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Family and Social Services Administration

DDRS Home > DDRS Initiatives > Extensive Medical Needs Innovations Extensive Medical Needs Innovations

  As the Division of Disability and Rehabilitative Services (DDRS) continues its support of consumer choice in regards to where and from whom they receive services, the agency has been thoughtfully considering the needs of consumers with extensive medical issues. If a provider chooses to convert, close or downsize a Supervised Group Living (SGL) residence or a large private Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) facility, the residents are given the option to transfer to another SGL, large private ICF/IID facility or access DDRS’ Community Integration and Habilitation (CIH) waiver.  However, for some of these residents, extensive, long-term chronic health needs dictate that they receive more stringent medical management. This may require an increase in the number of four-bed Extensive Medical Needs (EMN) SGLs.

With the health and safety of individuals being the primary concern, DDRS is seeking applications from DDRS-approved providers interested in expanding on existing programs and developing innovative, positive, person-centered strategies to serve these individuals.  In the applications providers may incorporate strategies and initiatives that focus on new approaches to program delivery that align to 460 IAC 9-1-2(11). Upon approval a provider would then be authorized to provide services to those individuals under current reimbursement methodologies. Applications are not for grant allocation, but for professional services rendered to DDRS’ consumers.     

Providers who are interested in submitting applications that offer innovative approaches to medical management are asked to submit a full application to John Hill, director of policy, planning & program development at or Satrina McDonald, director of project management at by Friday, November 22, 2013. Upon identification of specific need for additional EMN SGLs, DDRS will contact the selected providers to coordinate licensure with the Indiana Department of Health.