-start Open the Alabama ID and LAH waiver-rate hub — Alabama Department of Mental Health; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Alaska	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official FY2027 waiver-service and LTSS or TCM rate-chart hub Exact location: Open Alaska's current waiver and care-coordination rates; Action Kit verify-alaska-rate-authorization-start Open Alaska's current waiver and care-coordination rates — Alaska Department of Health; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Arizona	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDD rate book, rate lookup, authorization, and billing resource hub Exact location: Check current DDD rates and billing authority; Action Kit confirm-arizona-rate-authorization-start Check current DDD rates and billing authority — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Arkansas	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official PASSE care-coordination, person-centered service-plan, integrated-service, and eligibility overview; current official fee-schedule route with explicit coverage, eligibility, authorization, and payment limitations Exact location: Understand Arkansas PASSE care coordination; Open current Arkansas Medicaid fee schedules; Action Kit verify-arkansas-rate-authorization-start Understand Arkansas PASSE care coordination — Arkansas DHS; checked 2026-08-02. Open current Arkansas Medicaid fee schedules — Arkansas Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
California	4/4	#1	High	2026-08-02	All four rate-evidence indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The workbooks preserve service code, 1:1 ratio, hourly unit, regional-center geography, and full/base/QIP components. Exact location: DDS rates-only workbooks effective January 1, 2026; Behavior Analyst 1:1 service 612, cell range A205:G205 in four regional-center workbooks Financial Management Service Contact List — California DDS; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity/ratio, provider type, rate components, and effective period align.
Connecticut	4/4	#1	High	2026-08-02	Connecticut's current DDS funding guidelines expose numeric service rates, procedure/service detail, units, provider distinctions, and effective dates. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official DDS Rates page links 2026 funding guidelines with numeric rates, units, and effective dates. Exact location: DDS provider rates and 2026 funding guidance; Action Kit confirm-connecticut-rate-start; standardized search protocol and second review DDS provider rates and 2026 funding guidance — Connecticut Department of Developmental Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Delaware	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current page with service-specific effective periods Exact location: DDDS provider rates; Action Kit confirm-delaware-rate-authorization-start DDDS provider rates — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Florida	4/4	#1	High	2026-08-02	All four rate-evidence indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The workbook retains procedure codes/modifiers, units, agency context, ratios, geographic columns, and effective date. Exact location: Rule 59G-13.081 incorporated workbook effective March 12, 2026; rows 2, 6, 19, 28 APD Waiver Enrollment Offer Steps — Florida Agency for Persons with Disabilities; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity/ratio, provider type, rate components, and effective period align.
Georgia	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Exact location: Georgia Medicaid Fee Schedules; Action Kit confirm-georgia-rate-authorization-start Georgia Medicaid Fee Schedules — Georgia Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Hawaii	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official July 1, 2026 approved waiver and standards route; rate-sheet availability does not prove individual authorization Exact location: Review Hawaii's approved July 2026 waiver, standards, and rate materials; Action Kit verify-hawaii-rate-authorization-start Review Hawaii's approved July 2026 waiver, standards, and rate materials — Hawaii Department of Health; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Idaho	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official adult-DD program, rule, form, rate, and regional-contact hub Exact location: Open Idaho adult-DD program, rate, and regional guidance; Action Kit verify-idaho-rate-authorization-start Open Idaho adult-DD program, rate, and regional guidance — Idaho Department of Health and Welfare; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Indiana	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official HCBS, ICF/IID alternative, provider approval, enrollment, program, and payment context Exact location: Review Indiana Medicaid HCBS provider and payment material; Action Kit verify-indiana-rate-authorization-start Review Indiana Medicaid HCBS provider and payment material — Indiana Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Iowa	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current 2026 HCBS code, upper-limit, CCO, ID tier, habilitation, employment, and transportation schedules Exact location: Review current Iowa Medicaid fee schedules; Action Kit confirm-iowa-rate-authorization-start Review current Iowa Medicaid fee schedules — Iowa Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Louisiana	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official fee-schedule route; a fee reference is not an individual budget, authorization, or payment guarantee Exact location: Open Louisiana Medicaid fee schedules; Action Kit verify-louisiana-rate-authorization-start Open Louisiana Medicaid fee schedules — Louisiana Department of Health; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Maryland	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current Exact location: DDA Rates; FY2027 LTSSMaryland Rate Chart; Action Kit confirm-authorized-service-and-rate-unit DDA Rates — Maryland DDA; checked 2026-08-02. FY2027 LTSSMaryland Rate Chart — Maryland DDA; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Michigan	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Exact location: Michigan behavioral-health reimbursement references; Action Kit confirm-michigan-rate-start Michigan behavioral-health reimbursement references — Michigan Department of Health and Human Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Minnesota	4/4	#1	High	2026-08-02	Minnesota publishes current DWRS frameworks, component values, service/code mappings, units, variations, and effective-date guidance. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official DHS DWRS pages publish 2026 frameworks, component values, service mappings, and effective-date implementation guidance; bot challenges were retried through indexed official pages. Exact location: Disability Waiver Rate System; 2026 DWRS framework-rate exception limits; Action Kit confirm-minnesota-rate-start; standardized search protocol and second review Disability Waiver Rate System — Minnesota Department of Human Services; checked 2026-08-02. 2026 DWRS framework-rate exception limits — Minnesota Department of Human Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Mississippi	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official February 2026 ID/DD Waiver fee-schedule route; payment reference is not individual authorization Exact location: Open Mississippi Medicaid ID/DD Waiver rates; Action Kit verify-mississippi-rate-authorization-start Open Mississippi Medicaid ID/DD Waiver rates — Mississippi Division of Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Missouri	4/4	#1	High	2026-08-02	Missouri's official Medicaid fee-schedule portal exposes current waiver fee files, while DDD bulletins establish service units and effective context. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official MO HealthNet fee-schedule portal includes DD waiver files and reports a 2026-07-17 update; DDD bulletins add service-unit context. Exact location: Use Missouri DDD service-provider resources; Check current Missouri DDD provider bulletins; Action Kit confirm-missouri-rate-authorization-start; standardized search protocol and second review Use Missouri DDD service-provider resources — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Check current Missouri DDD provider bulletins — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. MO HealthNet fee schedules — Missouri Department of Social Services, MO HealthNet; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Montana	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official rate and billing hub; the July 2026 manual is labeled draft and is not final current authority Exact location: Open Montana's current DDP rate and billing hub; Action Kit verify-montana-rate-authorization-start Open Montana's current DDP rate and billing hub — Montana DPHHS; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Nebraska	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official July 2026 DD policy, agency and independent directories, incident, quality, fee-schedule, enrollment, and provider-responsibility register Exact location: Find Nebraska DD agency and independent providers; Action Kit confirm-nebraska-rate-authorization-start Find Nebraska DD agency and independent providers — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Nevada	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Provider Type 38 ID Waiver fee-schedule route Exact location: Open Nevada Medicaid fee schedules; Action Kit verify-nevada-rate-authorization-start Open Nevada Medicaid fee schedules — Nevada Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
New Jersey	4/4	#1	High	2026-08-02	All four evidence-context indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Appendix H preserves codes, 15-minute units, tiers/components, and the September 2025 manual version. Exact location: Supports Program manual v10.0.1, Appendix H, pp. 211-212 Supports Program Policy Manual and Rate Appendix — New Jersey DDD; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity/ratio, provider type, rate components, and effective period align.
New Mexico	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official rate-study route; not individual budget or authorization Exact location: Review New Mexico DD Waiver rate studies; Action Kit verify-new-mexico-payment-authorization-start Review New Mexico DD Waiver rate studies — New Mexico Health Care Authority DDSD; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
North Carolina	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Exact location: Behavioral Health and I/DD Services and Fee-Schedule Authority; Action Kit confirm-nc-rate-authorization-start Behavioral Health and I/DD Services and Fee-Schedule Authority — NC Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
North Dakota	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official provider payment reference with explicit no-payment-guarantee boundary Exact location: Open North Dakota Medicaid rates and fee schedules; Action Kit verify-north-dakota-rate-authorization-start Open North Dakota Medicaid rates and fee schedules — North Dakota Medicaid; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Ohio	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official service-rule and rate-appendix route Exact location: DODD Waiver Service Rules and Rate Appendices; Action Kit confirm-ohio-authorization-rate-start DODD Waiver Service Rules and Rate Appendices — Ohio Laws; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Oklahoma	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official procedure-code, rate, annual-cap, and effective-date authority Exact location: Check Oklahoma DDS service codes and rates; Action Kit confirm-oklahoma-rate-authorization-start Check Oklahoma DDS service codes and rates — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Pennsylvania	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Exact location: ODP Service Rates; Action Kit confirm-pennsylvania-service-authorization-and-rate ODP Service Rates — Pennsylvania DHS / ODP; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
South Carolina	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Nov. 1, 2025 provider-payment authority Exact location: Current HCBS waiver fee schedule; Action Kit confirm-sc-rate-authorization-start Current HCBS waiver fee schedule — South Carolina Department of Health and Human Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
South Dakota	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official maximum-payment reference with explicit no-payment-guarantee boundary Exact location: Open South Dakota Medicaid fee schedules; Action Kit verify-south-dakota-rate-authorization-start Open South Dakota Medicaid fee schedules — South Dakota DSS; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Tennessee	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official LTSS program and policy contact route Exact location: Contact Tennessee LTSS About Current Payment Authority; Action Kit confirm-tennessee-rate-authorization-start Contact Tennessee LTSS About Current Payment Authority — TennCare; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Texas	4/4	#1	High	2026-08-02	All four rate-evidence indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The schedule preserves service and modifier codes, hourly units, LOC/LON context, effective date, and separate rate-enhancement treatment. Exact location: HHSC HCS payment sheet effective September 1, 2025, pp. 1, 7-8 Home and Community-based Services Program Guide — Texas HHS; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity/ratio, provider type, rate components, and effective period align.
