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Reimbursement and Payment Options

Navigating disability services often means understanding a variety of funding sources, reimbursement processes, and state-specific requirements. While programs and payment options vary by location and service type, Redwood Family Care Network is committed to helping individuals and families better understand their options.

Explore the information below to learn how services may be funded in your state and what to expect when accessing supports through public programs, private payment, or other funding sources.

Funding Information by State

Arizona

California

Idaho

Minnesota

Nevada

Washington

Most disability services in Arizona are funded through the Arizona Department of Economic Security Division of Developmental Disabilities (DDD), which receives state and federal Medicaid funding through AHCCCS and ALTCS.

Depending on the service type, funding may be administered through:

  • Arizona Department of Economic Security (DES)
  • Division of Developmental Disabilities (DDD)
  • Arizona Health Care Cost Containment System (AHCCCS)
  • Arizona Long Term Care System (ALTCS)
  • State-contracted health plans

Our team can help families understand available funding options, eligibility requirements, and the reimbursement process.

Many services in California are funded through Regional Centers and other state-supported programs designed to help individuals access needed supports.

Regional Center Funding

Most services are authorized through Regional Centers and reimbursed through their Purchase of Service (POS) departments based on approved service plans and individual needs.

Funding and service authorizations are designed to support individualized, person-centered care and ensure individuals receive the services that best meet their goals.

Private-Pay Services

In some situations, families may choose to privately fund certain residential or support services based on their individual circumstances and needs.

Our team can help individuals and families better understand available funding options and service pathways.

Self-Determination Program (SDP)

The Self-Determination Program (SDP) is a voluntary alternative to the traditional Regional Center service delivery model that gives individuals and families greater choice and control over how their Regional Center funding is used. Participants receive an individualized budget and have the flexibility to select the services, supports, and providers that best meet their unique goals and preferences.

Redwood Family Care Network is proud to partner with individuals and families participating in the Self-Determination Program by providing high-quality, person-centered services tailored to each person's vision for their life. Our team works collaboratively with participants, Independent Facilitators, Financial Management Services (FMS) providers, and Regional Centers to ensure services are coordinated, responsive, and aligned with each individual's self-directed plan.

Many services are funded through Idaho Medicaid waiver programs, helping individuals receive needed supports while remaining in their communities.

Medicaid Waiver Programs

Residential services are commonly funded through:

  • Adult Developmental Disabilities (DD) Waiver
  • Aged & Disabled (A&D) Waiver

Once services are authorized, providers bill Idaho Medicaid directly for approved services. Most individuals do not pay out of pocket for authorized waiver services.

Many disability services in Minnesota are funded through Minnesota Health Care Programs (MHCP) and administered through county agencies and managed care organizations.

Service Authorization

Before services can begin, the lead agency (County or Tribe) must authorize services through Minnesota's MN-ITS system.

Authorization is based on assessed needs, eligibility requirements, and approved service plans.

Fee-for-Service Reimbursement

Minnesota utilizes a fee-for-service reimbursement model.

Services are documented according to established billing units, which may include:

  • Time-based services (such as 15-minute increments for individualized supports)
  • Daily or per diem rates for residential services
Claims Submission

Authorized services are billed electronically through the MN-ITS portal and reimbursed by the State of Minnesota or the applicable Managed Care Organization (MCO).

This process helps ensure services are delivered and reimbursed in accordance with Minnesota Department of Human Services (DHS) requirements and 245D regulations.

Many disability services in Nevada are funded through state and regional programs designed to help individuals access the supports they need to live and participate fully in their communities.

State-Funded Services

Most services are authorized through Regional Centers and funded based on approved service plans and individual needs.

Once services are authorized, reimbursement is typically coordinated through the Regional Center's purchasing and authorization processes.

Many disability services in Washington are funded through state and federal programs designed to help individuals access the supports they need to live, work, and participate in their communities.

Supported Living Services

For Supported Living Services, funding levels are determined through a comprehensive assessment completed by the individual's DDA Resource Manager. The assessment identifies the level of support needed for the individual to live safely and successfully in the community.

Authorized funding is used to develop a personalized staffing and support plan. Washington requires that the majority of funding be directed toward direct support services, ensuring resources are focused on meeting individual needs and promoting quality outcomes.

Service providers receive reimbursement from the State of Washington based on approved rates and services delivered.

Employment & Community Inclusion Services

Employment and Community Inclusion services are typically funded through DDA and DVR programs.

Community Inclusion and Individual Employment services operate on a fee-for-service model, with providers reimbursed based on authorized service hours and documented support activities.

DVR services follow a milestone-based payment structure, with reimbursement tied to specific employment outcomes and achievements throughout the individual's employment journey.

Home Care Services

Home Care services may be funded through Medicaid, Medicare, private insurance, or private-pay arrangements, depending on the individual's circumstances and eligibility.

Service hours are documented and submitted for reimbursement through the appropriate funding source. Our team works closely with individuals, families, and funding partners to ensure services are delivered and billed accurately.

Our Presence

Redwood Family Care Network provides services across multiple states—each tailored to local programs, resources, and funding options. Visit your state page to explore available services and learn more about disability services journey.

Let's take the next step together

Taking the first step can feel overwhelming but you don’t have to figure it out alone. We’re here to help you move forward with clarity and care.