Beyond Childhood · nationwide family-navigation evidence

Compare State Systems

Family-navigation ratings for all 50 states and Washington, DC. Compare one evidence-defined dimension at a time; there is no overall best-state score.

Current evidence · checked 2026-08-27
Important: These ratings describe the usability and transparency of official adult-service pathways and evidence. They do not measure service quality, capacity, funding adequacy, eligibility, provider fit, or individual outcomes.

Public source usability

How usable the official public source set is for a family trying to find the adult developmental-disability front door and the next step.

What qualifies

An official, publicly accessible source set identifies the adult developmental-disability front door without requiring an account or professional intermediary.

Missing evidence: Use Not Rated when no official public front door can be identified or the source requires restricted access.

Freshness: Recheck direct entry and locator sources monthly; recheck supporting process sources quarterly.

How 0–4 works

  1. 0: Denominator met, but none of the four usability indicators is present.
  2. 1: One indicator is present.
  3. 2: Two indicators are present.
  4. 3: Three indicators are present.
  5. 4: All four indicators are present.

Observable indicators

  1. A direct start action is stated.
  2. A phone, locator, or local-routing method is provided.
  3. At least two distinct access stages are explained in family-facing language.
  4. The source set connects the family to eligibility, services, provider discovery, and review/status help.
What it means: A higher score means the official web path is easier to use. It does not mean services are easier to obtain.
Public source usability — 51 scored; 0 Not Rated
StateRatingDimension rankConfidenceCheckedWhy
Alabama4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official Call Center, support-coordination, eligibility-document, regional-review, and priority-list route; current official waiting-list, opening, reconfirmation, enrollment, assessed-need, and service-authorization overview; current official five-region county map with office, incident, on-call, certification, and quality contacts; current official county-and-category provider listing

Exact location: Start the Alabama waiver application; Understand Alabama DD waiver access; Find the Alabama DD Regional Office for your county; Search Alabama's certified provider directory; Use Alabama DD waiver appeals; Review the current Alabama DD operating manual; Action Kit start-alabama-dd-waiver-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Alaska4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official DD criteria, application, Registry, waiver-draw, Notice-to-Proceed, and care-coordinator route; current official regional DDRC application, Medicaid-document, option, and referral help; current official DD determination, Registry, IDD, ISW, application-review, service-request, and program-management owner; current official DD, DDRR, waiver, provider, fair-hearing, and support-document form hub

Exact location: Apply for an Alaska developmental-disability determination; Find an Alaska Developmental Disabilities Resource Connection; Use Alaska's IDD Unit; Open Alaska's approved SDS forms; Review Alaska waiver-provider certification and complaints; Review Alaska HCBS waiver options and eligibility; Use Alaska's current Uni-08 fair-hearing route; Action Kit start-alaska-dd-determination

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Arizona4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official DDD application, adult eligibility, office, contact, and administrative-review entry; current official application instructions, records checklist, and submission routes; current official HCBS Qualified Provider directory; provider-supplied availability fields require direct verification; current official planning participation, provider choice, Support Coordinator choice, service correction, and grievance rights

Exact location: Start the Arizona DDD eligibility process; Use the DDD eligibility application checklist; Search Arizona DDD qualified providers; Review individual and family rights in Arizona DDD; Review DDD health plans and HCBS authorization; Appeal a DDD Notice of Adverse Benefit Determination; Action Kit start-arizona-ddd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Arkansas4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official DDS Intake and Referral route, including telephone and online request; current official CES clinical-review, functional-criteria, waitlist, slot-offer, service, and provider-list route; current official Medicaid application and DDS Intake and Referral route; current official PASSE care-coordination, person-centered service-plan, integrated-service, and eligibility overview

Exact location: Start with Arkansas DDS Intake and Referral; Review the Arkansas CES Waiver; Apply for Arkansas services; Understand Arkansas PASSE care coordination; Open the Arkansas CES provider list; Use current Arkansas PASSE Independent Assessment and Tier guidance; Use Arkansas PASSE beneficiary support; File an Arkansas DHS appeal; Action Kit start-arkansas-dds-intake

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

California4/4#1High2026-08-27

All four usability indicators are present.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: DDS supplies a regional-center locator and connected explanations of eligibility, entitlement, planning, services, and provider-directory limitations.

