How DDS Waivers Work in DC — A Simple Guide

Navigating the disability service system in Washington, DC can feel overwhelming for parents and families. One of the most important tools available to families is the DDS Waiver Program. These waivers provide funding and support services so individuals with intellectual and developmental disabilities (IDD) can live independently in the community rather than in institutional settings.

At A1 Care, we often hear from families who are confused about what DDS waivers are, how they work, and what the application process looks like. This guide breaks it down simply.

What Is a DDS Waiver?

A DDS (Department on Disability Services) waiver is a Medicaid program that allows DC residents with disabilities to access services beyond what standard Medicaid covers. Essentially, the waiver “waives” certain Medicaid restrictions and provides funding for community-based supports.

Types of Waivers Available in DC

1. IDD Waiver (Intellectual and Developmental Disabilities Waiver): Supports adults with IDD to live in the community.

2. ICF/IID Waiver (Intermediate Care Facility Waiver): Provides funding for care in smaller, home-like environments.

   
   

Who Qualifies for a DDS Waiver?

To qualify, your loved one must:

• Be a DC resident.

• Have a diagnosis of an intellectual or developmental disability before the age of 22.

• Require institutional-level care but prefer community living.

• Be Medicaid eligible.

What Services Do DDS Waivers Cover?

Waivers can cover a wide range of services, such as:

• Home and community-based care

• Personal care assistance

• Day programs and supported employment

• Respite care for families

• Assistive technology

• Transportation services

The DDS Waiver Application Process

1. Referral & Intake – Families start by contacting the DDS Intake & Eligibility office.

2. Eligibility Determination – The agency reviews medical and educational records.

3. Level of Care Assessment – Determines what type of support your loved one needs.

4. Service Planning – Families meet with a DDS Service Coordinator to build an Individualized Service Plan (ISP).

5. Provider Selection – Families choose from approved providers, such as A1 Care, to deliver services.

   
   

Tips for Families Applying for a Waiver

• Gather all medical and educational documentation early.

• Ask for help from your assigned DDS Service Coordinator.

• Consider applying as soon as possible—waiting lists can occur.

At A1 Care, we work closely with families to ensure a smooth transition once a waiver is approved. If you’re just starting, check out our Navigating DDS Services in DC Guide for a step-by-step roadmap.