Helpful Resources for Intellectual & Developmental Disabilities

The Capitol Insider Blog –  The Arc National’s blog covering current legislative topics.

The Arc: Fusion– A letter from The Arc National’s CEO, Peter V. Berns.

Government/Legislative Updates – The Arc National Website with information on what is happening on governmental and legislative issues.

The Affordable Care Act: What Disability Advocates Need to Know – The Arc’s national office policy staff has prepared this issue of National Policy Matters on The Affordable Care Act and the elements of the law that impact people with intellectual and developmental disabilities.

Consumer Directed Attendant Support Services – Request for Public Comment: Consumer Directed Attendant Support Services (CDASS) in the Home and Community Based Services – Supported Living Services (HCBS-SLS) Waiver Task Group Report

An individual or their representative may manage the allocated Medicaid dollars and hire, train and manage the support staff they choose to provide their personal care, homemaker and health maintenance activities. The individual may directly hire support staff without working through a program approved agency or a home health agency. CDASS is currently available in the Elderly, Blind and Disabled, Community Mental Health Supports, Spinal Cord Injury and Brain Injury waivers.

In November 2014 a task group was formed to make recommendations for the implementation of the CDASS option in the HCBS-SLS waiver. This process resulted in a proposed amendment to the SLS Waiver. The SLS waiver uses Service Plan Authorization Limits (SPAL) which cap the dollar amount for all services received in an individual’s SLS plan. The cost of the Health Maintenance activities will not be included in the SPAL limits or within the SLS waiver cap of $45,500.

The public comment period is open until February 9th and your opinion is important! Please comment and make recommendations for the following points:

Please contact Roberta Aceves by no later than February 9, 2015 expressing your support of the implementation of CDASS into the SLS Waiver examples of recommendations include:

  1. The cost of personal care services should not be included in the cap created by the Service Plan Authorization Limit or the SLS Waiver Cap. It must be funded separately.
  2. The CDASS service delivery option should include respite services. (If you want to consumer direct your respite services please make it a point to explain the benefit it would have for you or your family member. This is the one additional service in the SLS waiver that should have no complications to implement a consumer directed option. The expenditures for the Respite Services would be included in the SLS plan and under the Service Plan Authorization Limit (funding cap).)
  3. Protective oversight should be added to the definition of personal care. Protective Oversight is, “when the client requires supervision to prevent or mitigate disability related behaviors that may result in imminent harm to people or property.”
  4. All HCBS-SLS services should have a consumer directed option as opposed to limiting CDASS to three services.
  5. People using the CDASS option should be able to choose their Case Management Agency, including not be limited to just the Community Centered Board Case Management.
  6. Transparency of CDASS and HCBS-SLS Service Utilization must be built in the waiver amendment.- Request DIDD implement standard operating procedures that require both Case Management and Approved Service Agencies to provide current to date expenditure statements to waiver participants.

Comment deadline is 2/9/15. PLEASE submit your comments to Roberta Aceves at DIDD by

• Emailing to roberta.aceves@state.co.us (use HCBS-SLS CDASS in the subject line)
• Sending through US Mail: Attention Roberta Aceves, 1570 Grant St, Denver CO 80203
• Faxing to: Attention Roberta Aceves 303: 866-2573

Your future choice to consumer direct services in the SLS Waiver requires you send your comments today.



Division of Developmental Disabilities – State of Colorado

Caring 4 Our Kids

The Arc PPR Infographics