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Intellectual & Developmental Disability Services

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Intellectual & Developmental Disability Services

Intake & Eligibility Disclaimer: Because some services are not immediately available, your name may be placed on the interest list for that service. Then on a biannual basis, you will be contacted regarding your status on the interest list.



Services and Supports

Intake and Eligibility - The first step for determining if an individual qualifies for IDD services. Intake Application | Spanish - En Espanol

Service Coordination - The following programs are facilitated by a staff member, called a Services Coordination Specialist, who oversees the activities and services for eligible individuals.

  • Safety Net Services – These services are intended to help people with intellectual and developmental disabilities remain in their own or their family’s home.
  • Home and Community-Based Services (HCS) -- A Medicaid waiver program that provides services to people with intellectual and developmental disabilities who live with their family, in their own home, in a foster/companion setting, or in a residence with no more than three others receiving services.
  • Texas Home Living (TxHmL) – This Medicaid waiver program provides essential services so that people with intellectual and developmental disabilities may continue to live with their families.

Intermediate Care Facilities

Facilities, either under public or private operation, provide services with 24-hour supervision and coordination of the individual program plan.

Making Informed Choices

  • Community Living Options Information Process (Publication 256)
  • CLOIP for Legally Authorized Representatives of Residents in State Supported Living Centers (Publication 257)

PreAdmission Screening and Resident Review - Services provided to individual with intellectual and developmental disabilities in a nursing facility.

The purpose of the IDD Transition Support Team is to provide medical, behavioral, and psychiatric support to: 

  • Local Intellectual and Developmental Disability Authorities (LIDDAs)
  • Home and Community-based Services (HCS) program providers
  • Texas Home Living (TxHML) program providers
  • Licensed Mental Health Authority (LLMHA) / Licensed Behavioral Health Authority (LBHA) services
  • Community Living Assistance Support Services (CLASS)
  • Deaf Blind with Multiple Disabilities (DBMD)
  • Any other professionals who are working with people with ID/DD

Our team aims to prevent institutionalization by providing medical, psychiatric, and behavioral support from several disciplines of person-centered care. 

If you are interested in attending or need more information, please call:

(210) 362-5200

Support & Empowerment Program

Caring for a person that is aging has its risks and questions.  But what about aging with an intellectual and/or developmental disability (IDD)?  With the limited knowledge and research on aging with IDD, caring for someone or not knowing what to expect can be strenuous.  The Support and Empowerment program discusses and informs participants with up to date information about aging with IDD.  Class discussions focus on general health, finances, managing stress, nutrition and physical fitness. Learn more...

WHAT is this program?

This free program aims to educate older adults with IDD and their caregiver(s) in health and wellness.  The six class series will cover topics such as: health, finances, spirituality, caregiver care, nutrition and physical fitness.  

WHO is this program for?

The program is open to all older adults with IDD and their caregivers. “Caregivers” can be in a paid or unpaid role and do not have to live with the older adult with IDD. Individuals with IDD and caregivers are welcome to participate whether receiving services from AACOG or not. The program is open to professionals in the field.

WHERE will this program happen?
A majority of the program will take place at AACOG’s main office, located at 2700 NE Loop 410.  However, some of the classes will take place in an outside community settings to provide an interactive learning experience.

WHEN are the classes?
The series of the classes will span over a six week period and will start every month.  Classes will be held once per week at the same day and time for about 3 hours. To find out the next class, please use contact information listed below. Should a class be missed, attending the next scheduled date for the topic is permitted but please inform us as space is limited. 

WHY are we offering this program?
According to the U.S. Census in 2010; there are 850,000 adults with IDD over the age of 60.  It is projected for this population to reach 1.4 million by the year 2030. Due to this increase, community supports to help the aging population will be in high demand.   The Alamo Area Council of Governments and the Texas Council for Developmental Disabilities have partnered to discover what supports are needed for the "aging" population for older adults with IDD & their caregivers. After attending the six class series, we will follow-up with our caregivers and older adults with IDD at certain times within a year to identify any unmet needs. Through these administered surveys and visits to caregivers and older adults with IDD, we will discover what further supports are needed for our aging population in the community.


1.Who is Eligible for IDD Services?

Any resident (child or adult) of Bexar County, who is believed to have one or more of the following disabilities, may be eligible for services through the IDD: Intellectual and/or Developmental Disabilities Pervasive Developmental Disorder (i.e., Autism, Asperger's Syndrome) Persons with related conditions who are eligible for services in Medicaid programs operated by Human and Health Services (HHS). Nursing facility residents who are eligible for specialized services due to intellectual and developmental disabilities or a related condition Children who are eligible for services from the Early Childhood Intervention Interagency Council (ECI)

2.When will I be eligible for services?