Utah	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official FY2026 rate, FY2027 budget, service-system choice, SAS, rights, and general forms register Exact location: Review current DSPD rates, budgets, and service forms; Action Kit confirm-utah-rate-budget-authorization-start Review current DSPD rates, budgets, and service forms — Utah Division of Services for People with Disabilities; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Vermont	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official payment-method and reimbursement route; not individual authorization Exact location: Review Vermont developmental-service payment information; Action Kit verify-vermont-payment-authorization-start Review Vermont developmental-service payment information — Vermont DDSD; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Virginia	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current Exact location: SFY27 My Life, My Community Rate File; Action Kit confirm-virginia-service-authorization-and-rate SFY27 My Life, My Community Rate File — Virginia DMAS; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Wyoming	4/4	#1	High	2026-08-02	The current official rate evidence preserves 4 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official July 22, 2026 fee schedule; not individual budget or authorization Exact location: Review Wyoming DD Waiver fee schedules; Action Kit verify-wyoming-payment-authorization-start Review Wyoming DD Waiver fee schedules — Wyoming Department of Health; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Colorado	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 2, 3, 4 Evidence: current Exact location: Provider rates and fee schedules; Action Kit confirm-colorado-rate-start Provider rates and fee schedules — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Illinois	3/4	#38	High	2026-08-02	Provider/staffing context is not consistently explicit across the sampled rows. Why and supporting evidence Indicators met: 1, 2, 4 Evidence: The table preserves service codes, statewide/Chicago Metro variation, exact units, effective date, and CMS-approval caveat. Exact location: DHS DD reimbursement table effective January 1, 2026; rows 31U, 31C, 36U, L1 Adult Developmental Disabilities Waiver — Illinois Department of Healthcare and Family Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity/ratio, provider type, rate components, and effective period align.
Kansas	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 3, 4 Evidence: current official HCBS I/DD provider manual describing the July 1, 2026 reimbursement-methodology transition Exact location: Review the current Kansas HCBS I/DD provider manual; Action Kit verify-kansas-rate-authorization-start Review the current Kansas HCBS I/DD provider manual — Kansas Medical Assistance Program; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Kentucky	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 3, 4 Evidence: current Exact location: Kentucky Medicaid Fee Schedules; Action Kit confirm-kentucky-rate-authorization-start Kentucky Medicaid Fee Schedules — Kentucky Department for Medicaid Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Maine	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 2, 3, 4 Evidence: current official rate-determination, final-recommendation, effective-date, and pending-versus-current evidence Exact location: Review current MaineCare rate work; Action Kit confirm-maine-rate-authorization-start Review current MaineCare rate work — Maine DHHS, Office of MaineCare Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Massachusetts	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 2, 3, 4 Evidence: current Exact location: DDS contracts and regulated rate information; Action Kit confirm-massachusetts-rate-start DDS contracts and regulated rate information — Massachusetts Department of Developmental Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
New Hampshire	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 2, 3, 4 Evidence: current official provider enrollment, service, direct-billing, guidance, rate, and operational resource hub; current official rate-model, assessment, individual-budget, implementation, and stakeholder-update hub Exact location: Use New Hampshire developmental-services provider resources; Track New Hampshire DD rate-system work; Action Kit confirm-new-hampshire-rate-authorization-start Use New Hampshire developmental-services provider resources — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Track New Hampshire DD rate-system work — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
New York	3/4	#38	High	2026-08-02	The sampled evidence uses a program/service label rather than a discrete procedure-code/modifier field. Why and supporting evidence Indicators met: 2, 3, 4 Evidence: The fee evidence preserves three regions, individual/group context, hourly and quarter-hour units, and effective date. Exact location: DOH mental-hygiene rate index; Supported Employment fee page effective April 1, 2025 Current OPWDD Rates and Fees — New York Department of Health; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity/ratio, provider type, rate components, and effective period align.
Rhode Island	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 2, 3, 4 Evidence: current standards, rate, funding-level, and service-request register Exact location: Review DD provider tools, FY26 rates, and funding levels; Action Kit confirm-rhode-island-funding-start Review DD provider tools, FY26 rates, and funding levels — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Washington	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 2, 3, 4 Evidence: current including 2026 materials Exact location: DDCS supported-living rates and reimbursement documents; Action Kit confirm-washington-rate-start DDCS supported-living rates and reimbursement documents — Washington Department of Social and Health Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
West Virginia	3/4	#38	High	2026-08-02	The current official rate evidence preserves 3 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 3, 4 Evidence: current official IDDW rate route; a rate is not an individual budget, authorization, or payment guarantee Exact location: Open current West Virginia IDDW rates; Action Kit verify-west-virginia-rate-authorization-start Open current West Virginia IDDW rates — West Virginia Bureau for Medical Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Oregon	2/4	#49	High	2026-08-02	The current official rate evidence preserves 2 of four interpretation safeguards. Why and supporting evidence Indicators met: 3, 4 Evidence: current provider rate-model route Exact location: Oregon I/DD provider rate-setting resources; Action Kit confirm-oregon-hours-rate-start Oregon I/DD provider rate-setting resources — Oregon Department of Human Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Washington, DC	2/4	#49	High	2026-08-02	The current official rate evidence preserves 2 of four interpretation safeguards. Why and supporting evidence Indicators met: 1, 4 Evidence: current Exact location: 2026 IDD and IFS Waiver Rates Effective July 1, 2026; Action Kit confirm-dc-service-authorization-and-rate 2026 IDD and IFS Waiver Rates Effective July 1, 2026 — DC Department on Disability Services / DDA; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align.
Wisconsin	0/4	#51	High	2026-08-02	Significant public navigation gap. The official search found Family Care capitation material, but no qualifying public service-level numeric rate, unit, and effective-period set. Why and supporting evidence Indicators met: None; denominator not met Evidence: Official Family Care page links MCO provider directories; official capitation materials do not supply service-level public rates. Exact location: Family Care MCO capitation rates; Action Kit confirm-wisconsin-rate-budget-start; standardized search protocol and second review Family Care MCO capitation rates — Wisconsin Department of Health Services; checked 2026-08-02. Limit: Do not compare dollar amounts until service, code, unit, geography, intensity or ratio, provider type, rate components, and effective period align. This means no qualifying public route was found under the documented protocol; it does not mean the resource, provider, or rate does not exist.

Evidence freshness and confidence

How completely the research record documents current official evidence across the four core domains.

What qualifies

The source set contains official evidence for front door, access/eligibility, provider discovery status, and rates, all checked on the comparison review date.

Freshness: A cell expires when any required monthly or quarterly review becomes overdue; expired cells become Could Not Evaluate until rechecked.

How 0–4 works

0: The complete search found no qualifying public route or evidence, or qualifying evidence satisfied none of the observable indicators.
1: One indicator is present.
2: Two indicators are present.
3: Three indicators are present.
4: All four indicators are present.

Observable indicators

Every core source records an official owner and URL.
Every core source records status and a review cadence.
Rate evidence has a current official index/schedule and an exact effective period.
Every scored cell records checked date, confidence, exact location, and caveat.

What it means: A higher score means the research trail is easier to audit. It does not measure the underlying service system’s quality.

