
OasisForAutism.com Resource Library
Comprehensive Resources for Caregivers of Autistic Adults | Updated August 2026 — Full B1–B173 Topic Coverage
National Medicaid, HCBS Policy & Federal Advocacy · Direct Support Workforce Crisis Data · State Comparisons & Historical Context
Understanding Autism: DSM-5 Levels · Co-occurring Mental Health Conditions · Protection from Financial Exploitation · Crisis Response, Safety & Criminal Justice · Caregiver Support, Respite & Self-Care · Direct Support Workforce Crisis Data · Life Stages & Specialized Topics
Specialized Dental Care · Housing & HCBS Settings Rule · Employment, Vocational Training & Day Services · Michigan System Navigation: PIHP, CMH & Waivers · Michigan Budget, Legislation & Advocacy · State Comparisons & Historical Context
National Medicaid, HCBS Policy & Federal Advocacy · Michigan Budget, Legislation & Advocacy · Transition to Adulthood · Life Stages & Specialized Topics
Understanding Autism: DSM-5 Levels · Specialized Dental Care · Recognizing Pain in Non-Speaking Adults · Co-occurring Mental Health Conditions · De-escalation and Sensory Regulation · Legal Rights, Guardianship & Decision-Making · Financial Planning, Benefits & Estate Planning · Housing & HCBS Settings Rule · Employment, Vocational Training & Day Services · Technology, Communication & Community Access · Daily Living, Sensory & Medical-Behavioral Support · Self-Direction & Paid Family Caregiving · Michigan System Navigation: PIHP, CMH & Waivers · Transition to Adulthood
Recognizing Pain in Non-Speaking Adults · De-escalation and Sensory Regulation · Protection from Financial Exploitation · Legal Rights, Guardianship & Decision-Making · Financial Planning, Benefits & Estate Planning · Crisis Response, Safety & Criminal Justice · Caregiver Support, Respite & Self-Care · Technology, Communication & Community Access · Daily Living, Sensory & Medical-Behavioral Support · Self-Direction & Paid Family Caregiving · Advocacy Skills, Documentation & Legislative Engagement · Michigan Budget, Legislation & Advocacy
Understanding Autism Spectrum Disorder
DSM-5 Levels and Support Needs Classification
| Name | URL | Description / Notes |
|---|---|---|
| American Psychiatric Association – DSM-5 | psychiatry.org/psychiatrists/practice/dsm | Official publisher of DSM-5 and DSM-5-TR diagnostic criteria |
| CDC ADDM Network | cdc.gov/ncbddd/autism/addm.html | Current prevalence data, diagnostic trends, surveillance reports |
| NIMH – Autism Spectrum Disorder | nimh.nih.gov/health/topics/autism-spectrum-disorders-asd | Research-based overview including diagnostic criteria |
| Autism Speaks – DSM-5 Criteria | autismspeaks.org/dsm-5-criteria | Plain-language explanation of diagnostic criteria and levels |
| Interactive Autism Network | iancommunity.org/cs/about_autism/autism_diagnosis | Step-by-step diagnostic process information |
| CDC MMWR – Autism Prevalence, 16 Sites, 2022 Surveillance Year | www.cdc.gov/mmwr/volumes/74/ss/pdfs/ss7402a1-H.pdf | The 1 in 31 report, MMWR Surveillance Summaries 2025;74(2):1-23 |
| IACC – Autism Research Portfolio Analysis | iacc.hhs.gov/publications/portfolio-analysis/ | Federal autism research spending by question area; lifespan issues drew 4.3% of funding |
| Name | URL | Description / Notes |
|---|---|---|
| ADOS-2 | wpspublish.com/ados-2-autism-diagnostic-observation-schedule-second-edition | Gold-standard diagnostic assessment tool |
| ADI-R | wpspublish.com/adi-r-autism-diagnostic-interview-revised | Parent interview diagnostic tool |
| RAADS-R | aspietests.org/raads/ | Adult autism screening tool (self-assessment) |
| AQ Test | psychology-tools.com/test/autism-spectrum-quotient | Adult screening questionnaire |
| CAT-Q | embrace-autism.com/cat-q/ | Measures social masking/camouflaging in adults |
| Name | URL | Description / Notes |
|---|---|---|
| Autism Society – Levels of Autism | autismsociety.org/what-are-the-3-levels-of-autism/ | Detailed Level 1, 2, 3 classification explanation |
| Child Mind Institute | childmind.org/article/autism-severity-levels/ | Family-friendly guide to support level differences |
| Neurodivergent Insights | neurodivergentinsights.com/blog/autism-support-levels | Strength-based approach to understanding levels |
| ASAN | autisticadvocacy.org/ | Autistic-led perspective on support needs and terminology |
| Thinking Person’s Guide to Autism | thinkingautismguide.com/ | Support needs across lifespan |
| Autism Science Foundation – Profound Autism | autismsciencefoundation.org/profound-autism/ | The Lancet Commission criteria and the CDC finding that 26.7% of autistic children meet them |
| Profound Autism Alliance | www.profoundautism.org/ | Federal advocacy and the annual Profound Autism Summit for the highest-support-needs population |
| The Lucas Project | thelucasproject.org/ | Family accounts and advocacy on adult services for profoundly autistic people |
| Name | URL | Description / Notes |
|---|---|---|
| ASHA – AAC Overview | asha.org/public/speech/disorders/aac/ | Professional overview of AAC systems and implementation |
| Proloquo2Go | assistiveware.com/products/proloquo2go | Leading AAC app for iOS devices |
| Tobii Dynavox | tobiidynavox.com/ | AAC devices and software solutions |
| PRC-Saltillo | prc-saltillo.com/ | AAC device manufacturer with resources |
| Communication Matrix | communicationmatrix.org/ | Assessment tool for early communicators |
