Glossary

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DDP
Developmental Disabilities Profile- The DDP is a four page instrument designed to record important characteristics of individuals with developmental disabilities. It was developed by New York’s Office of Mental Retardation over a two year period finalized in 1990. The information collected via the DDP includes a broad range of adaptive functioning skills as well as behavioral challenges and health factors.
Deficit Reduction Act Of 2005
Signed by the President in February 2006, this Act is expected to generate $39 billion in federal entitlement reductions over the 2006 to 2010 period and $99 billion over the 2006 to 2015 period. The DRA makes several major changes to long-term services policies in Medicaid. Key changes including: Asset Transfers, Long-Term Care Partnership Programs, Family Opportunity Act, Money Follows the Person Demonstration, State Option to Provide HCBS Services and Cash & Counseling Option.
Deinstitutionalization
A policy that calls for the provision of supportive care and treatment for medically and socially dependent individuals in the community rather than an institutional setting.
Delegation
Transfer of authority from a licensed professional health care provider to an individual not licensed to perform delegated tasks.
Developmental Disability
A disability that originates before age 18, can be expected to continue indefinitely, and constitutes a substantial handicap to the person’s ability to function normally.
Disability
“With respect to an individual (A) a physical or mental impairment that substantially limits one or more of the major life activities of such individual; (B) a record of such impairment; or (C) being regarded as having an impairment.” (ADA, 42 USC 12102) “The phrase physical impairment includes but is not limited to … orthopedic, visual, speech and hearing impairments, cerebral palsy, epilepsy, muscular dystrophy, multiple sclerosis, cancer, heart disease, diabetes, mental retardation, emotional illness, specific learning disabilities, HIV disease (whether symptomatic or asymptomatic), tuberculosis, drug addiction, and alcoholism… The phrase major life activities means functions such as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning and working.” (ADA Handbook, pp.II-16 through II-19.)
DMR
Department of Mental Retardation
DSPD
Division of Services for People with Disabilities
Dual Eligibles
Individuals with certain combinations of needs who enroll in both the state-administered Medicaid program and the federally-administered Medicare program are referred to as dual eligibles. Currently, dual eligibles receive prescription drugs and most long-term care benefits from Medicaid, while they are covered by Medicare for acute benefits such as doctor’s visits and inpatient hospital care. (also referred to as Dual-Elibible or Duals)
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