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548 (07/2026) Chapter 2:Eligibility • Section 10: Long-Term Care (LTC) services • Have existed prior to age 22 (both the condition and significant impairment), and • Be not primarily attributed to another condition including, but not limited to, a mental or emotional disorder, substance abuse, Attention Deficit Hyperactivity Disorder (ADHD), a learning disability, personality disorder or sensory impairment. Intellectual disability (ID): History of intellectual disability and significant impairment in adaptive behavior directly related to the intellectual disability must be evident prior to the individual’s 18th birthday. Intellectual disability means significantly sub-average general intellectual functioning. This is defined as full scale intelligence quotients (FSIQs) 70 and under, as measured by a qualified professional, existing concurrently with significant impairment in adaptive behavior directly related to an intellectual disability that manifested prior to an individual’s 18th birthday. Individuals with a valid FSIQ score of 66–70 require verification of intellectual disability with an assessment of adaptive behavior showing significant impairment directly related to the intellectual disability. Individuals with valid FSIQ scores of 71–75 require an adaptive behavior assessment showing significant impairment and a diagnosis of intellectual disability by a licensed clinical or school psychologist. Community Developmental Disabilities Program (CDDP): A case management entity (CME) that is responsible for I/DD disability determination for eligibility, plan authorization, delivery and monitoring of services for individuals with I/DD provided by a service coordinator. A CDDP operates in a specific geographic service area of the state under a contract with the Office of Developmental Disabilities Services (ODDS), local mental health authority or other entity as contracted by ODDS. Brokerage: A CME that is responsible for individual support plan development and authorization, finding resources needed to deliver the plan, and monitoring of support services for adult individuals with I/DD provided by a personal agent (PA). A brokerage operates in a specific geographic service area of the state under a contract with the ODDS. In-home supports: Like APD, individuals with I/DD may choose to have services provided in their own home. Individuals may choose to hire a personal support worker (PSW), use an agency with direct service providers (DSP) or use a combination of both to provide care. Supported living: A comprehensive service available only to DD adults who are case managed by a CDDP, not a brokerage. Individuals may live in-home or in a provider-controlled site. There is a variety of allowable models in supported living. Provider controlled: • Providers own the apartment building and the individual rents from the provider who also provides the services. • Providers co-sign with individuals that rent apartments in community housing stock. This is often used when the individual could not afford the full rent, has negative rental history, there are more than one individual in the home needing support or the provider otherwise needs additional space, such as a second bedroom for staff. • A Provider employs a family member as a live-in caregiver who is also the lease holder or owns the home. Note: The Supported Living service cannot be tied to the individual’s housing. If the individual chooses to use a different provider, it cannot result in an eviction for exercising the choice of provider.