Goods & Services

Developmental Disability (DD) Services

Acronyms and Abbreviations:  Commonly used acronyms and abbreviations used by the Department of Mental Health and other State Agencies.

Missouri’s Developmental Disabilities Medicaid Waivers – Missouri Division of Developmental Disabilities (DD): The Missouri Division DD administers four 1915(c) Home and Community Based Medicaid Waiver programs for individuals with intellectual disabilities or other developmental disabilities. The four waivers are: the Comprehensive Waiver, the Missouri Children with Developmental Disabilities Waiver (MOCDD), the Community Support Waiver, and the Partnership for Hope Waiver.

Applying for Missouri Division of Developmental Disability Services: MO Division of DD was established in 1974 to support the unique needs of individuals, family members and caregivers who experience a developmental disability (DD). The Division understands that individuals and those who support them, have diverse strengths, abilities, needs and challenges.

The Missouri Association of County Developmental Disabilities Services (MACDDS): MACDDS is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 66 county boards (including the City of St. Louis), and 17 Related Private Organizations, and one (1) Targeted Case Management Organization that provide local county-based services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities. Several Counties in MO that provide Targeted Case Management services are members of MACDDS.

Autism Services

Office of Autism Services - Missouri Division of Developmental Disabilities (DD): The Office of Autism Services provides a vast array of information pertaining to Autism services including Autism initiatives, Missouri’s Autism Centers, Insurance, education & training, legislative components, navigating Autism services, MO’s Autism Projects,

Self-Directed Services

Self-Directed Supports (SDS) – Missouri Division of Developmental Disabilities (DD): SDS is an option of service delivery for individuals who wish to exercise more choice, control, and authority over their supports. SDS is founded on principles of self-determination and participants have authority over employment and budgetary components.

Assistive Technology

Technology First – Missouri Division of Developmental Disabilities (DD): The Technology First initiative is designed to ensure technology is considered as part of all supports and services. It aims to help people learn more about how to use technology to improve their quality of life and experience more independence and personal freedom.

Missouri Assistive Technology: The mission of Missouri Assistive Technology is to increase access to assistive technology for Missourians with all types of disabilities across the lifespan.

Assistive Technology – Missouri Disability Portal: The Missouri Disability Portal provides a list of resource links to help users navigate through a variety of assistive technology.

Health and Safety

Health and Safety - Missouri Division of Developmental Disabilities (DD): The Division of DD offers information about various health related concerns, including resources for oral health, prevention practices, monitoring of health, various forms used, and health alerts/updates.

Abuse / Neglect Prevention & Training

Say “No” to Abuse and Neglect booklet: This booklet is an easy-to-read guide providing readers with an overview of the definitions of abuse and neglect as well as how to report suspected abuse and neglect.


Promoting Employment – MO Division of Developmental Disabilities (DD): MO Division of DD is committed to supporting all individuals with having the opportunity to seek competitive employment and being a part of their community’s workforce. An Employment First Policy was created to guide the Division’s expectations with supporting self-determination, independence, and community membership.

Find a Job – Missouri Disability Portal: The Governor’s Council on Disability provides links to various employment related resources that enhance employment opportunities for persons with disabilities and employer’s resources of best practices in hiring people with disabilities.

Disability Benefits 101 (DB101) – Working with a Disability in Missouri:  DB101 provides tools and information on health coverage, benefits, and employment. Users can plan ahead and learn how work and benefits go together.


Community Living and Accessible Housing – MO Division of Developmental Disabilities (DD): The Division of DD strives to develop quality, affordable, accessible housing for people with disabilities in safe locations where they can access support services, transportation, employment, and recreation throughout their lifespan.

Housing – Missouri Disability Portal:  Housing is the cornerstone of the American independence. This tab presents resources on affordable and accessible housing options. It offers information on universal design features that can be incorporated in the design of homes to enhance "aging in the home."

Quality Assurance

Quality Assurance Unit – Missouri Division of Developmental Disabilities (DD): The Missouri of the Quality Assurance Unit is to review, develop, and maintain superior standards that enhance the quality of life for Missourians with developmental disabilities.

Positive Supports

Positive Supports – Missouri Division of Developmental Disabilities (DD): Positive supports are approaches that offer respectful, supportive, and effective ways to help people increase quality of life and decrease challenging behavior. Positive supports are used to build on a person's successes, strengths, and desires with strategies to teach new skills and change a person's environment and do not include the use of punishment.

Support Planning

Supporting Families Through the ISP Process:  This family guide was created to assist families and caregivers to help someone they support develop their Individual Support Plan (ISP). The guide describes what components are required in an ISP as well as what information needs to be gathered and put into and ISP. The guide also contains links to resources and information for families and caregivers to explore further to enhance and planning process.  Video

Missouri Quality Outcomes - Missouri Division of Developmental Disabilities (DD): The Missouri Quality Outcomes were developed as a result of listening to people with disabilities, their families, and advocates. The outcomes were designed to encourage personal quality of life outcomes with individual focus on leading a self-determined life; including personal values, choice, health, safety, inclusion and self-advocacy. The Missouri Quality Outcomes are intended to be a guide to assist the user with facilitating discussions around key areas of importance to the individual and supporting their personal goals, dreams, and other areas of interest to the individual that defines quality of life.