Exact location: DDS Regional Center Listings, Lanterman Act, IPP, Services, and Provider Directory status pages

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Colorado4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current; current

Exact location: Find the Case Management Agency and Community Center Board for your county; Colorado intellectual and developmental disability services and supports; Find Colorado HCBS and IDD providers; Health First Colorado appeals; Action Kit start-colorado-cma-intake

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Connecticut4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current; current

Exact location: DDS eligibility and applications; Apply for DDS services; DDS intellectual-disability eligibility requirements; DDS qualified-provider information; DSS Autism Waiver provider enrollment and contacts; DDS Options for Appeal; DDS ombudsperson and complaint route; Action Kit start-connecticut-dds-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Delaware4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current online, paper, Spanish, help, timeline, and appeal route; current eligibility and service overview; current service and county provider listings; current official forms and standards register

Exact location: Apply for DDDS services; About DDDS eligibility and adult services; DDDS Authorized Provider Network; DDDS forms, policies, and provider standards; Action Kit start-delaware-ddds-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Florida4/4#1High2026-08-27

All four usability indicators are present.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: The official set supplies application modes, regional routing, iBudget and support-coordination guidance, and a provider search.

Exact location: APD Apply, iBudget, Provider Search, and Planning Resources pages

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Georgia4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current; current

Exact location: Apply for DD Services; Find a Regional Field Office; Find DBHDD Services and Provider Search; FY 2027 Community Provider Manuals; Contact DBHDD Constituent Services; Action Kit start-georgia-dd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Idaho4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official adult-DD application, criteria, regional submission, independent-assessment, notice, and service-choice route; current official Idaho Medicaid online, telephone, written-notice, renewal, and appeal route; current official Traditional plan-developer, Individual Support Plan, provider-list, and conflict-boundary route; current official adult-DD provider and plan-developer list route

Exact location: Apply for Idaho adult developmental-disability programs; Apply for Idaho Medicaid; Use Idaho Traditional support services; Find Idaho adult-DD plan developers and providers; Review Idaho developmental-disability agency information; Use Idaho Medicaid appeals and fair hearings; Action Kit apply-idaho-medicaid

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Iowa4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current online, telephone, mail, fax, email, local-office, preparation, and enrollment route; current seven-waiver eligibility, service, application, and waiting-list overview; current application flow, waiting-list, comparison, forms, contacts, and program resources; current SSA and Iowa HHS disability-determination routes and limits

Exact location: Apply for Iowa Medicaid; Compare Iowa HCBS waiver programs; Use Iowa HCBS program and waiver resources; Understand Iowa disability determination; Start and troubleshoot Iowa HCBS; Find an Iowa Medicaid provider; Prepare for the current Iowa HCBS assessment; Appeal an Iowa HHS or managed-care action; Action Kit complete-iowa-program-eligibility

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Kansas4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official I/DD eligibility, CDDO entry, waiting-list, offer, MCO, provider-choice, and self-direction authority; current official HCBS Access Guide with county-linked entry points and human-help routes; current official CDDO program-eligibility policy that is separate from functional and financial eligibility; current official I/DD individual-choice, provisional-plan, CDDO access, and provider-affiliation form hub

Exact location: Start the Kansas I/DD waiver pathway; Find the Kansas HCBS entry point for your county; Review Kansas I/DD program-eligibility policy; Use current KDADS I/DD and CDDO forms; Use the KanCare appeals and fair-hearing hub; Contact the independent KanCare Ombudsman; Action Kit find-kansas-cddo-start-eligibility

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Kentucky4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current; current