| Project Core | project-core.com/ | AAC implementation for minimally verbal individuals |
| I-ASC | i-asc.org/ | Spelling-to-communicate resources |
Specialized Dental Care for Autistic Adults
Protocols, Sedation, and Provider Resources
| Name | URL | Description / Notes |
|---|---|---|
| Special Care Dentistry Association | scdaonline.org/page/FindDentist | Directory of dentists trained in special needs care |
| Autism Speaks Dental Directory | autismspeaks.org/dental-professionals-directory | Searchable database of autism-friendly practices |
| AADMD | aadmd.org/ | Professional organization for DD dental care |
| NADD | thenadd.org/ | Resources for dental care with co-occurring conditions |
| Healthy Smiles for Special Needs | healthysmilesforspecialneeds.com/ | Educational resources and provider recommendations |
| Name | URL | Description / Notes |
|---|---|---|
| ADA – Sedation and Anesthesia | ada.org/…/anesthesia-and-sedation | Overview of sedation levels and safety protocols |
| DOCS Education | docs-education.org/ | Professional training and patient resources |
| Society for Pediatric Anesthesia | pedsanesthesia.org/ | Anesthesia safety for dental procedures |
| ASDA | asdahq.org/ | Find dentist anesthesiologists for complex cases |
| Name | URL | Description / Notes |
|---|---|---|
| Medicaid.gov – Dental Benefits | medicaid.gov/medicaid/benefits/dental/index.html | State-by-state Medicaid dental coverage |
| CMS – Medicare Dental | cms.gov/Medicare/Coverage/MedicareDentalCoverage | Medicare dental coverage limitations and exceptions |
| NADP | nadp.org/ | Understanding private dental insurance |
| Michigan DHHS – Adult Dental | michigan.gov/mdhhs/adult-dental | Michigan-specific Medicaid dental coverage |
| Name | URL | Description / Notes |
|---|---|---|
| Carol Gray Social Stories | carolgraysocialstories.com/ | Create custom social stories for dental visits |
| Autism Speaks Dental Tool Kit | autismspeaks.org/tool-kit/dental-tool-kit | Visual supports and preparation strategies |
| Special Olympics Special Smiles | specialolympics.org/our-work/sports/special-smiles | Oral health education and screening programs |
Recognizing Pain in Non-Speaking Autistic Adults
Combating Diagnostic Overshadowing
| Name | URL | Description / Notes |
|---|---|---|
| FLACC Pain Scale | healthcare.uiowa.edu/…/FLACC.pdf | Face, Legs, Activity, Cry, Consolability (0-10 scale) |
| NCCPC-R | aboutkidshealth.ca/article?contentid=1023 | 30-item checklist for non-verbal individuals |
| Abbey Pain Scale | dementia-assessment.com.au/…/Abbey_Pain_Scale.pdf | Dementia pain scale adaptable for autism |
| PAINAD | consultgeri.org/…/issue-7.pdf | Observable pain indicators |
| Pediatric Pain Profile | ppprofile.org.uk/ | Detailed behavior mapping for chronic pain |
| Name | URL | Description / Notes |
|---|---|---|
| Autism Science Foundation – GI | autismsciencefoundation.org/…/gi-disorders/ | GI issues affect 46-84% of autistic individuals |
| CHARGE Syndrome Foundation | chargesyndrome.org/ | Genetic condition with autism overlap and chronic pain |
| Ehlers-Danlos Society | ehlers-danlos.com/ | Joint hypermobility and chronic pain |
| Epilepsy Foundation | epilepsy.com/…/related-conditions/autism | Seizure recognition and management |
| AGA – IBS Resources | gastro.org/…/irritable-bowel-syndrome-ibs/ | GI pain management strategies |
| Name | URL | Description / Notes |
|---|---|---|
| Autism Speaks Medical Passport | autismspeaks.org/tool-kit/medical-passport | One-page emergency medical summary |
| CDC Emergency Information Form | cdc.gov/…/autismemergencyform.pdf | Standardized emergency response form |
| Communication Passport | communicationpassports.org.uk/ | Visual communication tool for healthcare |
| Boardmaker | boardmakeronline.com/ | Picture-based pain/needs communication |
Co-occurring Mental Health Conditions
Anxiety, Depression, and Finding Autism-Competent Providers
| Name | URL / Contact | Description / Notes |
|---|---|---|
| 988 Suicide & Crisis Lifeline | Call or text: 988 | 24/7 crisis intervention and suicide prevention |
| Crisis Text Line | Text HOME to 741741 | 24/7 crisis support via text |
| SAMHSA National Helpline | 1-800-662-4357 | 24/7 treatment referral and information |
| Name | URL | Description / Notes |
|---|---|---|
| Psychology Today | psychologytoday.com/us/therapists | Search by specialty, insurance, location |
| Therapy for Autistic Adults | therapyforautisticadults.com/ | Directory specifically for autistic adult clients |
| ABCT | abct.org/ | Find CBT providers with autism experience |
| ADAA | adaa.org/finding-help | Provider directory with specialty filters |
| AANE Provider Directory | aane.org/resources/therapist-directory/ | Vetted autism-competent providers |
| Name | URL | Description / Notes |
|---|---|---|
| NIMH – Anxiety Disorders | nimh.nih.gov/health/topics/anxiety-disorders | Research-based anxiety information |
| Anxiety in Autism Research | anxietyinautism.com/ | Specialized research and interventions |
| CARD – Autism Anxiety | centerforautism.com/resources/autism-anxiety/ | Evidence-based anxiety interventions |
| MBSR | umassmed.edu/…/about-mbsr/ | Mindfulness-based stress reduction |
| Name | URL | Description / Notes |
|---|---|---|
| NIMH – Depression | nimh.nih.gov/health/publications/depression | Comprehensive depression information |
