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restrictive setting. A summary of the service options available at each tier is as follows: DD/ID Needs-Based Service Tier Classifications and Options Tier Service Options Available Supports Tier D and E (Highest): Extraordinary Needs Living with family/caregiver Independent Living Shared Living Group Home/Specialized Group Home Community Supported Living Services Community Residential Support or access to overnight support services Integrated Employment Supports Integrated Community and/or Day supports Transportation Tier C (Highest): Significant Needs Living with family/caregiver Independent Living Shared Living Group Home Community Supported Living Services Community Residential Support or Access to overnight support services Integrated Employment Supports Integrated Community and/or Day supports