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Pervasive Developmental Disorder Waiver

The Pervasive Developmental Disorder (PDD) waiver provides for early intensive behavioral intervention services (EIBI) to children who have been diagnosed with a pervasive developmental disorder, including autism and Asperger's Syndrome and who meet the ICF-MR level of care criteria. The Department of Disabilities and Special Needs operates the waiver with administrative oversight from DHHS. The waiver is for children whom are ages three through ten. These services are provided in non-educational settings. The waiver develops the skills of children in the areas of cognition, behavior, communication and social interaction. To learn more about the PDD waiver and DDSN services please visit www.state.sc.us/ddsn/ or call DDSN at 1-888-376-4636.

Case Management Services

Case Management Services assist participants in gaining access to needed waiver and other State plan services, as well as medical, social, educational, and other services, regardless of the funding source for the services to which access is gained. The following minimum standards will apply for the provision of case management. Case managers will provide a monthly contact with the EIBI service provider and/or family. On a quarterly basis, there will be a review of the entire waiver plan of care, which includes the most recent EIBI service provider quarterly progress report and a contact with the participantís family. If progress toward established goals does not meet expectations, then consultation with DDSN will occur. On an annual basis, there will be a face-to-face contact with the family.

Early Intensive Behavioral Intervention

This service has five distinct components: Assessment, Program Development and Training; Plan Implementation; Lead Therapy Intervention; and Line Therapy.
  1. Assessment completed by the EIBI consultant. Completing required assessments; and a functional behavior assessment when applicable.
  2. Program Development and Training provided by the EIBI consultant. Developing an EIBI treatment program and (when necessary) a behavioral support plan based on the findings of the assessment. SCDDSN must approve all training curriculum prior to its use. Once approved initially the training curriculum must be re-submitted for approval every two years. The EIBI consultant must provide training annually and the line therapists must receive this training prior to working with a child and advanced training annually thereafter. EIBI consultant must train key personnel to implement interventions, and the developed treatment program and the behavioral support plan. Training curriculum must be competency based for line therapist to include:
    1. Confidentiality
    2. Accountability
    3. Prevention of Abuse and Neglect and Mandatory Reporting 4. Implementation of applied behavior analysis principles that are applicable to the childís program
    4. Autism and Pervasive Developmental Disorder training
  3. Plan Implementation provided by the EIBI consultant. Implementing an EIBI treatment program and a behavior support plan; Educating family, caregivers and service providers concerning strategies and techniques to assist the participant in skill acquisition and behavior reduction; Monthly monitoring of the effectiveness of the EIBI treatment program and the behavior support plan; Modifying the EIBI treatment program and the behavior support plan as necessary; Updating initial assessments and modifying the plan as necessary.
  4. Lead Therapy Intervention provided by the lead therapist. Assuring the EIBI treatment program and the behavior support plan is implemented as written; Weekly monitoring of the effectiveness of the EIBI treatment program and the behavior support plan; Reviewing all recorded data; Providing guidance to and supervision of the Line Therapists; Receiving family/caregiver feedback; Assuring the coordination and continuity between all team members.
  5. Line Therapy provided by the line therapist. Implementing interventions designed in the EIBI treatment program and the behavior support plan; Recording of data and reporting concerns and progress to the Lead Therapist and/or EIBI consultant.

Application and Approval