Evidence freshness and confidence — 51 scored; 0 Could Not Evaluate
State	Rating	Dimension rank	Confidence	Checked	Why
Alabama	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Call Center, support-coordination, eligibility-document, regional-review, and priority-list route; current official waiting-list, opening, reconfirmation, enrollment, assessed-need, and service-authorization overview; current official five-region county map with office, incident, on-call, certification, and quality contacts; current official county-and-category provider listing Exact location: Start the Alabama waiver application; Understand Alabama DD waiver access; Find the Alabama DD Regional Office for your county; Search Alabama's certified provider directory; Compare Alabama's current DD waiver authorities; Compare Alabama self-directed services; Open the Alabama ID and LAH waiver-rate hub; Review the current Alabama DD operating manual; Action Kit start-alabama-dd-waiver-application Start the Alabama waiver application — Alabama Department of Mental Health; checked 2026-08-02. Understand Alabama DD waiver access — Alabama Department of Mental Health; checked 2026-08-02. Find the Alabama DD Regional Office for your county — Alabama Department of Mental Health; checked 2026-08-02. Search Alabama's certified provider directory — Alabama Department of Mental Health; checked 2026-08-02. Compare Alabama's current DD waiver authorities — Alabama Department of Mental Health; checked 2026-08-02. Compare Alabama self-directed services — Alabama Department of Mental Health; checked 2026-08-02. Open the Alabama ID and LAH waiver-rate hub — Alabama Department of Mental Health; checked 2026-08-02. Review the current Alabama DD operating manual — Alabama Department of Mental Health; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Alaska	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DD criteria, application, Registry, waiver-draw, Notice-to-Proceed, and care-coordinator route; current official regional DDRC application, Medicaid-document, option, and referral help; current official DD determination, Registry, IDD, ISW, application-review, service-request, and program-management owner; current official DD, DDRR, waiver, provider, fair-hearing, and support-document form hub Exact location: Apply for an Alaska developmental-disability determination; Find an Alaska Developmental Disabilities Resource Connection; Use Alaska's IDD Unit; Open Alaska's approved SDS forms; Review Alaska waiver-provider certification and complaints; Review Alaska HCBS waiver options and eligibility; Open Alaska's current waiver and care-coordination rates; Action Kit start-alaska-dd-determination Apply for an Alaska developmental-disability determination — Alaska Department of Health; checked 2026-08-02. Find an Alaska Developmental Disabilities Resource Connection — Alaska Department of Health; checked 2026-08-02. Use Alaska's IDD Unit — Alaska Department of Health; checked 2026-08-02. Open Alaska's approved SDS forms — Alaska Department of Health; checked 2026-08-02. Review Alaska waiver-provider certification and complaints — Alaska Department of Health; checked 2026-08-02. Review Alaska HCBS waiver options and eligibility — Alaska Department of Health; checked 2026-08-02. Open Alaska's current waiver and care-coordination rates — Alaska Department of Health; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Arizona	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDD application, adult eligibility, office, contact, and administrative-review entry; current official application instructions, records checklist, and submission routes; current official HCBS Qualified Provider directory; provider-supplied availability fields require direct verification; current official planning participation, provider choice, Support Coordinator choice, service correction, and grievance rights Exact location: Start the Arizona DDD eligibility process; Use the DDD eligibility application checklist; Search Arizona DDD qualified providers; Review individual and family rights in Arizona DDD; Review DDD health plans and HCBS authorization; Review current DDD policies and member-directed options; Check current DDD rates and billing authority; Action Kit start-arizona-ddd-application Start the Arizona DDD eligibility process — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Use the DDD eligibility application checklist — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Search Arizona DDD qualified providers — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Review individual and family rights in Arizona DDD — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Review DDD health plans and HCBS authorization — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Review current DDD policies and member-directed options — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Check current DDD rates and billing authority — Arizona Department of Economic Security, Division of Developmental Disabilities; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Arkansas	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDS Intake and Referral route, including telephone and online request; current official CES clinical-review, functional-criteria, waitlist, slot-offer, service, and provider-list route; current official Medicaid application and DDS Intake and Referral route; current official PASSE care-coordination, person-centered service-plan, integrated-service, and eligibility overview Exact location: Start with Arkansas DDS Intake and Referral; Review the Arkansas CES Waiver; Apply for Arkansas services; Understand Arkansas PASSE care coordination; Open the Arkansas CES provider list; Use Arkansas PASSE beneficiary support; Open current Arkansas Medicaid fee schedules; Action Kit start-arkansas-dds-intake Start with Arkansas DDS Intake and Referral — Arkansas DHS; checked 2026-08-02. Review the Arkansas CES Waiver — Arkansas DHS; checked 2026-08-02. Apply for Arkansas services — Arkansas DHS; checked 2026-08-02. Understand Arkansas PASSE care coordination — Arkansas DHS; checked 2026-08-02. Open the Arkansas CES provider list — Arkansas DHS; checked 2026-08-02. Use Arkansas PASSE beneficiary support — Arkansas DHS; checked 2026-08-02. Open current Arkansas Medicaid fee schedules — Arkansas Medicaid; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
California	4/4	#1	High	2026-08-02	All stewardship indicators are present, including current official evidence documenting the provider-discovery limitation. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: The four core domains have official status evidence; provider-directory nonaccess is itself current official evidence, and exact regional rate workbooks are pinned. Exact location: Release source register and four pinned 2026 regional-center rate workbooks Regional Center Eligibility and Services — California DDS; checked 2026-08-02. Find a Regional Center — California DDS; checked 2026-08-02. Self-Determination Program FAQ — California DDS; checked 2026-08-02. Financial Management Service Contact List — California DDS; checked 2026-08-02. Provider Directory — California DDS; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Colorado	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Find the Case Management Agency and Community Center Board for your county; Colorado intellectual and developmental disability services and supports; Find Colorado HCBS and IDD providers; Colorado Single Assessment and Person-Centered Support Plan; Provider rates and fee schedules; Action Kit start-colorado-cma-intake Find the Case Management Agency and Community Center Board for your county — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Colorado intellectual and developmental disability services and supports — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Find Colorado HCBS and IDD providers — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Colorado Single Assessment and Person-Centered Support Plan — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Provider rates and fee schedules — Colorado Department of Health Care Policy and Financing; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Connecticut	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDS eligibility and applications; Apply for DDS services; DDS intellectual-disability eligibility requirements; DDS qualified-provider information; DSS Autism Waiver provider enrollment and contacts; DDS provider rates and 2026 funding guidance; DSS Autism Waiver overview; Action Kit start-connecticut-dds-application DDS eligibility and applications — Connecticut Department of Developmental Services; checked 2026-08-02. Apply for DDS services — Connecticut Department of Developmental Services; checked 2026-08-02. DDS intellectual-disability eligibility requirements — Connecticut Department of Developmental Services; checked 2026-08-02. DDS qualified-provider information — Connecticut Department of Developmental Services; checked 2026-08-02. DSS Autism Waiver provider enrollment and contacts — Connecticut Department of Social Services; checked 2026-08-02. DDS provider rates and 2026 funding guidance — Connecticut Department of Developmental Services; checked 2026-08-02. DSS Autism Waiver overview — Connecticut Department of Social Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Delaware	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current online, paper, Spanish, help, timeline, and appeal route; current eligibility and service overview; current service and county provider listings; current official forms and standards register Exact location: Apply for DDDS services; About DDDS eligibility and adult services; DDDS Authorized Provider Network; DDDS forms, policies, and provider standards; Compare Lifespan Waiver and DSHP Plus; DDDS provider rates; Action Kit start-delaware-ddds-application Apply for DDDS services — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. About DDDS eligibility and adult services — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. DDDS Authorized Provider Network — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. DDDS forms, policies, and provider standards — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. Compare Lifespan Waiver and DSHP Plus — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. DDDS provider rates — Delaware Division of Developmental Disabilities Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Florida	4/4	#1	High	2026-08-02	All stewardship indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: All four core domains use official sources with status, cadence, checked date, locations, and current 2026 rate evidence. Exact location: Release source register and pinned 2026 iBudget workbook Get Started with APD Services — Florida Agency for Persons with Disabilities; checked 2026-08-02. APD Documentation of a Developmental Disability — Florida Agency for Persons with Disabilities; checked 2026-08-02. Florida Statute 393.065 — Application and Eligibility — Florida Legislature; checked 2026-08-02. APD Waiver Enrollment Offer Steps — Florida Agency for Persons with Disabilities; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Georgia	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Apply for DD Services; Find a Regional Field Office; Find DBHDD Services and Provider Search; FY 2027 Community Provider Manuals; Georgia Medicaid Provider Manuals Search; Georgia Medicaid Fee Schedules; Action Kit start-georgia-dd-application Apply for DD Services — Georgia DBHDD; checked 2026-08-02. Find a Regional Field Office — Georgia DBHDD; checked 2026-08-02. Find DBHDD Services and Provider Search — Georgia DBHDD; checked 2026-08-02. FY 2027 Community Provider Manuals — Georgia DBHDD; checked 2026-08-02. Georgia Medicaid Provider Manuals Search — Georgia Medicaid; checked 2026-08-02. Georgia Medicaid Fee Schedules — Georgia Medicaid; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Hawaii	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official two-step DDD eligibility and Medicaid I/DD Waiver admission route; current official island-specific intake, case-management, crisis, complaint, and Consumer-Directed contact route; current official case-management, person-centered planning, qualified-provider, Consumer-Directed, and support route; current official service-by-setting, qualified-provider, provider-brochure, and Consumer-Directed service route Exact location: Start Hawaii DDD intake and eligibility; Find the Hawaii DDD intake office and Case Management Unit; Plan Hawaii DDD and Medicaid I/DD Waiver services; Review Hawaii waiver services and providers; Review Hawaii Consumer-Directed service options; Apply for Hawaii Medicaid I/DD Waiver admission; Review Hawaii's approved July 2026 waiver, standards, and rate materials; Action Kit start-hawaii-ddd-application Start Hawaii DDD intake and eligibility — Hawaii Department of Health; checked 2026-08-02. Find the Hawaii DDD intake office and Case Management Unit — Hawaii Department of Health; checked 2026-08-02. Plan Hawaii DDD and Medicaid I/DD Waiver services — Hawaii Department of Health; checked 2026-08-02. Review Hawaii waiver services and providers — Hawaii Department of Health; checked 2026-08-02. Review Hawaii Consumer-Directed service options — Hawaii Department of Health; checked 2026-08-02. Apply for Hawaii Medicaid I/DD Waiver admission — Hawaii Department of Health and Med-QUEST Division; checked 2026-08-02. Review Hawaii's approved July 2026 waiver, standards, and rate materials — Hawaii Department of Health; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Idaho	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official adult-DD application, criteria, regional submission, independent-assessment, notice, and service-choice route; current official Idaho Medicaid online, telephone, written-notice, renewal, and appeal route; current official Traditional plan-developer, Individual Support Plan, provider-list, and conflict-boundary route; current official adult-DD provider and plan-developer list route Exact location: Apply for Idaho adult developmental-disability programs; Apply for Idaho Medicaid; Use Idaho Traditional support services; Find Idaho adult-DD plan developers and providers; Review Idaho developmental-disability agency information; Compare Idaho My Voice, My Choice self-direction; Open Idaho adult-DD program, rate, and regional guidance; Action Kit apply-idaho-medicaid Apply for Idaho adult developmental-disability programs — Idaho Department of Health and Welfare; checked 2026-08-02. Apply for Idaho Medicaid — Idaho Department of Health and Welfare; checked 2026-08-02. Use Idaho Traditional support services — Idaho Department of Health and Welfare; checked 2026-08-02. Find Idaho adult-DD plan developers and providers — Idaho Department of Health and Welfare; checked 2026-08-02. Review Idaho developmental-disability agency information — Idaho Department of Health and Welfare; checked 2026-08-02. Compare Idaho My Voice, My Choice self-direction — Idaho Department of Health and Welfare; checked 2026-08-02. Open Idaho adult-DD program, rate, and regional guidance — Idaho Department of Health and Welfare; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Illinois	4/4	#1	High	2026-08-02	All stewardship indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: All four core domains use official sources with status, cadence, checked date, locations, and a 2026 rate table. Exact location: Release source register and DHS rate table DDD Services and Independent Service Coordination — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. PUNS Frequently Asked Questions — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. PUNS Category and Annual Update Clarification — Illinois Department of Human Services, Division of Developmental Disabilities; checked 2026-08-02. Adult Developmental Disabilities Waiver — Illinois Department of Healthcare and Family Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Indiana	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official BDS Gateway, paper application, local office, FSW, CIH, provider, complaint, and eligibility-resource route; current official online and paper application, local-office, waiver, and Supervised Group Living route; current official provider-services, complaint, quality, and BDS Help route; current official HCBS, ICF/IID alternative, provider approval, enrollment, program, and payment context Exact location: Apply for Indiana BDS services and review the I/DD waivers; Use the Indiana Bureau of Disabilities Services front door; Use Indiana BDS quality and provider help; Review Indiana Medicaid HCBS provider and payment material; Open current Indiana BDS policies; Action Kit start-indiana-bds-application Apply for Indiana BDS services and review the I/DD waivers — Indiana FSSA DDARS; checked 2026-08-02. Use the Indiana Bureau of Disabilities Services front door — Indiana FSSA DDARS; checked 2026-08-02. Use Indiana BDS quality and provider help — Indiana FSSA DDARS; checked 2026-08-02. Review Indiana Medicaid HCBS provider and payment material — Indiana Medicaid; checked 2026-08-02. Open current Indiana BDS policies — Indiana FSSA DDARS; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Iowa	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current online, telephone, mail, fax, email, local-office, preparation, and enrollment route; current seven-waiver eligibility, service, application, and waiting-list overview; current application flow, waiting-list, comparison, forms, contacts, and program resources; current SSA and Iowa HHS disability-determination routes and limits Exact location: Apply for Iowa Medicaid; Compare Iowa HCBS waiver programs; Use Iowa HCBS program and waiver resources; Understand Iowa disability determination; Start and troubleshoot Iowa HCBS; Find an Iowa Medicaid provider; Understand Iowa HCBS case management; Review current Iowa Medicaid fee schedules; Action Kit complete-iowa-program-eligibility Apply for Iowa Medicaid — Iowa Health and Human Services; checked 2026-08-02. Compare Iowa HCBS waiver programs — Iowa Medicaid; checked 2026-08-02. Use Iowa HCBS program and waiver resources — Iowa Medicaid; checked 2026-08-02. Understand Iowa disability determination — Iowa Health and Human Services; checked 2026-08-02. Start and troubleshoot Iowa HCBS — Iowa Medicaid; checked 2026-08-02. Find an Iowa Medicaid provider — Iowa Medicaid; checked 2026-08-02. Understand Iowa HCBS case management — Iowa Medicaid; checked 2026-08-02. Review current Iowa Medicaid fee schedules — Iowa Medicaid; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Kansas	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official I/DD eligibility, CDDO entry, waiting-list, offer, MCO, provider-choice, and self-direction authority; current official HCBS Access Guide with county-linked entry points and human-help routes; current official CDDO program-eligibility policy that is separate from functional and financial eligibility; current official I/DD individual-choice, provisional-plan, CDDO access, and provider-affiliation form hub Exact location: Start the Kansas I/DD waiver pathway; Find the Kansas HCBS entry point for your county; Review Kansas I/DD program-eligibility policy; Use current KDADS I/DD and CDDO forms; Review KanCare Medicaid and current health plans; Compare Kansas self-direction and agency direction; Review the current Kansas HCBS I/DD provider manual; Review Kansas MFEI and interRAI planning; Action Kit find-kansas-cddo-start-eligibility Start the Kansas I/DD waiver pathway — Kansas Department for Aging and Disability Services; checked 2026-08-02. Find the Kansas HCBS entry point for your county — Kansas Department for Aging and Disability Services; checked 2026-08-02. Review Kansas I/DD program-eligibility policy — Kansas Department for Aging and Disability Services; checked 2026-08-02. Use current KDADS I/DD and CDDO forms — Kansas Department for Aging and Disability Services; checked 2026-08-02. Review KanCare Medicaid and current health plans — Kansas Department of Health and Environment; checked 2026-08-02. Compare Kansas self-direction and agency direction — Kansas Department for Aging and Disability Services; checked 2026-08-02. Review the current Kansas HCBS I/DD provider manual — Kansas Medical Assistance Program; checked 2026-08-02. Review Kansas MFEI and interRAI planning — Kansas Department for Aging and Disability Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Kentucky	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: How to Apply for Waiver Services; Kentucky HCBS Waiver Programs; Michelle P. Waiver; Supports for Community Living Waiver; Kentucky Medicaid Provider Directory; SCL and MPW Regulations; Kentucky Medicaid Fee Schedules; Action Kit start-kentucky-waiver-applications How to Apply for Waiver Services — Kentucky Department for Medicaid Services; checked 2026-08-02. Kentucky HCBS Waiver Programs — Kentucky Department for Medicaid Services; checked 2026-08-02. Michelle P. Waiver — Kentucky Department for Medicaid Services; checked 2026-08-02. Supports for Community Living Waiver — Kentucky Department for Medicaid Services; checked 2026-08-02. Kentucky Medicaid Provider Directory — Kentucky Department for Medicaid Services; checked 2026-08-02. SCL and MPW Regulations — Kentucky DBHDID; checked 2026-08-02. Kentucky Medicaid Fee Schedules — Kentucky Department for Medicaid Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Louisiana	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official OIDD single-point-of-entry, four-waiver, tiered-waiver, urgency, and service route; current official Human Services District and Authority contact route; current official