Exact location: How to Apply for Waiver Services; Kentucky HCBS Waiver Programs; Michelle P. Waiver; Supports for Community Living Waiver; Children with High Intensity Level of Need Waiver; Kentucky Medicaid Provider Directory; SCL and MPW Regulations; Your Rights as a Waiver Participant; Action Kit start-kentucky-waiver-applications

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Louisiana4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official OIDD single-point-of-entry, four-waiver, tiered-waiver, urgency, and service route; current official Human Services District and Authority contact route; current official person-centered-plan, plan-approval, resource-coordination, monitoring, and self-direction assistance route; current official regional and service-type provider listing; listing is not availability or quality evidence

Exact location: Start with Louisiana OIDD services and programs; Find the Louisiana Local Governing Entity; Understand Louisiana OIDD Support Coordination; Search Louisiana Freedom of Choice providers; Review Louisiana Medicaid Self-Direction; Apply for or manage Louisiana Medicaid; Review Louisiana Medicaid waiver services; Appeal a Louisiana Medicaid action; Action Kit start-louisiana-oidd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Maine4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official application packet, records, regional intake, ten-day contact, eligibility, and appeal route; current official MaineCare, disability-determination, and long-term-care application forms and submission routes; current official residential, case-management, employment, representative-payee, community-support, and broker directory; current official late-2025 service-specific licensing transition and oversight route

Exact location: Apply for Maine Adult Developmental Disability Services; Apply for MaineCare; Search the Maine OADS provider directory; Review Maine HCBS provider licensing; Use the Maine OADS grievance and appeal route; Action Kit start-maine-adult-developmental-services

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Maryland4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current; current

Exact location: DDA Eligibility Application Process; Regional Offices; DDA Eligibility Application; DDA Guide to Services — October 2025; DDA Advocacy Support Unit; Maryland Provider Search; Action Kit start-dda-eligibility-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Minnesota4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current; current

Exact location: Minnesota Developmental Disabilities Waiver; County and Tribal Nation human-services directory; Disability Hub Minnesota and home-community services; DHS licensed-program lookup and oversight; Minnesota Health Care Programs provider directory; Minnesota HCBS 245D provider standards; Disability-services appeals, conciliation, and reconsideration; Action Kit start-minnesota-dd-waiver

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Mississippi4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official Regional Center evaluation, level-of-care, Planning List, Medicaid, Support Coordination, Plan of Care, provider choice, BIDD approval, and service-start sequence; current official regional-program, service-area, evaluation, and contact route; current official evaluation, onset, Medicaid, and person-centered-plan overview; current official certified-provider finder, availability-warning, helpline, and crisis route

Exact location: Start Mississippi IDD and ID/DD Waiver services; Find Mississippi IDD Regional Programs; Review Mississippi IDD and person-centered planning FAQs; Find Mississippi certified service providers; Review current Mississippi IDD provider documents; Find the Mississippi Medicaid Regional Office and after-application route; Request a Mississippi Medicaid eligibility hearing; Action Kit start-mississippi-regional-center-evaluation

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Missouri4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official referral, application, records, MAAS, decision, and eligibility-appeal process; current official county-linked Regional Office map, directory, eligibility, and system entry; current official provider enrollment, provider-relations, service-manual, oversight, event, contract, and operational hub; current official MO HealthNet, DMH, DHSS, evidence, representation, and state-benefit hearing route

Exact location: Start Missouri DDD referral and application; Find the Missouri DDD Regional Office; Use Missouri DDD service-provider resources; Use the Missouri state-benefit hearing route; Action Kit start-missouri-regional-office-referral

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Montana4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official eligibility, Vineland, waitlist, offer, TCM, PSP, provider, and self-direction route; older linked artifacts are bounded; current official five-region and satellite-office contact route; current official DDP, 0208, Targeted Case Management, regional, provider, and self-directed overview; current official forms-and-tools hub; dates on individual artifacts must be evaluated before operational use

Exact location: Start Montana DDP eligibility and 0208 waiver access; Find the nearest Montana DDP Regional Office; Review Montana Developmental Disabilities Program services; Open Montana DDP forms and tools; Search Montana DDP provider resources; Use the Montana Office of Administrative Hearings; Action Kit start-montana-ddp-eligibility

