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Developmental Disabilities Administration Strategic Plan Process Update. November 2009. The need for a plan…. Alice : Oh, no, no. I was just wondering if you could help me find my way. Cheshire Cat : Well that depends on where you want to get to.

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Developmental Disabilities Administration Strategic Plan Process Update

November 2009

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The need for a plan…

Alice: Oh, no, no. I was just wondering if you could help me find my way.

Cheshire Cat: Well that depends on where you want to get to.

Alice: Oh, it really doesn't matter, as long as...

Cheshire Cat: Then it really doesn't matter which way you go. Alice in Wonderland

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Today’s Agenda

  • What we heard

  • What we propose

  • What does it mean

  • Next Steps

  • Question & Feedback

    • Did we get it right from your perspective?

    • Your thoughts about implementation

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Stakeholder Involvement & Information

  • Focus Groups

    • 7 regional groups across the state:

  • Discussions

    • CMS

    • 4 other states

  • People on the Go

  • Maryland Disability Law Center

  • Maryland Developmental Disabilities Council

  • Arc of Maryland


  • Web-based Questionnaire (1159 hits, 492 responses)

  • Trend data (demographics, employment, labor, federal spending, long-term care, etc.)

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What people said …

  • Input and feedback ….

    • People want :

      • jobs, real jobs with real money

      • friends

      • meaningful relationships outside of where they work and live

      • to be contributing members of their community

    • Agencies want:

      • to support people to live a life of their choosing

      • flexibility

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What we propose …

Person Directed Services

  • Individualized

  • Supports personal development

  • Foster independence

  • Flexible

  • Timely

  • Fluid

    Systems in support of people

  • Flexible funding

  • Flexible regulations

  • Creative options

    Note: Compliance and within established guidelines from Federal and State Statutes and Regulations and prudent use of State funding.

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What does it mean…

People decide

  • What services/supports

  • Who provides services/supports

  • How long they are provided

  • Who helps you

  • If they are happy or not

  • When to change

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What needs to be done….

Next steps

  • Revise/realign/develop

    • Policies and procedures

      • Accessing funding

      • Accountability

    • Viable Support Options

      • Natural and generic community services

      • Resource coordination

      • New directions/Community Pathways

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What needs to be done…. continued

  • Resource allocation

    • Fair and equitable

    • Standardize

    • Meet changing needs (i.e. employment, medical, aging)

  • Quality framework

    • Proactive

    • Individually defined

    • Outcome based

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What needs to be done…. continued

  • Information

    • User friendly

    • Easy to access

    • Clear

    • Transparent

    • Ongoing

    • Ensures accountability

    • Valid and reliable data

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Questions … Discussion

  • Did we get this right? What should we change?

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Questions … Discussion

  • What additional information about the plan do you need?

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Questions … Discussion

  • What do you see as the challenges as we move forward?

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Current EffortsStrengthening DDA's Foundation …

All DDA business practices are being reviewed/changed including:

  • Application for services

  • Plan development and resource allocations (Supports Intensity Scale)

  • Services

    • Natural and generic community services

    • Medicaid state plan services (substantiated need)

    • Low Intensity Support Services

    • New Directions/supports waiver/Community Pathways

      • Request for additional services

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Current Efforts – continue

  • Resource Coordination

    • Choice

    • Agent of the State/Agent of the Person

  • DDA Policies and Procedures

  • Waiting list management

  • Regulations

  • Personal responsibility

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Current Efforts – continue

  • Employment First

    • Community learning (to what end – integration/circle of support

    • Outcomes to employment

    • Employment Discovery and Customization (3 months)

  • Data management system

    • QA Framework

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Anticipated New Outcomes …

  • Real choice and control in the hands of people – personal outcome driven

  • Fundamental service shift to person directed system

  • Employment first

  • Fair and equitable distribution of resources

  • Customer sensitive innovations

  • System transparency and consistency

  • Fiscal and programmatic accountability

  • Data management system to drive decision making process

  • Overarching DDA Quality Framework

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Proposed Vision/Mission/Goals


  • All Marylander’s lead fulfilling lives enjoying the abundance of the state’s economic, cultural and natural resources.


  • DDA partners with people with developmental disabilities to provide leadership and resources to live fulfilling lives.


  • People with developmental disabilities…

    • direct their lives;

    • have viable support options; and,

    • have information to make decisions.

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Contact Information

Developmental Disabilities Administration

201 West Preston Street, 4th Floor

Baltimore, MD 21201


[email protected]