• 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) released a paper entitled “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

CMS Releases Final Elements of the Home and Community-Based Services (HCBS) toolkit

This toolkit assists states in complying with the home and community-based non-residential settings regulation requirements.  The two elements include:  "Exploratory questions to Assist States in Assessment of Non-residential Services and Questions and answers regarding home and community-based settings.

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

Minnesota Housing Program for People with Disabilities Hits Milestone

The Minnesota Department of Human Services (DHS) and The Arc of Minnesota’s Housing Access Services Program has moved 1,166 adults of all ages who are eligible for certain Medical Assistance programs or other health care needs to housing. The program also connects people to employment supports or workforce centers, nutrition programs and other supports that help them to be successful living in the community.

 Read more

Florida's New Abilities Web Portal

Governor Rick Scott announced the new Abilities Work Web Portal and Help Desk.  The new web portal will help employers identify qualified job candidates with disabilities and post job openings.

Read more

Nebraska Might Have Received Last DOJ Report on Beatrice State Center

According to a Nebraska Department of Health and Human Services (DHHS) Weekly Digest Bulletin, the Independent Expert appointed to monitor improvements at the Beatrice State Developmental Center (BSDC) issued what could be her final report.

Read More

Georgia’s “Real Communities Initiative” Moves into Fourth Year of Strategic Plan

Georgia’s “Real Communities Initiative” was launched statewide by the Georgia Council on Developmental Disabilities (GCDD) in 2010 and includes members from the Georgia Department of Behavioral Health & Developmental Disabilities (DBHDD). The initiative partners with local groups working to improve their own communities using person-centered supports, community-centered connections, and persistent and reflective learning. 

Read More

Iowa Medicaid Saves $49.5 Million through Integrity Initiative

Iowa Medicaid, which is administered by the Department of Human Services, launched an integrity initiative focused on payment accuracy that has saved $49.5 million in fiscal year 2014, bringing the four year savings to date to nearly $129 million.

Read more

Federal News

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

Obama Releases 2016 Budget Proposal

The President has released his Fiscal Year 2016 Budget. The plan reverses sequestration cuts and focuses on the needs of the middle class. The ambitious proposal includes spending increases in a number of areas and over a trillion dollars in tax increases, mainly impacting the wealthiest Americans. The President's Budget also includes increased investments in specific disability related programs.

Read more

State Medicaid Director Letter on "Free Care" Policy

The Centers for Medicare & Medicaid Services (CMS) has released a State Medicaid Director (SMD) Letter addressing Medicaid payment for “services covered under a state’s Medicaid plan to an eligible Medicaid beneficiary that are available without charge to the beneficiary (including services that are available without charge to the community at large, or ‘free care’).”

GAO Reports on DOL Home Care Rule

The Government Accountability Office (GAO) has delivered a report to Congress examining the likely impact of the Department of Labor’s (DOL’s) Home Care Rule.  

Read more

Court Strikes Down Third Party Employer Provision of Home Care Rule

The United States District Court for the District of Columbia has issued a partial summary judgment on two pieces of a lawsuit filed by the Home Care Association of America and other plaintiffs related to the Department of Labor’s (DOL’s) Home Care Rule.

Read more