What to Do If You Don't Have Enough Authorized Hours
One of the most common frustrations for Arizona families is receiving a DDD service plan that does not accurately reflect the intense, round-the-clock care their loved one actually requires.
If your loved one was authorized for 10 hours of Attendant Care a week, but you are physically providing 40 hours of hands-on care, you are facing an hours deficit. Here is what you can do to advocate for a reassessment.
1. Track Everything (The Care Log)
The state does not authorize hours based on a diagnosis alone; they authorize hours based on demonstrated, documented need. Before requesting more hours, spend two weeks keeping a detailed daily log. Write down exactly how many minutes you spend feeding, bathing, managing behaviors, and assisting with mobility. Data is your strongest advocacy tool.
2. Identify "Significant Changes"
DDD is more likely to reassess authorized hours if there has been a "significant change in condition." This could mean:
A recent surgery or medical decline.
The onset of new, challenging behaviors.
The loss of a natural support (e.g., another family member moved away, leaving all the work to you).
A child aging out of a school program, leaving a gap in daytime care.
3. Request a Reassessment in Writing
Contact your Support Coordinator and formally request a reassessment of hours. Use the data from your care log to justify the request. Explain exactly why the current hours pose a health or safety risk to the individual.
4. Leverage Clinical Support
Navigating state assessments can feel isolating. When you are partnered with an agency that has strong clinical oversight, you gain an advocate. The clinical operations team at Nova Z Health Services understands the intricate details of DDD care plans. While the state makes the final determination on hours, having a professional AWC partner ensures your caregiver's documentation and progress reports accurately reflect the daily reality of your loved one’s needs, which is vital during annual reassessments.