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Nebraska4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official iServe, DD-10, telephone, mail, email, fax, preparation, eligibility, level-of-care, waiver, funding, plan, and contact route; current official DD-10 and multilingual HCBS application register; current official FSW, DDAD, CDD, service coordination, services, agency, independent-provider, and self-direction route; current official July 2026 DD policy, agency and independent directories, incident, quality, fee-schedule, enrollment, and provider-responsibility register

Exact location: Start a Nebraska HCBS DD waiver application; Open Nebraska's multilingual HCBS application forms; Compare Nebraska's three DD waivers and services; Find Nebraska DD agency and independent providers; Respond to a Nebraska HCBS notice of decision; Use the current Nebraska fair-hearing form; Action Kit start-nebraska-dd-waiver-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Nevada4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official three-Regional-Center, eligibility, service-coordination, service, and application route; current official Desert, Rural, and Sierra Regional Center office and intake contacts; current official January 2025 application and checklist and July 2025 financial forms in English and Spanish; current official eligibility evidence, review, notification, and appeal-process source; the complete current notice controls case deadlines

Exact location: Start Nevada Developmental Services; Find a Nevada Developmental Services office; Open current Nevada Developmental Services forms; Review Nevada Developmental Services intake and eligibility policy; Use Nevada Developmental Services service coordination; Search current Nevada Regional Center providers; Review Nevada's ID Waiver; Action Kit start-nevada-regional-center

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

New Hampshire4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official developmental-services entry, program, waiver, provider, and contact hub; current official ten-region Area Agency directory and catchment map; current official application, DD eligibility, level-of-care, service-coordination, planning, service, appeal, and participant-direction rules; current official Area Agency application, comprehensive screening, preliminary recommendation, emergency-arrangement, and hearing authority

Exact location: Start with New Hampshire Developmental Services; Find the correct New Hampshire Area Agency; Read New Hampshire's current He-M 500 rules; Review RSA 171-A:6 service-system entry; Find New Hampshire developmental-service providers; Use New Hampshire developmental-services provider resources; Action Kit start-new-hampshire-area-agency-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

New Jersey4/4#1High2026-08-27

The official path is broad and family-facing.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: DDD supplies an application route, county Community Services Office routing, support-coordination guidance, and provider-search help.

Exact location: DDD Apply page; Provider Search quick guide; Support Coordination page

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

New Mexico4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official application, eligibility, Central Registry, and Regional Office route; current official Regional Office intake and application-assistance route; current official diagnostic, functional, onset, residency, and application authority; current official case-management, ISP, budget, service, and provider route

Exact location: Apply for New Mexico DD Waiver eligibility; Find New Mexico DDSD Regional Offices; Review New Mexico DD Waiver eligibility requirements; Plan New Mexico DD Waiver services and budgets; Review Mi Via planning and fiscal supports; Review New Mexico DD Waiver allocation; Use the New Mexico Medicaid fair-hearing route; Action Kit start-new-mexico-dd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

New York4/4#1High2026-08-27

All four usability indicators are present.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: The Front Door supplies a direct phone route and connects families to eligibility, waiver, regional, care-coordination, and provider resources.

Exact location: OPWDD Front Door, Eligibility, HCBS Waiver, and Provider Directory pages

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

North Dakota4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official Regional DD referral, eligibility, services, provider, self-direction, appeal, and grievance route; current official county-to-eight-region DD office and intake contact route; current official DD program, service, provider, and current-waiver-document route; conflicting effective-date labels are not generalized; current official Traditional I/DD waiver service, Medicaid-member, and crisis overview

Exact location: Start North Dakota developmental-disability services; Find the correct North Dakota Regional DD Office; Review North Dakota Developmental Disabilities Services; Review the North Dakota Medicaid member handbook; Find North Dakota DD providers and service options; Review North Dakota Medicaid and I/DD waiver eligibility; File a North Dakota Medicaid appeal; Action Kit start-north-dakota-dd-services

