{"id":1263,"date":"2026-07-07T19:45:22","date_gmt":"2026-07-07T19:45:22","guid":{"rendered":"https:\/\/livingfountcare.com\/?p=1263"},"modified":"2026-07-08T01:22:01","modified_gmt":"2026-07-08T01:22:01","slug":"how-many-hours-of-care-ddd","status":"publish","type":"post","link":"https:\/\/livingfountcare.com\/index.php\/2026\/07\/07\/how-many-hours-of-care-ddd\/","title":{"rendered":"How Many Hours of Care Can You Get Through DDD?"},"content":{"rendered":"<p class=\"font-claude-response-body break-words whitespace-normal\">It&#8217;s the question on every family&#8217;s mind once they&#8217;re approved: <em>How many hours of care will we actually receive?<\/em> The honest answer is that there&#8217;s no flat number \u2014 DDD care hours are based on your loved one&#8217;s <strong>assessed needs<\/strong>, not a fixed allotment. Here&#8217;s how the process works and what shapes the number you&#8217;re authorized.<\/p>\n<blockquote class=\"ml-2 border-l-4 border-[hsl(var(--border-300)\/0.1)] pl-4 text-text-300\">\n<p class=\"font-claude-response-body break-words whitespace-normal\"><strong>Please note:<\/strong> Arizona has been actively revising how care hours for minor children are assessed. The general process below still applies, but the specific assessment tool and rules have been in flux. Always confirm the current process and your loved one&#8217;s authorization with your DDD Support Coordinator.<\/p>\n<\/blockquote>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\">Hours Are Based on Need, Not a Set Amount<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\">DDD uses a <strong>person-centered<\/strong> approach. Rather than handing everyone the same number of hours, the program looks at what each individual actually needs to be safe, healthy, and supported at home. Two people with the same diagnosis can be authorized for very different amounts of care, because their needs differ.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\">This is determined through an assessment your <strong>Support Coordinator<\/strong> completes with your family, which then shapes your <strong>Person-Centered Service Plan (PCSP)<\/strong> \u2014 the document that authorizes your services.<\/p>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\">How the Assessment Works<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\">The process generally looks like this:<\/p>\n<ol class=\"[li_&amp;]:mb-0 [li_&amp;]:mt-1 [li_&amp;]:gap-1 [&amp;:not(:last-child)_ul]:pb-1 [&amp;:not(:last-child)_ol]:pb-1 list-decimal flex flex-col gap-1 pl-8 mb-3\">\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Your Support Coordinator meets with you and your loved one.<\/strong> They gather information about daily needs, often through interview and observation.<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>An assessment tool is used<\/strong> to help translate those needs into service hours for things like Attendant Care, Habilitation, and Homemaker services.<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Your planning team develops the service plan.<\/strong> You&#8217;re part of this team \u2014 your input matters.<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Hours are authorized<\/strong> in your PCSP, and services can begin.<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>The plan is reviewed regularly<\/strong>, and hours can be adjusted if needs change.<\/li>\n<\/ol>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Once ALTCS-approved, members complete a full person-centered service plan with their Support Coordinator and team each year, with additional reviews as needed.<\/p>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\">What Affects the Number of Hours<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Several factors influence your authorization, including:<\/p>\n<ul class=\"[li_&amp;]:mb-0 [li_&amp;]:mt-1 [li_&amp;]:gap-1 [&amp;:not(:last-child)_ul]:pb-1 [&amp;:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3\">\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>The individual&#8217;s level of need<\/strong> across daily activities like bathing, feeding, mobility, and supervision<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Safety considerations<\/strong>, such as whether the person can be left alone<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>The specific services<\/strong> involved (Attendant Care, Habilitation, Respite, and Homemaker are assessed differently)<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Age and developmental stage<\/strong>, which shape what level of assistance is expected<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Available natural and community supports<\/strong>, which the person-centered process takes into account<\/li>\n<\/ul>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\">A Note on Recent Changes for Children<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Arizona introduced a new assessment tool for home and community-based services in late 2025 and then paused it after hearing concerns from families. During that period, hours for members under 18 were handled based on their most recent prior assessment while the tool was revised. The state also outlined an <strong>Extraordinary Care Review<\/strong> process for children under 18 who need more direct-care or habilitation hours than an assessment shows.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Because this area has been changing, the most reliable source for your child&#8217;s current hours is your Support Coordinator. If you feel an assessment doesn&#8217;t reflect your child&#8217;s real needs, ask about the Extraordinary Care Review and your appeal rights.