DD Council 5-Year State Plan Template Section Checklist

State Plan Template Sections / Complete / Partially complete / Incomplete
Section I: Council Identification
Part A: State plan period
Part B: Contact Person
  • Phone #

  • Email

Part C: Council Establishment
Part D. Council Membership
  • Membership rotation plan

  • Council members

Part E: Council Staff
Section II: Designated State Agency
Part A: DSA
Part B: Direct Services
Part C: MOU
Part D: DSA Roles and Responsibilities
Part E: Calendar Year DSA was designated
Section III: Comprehensive Review and Analysis
INTRODUCTION: (Broad overview of CRA)
Part A: State Information
(i)Racial and Ethnic diversity
(ii)Poverty rate
(iii)State disability characteristics
a) Prevalence of DD in the State
b) Residential settings
c) Demographic Info. about People w/Disabilities
Part B: Portrait of the State
Health/Healthcare*
Employment*
Information and Formal services and supports*
Interagency initiatives*
Quality assurance
Education/early intervention
Housing
Transportation
Childcare
Recreation
Part C: Analysis of State Issues and Challenges
(i) Criteria for eligibility for services*
(ii) Analysis of barriers for unserved/underserved*
(iii) Availability of assistive technology*
(iv) Waiting lists*
Analysis of adequacy of current resources to fund services in state*
Analysis of adequacy of health care for people with DD in facilities*
Home and Community Based Waiver Services*
Part D: Rationale for Goal Selection
5-Year Goals, Objectives and Expected Outcomes for 5 year goals
  • Self-advocacy (3 components)

  • Targeted Disparity

  • Collaboration

(i) As a Network
(ii) With each other (UCEDD, P&A)
(iii) With other entities
5-Year Logic model
Section IV: Evaluation Plan
Section V: Projected Council Budget
Section VI: Assurances
Section VII: Public Input and Review
(i) Describe how the Council made the plan available for public review and comment. Include how the Council provided appropriate and sufficient notice in accessible formats of the opportunity for review and comment.
(ii) Describe the revisions made to the Plan to take into account and respond to significant comments.
*REQUIRED

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