BDDS Quality Assurance
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About BDDS Quality Assurance
The Bureau of Developmental Disabilities Services provides quality, person-centered supports for children and adults with an intellectual or developmental disability.
BDDS strives to ensure quality supports are aligned with person-centered principles by leading strategic change that empowers people to live their good life. This is accomplished through a variety of activities such as:
- Incident management
- Mortality reviews
- Quality on-site provider review
- Case record reviews
- Provider reverification
- Data and reports
If you have an interest in becoming a BDDS waiver provider or are an existing provider and need information about your approved services, contact BDDS Provider Services.
Children and adults with intellectual and developmental disabilities utilizing supports and services through BDDS must have an incident report filed by a service provider when an event that could cause harm or injury to an individual occurs. Incidents must be reported in the online Incident Reporting System.
If you are unable to report an incident through the online system, you can contact the BDDS district office or by calling 800-545-7763.
Detailed information on incident reporting requirements is available on the Incident reporting information page
Any individual, guardian, family member, and/or community member has the right to file a complaint on the behalf of an individual receiving waiver services through BDDS. You can file a complaint it you feel that the provider has not followed state and/or federal rules or program requirements. BDDS will then investigate the complaint and determine the best course of action to assess the situation.
Complaints can be filed using the online complaint form or by calling 800-545-7763.
If you or your loved one lives in a supervised group living setting , also known as a group home, or a Comprehensive Rehabilitative Management Needs Facility, complaints should be filed with the Indiana Department of Health Long-Term Care.
The Medicaid waiver program has an ombudsman who can assist teams when there are conflicting directions for support. The waiver ombudsman receives, investigates, and attempts to resolve complaints and concerns that are made by or on behalf of individuals who have an intellectual and developmental disabilities and who receive services through BDDS. The ombudsman is independent of BDDS so they can remain neutral. To learn more or file a complaint, please click here.
All deaths of individuals that received BDDS services, no matter where they lived at the time of death, are reviewed by BDDS. Providers must notify BDDS of a death through the Incident Reporting System and submit requested information to BDDS for review.
Quality On-Site Provider Review
To evaluate services, BDDS has created the Quality On-Site Provider Review, or QOPR. This process includes an on-site review and evaluation of the quality of services being delivered to individuals receiving waivers. While BDDS will continue to review compliance with Medicaid rules (e.g., qualified provider, employee background checks and training), the state will also talk directly to individuals to make sure they are receiving person-centered quality services.
- QOPR overview video
- QOPR individual indicators
- QOPR Organizational Indicators
- QOPR Information Sheet for Individuals
- QOPR Information Sheet for Providers
Case Record Reviews
BDDS reviews a sample of individual case files each month to make sure that all state and federal rules and requirements have been met including necessary information, the individual’s needs and wants, and that the individual has choice.
- Case record reviews interpretive guidelines (1/1/2022)
BDDS ensures waiver providers continue to meet all requirements by reviewing their records and documentation.
- Provider reverification for accredited waiver services policy
- Provider reverification for non-accredited waiver services policy
- Information webinar (Feb.20, 2020)
- Annual review/Reverification Guidance (Effective February 1, 2021)
- Document Submission Guide (Effective February 1, 2021)
- Example A BDDS waiver provider information
- Example B Organizational chart
- Example C Insurance
- Example D-1 Consolidated financial statement
- Example D-2 Operating budget
- Example D-3 Line of credit listed in audit
- Example D-4 Liquidity and availability of resources
- Example D-5 Bank statement
- Example D-6 Tax Return
- Example D-7 Line of credit from financial institution
- Example E-1 Annual satisfaction survey
- Example E-2 Annual satisfaction survey findings
- Example E-3 Annual satisfaction survey improvement plan
- Example F-1 CARF annual report
- Example F-2 CQL annual report
Provider resources and training
- BDDS fact sheets
- BDDS resource materials
- Provider Staff Training Requirements for CIH and FS waivers
- BDDS YouTube channel
- Access to personal resources
- A focus on modifications under the HCBS settings rule
- Behavior supports
- Decision making and guardianship
- Empowering individuals: Support vs supervision
- Home- and community-based services final rule
- Incident investigations
Risk assessment and planning
- Person-centered risk management webinar recording (6/30/2021)
- Person-centered risk management PowerPoint (6/30/2021)
- Risk assessment and planning FAQ
- Risk issues identification tool (Word document)– Teams may utilize this tool to identify and plan to mitigate risks for an individual. The tool can be edited to suit the individual’s circumstances.
- Risk issues identification tool example – A completed example of how a team may utilize the tool to identify and plan to mitigate risks for an individual.
- Risk matrix – A tool for teams to assess potential risks for an individual.
Data and Reports
National core indicators
The national core indicators project collects information through various surveys to determine where the quality of waiver supports and outcomes can be improved.
- About the national core indicators
- National core indicators FAQs
- National core indicators introduction video
- National adult consumer survey reports
- Indiana survey reports
Staff stability survey
The staff stability survey is administered with BDDS service providers to gather data on the direct support professional workforce.
- Staff stability survey report 2019
- Staff stability survey report 2018
- Staff stability survey report 2017
How to contact BDDS
Still have questions? Feel free to contact the Bureau of Developmental Disabilities Services