If someone you love has just received a diagnosis, or a teacher or doctor mentioned "DDD" for the first time, you may be feeling a mix of hope and overwhelm. That is completely normal. Many Arizona families start exactly where you are now, with a lot of questions and not much time to find answers. This guide walks through the basics in plain language so you can feel a little more prepared for what comes next.
Understanding Arizona DDD
The Arizona Division of Developmental Disabilities (DDD) is part of the Arizona Department of Economic Security (DES) (opens in a new tab). It supports eligible Arizonans with developmental disabilities and helps individuals and families understand the services and resources available to them.
One thing that surprises many families: DDD is not itself a home care agency. DDD determines eligibility, coordinates services, and works with qualified providers when a member qualifies for funded supports. Agencies like Inspiration of the Valley are the ones who send caregivers into the home or community to deliver those approved services.
Who might receive DDD support?
Eligibility depends on a person's age, Arizona residency, disability documentation, and other criteria. For people age six and older, qualifying diagnoses include autism spectrum disorder, cerebral palsy, epilepsy, Down syndrome, and intellectual disability. The condition generally must have begun before age 18 and be expected to continue indefinitely, and significant limitations in daily living skills are also considered. Different rules apply to younger children.
We cover this in much more detail in Who Qualifies for DDD Services in Arizona?, including the daily life skill areas DDD looks at.
What types of support are involved?
Depending on eligibility, assessed needs, program coverage, and authorizations, supports may include attendant care, habilitation, respite, and other home and community based services. Not everyone who qualifies for DDD qualifies for each of these services, and every plan looks a little different.
- ✓Attendant careHelp with personal care and daily needs, such as bathing, dressing, and eating.
- ✓HabilitationSupport that helps a person develop or maintain skills for greater independence.
- ✓RespiteTemporary relief for an unpaid family caregiver, so they can rest and recharge.
Curious how two of these differ in real life? Read Attendant Care vs. Habilitation: What Families Should Know.
DDD and ALTCS are different
DDD eligibility and Arizona Long Term Care System (ALTCS) (opens in a new tab) eligibility are not interchangeable. A person can qualify for DDD support coordination without qualifying for ALTCS-funded long-term services. For people who do meet ALTCS requirements, DDD coordinates their covered long-term services and supports. DES describes these different paths on its DDD member categories (opens in a new tab) page.
How families can get started
- 1Review the official criteria (opens in a new tab)Start with the DES eligibility page for your loved one's age group.
- 2Gather recordsEvaluations, medical records, and school documents such as an IEP are often helpful.
- 3Submit an applicationOur step-by-step guide explains what to send and where.
- 4Meet your Support CoordinatorOnce enrolled, a Support Coordinator helps build a person-centered plan.
The plan that comes out of this process reflects the person's own needs and preferences. It is not a one-size-fits-all package, and it can change as life changes.
A note for parents and caregivers
Navigating a new system while caring for someone you love takes real energy. Be patient with yourself. Keep a simple folder of documents, write down questions as they come up, and lean on people who have walked this road before. DES also publishes a helpful family handbook called Navigating the System (opens in a new tab).
Frequently asked questions
Is DDD the same as disability insurance?
No. DDD is a state division that determines program eligibility and coordinates supports.
Does DDD pay for all caregiving?
No. Coverage depends on eligibility, assessed need, and authorization.
Where should I confirm eligibility?
The Arizona DES DDD eligibility page is the official starting point.
Official sources and further reading
- ✓Arizona DES: Division of Developmental Disabilities (opens in a new tab)Overview of DDD, its mission, and supported diagnoses.
- ✓Arizona DES: Determine Eligibility (opens in a new tab)Eligibility criteria by age and the official application packet.
- ✓Arizona DES: DDD Member Categories (opens in a new tab)How DDD-only, Targeted Support Coordination, and ALTCS membership differ.
Have questions about Arizona DDD?
Inspiration of the Valley supports individuals with developmental disabilities and their families across Arizona. If you'd like help understanding your options, we're happy to listen and point you in the right direction. DDD determines eligibility and authorizes covered services. Reaching out to us is simply a conversation; it does not guarantee enrollment, authorization, or service availability.