All Intellectual and Developmental Disabilities Services (IDDS) programs currently have an interest list. For more information, contact IDD's Intake and Eligibility Department at (210) 832-5020

.3.Who is my service coordinator?

Refer to your service coordination introduction letter or call (210) 832-5020 to be referred to your service coordinator.

4.What is an EDA?

An EDA is an eligibility determination assessment, formerly known as a DMR. The assessment will determine what services you may be eligible for. To find out more, call the Intellectual and Development Disabilities Services at (210) 832-5020.

5.At what age can my child be tested for developmental delays?

There is no minimum or maximum age requirement to have an Eligibility Determination Assessment (EDA) completed. However, to receive services, there must be evidence that an intellectual disability originated prior to age 18.

6.I am in a Medicaid-waiver program and I want to transfer to another county, whom should I contact?

Contact your assigned Services Coordination Specialist, and he or she can assist you with contact information for that county and to facilitate the transfer process.

7.How do you request services through the IDDS?

The process begins with the Intake Unit by the completion and submission of an Intake and Eligibility (I&E) application. You may download an I&E application from our website, request an application be mailed to you, or call an intake worker at (210) 832-5020. Intake and Eligibility Application

8.I received a letter from the Social Security office. Can someone help me with making sure I respond appropriately to the request?

The IDDS program has a Financial Eligibility Specialist to assist you with maintaining or reestablishing your benefits, once you have completed the Eligibility Determination process through the IDDS. 

9.Can an individual receive emergency services from the IDDS, such as respite services, if noted to have developmental disabilities but not yet tested or determined to be eligible for service?

Yes, the IDD works with Child Protective Services, Adult Protective Services, hospital establishments, the general public, etc that have cases that meet the safety net requirements for emergency services for placement or respite.

10.How can I become a local revenue provider?

Review the Open Enrollment Application (found in Provider Resources) for a description of the requirements and submittal process. If you have questions, contact the IDDS Client Rights Officer at (210) 832-5020.

11.What is PASRR?

PASRR is Pre-Admission Screening and Resident Review. More Information

12.Where do I fax the PASRR Level 1 (PL1) Screening Form?

The dedicated PASRR fax number is (210) 822-0592.

Local Planning

Person Directed Plan (PDP)

When someone is offered intellectual and developmental disability services and supports, AACOG uses a person-directed planning process to develop an individualized plan of services and supports empowering the person and his or her family to direct the development of a plan that meets the person's goals.

The process:

  • identifies existing supports and services necessary to achieve the person's goals;
  • identifies natural supports available to the person and negotiates needed services and supports;
  • is done with the support of a planning team that consists of people chosen by the person and family; and
  • mirrors the way in which people without disabilities make plans.

Additional information about person-directed planning can be obtained by contacting the IDD Services department at (210) 832-5020 or from the HHSC Person Directed Planning Guidelines

Local Authority Plans

The Alamo Area Council of Governments (AACOG) Local Plan is a formal document that communicates AACOG’s goals, objectives, direction, and expected outcomes to various community audiences. The Local Plan is a dynamic document which incorporates the Quality Management Plan and Strategic Marketing Plans for the Alamo Local Authority for Individuals with Intellectual and Developmental Disabilities. The purpose of the Quality Management Plan (QMP) is to identify the ALA's quality related objectives, to describe how achievement of these objectives are measured and to describe the quality related process that is used to assure that the objectives are met.

IDD Services Advisory Committee


  • 1:00 pm - 3:00 pm
  • Quarterly on the second Tuesday of each month
  • 2700 NE Loop 410, San Antonio, TX 78217

Agendas Agendas are available prior to meetings.
Most Recent Agenda | View All 

Minutes Minutes are also available upon approval.
Most Recent Minutes | View All


Member Name, Member Type

Mary Hanlon-Hillis, Family Member

Irma Canfield, Family Member

Robin Fields, Community Member

Barb Martin, Family Member

Jomel Crayton, Self-Advocate

Cara Magrane, Community Member

Martha Moyer, NAC/Family Member

James Meadows, Self-Advocate

Jennifer Tarr, Family Member

Debbie L. Valdez, Family Member

Anne Connell, Family Member

William (Bill) E. Robinson, Family Member

Heather Long, Community Member

Carla Thomas, Community Member



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