| DBSA | dbsalliance.org/ | Peer support and treatment resources |
| NAS – Depression and Autism | autism.org.uk/…/mental-health/depression | Autism-specific depression presentations |
| Name | URL | Description / Notes |
|---|---|---|
| CBT for Autism Research | ncbi.nlm.nih.gov/pmc/articles/PMC4460776/ | Adapted CBT protocols |
| DBT Resources | behavioraltech.org/ | Emotion regulation skills training |
| ACT | contextualscience.org/act | Acceptance and Commitment Therapy |
| Alexithymia Resources | embrace-autism.com/alexithymia/ | Difficulty identifying emotions (common in autism) |
| Name | URL | Description / Notes |
|---|---|---|
| FDA Medication Guides | fda.gov/…/medication-guides | Official medication information |
| NIMH – Mental Health Medications | nimh.nih.gov/…/mental-health-medications | Psychiatric medication overview |
| Autism Speaks Medication Tool Kit | autismspeaks.org/…/medication-decision-tool-kit | Autism-specific medication considerations |
| MedlinePlus | medlineplus.gov/druginformation.html | NIH drug database |
De-escalation and Sensory Regulation
Evidence-Based Meltdown Management
| Name | URL | Description / Notes |
|---|---|---|
| Autism Society – Meltdowns vs Tantrums | autismsociety.org/meltdowns-versus-tantrums/ | Key differences and appropriate responses |
| NAS – Meltdowns Guide | autism.org.uk/…/behaviour/meltdowns | Comprehensive UK-based resource |
| ASAN – Meltdowns and Shutdowns | autisticadvocacy.org/…/Meltdowns-and-Shutdowns.pdf | Autistic perspective on overwhelm responses |
| SPD Foundation | spdfoundation.net/ | Sensory overwhelm triggers and interventions |
| Name | URL | Description / Notes |
|---|---|---|
| Weighted Blanket Guide | sleepfoundation.org/…/weighted-blanket | Deep pressure therapy research |
| Noise-Canceling Headphones | autismparentingmagazine.com/noise-canceling-headphones/ | Reviews of autism-friendly headphones |
| Sensory Direct | sensorydirect.com/ | Comprehensive sensory equipment supplier |
| Fun and Function | funandfunction.com/ | Sensory tools, weighted items, fidgets |
| National Autism Resources | nationalautismresources.com/ | Specialized autism products |
| ARK Therapeutic | arktherapeutic.com/ | Chewelry and oral motor tools |
| Name | URL | Description / Notes |
|---|---|---|
| Boardmaker | boardmakeronline.com/ | Visual schedule templates |
| Carol Gray Social Stories | carolgraysocialstories.com/ | Prepare for challenging situations |
| Zones of Regulation | zonesofregulation.com/ | Self-regulation curriculum |
| Incredible 5-Point Scale | 5pointscale.com/ | Emotion rating and intervention matching |
| Name | URL | Description / Notes |
|---|---|---|
| CPI | crisisprevention.com/ | Crisis Prevention Institute training |
| Handle with Care | handlewithcare.com/ | Autism-specific crisis intervention |
| Mandt System | mandtsystem.com/ | Relationship-based crisis prevention |
| SAMA | sama.org.au/ | Safe Aggression Management |
| Name | URL | Description / Notes |
|---|---|---|
| AWAARE | awaare.org/ | Wandering/elopement prevention and response |
| Big Red Safety Tool Kit | nationalautismassociation.org/…/big-red-safety-toolkit/ | Comprehensive safety strategies |
| First Responder Training | autismsafety.org/ | Resources for police/EMS interactions |
Protection from Financial Exploitation
Scams, Safeguards, and Legal Protections
| Name | URL | Description / Notes |
|---|---|---|
| FTC Scam Alerts | consumer.ftc.gov/scam-alerts | Current scam warnings and reporting |
| AARP Fraud Watch | aarp.org/money/scams-fraud/ | Fraud prevention resources |
| FBI IC3 | ic3.gov/ | Report cybercrimes and online scams |
| SSA Scam Awareness | ssa.gov/scam/ | Government impersonation scam info |
| IRS Tax Scams | irs.gov/newsroom/tax-scams-consumer-alerts | Tax-related fraud prevention |
| Name | URL | Description / Notes |
|---|---|---|
| Credit Freeze – Equifax | equifax.com/ | Freeze at all 3 bureaus to prevent unauthorized credit |
| Credit Freeze – Experian | experian.com/ | Freeze at all 3 bureaus |
| Credit Freeze – TransUnion | transunion.com/ | Freeze at all 3 bureaus |
| True Link Financial | truelinkfinancial.com/ | Limited-use prepaid cards with restrictions |
| ABLE National Resource Center | ablenrc.org/ | Tax-advantaged savings without affecting benefits |
| Representative Payee – SSA | ssa.gov/payee/ | Designated person manages benefits |
| EverSafe | eversafe.com/ | Automated account monitoring |
| Name | URL | Description / Notes |
|---|---|---|
| Adult Protective Services | napsa-now.org/get-help/help-in-your-area/ | Report financial exploitation |
| National Center on Elder Abuse | ncea.acl.gov/ | Resources for adults with disabilities |
| CFPB Complaints | consumerfinance.gov/complaint/ | Report financial institution violations |
| State AG Directory | naag.org/find-my-ag/ | State-level consumer fraud reporting |
| LTC Ombudsman | ltcombudsman.org/ | Advocates for care facility residents |
| Name | URL | Description / Notes |
|---|---|---|
| Special Needs Alliance | specialneedsalliance.org/…/find-a-special-needs-planning-attorney | Find special needs trust attorneys |
| Academy of Special Needs Planners | specialneedsplanners.com/ | Certified planning professionals |
| SSA – Special Needs Trusts | ssa.gov/ssi/spotlights/spot-trust.htm | How trusts affect SSI eligibility |
| Pooled Trust Information | specialneedsalliance.org/pooled-trusts/ | Pooled trust options by state |