<\/p>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\">If You Think Your Hours Are Too Low<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\">You have options:<\/p>\n<ul class=\"[li_&amp;]:mb-0 [li_&amp;]:mt-1 [li_&amp;]:gap-1 [&amp;:not(:last-child)_ul]:pb-1 [&amp;:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3\">\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Talk with your Support Coordinator<\/strong> first. Make sure the assessment fully captured your loved one&#8217;s needs \u2014 sometimes important details get missed. (Our guide on <a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"\/working-with-ddd-support-coordinator\">working with your Support Coordinator<\/a> has tips for these conversations.)<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Ask about the Extraordinary Care Review<\/strong> if it applies to your situation.<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong>Appeal a reduction or denial.<\/strong> If your services are reduced, denied, suspended, or terminated, you have the right to appeal. See our <a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"\/what-to-do-if-ddd-denies-services\">DDD appeals guide<\/a>.<\/li>\n<\/ul>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\">Different Services, Different Limits<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\">Keep in mind that services follow different rules:<\/p>\n<ul class=\"[li_&amp;]:mb-0 [li_&amp;]:mt-1 [li_&amp;]:gap-1 [&amp;:not(:last-child)_ul]:pb-1 [&amp;:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3\">\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong><a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"\/what-is-attendant-care-ddd-arizona\">Attendant Care<\/a><\/strong> and <strong><a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"\/habilitation-services-arizona\">Habilitation<\/a><\/strong> are assessed based on daily-living and skill-building needs.<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong><a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"\/respite-care-arizona\">Respite<\/a><\/strong> is typically subject to an annual limit set through your plan.<\/li>\n<li class=\"font-claude-response-body whitespace-normal break-words pl-2\"><strong><a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"\/homemaker-services-ddd-arizona\">Homemaker services<\/a><\/strong> are based on household-task needs tied to the member&#8217;s disability.<\/li>\n<\/ul>\n<h2 class=\"text-text-100 mt-3 -mb-1 text-[1.125rem] font-bold\">Frequently Asked Questions<\/h2>\n<p class=\"font-claude-response-body break-words whitespace-normal\"><strong>Is there a maximum number of hours DDD will provide?<\/strong> Hours are based on assessed need rather than a universal cap, though specific services (like respite) may have their own limits. Your Support Coordinator can explain what applies to your loved one.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\"><strong>Why did my neighbor&#8217;s child get more hours than mine?<\/strong> Because hours reflect individual assessed needs. Even children with the same diagnosis can have very different levels of need, which leads to different authorizations.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\"><strong>Can our hours change over time?<\/strong> Yes. Plans are reviewed regularly, and authorizations can go up or down as your loved one&#8217;s needs change.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\"><strong>What can I do if I disagree with my hours?<\/strong> Start with your Support Coordinator, ask about the Extraordinary Care Review if relevant, and use your appeal rights if services are reduced or denied.<\/p>\n<hr class=\"border-border-200 border-t-0.5 my-3 mx-1.5\" \/>\n<p class=\"font-claude-response-body break-words whitespace-normal\"><strong>Want an advocate who understands the system?<\/strong> We help Arizona families navigate assessments and get the services their loved ones need. <a class=\"underline underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"\/contact\">Contact us<\/a> to learn more.<\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\"><em>This article is for general information and isn&#8217;t legal or medical advice. Assessment rules and service limits change; confirm current details with your DDD Support Coordinator or at des.az.gov.<\/em><\/p>\n<p class=\"font-claude-response-body break-words whitespace-normal\"><em>This article is for general information and isn&#8217;t legal, tax, or medical advice. The PPCG program and related rules change; confirm current details with your DDD Support Coordinator, at des.az.gov, or at azahcccs.gov.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s the question on every family&#8217;s mind once they&#8217;re approved: How many hours of care will we actually receive? The honest answer is that there&#8217;s no flat number \u2014 DDD care hours are based on your loved one&#8217;s assessed needs, not a fixed allotment. Here&#8217;s how the process works and what shapes the number you&#8217;re [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1265,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[16,18,15,17],"class_list":["post-1263","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-ahcccs","tag-altcs","tag-ddd","tag-services"],"_links":{"self":[{"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/posts\/1263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/comments?post=1263"}],"version-history":[{"count":1,"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/posts\/1263\/revisions"}],"predecessor-version":[{"id":1264,"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/posts\/1263\/revisions\/1264"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/media\/1265"}],"wp:attachment":[{"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/media?parent=1263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/categories?post=1263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/livingfountcare.com\/index.php\/wp-json\/wp\/v2\/tags?post=1263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}