Many in our community are confused by terms that are used and what they actually mean. According to DDD Administration, this is what I have learned regarding the DDD “No Paid Caseload.” We need to keep the reality of what this term means in the forefront when looking at DDD and DSHS budgets and services which we provide to our community members.
To be eligible for DDD, one must meet the eligilitiy under RCW 71A.10.020 Our state’s DDD agency reports the “Total DDD Caseload” in reference to the number of persons who have a current determination for DDD eligibility.
DDD eligibility does not mean that there are paid services. DDD paid services are dependent on availibility of funding and/or eligibility for the specific services. The Medicaid State Plan services and services to people enrolled in a Home and Community Based Waiver are not limited by availibility of funding but must meet the eligibility requirements for those programs for services. Not all people with DDD eligibility meet those requirements.
For all other services, an individual must meet eligibility requirements as well as the division having funding available for the desired service. DDD utilizes the CARE Assessment to determine whether the person meets eligibility requirements for a specific service.
Those who are currently receiving a funded service through DDD are referred to as the “Paid Services Caseload.” Those who do not receive a funded service through our division, either due to lack of funding, not meeting eligibility requirements for a specific service, or not desiring paid services at the present time are referred to as the “No Paid Services Caseload.” The Paid Services Caseload plus the No Paid Services Caseload comprise the Total DDD Caseload.
Also, the “No Paid Services Caseload” clients means that they are not receiving a paid service through DDD. Many of the DDD clients do receive services from other programs within DSHS. DDD does not keep track of nor have awareness of other services within DSHS that the DDD clients may be receiving.