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Ohio4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current; current

Exact location: DODD Contact Form; County Boards of Developmental Disabilities Rules; DODD Certification and Registration Verification; Ohio Medicaid Provider Search; Free Choice of DODD Waiver Providers; County Board Complaints and Appeals of Adverse Action; Action Kit start-ohio-county-board-eligibility

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Oklahoma4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official Liberty intake, application-submission, status-update, email, telephone, and mailing route; current official DDS application form; current official contracted-provider list updated January 21, 2026; current official DDS program, self-direction, residential, vocational, and provider contact directory

Exact location: Start the Oklahoma DDS application; Download the Oklahoma DDS application; Find current Oklahoma DDS provider agencies; Use the Oklahoma DDS provider and contact directory; Review Oklahoma DDS eligibility requirements; File an Oklahoma DDS client grievance; Review Oklahoma Human Services fair hearings; Action Kit start-oklahoma-dds-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Intake and application evidence refreshed: September 8, 2026. The direct intake route and current form preserve the scored indicators. Other source dates and the full comparison review date remain as shown.

Oregon4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current application, eligibility, and adult-service overview; current CDDP and brokerage directory route; current provider-reported vacancy evidence; current provider oversight

Exact location: Apply for Oregon I/DD services and review eligibility; Oregon I/DD provider and partner directories; Residential provider profiles and vacancy reports; I/DD certification, endorsement, and licensing; Administrative hearings for Oregon I/DD services; Action Kit start-oregon-idd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Rhode Island4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current application, criteria, records, help, and complete-application timeline; current public provider list; current standards, rate, funding-level, and service-request register; current rights, discrimination, and QA reporting guidance

Exact location: Apply for Rhode Island DD services; Find Rhode Island DD service providers; Review DD provider tools, FY26 rates, and funding levels; Know DD service rights; Appeal a Rhode Island DD decision; Action Kit start-rhode-island-dd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

South Carolina4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current centralized intake route and expected contacts; current autism record-review and evaluation guidance; current county and service directory route; current complaint and reconsideration route

Exact location: Request BHDD-OIDD eligibility; Autism eligibility and evaluation; Find a BHDD-OIDD service provider; Resolve a BHDD-OIDD complaint or service dispute; File a South Carolina Medicaid appeal; Action Kit start-sc-oidd-eligibility

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Utah4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official online, telephone, packet, preparation, 90-day intake, notice, and hearing-rights route; current official citizenship or residency, disability, onset, diagnosis, adaptive-function, exclusion, and waiting-list authority; current May 2026 official eligibility, application, NAQ, waiting-list, and service-entry guide; current official provider-report route with explicit noncomprehensive-list limitation

Exact location: Start the DSPD application; Review Utah DSPD eligibility; Use the current DSPD eligibility and services guide; Find a DSPD provider; Find a DSPD support coordinator; Review current DSPD policies and hearing rights; Request a Utah Medicaid hearing; Action Kit start-utah-dspd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Vermont4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official DDSD entry and policy route; current official agency-network and provider-choice reference; current final adopted HCAR 7.100 application, eligibility, funding, notice, choice, planning, and appeal authority; current official person-centered planning, funding, service, and provider route

Exact location: Start with Vermont Developmental Disabilities Services; Find Vermont Designated and Specialized Service Agencies; Review Vermont's final Developmental Disabilities rule; Plan Vermont developmental services; Review Vermont Supportive ISO standards; Review Vermont's current DDSD System of Care controls; Use the Vermont Human Services Board appeal route; Action Kit start-vermont-dd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Washington4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current form; current; current

Exact location: How to enroll in Developmental Disabilities Community Services; Request for DDCS eligibility determination; Find a DDCS office; How to ask DDCS for services; DDCS counties and provider information; DDCS policy manual and current Planned Action Notice policy; Action Kit start-washington-ddcs-enrollment