| CFPB Financial Education | consumerfinance.gov/…/youth-financial-education/ | Financial literacy resources |
Legal Rights, Guardianship & Decision-Making
| Name | URL | Description / Notes |
|---|---|---|
| National Resource Center for Supported Decision-Making | supporteddecisionmaking.org/ | Tracks state SDM laws and provides model agreements |
| The Arc – Decision-Making Resources | thearc.org/decision-making-resources/ | Free guides comparing guardianship and SDM options |
| Autistic Self Advocacy Network – The Right to Make Choices | autisticadvocacy.org/policy/toolkits/choices/ | Toolkit on guardianship, capacity law, and self-determination |
| National Guardianship Association | www.guardianship.org/ | Practice standards, education, and guardian directory |
| ACL Supported Decision-Making Program | acl.gov/programs/consumer-control/supported-decision-making-program | Federal program info on SDM as guardianship alternative |
| Special Needs Alliance | www.specialneedsalliance.org/ | Attorney network explaining guardianship types and alternatives |
| NRC for Supported Decision-Making – State Law Tracker | supporteddecisions.org/resources-on-sdm/state-supported-decision-making-laws-and-court-decisions/ | State-by-state SDM law tracker: 24 states plus DC with statutes, 18 more requiring courts to consider it |
| Name | URL | Description / Notes |
|---|---|---|
| Got Transition (National Health Care Transition Center) | www.gottransition.org/ | Guidance on medical decision rights and documents at 18 |
| Michigan Mental Health Code, Chapter 4 (Act 258 of 1974) | michigan.gov/…/Mental_Health_Code_Chapter_4.pdf | Official statute on psychiatric evaluation and hospitalization rights |
| Michigan Office of Recipient Rights | michigan.gov/…/RR_Book_English.pdf | Plain-language guide to rights during MI mental health services |
| Disability Rights Michigan | www.drmich.org/ | Michigan’s federally designated protection & advocacy agency |
| Special Needs Alliance | www.specialneedsalliance.org/ | Attorney guidance on healthcare proxies and POA at 18 |
| Name | URL | Description / Notes |
|---|---|---|
| SSA Representative Payee Program | www.ssa.gov/payee/ | Official rules for managing benefits for incapable beneficiaries |
| SSA Guide for Representative Payees | www.ssa.gov/pubs/EN-05-10076.pdf | Official handbook detailing payee duties and responsibilities |
| Special Needs Alliance – Representative Payee for Social Security Benefits | www.specialneedsalliance.org/the-voice/representative-payee-for-social-security-benefits/ | Attorney explainer comparing payee status and guardianship |
| Special Needs Alliance – The Special Needs Letter of Intent | www.specialneedsalliance.org/the-voice/letter-of-intent-4/ | Guidance on drafting a successor caregiver letter of intent |
| The Arc’s Center for Future Planning | futureplanning.thearc.org/ | Free tools and editable guide for successor caregiver planning |
| Name | URL | Description / Notes |
|---|---|---|
| REV UP Campaign (American Association of People with Disabilities) | www.aapd.com/about-rev-up/ | National campaign on disability voter registration and access |
| National Disability Rights Network – Voting Rights Under Guardianship | www.ndrn.org/ | State-by-state summary of guardianship’s effect on voting |
| Social Security Card Documentation Requirements | www.ssa.gov/ssnumber/ss5doc.htm | Official SSA list of documents needed for a Social Security card |
| USAGov – Get a Birth Certificate | www.usa.gov/birth-certificate | How to request a certified copy of a birth certificate |
| TSA – About REAL ID | www.tsa.gov/realid/about-realid | Federal requirements and deadlines for REAL ID compliance |
| USAGov – U.S. Passports | www.usa.gov/passport | Official steps for applying for or renewing a passport |
Financial Planning, Benefits & Estate Planning
| Name | URL | Description / Notes |
|---|---|---|
| ABLE National Resource Center | www.ablenrc.org/ | Tax-advantaged savings without affecting benefits |
| Special Needs Alliance | www.specialneedsalliance.org/ | Attorney network on first-party, third-party, and pooled trusts |
| ABLE NRC – ABLE Accounts and Special Needs Trusts | www.ablenrc.org/able-accounts-and-special-needs-trusts/ | Comparing ABLE accounts with SNTs and the $2,000 asset limit |
| Social Security Administration – Understanding SSI Resources | www.ssa.gov/ssi/text-resources-ussi.htm | Official explanation of the $2,000 SSI asset limit |
| MiABLE | www.michigan.gov/miable | Michigan’s state-administered ABLE savings program with a state income tax deduction; 844-656-7225 |
| The Arc – ABLE Accounts 2026 Updates | thearc.org/blog/able-accounts-2026-updates-how-to-open/ | 2026 changes: $20,000 annual limit, onset age raised to 46, ABLE to Work made permanent |
| Name | URL | Description / Notes |
|---|---|---|
| SSA – Understanding SSI: Redeterminations | www.ssa.gov/ssi/text-redets-ussi.htm | Official explanation of the age-18 SSI eligibility review |
| SSA – Disability Benefits Eligibility | www.ssa.gov/benefits/disability/qualify.html | Overview of SSDI/DAC eligibility rules including adult child benefits |
| Ticket to Work – Work Incentives | choosework.ssa.gov/about/work-incentives | Rules protecting cash benefits and Medicaid while working |
| SSA – Understanding SSI: Work Incentives | www.ssa.gov/ssi/text-work-ussi.htm | How earnings affect SSI and the “benefits cliff” |
