Referral & Eligibility
The DDSD Referral and Eligibility Determination Unit (Intake and Eligibility Unit) determines who qualifies for DD services. Anyone is eligible to apply for services; however, only those found to meet Oregon Administrative Rule (OAR) Eligibility Determination criteria will qualify (OAR 411-320-0080). All of our services are voluntary. If you or someone you know is interested in being referred for DD services, call us at 503-988-6258 to begin the process.
Interested in the program but not sure if a referral should happen?
If you are interested in knowing more about the eligibility process or are ready to make a referral, call us with your questions at 503-988-6258. Our staff are available to help you understand more about who is eligible, how to make a referral, decipher the OAR language, and answer any other questions you may have related to the referral and eligibility process.
Who Is eligible?
Anyone who meets the criteria of Intellectual Disability/Developmental Disability (ID/DD) attributable to a neurological disabling condition that requires training or support similar to that required by individuals with ID/DD while having significant adaptive deficits are eligible, when these conditions occurred prior to age 18 for ID/DD or age 22 for a Developmental Disability other than Intellectual Disability. You may read more about this criteria in OAR 411-320-0080.
Interested in knowing more about what does not qualify a person?
People who do not meet criteria for either having ID/DD as described above will not be found eligible in our program.The criteria we enforce is established by the Oregon Administrative Rules that govern Community Developmental Disability Programs as outlined in the Community Developmental Disability Program (CDDP) as outlined in OAR 411-320-0080.
How do you determine if Intellectual Disability/Developmental Disability is in place?
This is determined by a clinical impression given by a Ph.D., PsyD, MD or D.O. The OARs state that "A history demonstrating an intellectual disability, as defined in OAR 411-320-0020, must be in place by the individual's 18th birthday for the individual to receive developmental disability services... A history of a developmental disability, as defined in OAR 411-320-0020, must be in place prior to the individual's 22nd birthday for the individual to receive developmental disability services." (OAR 411-320-0080.To make this determination, DDSD acquires historical records, schedules psychological evaluations, and acquires physician statements. When we have someone evaluated, we additionally request that the evaluator give us their clinical impression as to what primarily impacts an individual's overall functioning.
What types of diagnoses typically result in a person being eligible?
This is a very complicated question because so much goes into determining eligibility. Diagnoses included here are not automatic for eligibility but provide ideas of what kinds of diagnoses may make someone eligible. These diagnoses include but are not limited to Cerebral Palsy, Tourette's Syndrome, Asberger's Syndrome, Pervasive Developmental Disorder, Autism, Fetal Alcohol Effects/ Fetal Alcohol Syndrome, Alcohol related Neurological disorders, Down Syndrome, Seizure Disorder, Epilepsy, Prader Willi Syndrome, Rett's Syndrome, Traumatic Brain Injury/Acquired Brain Injury, and Fragile X Syndrome. There are many other diagnoses that may result in someone being eligible as well.
What types of diagnoses typically result in a person being found NOT eligible?
This is a very complicated question because these diagnoses in combination with qualifying may result in someone being found eligible rather than being found NOT eligible rather than being found not eligible. However, when qualifying diagnoses may result in someone being found eligible rather than being found not eligible. However, when qualifying diagnoses are not present, and these diagnoses are, the result is a determination of not eligible. The non-qualifying diagnoses include but are not limited to Learning Disorder, Cognitive Disorder, NOS, ADD/ADHD, Conduct Disorder, Oppositional Defiance Disorder, Bi-Polar Disorder, Anti-Social Personality Traits/disorder, Reactive Attachment Disorder, Adjustment Disorder, Possible FAS/FAE, anything R/O, Intellectual Disability without testing, Educational Autism, and others. Additionally, if the diagnoses is followed by the term R/O, possible, traits, history of, and probably, these two likely result in a not eligible decision. Another important fact is that even when a person qualifies for benefits through the Social Security Administrative must commonly SSI, because their criteria is different from the Oregon Administrative Rules criteria for eligibility, these individuals can also be found NOT eligible for CDDP case management services.
What happens if a person is not in agreement with the decision?
A person has the right to request an Administrative Review for a determination they are unhappy with in accordance with OAR 411-320-0175. The rule states, "A claimant has the right to a hearing, as provided in ORS chapter 183. If the claimant disagrees with the Department's eligibility determination. The request for a hearing must be in writing on form DHS 443 must be received by the Department within 45 days from the date of the Department's notice of eligibility determination." If an individual does not request an Administrative Review but new information is obtained at a later date, a person has the right to re-apply.
How long is the process and what does it look like?
The OAR timeline requires that a determination be made 90 calendar days from the date an application is signed. Extensions to this timeline are allowed when mutual consent is obtained between the consumer and the CDDP in special circumstances.
An outline of the process is below:
- A referral is made (via phone call, faxed referral, mail)
- Our unit assigns it to one of our Intake Eligibility Specialists
- The Intake Eligibility Specialist meets with the client/family, gathers necessary information, and presents to our Eligibility review team
- This team makes a decision
- If determined eligible, the person is assigned to work with a services coordinator for ongoing DD services.
Who can make a referral?
Anyone can make a referral with client/legal guardian consent. If you believe a person has an Intellectual Disability/Intellectual Disability, a referral should be made. Referrals can be made by phone, fax, or email to:
Fax: 503-988-3059 attention: Intake and Eligibility Unit
Email: Mary Putnam at firstname.lastname@example.org