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Washington, DC4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current; current; current

Exact location: How to Apply for DDA Services; DDA Intake and Eligibility Determination Procedure; DDA HCA and Pre-Qualified Provider Listing; Action Kit start-dc-dda-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

West Virginia4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official application, Acentra, approved-psychologist, medical, financial, capacity, provider, service, and follow-up route; current official IDDW application, policy, freedom-of-choice, grievance, and reporting form route; current official case-management, planning, budget, authorization, provider, and member-responsibility route; current official IDDW provider-search route; listing is not availability or quality evidence

Exact location: Start the West Virginia IDDW application; Open West Virginia IDDW policy and forms; Review West Virginia IDDW case-management and service responsibilities; Find a West Virginia IDDW provider; Review West Virginia Personal Options; Apply for West Virginia Medicaid; Review West Virginia IDDW member and provider information; Use the West Virginia IDDW notice and fair-hearing route; Action Kit start-west-virginia-iddw-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Wyoming4/4#1High2026-08-27

The official source set exposes 4 of four navigation-usability indicators; a general provider route and review route are both visible.

Why and supporting evidence

Indicators met: 1, 2, 3, 4

Evidence: current official application, eligibility, waiting-list, case-management, planning, and service guide; current official Supports Waiver application form linked from the HCBS document library; current official participant, application, case-manager, provider, complaint, and incident route; current official public provider and case-manager search route

Exact location: Use Wyoming's current Supports Waiver application guide; Start the Wyoming Supports Waiver application; Review Wyoming HCBS participant resources; Find Wyoming DD providers and case managers; Review Wyoming participant-direction responsibilities; Review Wyoming Supports and Comprehensive Waivers; Use the Wyoming Medicaid fair-hearing route; Action Kit start-wyoming-dd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Hawaii3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current official two-step DDD eligibility and Medicaid I/DD Waiver admission route; current official island-specific intake, case-management, crisis, complaint, and Consumer-Directed contact route; current official case-management, person-centered planning, qualified-provider, Consumer-Directed, and support route; current official service-by-setting, qualified-provider, provider-brochure, and Consumer-Directed service route

Exact location: Start Hawaii DDD intake and eligibility; Find the Hawaii DDD intake office and Case Management Unit; Plan Hawaii DDD and Medicaid I/DD Waiver services; Review Hawaii waiver services and providers; Review Hawaii Consumer-Directed service options; Apply for Hawaii Medicaid; Apply for Hawaii Medicaid I/DD Waiver admission; Request a Hawaii DDD review or hearing; Action Kit start-hawaii-ddd-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Illinois3/4#40High2026-08-27

The family must move among separate sources; the set does not operate as a connected end-to-end navigation surface.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: The official set gives a local ISC route, 1-888-DD-PLANS, waiver criteria, and PUNS guidance.

Exact location: Adult DD waiver page; ISC map; Understanding PUNS flyer

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Indiana3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current official BDS Gateway, paper application, local office, FSW, CIH, provider, complaint, and eligibility-resource route; current official online and paper application, local-office, waiver, and Supervised Group Living route; current official provider-services, complaint, quality, and BDS Help route; current official HCBS, ICF/IID alternative, provider approval, enrollment, program, and payment context

Exact location: Apply for Indiana BDS services and review the I/DD waivers; Use the Indiana Bureau of Disabilities Services front door; Use Indiana BDS quality and provider help; Review Indiana Medicaid HCBS provider and payment material; Open current Indiana BDS policies; Action Kit start-indiana-bds-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Massachusetts3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current; current; current; current

Exact location: DDS eligibility for services; DDS eligibility forms; DDS eligibility for adults with autism; Find the DDS office for your city or town; Services for adults with autism only; DDS provider licensing and certification reports; DDS eligibility, planning, and appeals regulation; Action Kit start-massachusetts-dds-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

North Carolina3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current; current; current; current

