Resources and Medicaid Information

Please see below for a few frequently asked questions (FAQs) regarding medicaid enrollment and additional information.

What are the requirements for qualifying for adult services?
  • Be chronic
  • Appear before the age of twenty-two (22)
  • Be caused by impairments such as intellectual disability, cerebral palsy, epilepsy, autism, or another condition found to be closely related to, or similar to one of these impairments that requires similar treatment or services; or be caused by dyslexia resulting from one or more of the above described impairments; and
    Substantially limit your ability to function in at least three (3) of the following major life activities; self care, receptive and expressive language, learning, mobility, self direction, capacity of independent living, economic self-sufficiency
  • Reflect the need for a combination and sequence of special, interdisciplinary, or generic care, treatment or other services
  • Require services which are of lifelong or extended duration

  • Require services that must be individually planned and coordinated


How do I apply for adult services?
The initial step in this process is to apply for Idaho Medicaid. It is helpful to have been determined to be disabled by Social Security as well (for adults). Income is not necessarily a disqualifier for services.

When applying for Idaho Medicaid let them know that you have an adult with a disability and may need a medical review. They may need additional documentation such as a neuropsych evaluation, or proof of diagnosis. If those have not been obtained yet we can assist you in finding medical professionals in our area.

Once Idaho Medicaid is in place, for adult services you will need to fill out the application for the Bureau of Developmental Disability Services (BDDS). It will then be reviewed by an Independent Assessment Provider and you will be contacted by them for an interview. At this point it is good to identify a Targeted Service Coordinator (TSC) who can help with the rest of the application process.

What are the requirements for qualifying for children's services?
  • A developmental disability (DD) is a chronic disability of a person which appears before 22 years of age and:
  • Is attributable to an impairment, such as an intellectual disability, cerebral palsy, epilepsy, autism, or other condition found to be closely related to or similar to one of these impairments that requires similar treatment or services, or is attributable to dyslexia.
  • Results in substantial functional limitations in three or more of the following areas of major life activity; self care, receptive and expressive language, learning, mobility, self direction, capacity for independent living, or economic self sufficiency.
  • Reflects the needs for a combination and sequence of special, interdisciplinary or generic care, treatment or other services which are of life-long or extended duration and individually planned and coordinated.
How do I apply for children's services?
The initial step in the process is to apply for Idaho Medicaid. Income is not necessarily a disqualifier for services.

When applying for Idaho Medicaid let them know that you have a child with a disability and may need a medical review. They may need additional documentation such as a Vineland 3, neuropsych evaluation, or other proof of diagnosis. This will be needed especially if you are needing Community Based Support services.

An application for Children’s Services can be submitted and a Case Manager will be assigned. For Intervention Services, the Vineland can be completed by the developmental disability agency (DDA) of your choice and they can assist with obtaining services.