| SSA Work Incentives Planning and Assistance (WIPA) | www.ssa.gov/disabilityresearch/workincentives.htm | Free benefits counseling on work and benefit interactions |
| Name | URL | Description / Notes |
|---|---|---|
| Special Needs Alliance | www.specialneedsalliance.org/ | Attorney network on wills, trustee selection, and inheritance planning |
| ABLE National Resource Center | www.ablenrc.org/ | Guidance on gifts and savings that avoid jeopardizing benefits |
| The Arc’s Center for Future Planning | futureplanning.thearc.org/ | Free planning tools for families writing wills and trusts |
| National Academy of Elder Law Attorneys | www.naela.org/ | Directory of attorneys specializing in special needs estate planning |
| Name | URL | Description / Notes |
|---|---|---|
| IRS – Understanding the Credit for Other Dependents | www.irs.gov/newsroom/understanding-the-credit-for-other-dependents | Official rules for the $500 non-child dependent credit |
| IRS – Child and Dependent Care Credit Information | www.irs.gov/credits-deductions/individuals/child-and-dependent-care-credit-information | Eligibility for the dependent/adult care credit and FSA interaction |
| IRS Publication 501 – Filing Information | www.irs.gov/publications/p501 | Official rules on Head of Household filing status |
| IRS Publication 502 – Medical and Dental Expenses | www.irs.gov/publications/p502 | Deductible medical expense rules for dependents with disabilities |
| AARP – Credit for Caring Act | www.aarp.org/caregiving/financial-legal/credit-caring-act/ | Status of the proposed federal family caregiver tax credit |
| IRS – Tax Inflation Adjustments for Tax Year 2026 | www.irs.gov/newsroom/irs-releases-tax-inflation-adjustments-for-tax-year-2026-including-amendments-from-the-one-big-beautiful-bill | 2026 standard deductions: $16,100 single, $24,150 head of household, $32,200 joint |
| IRS Publication 503 – Child and Dependent Care Expenses | www.irs.gov/publications/p503 | Confirms adult dependents unable to care for themselves are qualifying persons |
| IRS – Free Tax Preparation, VITA and TCE | www.irs.gov/individuals/free-tax-return-preparation-for-qualifying-taxpayers | Free IRS-certified filing help for many caregiver households; 800-906-9887 |
Housing & HCBS Settings Rule
| Name | URL | Description / Notes |
|---|---|---|
| Autism Speaks – Housing and Residential Supports Tool Kit | www.autismspeaks.org/tool-kit/housing-and-residential-supports-tool-kit | Comparing group homes, supported living, and funding options |
| Autism Housing Network | www.autismhousingnetwork.org/ | Directory and guides on housing models for autistic adults |
| National Council on Severe Autism | www.ncsautism.org/ | Advocacy and resources for housing adults with significant behavioral needs |
| The Arc’s Center for Future Planning | futureplanning.thearc.org/ | Tools for building an emergency housing and caregiving plan |
| Special Needs Alliance – Shared Living Arrangements | specialneedsanswers.com/shared-living-arrangements-for-individuals-with-disabilities-21029 | Explains shared living as an alternative to group homes |
| Name | URL | Description / Notes |
|---|---|---|
| Medicaid.gov – HCBS Final Regulation | www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/home-community-based-services-final-regulation | CMS’s official HCBS Settings Rule regulation page |
| Medicaid.gov – Home & Community Based Services | www.medicaid.gov/medicaid/home-community-based-services | Overview of integrated, non-institutional setting requirements |
| CMS – Home and Community Based Services Fact Sheet | www.cms.gov/newsroom/fact-sheets/home-and-community-based-services | Federal fact sheet on HCBS settings standards |
| Michigan HCBS Program Transition (MDHHS) | www.michigan.gov/mdhhs/assistance-programs/healthcare/hifa/home-and-community-based-services-program-transition | Michigan’s Statewide Transition Plan for HCBS compliance |
Employment, Vocational Training & Day Services
| Name | URL | Description / Notes |
|---|---|---|
| Michigan Rehabilitation Services (MRS) | www.michigan.gov/leo/bureaus-agencies/mrs | State vocational rehabilitation and Pre-ETS services for Michiganders |
| Rehabilitation Services Administration – Pre-ETS | rsa.ed.gov/sub-regulatory-guidance/pre-employment-transition-services | Federal guidance on Pre-Employment Transition Services |
| APSE (Association of People Supporting Employment First) | apse.org/ | National voice for the Employment First movement and inclusive work |
| Think College | thinkcollege.net/ | Directory of inclusive college programs for people with intellectual disability |
| A.J. Drexel Autism Institute | drexel.edu/autisminstitute/ | Research on employment and vocational outcomes for autistic adults |
| Apprenticeship.gov | www.apprenticeship.gov/ | Federal registered apprenticeship finder and program information |
| APSE – Employment First State Policy Map | apse.org/home-v2-2/employment-first/ | Tracks the 31 states with Employment First legislation, 16 with executive orders, 32 with agency policy |
| RSA – State Vocational Rehabilitation Agency Directory | rsa.ed.gov/about/states | Contact information for all 78 state VR agencies, for opening a case directly |
