Accessing Developmental Disability Services
Step 1: Determine Your Community Centered Board
In Colorado, Community Centered Boards (CCBs) are responsible for determining whether individuals meet the Colorado definition for developmental disability. Each of the 20 CCBs in the state has a specific service area. DDRC serves Jefferson, Summit, Gilpin and Clear Creek counties. Check the CCB Directory for more information on CCBs in Colorado.
Community Centered Board Directory
To search for a CCB in a specific county, enter your county's name in the "County" search box. To save this list, simply select your preferred document type (PDF, Excel, etc.).
Step 2: Apply for Services
Intake Resource Coordinators share information about available developmental disabilities services and help you through the determination process which begins with completion of a request for determination. You will need to provide evidence of a substantial disability prior to age 22, a neurological condition and current assessments, which may include either a psychological evaluation or adaptive behavior testing, or both. To contact a DDRC Intake Resource Coordinator for more information on applying or with other inquiries follow the guide below:
To Request an Eligibility Determination, follow the guide below:
Birth to 3 Years (Early Intervention)
- Children 0 to 3 residing in Jefferson, Clear Creek or Gilpin Counties.
(303) 462-6619 | Contact Mackenzie Lang
- Children 0 to 3 residing in Summit County.
(970) 668-9713 | Contact Kyle Hammond
3 through 13 years
- Children age 3 through 13 residing in Jefferson, Clear Creek, Summit and Gilpin Counties.
(303) 233-3363 | Contact Children's Intake
14 Years & Up
- Persons 14 years of age and older in Jefferson, Clear Creek, Summit and Gilpin counties.
(303) 233-3363 | Contact Adult Intake
Step 3: Determine Eligibility for Colorado Developmental Disability Services
In Colorado there are two developmental disability determination processes. Individuals younger than five (5) years of age must meet the criteria for a developmental delay. Individuals five (5) years of age or older must meet the criteria for a developmental disability.
Developmental Delay Criteria (Younger than age 5)
Developmental Delay Documentation
- • Records showing your child's developmental delay in at least one skill area (e.g. motor skills, speech) or medical records documenting medical conditions or syndromes which typically result in delays (e.g. Down Syndrome, low birth weight)
In Colorado, a developmental delay is defined as
Developmental Delay means the slowed or impaired development of a child who meets one or more of the following:
- 1. A child who is less than five (5) years of age at risk of having a developmental disability because of the presence of one or more of the following:
- Chromosomal conditions associated with mental retardation,
- Congenital syndromes and conditions associated with delay in development,
- Metabolic disorders,Prenatal and perinatal infections and significant medical problems,
- Low birth weight infants weighing less than 1200 grams, or
- Postnatal acquired problems known to result in significant developmental delays.
- Motor skills,
Sensory development, or
Developmental Disability Criteria (Age 5 and older)
Developmental Disability Documentation
• Evidence of a substantial disability prior to age 22
• Evidence of a neurological condition resulting in either intellectual or adaptive behavior limitations
• Current I.Q. scores from Psychological or Cognitive Testing such as Stanford-Binet or Wechsler
• Current Adaptive Behavior Testing such as Vineland
16.120 GENERAL PROVISIONS/DEFINITIONS
"Developmental Disability" means a disability that:
A. Is manifested before the person reaches twenty-two (22) years of age;
B. Constitutes a substantial disability to the affected individual, as demonstrated by the criteria below at C, 1 and/or C, 2; and,
C. Is attributable to mental retardation or related conditions which include cerebral palsy, epilepsy, autism or other neurological conditions when such conditions result in either impairment of general intellectual functioning or adaptive behavior similar to that of a person with mental retardation.
- 1. "Impairment of general intellectual functioning" means that the person has been determined to have a full scale intellectual quotient equivalent which is two or more standard deviations below the mean (70 or less assuming a scale with a mean of 100 and a standard deviation of 15).
- a. A secondary score comparable to the General Abilities Index for a Wecshler Intelligence Scale that is two or more standard deviations below the mean may be used only if a full scale score cannot be appropriately derived.
b. Score shall be determined using a norm-referenced, standardized test of general intellectual functioning comparable to a comprehensively administered Wecshler Intelligence Scale or Stanford-Binet Intelligence Scales, as revised or current to the date of administration. The test shall be administered by a licensed psychologist or a school psychologist.
c. When determining the intellectual quotient equivalent score, a maximum confidence level of ninety percent (90%) shall be applied to the full scale score to determine if the interval includes a score of 70 or less and shall be interpreted to the benefit of the applicant being determined to have a developmental disability.
- a. Measurements shall be determined using a norm-referenced, standardized assessment of adaptive behaviors that is appropriate to the person’s living environment and comparable to a comprehensively administered Vineland Scale of Adaptive Behavior, as revised or current to the date of administration. The assessment shall be administered and determined by a professional qualified to administer the assessment used.
b. When determining the overall adaptive behavior score, a maximum confidence level of ninety percent (90%) shall be applied to the overall adaptive behavior score to determine if the interval includes a score of 70 or less and shall be interpreted to the benefit of the applicant being determined to have a developmental disability.
c. A person shall not be determined to have a developmental disability if it can be demonstrated such conditions are attributable to only a physical or sensory impairment or a mental illness.
A. Any person, his/her legal guardian, parent(s) of a minor or such person(s) authorized by law may submit a written request for a determination of whether the applicant has a developmental disability.
B. A determination of developmental disability does not constitute a determination of eligibility for services or supports. The Community Centered Boards shall determine whether a person has a developmental disability and therefore may be eligible to receive services and supports pursuant to Sections 27-10.5-102 and 106, C.R.S., in accordance with criteria as specified by the Department. Eligibility for Medicaid funded programs specific to persons with developmental disabilities shall be determined pursuant to the Colorado Department of Health Care Policy and Financing’s Medical Assistance rules (10 CCR 2505-10).
