• Driving Innovation in Public 
    Services for People with Intellectual and Developmental Disabilities

    The NASDDDS mission is to assist member state agencies in building person-centered systems of services and supports for people with intellectual and developmental disabilities and their families. 


  • Helping States Improve Quality

    National Core Indicators (NCI) facilitates the sharing of information with the public to strengthen policy, improve quality, and compare performance with national norms. 


  • Helping States Increase Employment

    When people work in their communities and earn good wages, opportunities multiply. Jobs provide people with developmental disabilities the opportunity to earn an income, build a nest egg, make friends, and increase self-confidence.


  • Helping States Broaden Supports to Families

    Stronger supports for families leads to better lives for people with intellectual and developmental disabilities. 


NASDDDS Announcements

Registration Now Open...

Directors Forum & Mid-Year Conference

2015 Directors Forum & Mid-Year ConferenceNEW PATHWAYS
June 10-12, 2015
The Westin Denver Downtown
1672 Lawrence Street
Denver, Colorado

Big News....

The National Council on Disability (NCD) Releases Paper Titled "Home and Community-Based Services: Creating Systems for Success at Home, at Work and in the Community" 

This paper, authored by NASDDDS staff, in collaboration with colleagues from the Center on Human Policy at Syracuse University, Institute on Community Integration at the University of Minnesota, and the Human Services Research Institute, provides a literature review of research related to the size and nature of settings in which individuals with disabilities receive HCBS and the implications of those settings on individual outcomes.

Read the paper here

New National Core Indicators (NCI) Staff Stability Survey

A new NCI stability of the Direct Support Professional (DSP) workforce survey is now available.  The survey collects information on wages, turnover, benefits and retention/recruitment strategies.  Learn how to get involved and benchmark data to compare to other states and to the NCI average!

Click here to review a powerpoint on this survey


Now Available...

2014 Annual Conference Presentations

2014 Directors Forum & Annual ConferencePresentations from the November NASDDDS 2014 Annual Conference are now available (click on the PRESENTATIONS tab).


State News

North Carolina Releases Stakeholder Engagement Report 

The North Carolina Stakeholder Engagement Group (SEG) released The Stakeholder Engagement Group (SEG) Way to a Healthy North Carolina report.   

 Read more 

New York OPWDD Holds Transformation Kick-off meeting

New York Office for People with Developmental Disabilities (OPWD) held a Kick-off meeting to discuss and identify challenges in implementing OPWDD's service delivery transformation plan.  

Read more about the primary goals of the plan

Pennsylvania Receives $8.5 Million to Provide Homes to Individuals with Disabilities

The U.S. Department of Housing and Urban Development (HUD) announced an $8,557,014 award to the Pennsylvania Department of Human Services (DHS) and the Pennsylvania Housing Finance Agency (PHFA) to prevent individuals with disabilities from being unnecessarily institutionalized.  

Read More

Texas Releases Long-Term Services and Supports Quality Review Report

The Texas Department of Aging and Disability Services (DADS) released a Long-Term Services and Supports Quality Review Report that focuses on customer satisfaction using three survey instruments; including NCI data.

Read More

Nebraska Family Helpline Assists 13,000 Families

Nebraska Family Help Line (NFH) makes it easier for families to obtain assistance when they are having a family crisis by providing a single point of contact, 24 hours a day, and seven days a week.  

Read more

Ohio Governor’s proposed Budget Increases Support for Transformational Change

Ohio Governor’s budget proposal for the 2016-17 biennial budget for the Department of Developmental Disabilities (ODDD) represents “the most significant increase in the history of the Department”, with the investment of $316 million over two years in developmental disabilities system redesign 

Read more

Federal News

CMS Revises Waiver Technical Guide

CMS has posted a revision (click the link in the left hand column called 1915(c) Waiver Application and Accompanying Materials) of the “Instructions, Technical Guide and Review Criteria” for the 1915(c) waiver application (click the link in the left hand column called 1915(c) Waiver Application and Accompanying Materials) on the Waiver Management System (WMS) home page, along with updates to Resource Attachments to the guide.  A summary prepared by Truven for CMS is also available.  

Read more

SCOTUS Holds Providers Cannot Sue Over Medicaid Rates

The U.S. Supreme Court has ruled that developmental disability service providers cannot sue to force state Medicaid programs to raise their reimbursement rates. The high court ruled against a group of Idaho agencies serving people with developmental disabilities, holding that private companies currently lack any right to enforce Medicaid requirements. 

Read more

House and Senate Budget Resolutions Include Medicaid Block Grant Proposals

The House and Senate budget resolutions for FY2016 propose to cut spending on Medicaid, food stamps and, eventually, Medicare, repeal the Affordable Care Act (ACA) and reduce taxes on investment income and corporations. Each proposal envisions making Medicaid at least partially a block grant program.  

Read more

CMS Posts Guidance to Transition Plan Reviewers 

CMS has posted a document titled “HCBS Basic Element Review Tool for Statewide Transition Plans and HCBS Content Review Tool for Statewide Transition Plans" consisting of two tools: one to help reviewers make sure that the state has included the basic required elements of the transition plan in their submission, and another to aid reviewers in assessing the content of the plan.

Read more

CMS Provides NASDDDS with Important HCBS Rule Clarifications

The Centers for Medicare and Medicaid Services (CMS) has responded in writing to a letter from NASDDDS asking for clarification regarding two issues related to the Home and Community Based Services (HCBS) rule. NASDDDS requested written clarification on two issues:  1) “that when a state determines that a program or facility does not meet the rule, that the decision rests with the state and that only when a state is requesting heightened scrutiny to include a facility in the waiver as meeting the rule, is CMS accepting information from ‘other parties;’” and 2) acknowledgment that “states have the responsibility to establish  standards for HCBS services” and  endorsement of “the use of objective criteria as part of the standards for participation.”

Read more