| U.S. DOL – Section 14(c) Certificate Holders | www.dol.gov/agencies/whd/workers-with-disabilities/section-14c/certificate-holders | Current list of subminimum wage certificate holders and worker counts by employer |
| GAO-25-106471 – Subminimum Wage Program Outcomes | www.gao.gov/products/gao-25-106471 | Federal audit of what happened to former 14(c) workers in Colorado and Oregon after transition |
| Name | URL | Description / Notes |
|---|---|---|
| Project SEARCH | www.projectsearch.us/ | Workplace immersion internships leading to competitive integrated employment |
| Griffin-Hammis Associates | griffinhammis.com/ | Pioneers in customized employment, job carving, and self-employment |
| Office of Disability Employment Policy (ODEP) | www.dol.gov/agencies/odep | Federal policy leadership on customized employment for people with disabilities |
| Ticket to Work | choosework.ssa.gov/ | Free SSDI/SSI employment support without immediate loss of benefits |
| LEAD Center | leadcenter.org/ | DOL-funded hub on employment and economic advancement strategies |
| National Disability Institute – Discovery & Customized Employment | www.nationaldisabilityinstitute.org/employment/discovery-and-customized-employment/ | Guided Group Discovery manuals, workbooks, and customized employment briefs |
| VCU Rehabilitation Research and Training Center | vcurrtc.org/ | Customized and supported employment research library and provider training (formerly worksupport.com) |
| StateData – Institute for Community Inclusion | www.thinkwork.org/statedata | National and state employment data for people with IDD; 16% in integrated jobs in 2024 |
| Name | URL | Description / Notes |
|---|---|---|
| ANCOR – State of America’s Direct Support Workforce Crisis | www.ancor.org/resources/the-state-of-americas-direct-support-workforce-crisis-2025/ | Annual data on day and residential service disruptions nationwide |
| National Core Indicators – IDD | idd.nationalcoreindicators.org/ | National dataset tracking day service outcomes and satisfaction |
| Best Buddies International | www.bestbuddies.org/ | Friendship, leadership, and jobs programs building structure and community |
| The Arc | thearc.org/ | Local chapters offering community-based day and inclusion alternatives |
| Administration for Community Living | acl.gov/ | Federal agency overseeing home and community-based day services |
| WMU Center for Disability Services | wmich.edu/disabilitycenter | Kalamazoo skill building, Community Connections, and adult day services, (269) 387-7200 |
| Gesher Human Services | www.geshermi.org/community-integration/ | Metro Detroit adult day and community integration programs, (248) 559-5000 |
| Judson Center | judsoncenter.org/disability/ | Oakland and Wayne county disability employment and skill building, 248-549-4339 |
| Dutton Farm | duttonfarm.org/ | Rochester and Clinton Township adult day, vocational, and arts programming, 248-608-4173 |
| MDHHS – Proposed Policy 2533-BH, Prevocational Services | www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/Public-Comment/2025/2533-BH-P.pdf | Policy removing Prevocational Services from the HSW with a six-month transition to Skill Building |
Crisis Response, Safety & Criminal Justice
| Name | URL | Description / Notes |
|---|---|---|
| 988 Suicide & Crisis Lifeline | 988lifeline.org/ | 24/7 call, text, and chat crisis support nationwide |
| Crisis Now | crisisnow.com/ | National framework for “someone to call, respond, and a place to go” |
| Michigan Crisis and Access Line (MiCAL) | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/crisis-and-access-line | Michigan’s statewide 988 crisis and access line |
| SAMHSA 988 Program | www.samhsa.gov/mental-health/988 | Federal overview and resources for the 988 crisis system |
| National Council for Mental Wellbeing – Crisis Response | www.thenationalcouncil.org/program/crisis-response/ | Crisis response resource hub and policy advocacy |
| Name | URL | Description / Notes |
|---|---|---|
| Project Lifesaver International | projectlifesaver.org/ | Tracking technology and rapid-response search program for wandering |
| National Autism Association – Big Red Safety Box | nationalautismassociation.org/big-red-safety-box/ | Free wandering-prevention toolkit for autism families |
| Take Me Home Registry | www.sdsheriff.gov/community/take-me-home-registry | Voluntary local law-enforcement registry model for at-risk individuals |
| IACP Home Safe Project | www.theiacp.org/projects/home-safe | Police training to prevent and respond to wandering incidents |
| Autism Speaks – Safety Products and Services | www.autismspeaks.org/safety-products-and-services | Printable communication card for encounters with first responders |
| Name | URL | Description / Notes |
|---|---|---|
| The Arc’s National Center on Criminal Justice and Disability | thearc.org/our-initiatives/criminal-justice/ | Training and support for people with IDD in the justice system |
| Pathways to Justice | thearc.org/our-initiatives/criminal-justice/pathway-justice/ | Community teams improving justice access for people with disabilities |
| Autistic Self Advocacy Network – Criminal Legal System | autisticadvocacy.org/criminal-legal-system/ | Advocacy on policing, incarceration, and legal rights for autistic people |
| Autism Society – Autism Justice Center | autismsociety.org/autism-justice-center/ | Resources on autism and interactions with courts and law enforcement |
Caregiver Support, Respite & Self-Care