C. The developmental disability determination shall be made according to Department procedures, which shall identify the qualifications of person(s) making such a determination.
D. A request for determination of developmental disability shall be submitted to the Community Centered Board in the designated service area where the person resides, including temporary residence such as incarceration or hospitalization.
E. At the time of request, the Community Centered Board shall:
- 1. Provide the applicant any required forms and a list of the minimum required documents and information necessary for the determination of developmental disability; and,
2. Provide the applicant with information on where to obtain testing for the level of intellectual functioning and adaptive behavior, if requested. The responsibility for obtaining such assessments shall be with the applicant and/or legal guardian.
- 1. The Community Centered Board may request additional documentation and/or information, as needed, to complete the determination of developmental disability.
2. The applicant and/or legal guardian may have additional assessments completed and submitted to the Community Centered Board for consideration.
- 1. Close the request and notify the applicant in writing according to the procedures established at Section 16.420, L, 4; or,
2. The Community Centered Board may, at the request of the applicant and/or legal guardian, extend the deadline for providing the necessary documentation and information by up to an additional ninety (90) calendar days.
- a. In no case shall the deadline for providing the necessary documentation and information exceed one hundred eighty (180) calendar days.
b. The Community Centered Board shall provide a written update to the applicant no less than every ninety (90) calendar days until a determination of developmental disability is completed or the request is closed.
c. If the extended deadline for providing the necessary documentation and information has expired and there is still insufficient information to make a determination of developmental disability, the Community Centered Board shall close the request and notify the applicant and/or legal guardian in writing according to the procedures established at Section 16.420, L, 4.
- 1. The name of the applicant;
2. The applicant’s date of birth;
3. The date of the determination of developmental disability;
4. A description of the rationale for the developmental disability determination including, at minimum, assessment scores and diagnoses;
5. The name(s) and title(s) of the person(s) involved in making the determination.
- 1. Assessments of adaptive behavior shall have been completed within three (3) years of the request.
2. Assessments of intellectual functioning shall have been completed as follows:
- a. If an individual is between five (5) and eighteen (18) years of age, at least one intellectual assessment shall have been completed to determine the individual’s impairment of general intellectual functioning; or,
b. If an individual is eighteen (18) years of age or older and there is only one intellectual assessment available to determine the individual’s impairment of general intellectual functioning, the assessment shall have been completed when the individual was at least eighteen (18) years of age and shall have been completed within ten (10) years of the request; or,
c. If there is historical pattern of consistent scores, based on two (2) or more intellectual assessments, that demonstrates an impairment of general intellectual functioning, the assessments may be used regardless of the individual’s age at the time of determination.
- a. A diagnosed neurological condition shall be determined by a licensed medical professional practicing within the scope of his/her license; or,
b. If a specific diagnosis is not possible, a written statement from a licensed medical professional, practicing within the scope of his/her license, or a licensed psychologist may be used as long as there is a documented effort to determine a diagnosis and the available assessment information reasonably supports a conclusion that a neurological impairment is present.
K. The date of the developmental disability determination shall be the date that the Department prescribed form and all documentation and information necessary for the determination of developmental disability was received by the Community Centered Board. If a delay to the determination of developmental disability is due to the actions or inactions of the Community Centered Board, the original date of request shall be used.
L. The Community Centered Board making the developmental disability determination shall, in writing, notify the applicant or legal guardian, and the authorized person requesting the determination, if other than the applicant or legal guardian, and other such persons as designated by the applicant, of the decision. Such notification shall:
- 1. Be mailed to the person within seven (7) calendar days of the date of determination;
2. Be provided in such alternative means of communication as to reasonably ensure that the information has been communicated in an understandable form; and,
3. For persons determined to have a developmental disability, contain an explanation of the process that will occur and notice that, at a minimum, an Individualized Plan shall be developed upon enrollment in to a developmental disability service;
4. For persons determined not to have a developmental disability or persons whose request is closed without the determination of a developmental disability, state the reasons for the determination or closure, and provide a written Long Term Care Notice of Action form in accordance with the provisions of Section 8.057.40, et seq. of the Colorado Department of Health Care Policy and Financing’s medical assistance rules (10 CCR 2505-10) regarding the applicant’s right to appeal the decision to the Office of Administrative Courts.
N. A determination of developmental disability shall be accepted by other Community Centered Boards, service agencies and regional centers.
O. A determination of developmental disability shall be permanent and shall not require renewal or review unless:
- 1. The interdisciplinary team determines that developmental disability services are no longer needed due to improvement in a person’s condition and recommends a redetermination; or,
2. Information from a new evaluation becomes available which demonstrates sufficient improvement in a person’s condition such that the determination should be reviewed.
Step 4: Placement on Waiting List
It is important to note that in Colorado there are waiting lists for many services. Once a developmental disability is determined, DDRC can place you on a waiting list for needed services. Please ask your Resource Coordinator for more information about the services you are seeking and if there is a waiting list. You can also visit our Wait List Information page.
Step 5: Enrollment into Services
DDRC will contact you for enrollment into services when funding resources become available and when you have reached the top of the waiting list. Your Resource Coordinator will help guide you through the enrollment process.
Additional Information About Obtaining Services & Colorado
The Colorado Department of Human Services (CDHS) maintains excellent resources for individuals and families seeking information about services and supports in the state. For detailed information on developmental disability services, funding, and much more, please visit the Division for Developmental Disabilities (DDD) website.