Exact location: NC Innovations Waiver; How to Apply for the NC Innovations Waiver; LME/MCO Directory; Behavioral Health and I/DD Tailored Plans; North Carolina Innovations Clinical Coverage Policy 8-P; NC Medicaid Beneficiary Help and Appeals; NC Medicaid Ombudsman; Action Kit start-nc-innovations-application

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Pennsylvania3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current; current; current; current

Exact location: Adult Autism Waiver; Apply for the Medicaid Adult Autism Waiver; Adult Community Autism Program; Apply for Medicaid Benefits; Individual Eligibility for ODP Waivers; Intellectual and Developmental Disability Services; Find Intellectual Disability and Autism Providers; Adult Autism Waiver Provider Catalog; Action Kit complete-pennsylvania-waiver-and-medicaid-eligibility

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

South Dakota3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current official DDD program and intake route; current official application, record, ICAP, eligibility, coordinator, Medicaid, planning, and provider sequence; version 1 May 2023 remains linked by the current program; current official CHOICES program and service route; current official DDD intake, ICAP, level-of-care, final-eligibility, case-management, and provider-role sequence

Exact location: Start with South Dakota Developmental Disabilities intake; Open the South Dakota DDD Application Guide; Review the South Dakota CHOICES Waiver; Review South Dakota DDD and provider responsibilities; Request a South Dakota DSS fair hearing; Action Kit start-south-dakota-ddd-intake

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Tennessee3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current eligibility, Groups 4 through 8, priority, referral-list, benefit, application, and contact authority; current official I/DD, financial, benefit-group, self-referral, service, and Consumer Direction guide; current online, telephone, paper, fax, local-help, preparation, and status route; current enrollment, limited-funding, MCO, DDA regional-intake, and self-referral help route

Exact location: Review ECF CHOICES groups, eligibility, and services; Review the current ECF CHOICES brochure; Apply for TennCare; Use Tennessee ECF CHOICES application help; Contact Tennessee LTSS; Get ECF CHOICES rights, complaint, and appeal help; File a TennCare medical appeal; Action Kit complete-tennessee-medicaid-ecf-eligibility

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Texas3/4#40High2026-08-27

The family must assemble the route across multiple tools rather than one connected family navigation surface.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: The official set gives county/ZIP routing, an intake contact, interest-list explanation, enrollment guidance, and a service-specific FMSA directory.

Exact location: LIDDA directory; interest-list training; HCS FMSA directory; HCS enrollment handbook

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Virginia3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current; current; current; current

Exact location: Waiver Information for Individuals and Families; Find Help and Local CSB/BHA Entry Points; Navigating the DD Waivers; Support Coordination Handbook; Provider Network Supports; Licensing Information and Residential Bed Report; My Life, My Community; Action Kit start-virginia-dd-waiver-screening

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Wisconsin3/4#40High2026-08-27

The official source set exposes 3 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2, 3

Evidence: current statewide entry route; current; current ADRC enrollment route; current 2026 scorecards and rights routes

Exact location: Find an ADRC or Tribal ADRS; Adult disability programs and services; Apply for Family Care, Partnership, or PACE; Family Care, Partnership, and PACE member help; Family Care managed care organizations; IRIS manuals, service-plan policy, and participant resources; IRIS forms, grievances, appeals, and budget requests; IRIS help, consultant agencies, and fiscal employer agents; Action Kit start-wisconsin-adult-ltc

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.

Michigan2/4#51High2026-08-27

The official source set exposes 2 of four navigation-usability indicators; the source set does not connect both a denominator-qualified general provider route and a specific review route.

Why and supporting evidence

Indicators met: 1, 2

Evidence: current; current; current; current

Exact location: Michigan Community Mental Health Services; Official local CMHSP contact list; CMHSP role and statewide public-system entry; 2026 PIHP Customer Services Standards; Michigan licensed-provider directories; Appeal and Grievance Resolution Processes; Michigan Medicaid beneficiary support and hearings; Action Kit start-michigan-cmhsp-intake

Limit: Navigation evidence does not prove eligibility, service availability, quality, fit, or time to service.