person-centered-plan, plan-approval, resource-coordination, monitoring, and self-direction assistance route; current official regional and service-type provider listing; listing is not availability or quality evidence Exact location: Start with Louisiana OIDD services and programs; Find the Louisiana Local Governing Entity; Understand Louisiana OIDD Support Coordination; Search Louisiana Freedom of Choice providers; Review Louisiana Medicaid Self-Direction; Review Louisiana Medicaid waiver services; Open Louisiana Medicaid fee schedules; Action Kit start-louisiana-oidd-application Start with Louisiana OIDD services and programs — Louisiana Department of Health; checked 2026-08-02. Find the Louisiana Local Governing Entity — Louisiana Department of Health; checked 2026-08-02. Understand Louisiana OIDD Support Coordination — Louisiana Department of Health; checked 2026-08-02. Search Louisiana Freedom of Choice providers — Louisiana Department of Health; checked 2026-08-02. Review Louisiana Medicaid Self-Direction — Louisiana Department of Health; checked 2026-08-02. Review Louisiana Medicaid waiver services — Louisiana Department of Health; checked 2026-08-02. Open Louisiana Medicaid fee schedules — Louisiana Department of Health; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Maine	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application packet, records, regional intake, ten-day contact, eligibility, and appeal route; current official MaineCare, disability-determination, and long-term-care application forms and submission routes; current official residential, case-management, employment, representative-payee, community-support, and broker directory; current official late-2025 service-specific licensing transition and oversight route Exact location: Apply for Maine Adult Developmental Disability Services; Apply for MaineCare; Search the Maine OADS provider directory; Review Maine HCBS provider licensing; Use current Maine Sections 21 and 29 forms; Review current MaineCare rate work; Action Kit start-maine-adult-developmental-services Apply for Maine Adult Developmental Disability Services — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Apply for MaineCare — Maine DHHS, Office for Family Independence; checked 2026-08-02. Search the Maine OADS provider directory — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Review Maine HCBS provider licensing — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Use current Maine Sections 21 and 29 forms — Maine DHHS, Office of Aging and Disability Services; checked 2026-08-02. Review current MaineCare rate work — Maine DHHS, Office of MaineCare Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Maryland	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDA Eligibility Application Process; Regional Offices; DDA Eligibility Application; DDA Guide to Services — October 2025; DDA Advocacy Support Unit; Maryland Provider Search; DDA Rates; FY2027 LTSSMaryland Rate Chart; Action Kit start-dda-eligibility-application DDA Eligibility Application Process — Maryland DDA; checked 2026-08-02. Regional Offices — Maryland DDA; checked 2026-08-02. DDA Eligibility Application — Maryland DDA; checked 2026-08-02. DDA Guide to Services — October 2025 — Maryland DDA; checked 2026-08-02. DDA Advocacy Support Unit — Maryland DDA; checked 2026-08-02. Maryland Provider Search — Maryland DDA-linked directory; checked 2026-08-02. DDA Rates — Maryland DDA; checked 2026-08-02. FY2027 LTSSMaryland Rate Chart — Maryland DDA; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Massachusetts	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DDS eligibility for services; DDS eligibility forms; DDS eligibility for adults with autism; Find the DDS office for your city or town; Services for adults with autism only; DDS provider licensing and certification reports; What is self-direction; DDS contracts and regulated rate information; Action Kit start-massachusetts-dds-application DDS eligibility for services — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS eligibility forms — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS eligibility for adults with autism — Massachusetts Department of Developmental Services; checked 2026-08-02. Find the DDS office for your city or town — Massachusetts Department of Developmental Services; checked 2026-08-02. Services for adults with autism only — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS provider licensing and certification reports — Massachusetts Department of Developmental Services; checked 2026-08-02. What is self-direction — Massachusetts Department of Developmental Services; checked 2026-08-02. DDS contracts and regulated rate information — Massachusetts Department of Developmental Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Michigan	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Michigan Community Mental Health Services; Official local CMHSP contact list; CMHSP role and statewide public-system entry; 2026 PIHP Customer Services Standards; Michigan licensed-provider directories; Michigan behavioral-health reimbursement references; 2026 Michigan Medicaid policy bulletins; Action Kit start-michigan-cmhsp-intake Michigan Community Mental Health Services — Michigan Department of Health and Human Services; checked 2026-08-02. Official local CMHSP contact list — Michigan Department of Health and Human Services; checked 2026-08-02. CMHSP role and statewide public-system entry — Michigan Department of Health and Human Services; checked 2026-08-02. 2026 PIHP Customer Services Standards — Michigan Department of Health and Human Services; checked 2026-08-02. Michigan licensed-provider directories — Michigan Department of Licensing and Regulatory Affairs; checked 2026-08-02. Michigan behavioral-health reimbursement references — Michigan Department of Health and Human Services; checked 2026-08-02. 2026 Michigan Medicaid policy bulletins — Michigan Department of Health and Human Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Minnesota	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Minnesota Developmental Disabilities Waiver; County and Tribal Nation human-services directory; Disability Hub Minnesota and home-community services; DHS licensed-program lookup and oversight; Minnesota Health Care Programs provider directory; Minnesota HCBS 245D provider standards; Disability Waiver Rate System; 2026 DWRS framework-rate exception limits; Action Kit start-minnesota-dd-waiver Minnesota Developmental Disabilities Waiver — Minnesota Department of Human Services; checked 2026-08-02. County and Tribal Nation human-services directory — Minnesota Department of Human Services; checked 2026-08-02. Disability Hub Minnesota and home-community services — Minnesota Department of Human Services; checked 2026-08-02. DHS licensed-program lookup and oversight — Minnesota Department of Human Services; checked 2026-08-02. Minnesota Health Care Programs provider directory — Minnesota Department of Human Services; checked 2026-08-02. Minnesota HCBS 245D provider standards — Minnesota Department of Human Services; checked 2026-08-02. Disability Waiver Rate System — Minnesota Department of Human Services; checked 2026-08-02. 2026 DWRS framework-rate exception limits — Minnesota Department of Human Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Mississippi	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional Center evaluation, level-of-care, Planning List, Medicaid, Support Coordination, Plan of Care, provider choice, BIDD approval, and service-start sequence; current official regional-program, service-area, evaluation, and contact route; current official evaluation, onset, Medicaid, and person-centered-plan overview; current official certified-provider finder, availability-warning, helpline, and crisis route Exact location: Start Mississippi IDD and ID/DD Waiver services; Find Mississippi IDD Regional Programs; Review Mississippi IDD and person-centered planning FAQs; Find Mississippi certified service providers; Review current Mississippi IDD provider documents; Review Mississippi Medicaid ID/DD Waiver eligibility and services; Open Mississippi Medicaid ID/DD Waiver rates; Action Kit start-mississippi-regional-center-evaluation Start Mississippi IDD and ID/DD Waiver services — Mississippi Department of Mental Health; checked 2026-08-02. Find Mississippi IDD Regional Programs — Mississippi Department of Mental Health; checked 2026-08-02. Review Mississippi IDD and person-centered planning FAQs — Mississippi Department of Mental Health; checked 2026-08-02. Find Mississippi certified service providers — Mississippi Department of Mental Health; checked 2026-08-02. Review current Mississippi IDD provider documents — Mississippi Department of Mental Health; checked 2026-08-02. Review Mississippi Medicaid ID/DD Waiver eligibility and services — Mississippi Division of Medicaid; checked 2026-08-02. Open Mississippi Medicaid ID/DD Waiver rates — Mississippi Division of Medicaid; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Missouri	4/4	#1	High	2026-08-02	With the current official Missouri Medicaid fee-schedule route added, all four core evidence domains have current official evidence and stewardship metadata. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official MO HealthNet fee-schedule portal includes DD waiver files and reports a 2026-07-17 update; DDD bulletins add service-unit context. Exact location: Start Missouri DDD referral and application; Find the Missouri DDD Regional Office; Use Missouri DDD service-provider resources; Check current Missouri DDD provider bulletins; Action Kit start-missouri-regional-office-referral; standardized search protocol and second review Start Missouri DDD referral and application — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Find the Missouri DDD Regional Office — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Use Missouri DDD service-provider resources — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Check current Missouri DDD provider bulletins — Missouri Department of Mental Health, Division of Developmental Disabilities; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Montana	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official eligibility, Vineland, waitlist, offer, TCM, PSP, provider, and self-direction route; older linked artifacts are bounded; current official five-region and satellite-office contact route; current official DDP, 0208, Targeted Case Management, regional, provider, and self-directed overview; current official forms-and-tools hub; dates on individual artifacts must be evaluated before operational use Exact location: Start Montana DDP eligibility and 0208 waiver access; Find the nearest Montana DDP Regional Office; Review Montana Developmental Disabilities Program services; Open Montana DDP forms and tools; Search Montana DDP provider resources; Compare Montana DDP self-direction; Open Montana's