1. A. The intellectual/developmental disabilities request for services registry, hereafter referred to as “the registry,” shall be used to identify individuals with intellectual and/or developmental disabilities who are waiting for an OCDD waiver opportunity. Individuals who are found eligible for developmental disabilities services using standardized tools, and who request waiver services will be added to the registry. The registry is arranged by urgency of need and date of application for developmentally disabled (DD) waiver services.

2. B. OCDD operates on a tiered waiver approach for services delivery. If an individual’s needs cannot be met with the initial waiver, they may request to be moved up to the next waiver in the tiers. The Residential Options Waiver (ROW) is the second tier within the OCDD tiered waiver process. ROW opportunities shall be offered based on the following groups.

   1. 1. Individuals living at publicly operated ICF/IID or who lived at a publicly operated ICF/IID when it was transitioned to a private ICF/IID through a cooperative endeavor agreement (CEA) facility, or their alternates. Alternates are defined as individuals living in a private ICF/IID who will give up the private ICF/IID bed to an individual living at a publicly operated ICF/IID or to an individual who was living in a publicly operated ICF/IID when it was transitioned to a private ICF/IID through a CEA facility.
   2. 2. Individuals requesting to transition from a publicly operated ICF/IID are awarded a slot when one is requested, and their health and safety can be assured in an OCDD waiver. This also applies to individuals who were residing in a publicly operated facility at the time the facility was privatized and became a CEA facility.
   3. 3. Individuals on the registry who have a current unmet need as defined by a screening of urgency need (SUN) score of urgent (3) or emergent (4) and the earliest registry date, shall be notified in writing when a funded OCDD waiver opportunity is available and a waiver offer is available.
   4. 4. Individuals transitioning from ICF/IID facilities utilizing ROW conversion.
   5. 5. Transition of eligible individuals with a statement of eligibility (SOA) for intellectual developmental disability services in either the Office of Aging and Adult Services (OAAS) Community Choices Waiver (CCW) or OAAS Adult Day Health Care (ADHC) Waiver to enter the OCDD tiered waiver process for ROW services.
3. C. OCDD has the responsibility to monitor the utilization of ROW opportunities. At the discretion of OCDD, specifically allocated waiver opportunities may be reallocated to better meet the needs of citizens with developmental disabilities in the state of Louisiana.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Office for Citizens with Developmental Disabilities, LR 33:2441 (November 2007), amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 41:2155 (October 2015), LR 42:62 (January 2016), amended by the Department of Health, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 43:2530 (December 2017), LR 45:1764 (December 2019), LR 47:1508 (October 2021), LR 50:1829 (December 2024).