Individual Support Plan (ISP) Guide – Missouri Division of Developmental Disabilities (DD): The purpose of the guide is to focus on the components that are required in an ISP and provides a brief overview of the person-centered planning process. The ISP is a document that results from the person-centered planning process and the Division of DD requires that each person eligible for Division supports has an up-to-date ISP in place.

Person Centered Planning (PCP): PCP is an ongoing problem-solving process used to help people with disabilities plan for their future. In person centered planning, groups of people focus on an individual and that person's vision of what they would like to do in the future.


Legal/Long-term Planning

The Missouri Bar Association: Helping Missourians find legal resources on a variety of topics.

Missouri Guardianship: Understanding Your Options and Alternatives:  This website will provide you with information and tools you need to figure out which of the options and alternatives fit your family's unique situation.

Missouri's Working Interdisciplinary Network of Guardianship Stakeholders (MO- WINGS): MO-WINGS has been meeting for several years to review and propose revisions to Chapter 475,RSMo—Missouri's Guardianship and Conservatorship law. MO- WINGS was established in part based upon Recommendation 5.2 of the 3rd National Guardianship Summit, October 2011, to have an interdisciplinary group rather than just attorneys and judges address issues of guardianship and conservatorship.

The National Resource Center for Supported Decision-Making (NRC-SDM): NRC-SDM builds on and extends the work of Quality Trust’s Jenny Hatch Justice Project by bringing together partners to ensure that input is obtained from all relevant stakeholder groups including older adults, people with intellectual and developmental disabilities (I/DD), family members, advocates, professionals, and providers.

Missouri Protection and Advocacy (MOP&A): MO P&A is a federally mandated system in the state of Missouri, which provides protection of the rights of persons with disabilities through legally based advocacy.

The Special Needs Alliance (SNA): SNA is a national organization comprised of attorneys dedicated to the practice of disability and public benefits law. Individuals with disabilities, their families and their advisors rely on the SNA to connect them with nearby attorneys who focus their practices in the disability law arena.

The National Disability Rights Network (NDRN): NDRN Works in Washington, DC on behalf of the Protection and Advocacy Systems (P&As) and Client Assistance Programs (CAPs), the nation’s largest providers of legal advocacy services for people with disabilities.

National Guardianship Association (NGA): NGA seeks to protect adults under guardianship by ensuring that their guardians receive quality education and access to resources. The association is recognized as the leading national resource for professional development.

Missouri Achieving a Better Life Experience (MOABLE): A STABLE Account is an investment account available to eligible individuals with disabilities. STABLE Accounts are made possible by the federal Achieving a Better Life Experience (“ABLE”) Act. STABLE Accounts allow individuals with disabilities to save and invest money without losing eligibility for certain public benefits programs, like Medicaid or SSI. Earnings in a STABLE Account are not subject to federal income tax, so long as earnings are spent on “Qualified Disability Expenses.”

The Midwest Special Needs Trust: The Midwest Special Needs Trust was created by statute (RSMo 402.199 – 402.208) in 1989 for the primary purpose of administering special needs trusts for persons with disabilities to protect important public benefits such as Medicaid and SSI.

Emergency Preparedness Planning

State Emergency Management Agency (SEMA) - Missouri Department of Public Safety

Ready in 3 - Missouri Department of Health and Senior Services: The Missouri Department of Health and Senior Services encourages all Missourians to create a plan, prepare a kit and listen for more information.

30 Tips to Help You and Your Family Become Better Prepared for an Emergency

The Office of Disaster Services (ODS): The ODS conducts planning and development activities to support a coordinated mental health response for Missourians in disaster situations.

Emergency Preparedness - Missouri Disability Portal: It has been evident that during a disaster an evacuation plan for individuals with disabilities' needs shall be met. Community and statewide emergency preparedness teams are developing a plan to ensure that all individuals with disabilities are included in the development of plans for protection from both natural and man-made emergencies. This tab provides access to task forces and tips on preparing for disasters.

Disability and Health Emergency Preparedness - Centers for Disease Control and Prevention: Emergencies and disasters can strike quickly and without warning, forcing people to quickly leave or be confined in their home unexpectedly. For the millions of Americans who have disabilities, emergencies, such as fires, floods and acts of terrorism, present a real challenge.

Plan Ahead for Disasters: How might a disaster affect you? Could you make it on your own for at least three days? After a disaster, you may not have access to a medical facility or even a drugstore, so it’s crucial to plan for the resources you use regularly, and what you would do if those resources are limited or not available.

American Red Cross: Emergencies can happen at a moment's notice. Mobility, hearing, learning, or seeing disabilities can create specific needs that individuals need to address to be able to respond to an emergency. We urge everyone to become “Red Cross Ready” for any urgent situation, which means assembling a survival kit, making an emergency plan, and being informed.