current DDP rate and billing hub; Action Kit start-montana-ddp-eligibility Start Montana DDP eligibility and 0208 waiver access — Montana DPHHS; checked 2026-08-02. Find the nearest Montana DDP Regional Office — Montana DPHHS; checked 2026-08-02. Review Montana Developmental Disabilities Program services — Montana DPHHS; checked 2026-08-02. Open Montana DDP forms and tools — Montana DPHHS; checked 2026-08-02. Search Montana DDP provider resources — Montana DPHHS; checked 2026-08-02. Compare Montana DDP self-direction — Montana DPHHS; checked 2026-08-02. Open Montana's current DDP rate and billing hub — Montana DPHHS; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Nebraska	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official iServe, DD-10, telephone, mail, email, fax, preparation, eligibility, level-of-care, waiver, funding, plan, and contact route; current official DD-10 and multilingual HCBS application register; current official FSW, DDAD, CDD, service coordination, services, agency, independent-provider, and self-direction route; current official July 2026 DD policy, agency and independent directories, incident, quality, fee-schedule, enrollment, and provider-responsibility register Exact location: Start a Nebraska HCBS DD waiver application; Open Nebraska's multilingual HCBS application forms; Compare Nebraska's three DD waivers and services; Find Nebraska DD agency and independent providers; Plan Nebraska HCBS services; Action Kit start-nebraska-dd-waiver-application Start a Nebraska HCBS DD waiver application — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Open Nebraska's multilingual HCBS application forms — Nebraska DHHS; checked 2026-08-02. Compare Nebraska's three DD waivers and services — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Find Nebraska DD agency and independent providers — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Plan Nebraska HCBS services — Nebraska DHHS Division of Disability and Aging; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Nevada	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official three-Regional-Center, eligibility, service-coordination, service, and application route; current official Desert, Rural, and Sierra Regional Center office and intake contacts; current official January 2025 application and checklist and July 2025 financial forms in English and Spanish; current official eligibility evidence, review, notification, and appeal-process source; the complete current notice controls case deadlines Exact location: Start Nevada Developmental Services; Find a Nevada Developmental Services office; Open current Nevada Developmental Services forms; Review Nevada Developmental Services intake and eligibility policy; Use Nevada Developmental Services service coordination; Search current Nevada Regional Center providers; Review Nevada's ID Waiver; Open Nevada Medicaid fee schedules; Action Kit start-nevada-regional-center Start Nevada Developmental Services — Nevada ADSD; checked 2026-08-02. Find a Nevada Developmental Services office — Nevada ADSD; checked 2026-08-02. Open current Nevada Developmental Services forms — Nevada ADSD; checked 2026-08-02. Review Nevada Developmental Services intake and eligibility policy — Nevada ADSD; checked 2026-08-02. Use Nevada Developmental Services service coordination — Nevada ADSD; checked 2026-08-02. Search current Nevada Regional Center providers — Nevada ADSD; checked 2026-08-02. Review Nevada's ID Waiver — Nevada Medicaid; checked 2026-08-02. Open Nevada Medicaid fee schedules — Nevada Medicaid; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
New Hampshire	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official developmental-services entry, program, waiver, provider, and contact hub; current official ten-region Area Agency directory and catchment map; current official application, DD eligibility, level-of-care, service-coordination, planning, service, appeal, and participant-direction rules; current official Area Agency application, comprehensive screening, preliminary recommendation, emergency-arrangement, and hearing authority Exact location: Start with New Hampshire Developmental Services; Find the correct New Hampshire Area Agency; Read New Hampshire's current He-M 500 rules; Review RSA 171-A:6 service-system entry; Find New Hampshire developmental-service providers; Use New Hampshire developmental-services provider resources; Review the approved New Hampshire DD Waiver; Track New Hampshire DD rate-system work; Action Kit start-new-hampshire-area-agency-application Start with New Hampshire Developmental Services — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Find the correct New Hampshire Area Agency — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Read New Hampshire's current He-M 500 rules — New Hampshire Office of Legislative Services; checked 2026-08-02. Review RSA 171-A:6 service-system entry — New Hampshire General Court; checked 2026-08-02. Find New Hampshire developmental-service providers — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Use New Hampshire developmental-services provider resources — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Review the approved New Hampshire DD Waiver — New Hampshire DHHS and Centers for Medicare & Medicaid Services; checked 2026-08-02. Track New Hampshire DD rate-system work — New Hampshire DHHS Bureau of Developmental Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
New Jersey	4/4	#1	High	2026-08-02	All stewardship indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: Official owners, URLs, status, review cadence, checked date, locations, and current rate evidence are recorded. Exact location: Release source register and pinned Supports Program manual Apply for Division of Developmental Disabilities Services — New Jersey DDD; checked 2026-08-02. Medicaid Eligibility for DDD Services — New Jersey DDD; checked 2026-08-02. Supports Program Policy Manual and Rate Appendix — New Jersey DDD; checked 2026-08-02. Provider Search Quick Guide — New Jersey DDD; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
New Mexico	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, eligibility, Central Registry, and Regional Office route; current official Regional Office intake and application-assistance route; current official diagnostic, functional, onset, residency, and application authority; current official case-management, ISP, budget, service, and provider route Exact location: Apply for New Mexico DD Waiver eligibility; Find New Mexico DDSD Regional Offices; Review New Mexico DD Waiver eligibility requirements; Plan New Mexico DD Waiver services and budgets; Review Mi Via planning and fiscal supports; Review New Mexico DD Waiver rate studies; Action Kit start-new-mexico-dd-application Apply for New Mexico DD Waiver eligibility — New Mexico Health Care Authority DDSD; checked 2026-08-02. Find New Mexico DDSD Regional Offices — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review New Mexico DD Waiver eligibility requirements — New Mexico Health Care Authority; checked 2026-08-02. Plan New Mexico DD Waiver services and budgets — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review Mi Via planning and fiscal supports — New Mexico Health Care Authority DDSD; checked 2026-08-02. Review New Mexico DD Waiver rate studies — New Mexico Health Care Authority DDSD; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
New York	4/4	#1	High	2026-08-02	All stewardship indicators are present. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: All four core domains use official sources with status, cadence, checked date, locations, and an official current rate index. Exact location: Release source register and current DOH rate index OPWDD Front Door — New York OPWDD; checked 2026-08-02. OPWDD Eligibility — New York OPWDD; checked 2026-08-02. OPWDD Provider Directory — New York Open Data and OPWDD; checked 2026-08-02. Current OPWDD Rates and Fees — New York Department of Health; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
North Carolina	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: NC Innovations Waiver; How to Apply for the NC Innovations Waiver; LME/MCO Directory; Behavioral Health and I/DD Tailored Plans; North Carolina Innovations Clinical Coverage Policy 8-P; Behavioral Health and I/DD Services and Fee-Schedule Authority; 1915(i) Provider Resource Questions and Answers; Action Kit start-nc-innovations-application NC Innovations Waiver — NC Medicaid; checked 2026-08-02. How to Apply for the NC Innovations Waiver — NC Medicaid; checked 2026-08-02. LME/MCO Directory — NC Department of Health and Human Services; checked 2026-08-02. Behavioral Health and I/DD Tailored Plans — NC Medicaid; checked 2026-08-02. North Carolina Innovations Clinical Coverage Policy 8-P — NC Medicaid; checked 2026-08-02. Behavioral Health and I/DD Services and Fee-Schedule Authority — NC Medicaid; checked 2026-08-02. 1915(i) Provider Resource Questions and Answers — NC Medicaid; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
North Dakota	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Regional DD referral, eligibility, services, provider, self-direction, appeal, and grievance route; current official county-to-eight-region DD office and intake contact route; current official DD program, service, provider, and current-waiver-document route; conflicting effective-date labels are not generalized; current official Traditional I/DD waiver service, Medicaid-member, and crisis overview Exact location: Start North Dakota developmental-disability services; Find the correct North Dakota Regional DD Office; Review North Dakota Developmental Disabilities Services; Review the North Dakota Medicaid member handbook; Find North Dakota DD providers and service options; Open North Dakota Medicaid rates and fee schedules; Action Kit start-north-dakota-dd-services Start North Dakota developmental-disability services — North Dakota HHS; checked 2026-08-02. Find the correct North Dakota Regional DD Office — North Dakota HHS; checked 2026-08-02. Review North Dakota Developmental Disabilities Services — North Dakota HHS; checked 2026-08-02. Review the North Dakota Medicaid member handbook — North Dakota HHS; checked 2026-08-02. Find North Dakota DD providers and service options — North Dakota HHS; checked 2026-08-02. Open North Dakota Medicaid rates and fee schedules — North Dakota Medicaid; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Ohio	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: DODD Contact Form; County Boards of Developmental Disabilities Rules; DODD Certification and Registration Verification; Ohio Medicaid Provider Search; Free Choice of DODD Waiver Providers; DODD Home and Community-Based Services Waiver Rules; DODD Waiver Service Rules and Rate Appendices; Action Kit start-ohio-county-board-eligibility DODD Contact Form — Ohio Department