| Name | URL | Description / Notes |
|---|---|---|
| ARCH National Respite Network | archrespite.org/ | Locate, fund, and train respite providers nationwide |
| Family Caregiver Alliance | www.caregiver.org/ | Burnout self-assessment tools and caregiver support services |
| National Respite Locator Service | archrespite.org/ | Searchable database of respite providers by state and need |
| Caregiver Action Network | www.caregiveraction.org/caregiver-help/ | Practical tools for recognizing and addressing caregiver burnout |
| Name | URL | Description / Notes |
|---|---|---|
| AARP Caregiving Resource Center | www.aarp.org/caregiving/ | Guidance on caregiving, planning, and work-life balance for families |
| Eldercare Locator | eldercare.acl.gov/ | ACL-run referral service connecting caregivers to local emergency planning help |
| The Arc’s Center for Future Planning | futureplanning.thearc.org/ | Tools for backup guardianship, housing, and long-term care planning |
| National Institute on Aging – Choosing a Health Care Proxy | www.nia.nih.gov/health/advance-care-planning/choosing-health-care-proxy | Guidance on naming a backup medical decision-maker |
| Name | URL | Description / Notes |
|---|---|---|
| NADSP | nadsp.org/ | Standards, training, and advocacy for direct support professionals |
| National Alliance for Caregiving | www.caregiving.org/ | Research on family caregiving prevalence, burden, and economics |
| AARP – Valuing the Invaluable | www.aarp.org/caregiving/financial-legal/valuing-the-invaluable-report-2026/ | March 2026 edition: $1.01 trillion in annual value from 59 million family caregivers |
| AARP – Caregiving in the US 2025 Data Hub | www.aarp.org/pri/topics/ltss/family-caregiving/caregiving-in-the-us-2025/ | National survey data on caregiver demographics and financial strain |
| AARP Public Policy Institute – Valuing the Invaluable 2026 | www.aarp.org/pri/topics/ltss/family-caregiving/valuing-the-invaluable-2026-update/ | Full research page: 59 million caregivers, 49.5 billion hours, $1.01 trillion in value |
Technology, Communication & Community Access
| Name | URL | Description / Notes |
|---|---|---|
| CommunicationFIRST | communicationfirst.org/ | Advocacy nonprofit protecting rights of people who cannot rely on speech alone |
| AssistiveWare | www.assistiveware.com/ | AAC apps and communication strategy guidance for nonspeaking individuals |
| USSAAC | www.ussaac.org/ | National AAC advocacy society connecting users, families, and clinicians |
| ASHA – Funding for Communication Services | www.asha.org/njc/funding-for-services/ | Guidance on insurance funding, medical necessity letters, and appeals for AAC |
| RESNA | www.resna.org/ | Assistive technology professional society offering funding and device access support |
| Name | URL | Description / Notes |
|---|---|---|
| AT3 Center | www.at3center.net/ | National technical assistance hub for state assistive technology loan programs |
| ATIA (Assistive Technology Industry Association) | www.atia.org/ | Industry association with funding guides for assistive and smart home tech |
| ACL Assistive Technology Program | acl.gov/programs/assistive-technology/assistive-technology | Federal program funding state AT Act devices, demonstrations, and reuse |
| ACL Housing and Services Resource Center | acl.gov/HousingAndServices | Federal hub on housing, safety technology, and home-based supports |
| Name | URL | Description / Notes |
|---|---|---|
| ADA National Network – Service Animals | adata.org/factsheet/service-animals/ | Official ADA guidance distinguishing service animals from pets and ESAs |
| ADA.gov Service Animals FAQ | www.ada.gov/resources/service-animals-faqs/ | Department of Justice official rules on service animal rights and access |
| Assistance Dogs International | assistancedogsinternational.org/ | Accreditation standards and directory of legitimate service dog training programs |
| Pet Partners | petpartners.org/therapy-animals-emotional-support-animals-and-service-animals-difference/ | Explains differences between therapy, emotional support, and service animals |
| Name | URL | Description / Notes |
|---|---|---|
| National Aging and Disability Transportation Center | www.nadtc.org/ | Federal technical assistance center on accessible transportation options |
| Easterseals Project ACTION | www.projectaction.com/ | Training and consultation on ADA-accessible community transportation access |
| TSA Cares | www.tsa.gov/travel/tsa-cares | Official program for pre-screening assistance for travelers with disabilities |
| National RTAP | www.nationalrtap.org/ | Federal program explaining ADA paratransit rules for rural and Tribal transit |
| FTA ADA Guidance | www.transit.dot.gov/regulations-and-guidance/civil-rights-ada/ada-guidance | Federal Transit Administration rules on paratransit and accessible transit rights |
| Name | URL | Description / Notes |
|---|---|---|
| Best Buddies International | www.bestbuddies.org/ | One-to-one friendship programs for people with intellectual/developmental disabilities |
| TASH | tash.org/ | Advocacy for full community inclusion of people with significant disabilities |
| Autism Society – Social Connections | autismsociety.org/resources/social-connections/ | National resources on building social connection for autistic adults |
