Before the age of five, an individual can have a determination of Developmental Delay meaning that a child meets one or more of the following:
A
A child who is less than five years of age at risk of having a disability because of the presence of one or more of the following:
- Chromosomal conditions with delays in development
- Syndromes that begin at birth associated with delays in development
- Sensory impairments associated with delays in development
- Metabolic disorders associated with delays in development
- Prenatal infections and significant medical problems associated with delays in development
- Low birth weight infants weighing less than 1200 grams, or
- Postnatal acquired problems resulting in delays in development
B
A child less than five years of age who is significantly delayed in development in one or more of the following areas:
- Communication
- Adaptive behavior (social skills, daily living skills such as bathing, dressing, safety, etc.)
- Social-emotional
- Motor
- Sensory
- Cognition
C
A child less than three years of age who lives with one or both parents who have a developmental disability.
After the age of five, a person must have a determination of a disability.
An intellectual disability is a disability that starts before the person reaches the age of 22 that affects their ability to complete daily tasks, decision-making and problem-solving skills, and stems from a diagnosis or neurological condition. Examples of these conditions are cerebral palsy, epilepsy, autism, or other neurological conditions that result in impairment of intellectual functioning or adaptive behavior.
Disability Criteria Requires:
A
An IQ of 70 or below on a formal IQ test that looks at cognitive or intelligence functioning.
B
A score of 70 or below on a formal adaptive test. The adaptive test looks at the areas of communication, self-care, home living, social skills, community use, self-direction, health and safety, functional academics, leisure, and work.
After the determination of a developmental delay/intellectual disability is completed, to access a Medicaid funded waiver, an individual must become eligible for longterm care Medicaid.
Medicaid
In order to enroll in one of our Medicaid waiver programs, which includes:
- HCBS-CHRP
- HCBS-CES
- HCBS-SLS
- HCBS-DD
The individual seeking services must enroll in and be approved for Medicaid.
Social Security
The individual seeking services must meet the federal Social Security Administration’s definition of an individual with a disability (more information on the SSA’s definition of disability is available here), and they are encouraged to apply for social security benefits.