of Developmental Disabilities; checked 2026-08-02. County Boards of Developmental Disabilities Rules — Ohio Laws; checked 2026-08-02. DODD Certification and Registration Verification — Ohio Department of Developmental Disabilities; checked 2026-08-02. Ohio Medicaid Provider Search — Ohio Department of Medicaid; checked 2026-08-02. Free Choice of DODD Waiver Providers — Ohio Laws; checked 2026-08-02. DODD Home and Community-Based Services Waiver Rules — Ohio Laws; checked 2026-08-02. DODD Waiver Service Rules and Rate Appendices — Ohio Laws; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Oklahoma	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official Liberty intake, application-submission, status-update, email, telephone, and mailing route; current official DDS application form; current official contracted-provider list updated January 21, 2026; current official DDS program, self-direction, residential, vocational, and provider contact directory Exact location: Start the Oklahoma DDS application; Download the Oklahoma DDS application; Find current Oklahoma DDS provider agencies; Use the Oklahoma DDS provider and contact directory; Compare Oklahoma Self-Directed Services; Check Oklahoma DDS service codes and rates; Action Kit start-oklahoma-dds-application Start the Oklahoma DDS application — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Download the Oklahoma DDS application — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Find current Oklahoma DDS provider agencies — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Use the Oklahoma DDS provider and contact directory — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Compare Oklahoma Self-Directed Services — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Check Oklahoma DDS service codes and rates — Oklahoma Human Services, Developmental Disabilities Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Oregon	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current application, eligibility, and adult-service overview; current CDDP and brokerage directory route; current provider-reported vacancy evidence; current provider oversight Exact location: Apply for Oregon I/DD services and review eligibility; Oregon I/DD provider and partner directories; Residential provider profiles and vacancy reports; I/DD certification, endorsement, and licensing; I/DD case management, Oregon Needs Assessment, and service groups; I/DD in-home supports and service-group hours; Oregon I/DD provider rate-setting resources; Action Kit start-oregon-idd-application Apply for Oregon I/DD services and review eligibility — Oregon Department of Human Services; checked 2026-08-02. Oregon I/DD provider and partner directories — Oregon Department of Human Services; checked 2026-08-02. Residential provider profiles and vacancy reports — Oregon Department of Human Services; checked 2026-08-02. I/DD certification, endorsement, and licensing — Oregon Department of Human Services; checked 2026-08-02. I/DD case management, Oregon Needs Assessment, and service groups — Oregon Department of Human Services; checked 2026-08-02. I/DD in-home supports and service-group hours — Oregon Department of Human Services; checked 2026-08-02. Oregon I/DD provider rate-setting resources — Oregon Department of Human Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Pennsylvania	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Adult Autism Waiver; Apply for the Medicaid Adult Autism Waiver; Adult Community Autism Program; Apply for Medicaid Benefits; Individual Eligibility for ODP Waivers; Intellectual and Developmental Disability Services; Find Intellectual Disability and Autism Providers; Adult Autism Waiver Provider Catalog; ODP Service Rates; Action Kit complete-pennsylvania-waiver-and-medicaid-eligibility Adult Autism Waiver — Pennsylvania DHS / ODP; checked 2026-08-02. Apply for the Medicaid Adult Autism Waiver — Pennsylvania DHS; checked 2026-08-02. Adult Community Autism Program — Pennsylvania DHS / ODP; checked 2026-08-02. Apply for Medicaid Benefits — Pennsylvania DHS; checked 2026-08-02. Individual Eligibility for ODP Waivers — Pennsylvania DHS / ODP; checked 2026-08-02. Intellectual and Developmental Disability Services — Pennsylvania DHS / ODP; checked 2026-08-02. Find Intellectual Disability and Autism Providers — Pennsylvania DHS / ODP; checked 2026-08-02. Adult Autism Waiver Provider Catalog — Pennsylvania DHS / HCSIS; checked 2026-08-02. ODP Service Rates — Pennsylvania DHS / ODP; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Rhode Island	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current application, criteria, records, help, and complete-application timeline; current public provider list; current standards, rate, funding-level, and service-request register; current rights, discrimination, and QA reporting guidance Exact location: Apply for Rhode Island DD services; Find Rhode Island DD service providers; Review DD provider tools, FY26 rates, and funding levels; Know DD service rights; Understand the DD assessment process; Learn about self-directed supports; Action Kit start-rhode-island-dd-application Apply for Rhode Island DD services — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Find Rhode Island DD service providers — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Review DD provider tools, FY26 rates, and funding levels — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Know DD service rights — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Understand the DD assessment process — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Learn about self-directed supports — Rhode Island BHDDH Division of Developmental Disabilities; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
South Carolina	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current centralized intake route and expected contacts; current autism record-review and evaluation guidance; current county and service directory route; current complaint and reconsideration route Exact location: Request BHDD-OIDD eligibility; Autism eligibility and evaluation; Find a BHDD-OIDD service provider; Resolve a BHDD-OIDD complaint or service dispute; Current HCBS waiver fee schedule; Action Kit start-sc-oidd-eligibility Request BHDD-OIDD eligibility — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Autism eligibility and evaluation — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Find a BHDD-OIDD service provider — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Resolve a BHDD-OIDD complaint or service dispute — South Carolina BHDD Office of Intellectual and Developmental Disabilities; checked 2026-08-02. Current HCBS waiver fee schedule — South Carolina Department of Health and Human Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
South Dakota	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDD program and intake route; current official application, record, ICAP, eligibility, coordinator, Medicaid, planning, and provider sequence; version 1 May 2023 remains linked by the current program; current official CHOICES program and service route; current official DDD intake, ICAP, level-of-care, final-eligibility, case-management, and provider-role sequence Exact location: Start with South Dakota Developmental Disabilities intake; Open the South Dakota DDD Application Guide; Review the South Dakota CHOICES Waiver; Review South Dakota DDD and provider responsibilities; Review South Dakota Family Support 360; Review South Dakota Agency With Choice; Open South Dakota Medicaid fee schedules; Action Kit start-south-dakota-ddd-intake Start with South Dakota Developmental Disabilities intake — South Dakota DHS; checked 2026-08-02. Open the South Dakota DDD Application Guide — South Dakota DHS; checked 2026-08-02. Review the South Dakota CHOICES Waiver — South Dakota DHS; checked 2026-08-02. Review South Dakota DDD and provider responsibilities — South Dakota DHS; checked 2026-08-02. Review South Dakota Family Support 360 — South Dakota DHS; checked 2026-08-02. Review South Dakota Agency With Choice — South Dakota DHS; checked 2026-08-02. Open South Dakota Medicaid fee schedules — South Dakota DSS; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Tennessee	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current eligibility, Groups 4 through 8, priority, referral-list, benefit, application, and contact authority; current official I/DD, financial, benefit-group, self-referral, service, and Consumer Direction guide; current online, telephone, paper, fax, local-help, preparation, and status route; current enrollment, limited-funding, MCO, DDA regional-intake, and self-referral help route Exact location: Review ECF CHOICES groups, eligibility, and services; Review the current ECF CHOICES brochure; Apply for TennCare; Use Tennessee ECF CHOICES application help; Contact Tennessee LTSS; Review ECF CHOICES service definitions; Contact Tennessee LTSS About Current Payment Authority; Action Kit complete-tennessee-medicaid-ecf-eligibility Review ECF CHOICES groups, eligibility, and services — TennCare; checked 2026-08-02. Review the current ECF CHOICES brochure — TennCare; checked 2026-08-02. Apply for TennCare — TennCare Connect; checked 2026-08-02. Use Tennessee ECF CHOICES application help — Tennessee Department of Disability and Aging; checked 2026-08-02. Contact Tennessee LTSS — TennCare Long-Term Services and Supports; checked 2026-08-02. Review ECF CHOICES service definitions — Tennessee Department of Disability and Aging; checked 2026-08-02. Contact Tennessee LTSS About Current Payment Authority — TennCare; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Texas	4/4	#1	High	2026-08-02	All stewardship indicators are present after the source correction. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: All four core domains have official status evidence; the provider domain records the unavailable general search and surviving service-specific FMSA list rather than preserving a stale current claim. Exact location: Release source register, live source-status check, and pinned September 1, 2025 HCS schedule Find a Local Intellectual and Developmental Disability Authority — Texas HHS; checked 2026-08-02. LIDDA Overview and Responsibilities — Texas HHS; checked 2026-08-02. Community Services Interest List Data Entry — Texas HHS; checked 2026-08-02. Home and Community-based Services Program Guide — Texas HHS; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Utah	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official online, telephone, packet, preparation, 90-day intake, notice, and hearing-rights route; current official citizenship or residency, disability, onset, diagnosis, adaptive-function, exclusion, and waiting-list authority; current May 2026 official eligibility, application, NAQ, waiting-list, and service-entry guide; current official provider-report route with explicit noncomprehensive-list limitation Exact location: Start the DSPD application; Review Utah DSPD eligibility; Use the current DSPD eligibility and services guide; Find a DSPD provider; Find a DSPD support coordinator; Compare agency services and Self-Administered Services; Review current DSPD policies and hearing rights; Review current DSPD rates, budgets, and service forms; Action Kit start-utah-dspd-application Start the DSPD application — Utah Division of Services for People with Disabilities; checked 2026-08-02. Review Utah DSPD eligibility — Utah Division of Services for People with Disabilities; checked 2026-08-02. Use the current DSPD eligibility and services guide — Utah Division of Services for People with Disabilities; checked 2026-08-02. Find a DSPD provider — Utah Division of Services for People with Disabilities; checked 2026-08-02. Find a DSPD support coordinator — Utah Division of Services for People with Disabilities; checked 2026-08-02. Compare agency services and Self-Administered Services — Utah Division of Services for People with Disabilities; checked 2026-08-02. Review current DSPD policies and hearing rights — Utah Division of Services for People with Disabilities; checked 2026-08-02. Review current DSPD rates, budgets, and service forms — Utah Division of Services for People with Disabilities; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Vermont	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official DDSD entry and policy route; current official agency-network and provider-choice reference; current final adopted HCAR 7.100 application, eligibility, funding, notice, choice, planning, and appeal authority; current official person-centered planning, funding, service, and provider route Exact location: Start with Vermont Developmental Disabilities Services; Find Vermont Designated and Specialized Service Agencies; Review Vermont's final Developmental Disabilities rule; Plan Vermont developmental services; Review Vermont Supportive ISO standards; Review Vermont developmental-service payment information; Action Kit start-vermont-dd-application Start with Vermont Developmental Disabilities Services — Vermont DDSD; checked 2026-08-02. Find Vermont Designated and Specialized Service Agencies — Vermont DDSD; checked 2026-08-02. Review Vermont's final Developmental Disabilities rule — Vermont Agency of Human Services; checked 2026-08-02. Plan Vermont developmental services — Vermont DDSD; checked 2026-08-02. Review Vermont Supportive ISO standards — Vermont DDSD; checked 2026-08-02. Review Vermont developmental-service payment information — Vermont DDSD; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Virginia	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: Waiver Information for Individuals and Families; Find Help and Local CSB/BHA Entry Points; Navigating the DD Waivers; Support Coordination Handbook; Provider Network Supports; Licensing Information and Residential Bed Report; My Life, My Community; SFY27 My Life, My Community Rate File; Action Kit start-virginia-dd-waiver-screening Waiver Information for Individuals and Families — Virginia DBHDS; checked 2026-08-02. Find Help and Local CSB/BHA Entry Points — Virginia DBHDS; checked 2026-08-02. Navigating the DD Waivers — Virginia DBHDS / My Life, My Community; checked 2026-08-02. Support Coordination Handbook — Virginia DBHDS; checked 2026-08-02. Provider Network Supports — Virginia DBHDS; checked 2026-08-02. Licensing Information and Residential Bed Report — Virginia DBHDS; checked 2026-08-02. My Life, My Community — Virginia DBHDS partner resource; checked 2026-08-02. SFY27 My Life, My Community Rate File — Virginia DMAS; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Washington	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current form; current; current Exact location: How to enroll in Developmental Disabilities Community Services; Request for DDCS eligibility determination; Find a DDCS office; How to ask DDCS for services; DDCS counties and provider information; DDCS assessment and Person-Centered Service Plan; DDCS supported-living rates and reimbursement documents; Action Kit start-washington-ddcs-enrollment How to enroll in Developmental Disabilities Community Services — Washington Department of Social and Health Services; checked 2026-08-02. Request for DDCS eligibility determination — Washington Department of Social and Health Services; checked 2026-08-02. Find a DDCS office — Washington Department of Social and Health Services; checked 2026-08-02. How to ask DDCS for services — Washington Department of Social and Health Services; checked 2026-08-02. DDCS counties and provider information — Washington Department of Social and Health Services; checked 2026-08-02. DDCS assessment and Person-Centered Service Plan — Washington Department of Social and Health Services; checked 2026-08-02. DDCS supported-living rates and reimbursement documents — Washington Department of Social and Health Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Washington, DC	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current; current; current; current Exact location: How to Apply for DDA Services; DDA Intake and Eligibility Determination Procedure; DDA HCA and Pre-Qualified Provider Listing; Service Coordination; 2026 IDD and IFS Waiver Rates Effective July 1, 2026; Action Kit start-dc-dda-application How to Apply for DDA Services — DC Department on Disability Services / DDA; checked 2026-08-02. DDA Intake and Eligibility Determination Procedure — DC Department on Disability Services / DDA; checked 2026-08-02. DDA HCA and Pre-Qualified Provider Listing — DC Department on Disability Services / DDA; checked 2026-08-02. Service Coordination — DC Department on Disability Services / DDA; checked 2026-08-02. 2026 IDD and IFS Waiver Rates Effective July 1, 2026 — DC Department on Disability Services / DDA; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
West Virginia	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, Acentra, approved-psychologist, medical, financial, capacity, provider, service, and follow-up route; current official IDDW application, policy, freedom-of-choice, grievance, and reporting form route; current official case-management, planning, budget, authorization, provider, and member-responsibility route; current official IDDW provider-search route; listing is not availability or quality evidence Exact location: Start the West Virginia IDDW application; Open West Virginia IDDW policy and forms; Review West Virginia IDDW case-management and service responsibilities; Find a West Virginia IDDW provider; Review West Virginia Personal Options; Review West Virginia IDDW member and provider information; Open current West Virginia IDDW rates; Action Kit start-west-virginia-iddw-application Start the West Virginia IDDW application — West Virginia Bureau for Medical Services; checked 2026-08-02. Open West Virginia IDDW policy and forms — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia IDDW case-management and service responsibilities — West Virginia Bureau for Medical Services; checked 2026-08-02. Find a West Virginia IDDW provider — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia Personal Options — West Virginia Bureau for Medical Services; checked 2026-08-02. Review West Virginia IDDW member and provider information — West Virginia Bureau for Medical Services; checked 2026-08-02. Open current West Virginia IDDW rates — West Virginia Bureau for Medical Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Wisconsin	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current statewide entry route; current; current ADRC enrollment route; current 2026 scorecards and rights routes Exact location: Find an ADRC or Tribal ADRS; Adult disability programs and services; Apply for Family Care, Partnership, or PACE; Family Care, Partnership, and PACE member help; Family Care managed care organizations; IRIS manuals, service-plan policy, and participant resources; IRIS forms, grievances, appeals, and budget requests; IRIS help, consultant agencies, and fiscal employer agents; Being a Full Partner in Family Care and Partnership; Family Care MCO capitation rates; Action Kit start-wisconsin-adult-ltc Find an ADRC or Tribal ADRS — Wisconsin Department of Health Services; checked 2026-08-02. Adult disability programs and services — Wisconsin Department of Health Services; checked 2026-08-02. Apply for Family Care, Partnership, or PACE — Wisconsin Department of Health Services; checked 2026-08-02. Family Care, Partnership, and PACE member help — Wisconsin Department of Health Services; checked 2026-08-02. Family Care managed care organizations — Wisconsin Department of Health Services; checked 2026-08-02. IRIS manuals, service-plan policy, and participant resources — Wisconsin Department of Health Services; checked 2026-08-02. IRIS forms, grievances, appeals, and budget requests — Wisconsin Department of Health Services; checked 2026-08-02. IRIS help, consultant agencies, and fiscal employer agents — Wisconsin Department of Health Services; checked 2026-08-02. Being a Full Partner in Family Care and Partnership — Wisconsin Department of Health Services; checked 2026-08-02. Family Care MCO capitation rates — Wisconsin Department of Health Services; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.
Wyoming	4/4	#1	High	2026-08-02	The research record satisfies 4 of four evidence-stewardship indicators. Why and supporting evidence Indicators met: 1, 2, 3, 4 Evidence: current official application, eligibility, waiting-list, case-management, planning, and service guide; current official Supports Waiver application form linked from the HCBS document library; current official participant, application, case-manager, provider, complaint, and incident route; current official public provider and case-manager search route Exact location: Use Wyoming's current Supports Waiver application guide; Start the Wyoming Supports Waiver application; Review Wyoming HCBS participant resources; Find Wyoming DD providers and case managers; Review Wyoming participant-direction responsibilities; Review Wyoming DD Waiver fee schedules; Action Kit start-wyoming-dd-application Use Wyoming's current Supports Waiver application guide — Wyoming Department of Health HCBS Section; checked 2026-08-02. Start the Wyoming Supports Waiver application — Wyoming Department of Health HCBS Section; checked 2026-08-02. Review Wyoming HCBS participant resources — Wyoming Department of Health; checked 2026-08-02. Find Wyoming DD providers and case managers — Wyoming Department of Health; checked 2026-08-02. Review Wyoming participant-direction responsibilities — Wyoming Department of Health; checked 2026-08-02. Review Wyoming DD Waiver fee schedules — Wyoming Department of Health; checked 2026-08-02. Limit: This score measures the audit trail, not the quality or sufficiency of the state service system.