| Special Olympics | www.specialolympics.org/ | Year-round sports, competition, and community for adults with intellectual disabilities |
| Self Advocates Becoming Empowered | www.sabeusa.org/ | National self-advocacy network led by people with developmental disabilities |
Daily Living, Sensory & Medical-Behavioral Support
| Name | URL | Description / Notes |
|---|---|---|
| STAR Institute for Sensory Processing | sensoryhealth.org/ | Research, education, and practical home strategies for sensory processing needs |
| Autism Speaks – Sensory Issues | www.autismspeaks.org/sensory-issues | Overview of sensory sensitivities and coping strategies for autistic adults |
| CHADD – Executive Function Skills | chadd.org/about-adhd/executive-function-skills/ | Strategies for planning, organizing, and daily task management challenges |
| Understood.org | www.understood.org/ | Practical executive function tools and articles for individuals and families |
| American Occupational Therapy Association | www.aota.org/ | Professional body for occupational therapists addressing sensory and home adaptations |
| Name | URL | Description / Notes |
|---|---|---|
| Epilepsy Foundation | www.epilepsy.com/ | Seizure first aid, action plans, and epilepsy-autism overlap education |
| American College of Gastroenterology – Patients | gi.org/patients/ | Patient education on GI conditions including constipation and reflux |
| AGA GI Patient Center | patient.gastro.org/ | Gastroenterologist-authored patient resources and specialist locator tool |
| Autism Speaks – GI Disorders | www.autismspeaks.org/gastrointestinal-gi-disorders | Explains GI distress, behavior links, and tools for nonverbal patients |
| Name | URL | Description / Notes |
|---|---|---|
| Behavior Analyst Certification Board | www.bacb.com/ | Official registry to verify and locate certified behavior analysts |
| Association for Positive Behavior Support | www.apbs.org/ | Evidence-based strategies for reducing self-injury and aggression safely |
| Association for Behavior Analysis International | www.abainternational.org/ | Professional body advancing behavior analysis research and practice standards |
| Autism Speaks – Challenging Behaviors Tool Kit | www.autismspeaks.org/tool-kit/challenging-behaviors-tool-kit | Practical guide for managing challenging behaviors and building daily structure |
| Name | URL | Description / Notes |
|---|---|---|
| National Association for Continence | nafc.org/ | Education and products for managing incontinence with dignity |
| American Occupational Therapy Association | www.aota.org/ | Professional body for finding OT evaluation for sensory-defensive grooming needs |
| Name | URL | Description / Notes |
|---|---|---|
| AACAP Autism Resource Center | www.aacap.org/aacap/Families_and_Youth/Resource_Centers/Autism_Resource_Center/Home.aspx | Family-friendly guidance on psychiatric medications and autism-competent care |
| American Psychiatric Association – Autism | www.psychiatry.org/patients-families/autism/what-is-autism-spectrum-disorder | Patient resource on autism, co-occurring conditions, and treatment options |
| AADMD | www.aadmd.org/ | Interdisciplinary clinicians improving healthcare access for adults with IDD |
| NAMI – Medication FAQ | www.nami.org/faq/medication-faq/ | National mental health nonprofit answering common psychiatric medication questions |
Self-Direction & Paid Family Caregiving
| Name | URL | Description / Notes |
|---|---|---|
| Applied Self-Direction (NRCPDS) | appliedselfdirection.com/ | National hub for training on becoming employer of your own care staff |
| NADSP | nadsp.org/ | Standards, credentialing, and training resources for direct support professionals |
| Autistic Self Advocacy Network | autisticadvocacy.org/ | Self-advocate-led policy toolkits on self-directed services and staffing |
| Administration for Community Living | acl.gov/ | Federal agency overseeing self-direction and home/community-based Medicaid services |
| Name | URL | Description / Notes |
|---|---|---|
| MDHHS Home Help Program | www.michigan.gov/mdhhs/doing-business/providers/providers/other/homehelp | Official Michigan Medicaid program paying relatives to provide in-home care |
| MDHHS Individual Caregivers | www.michigan.gov/mdhhs/doing-business/providers/providers/other/homehelp/individual-providers/individual-caregivers | Requirements and enrollment steps for becoming a paid family caregiver |
| MI Bridges | newmibridges.michigan.gov/ | Official state portal to apply for Medicaid and Home Help benefits |
| MDHHS Medicaid Application Overview | www.michigan.gov/mdhhs/assistance-programs/medicaid/portalhome/beneficiaries/apply | State guidance on applying for Medicaid healthcare assistance programs |
| MDHHS – Home Help Program (Adults & Seniors) | www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent | Consumer-facing Home Help page for adults seeking in-home personal care support |
| MDHHS – Home Help Client Handbook (Pub-1733) | www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Adult-and-Childrens-Services/Adults-and-Seniors/Forms-and-Publications/MDHHS-Pub-1733.pdf | Explains the 45-day written determination, DHS-54A, six-month reassessment, and who can be paid |
| MDHHS – Adult Services Manual 138, County Rates | mdhhs-pres-prod.michigan.gov/olmweb/ex/AS/Public/ASM/138.pdf | Official Home Help individual provider rate; $17.13 per hour statewide effective January 1, 2026 |
| MDHHS – Adult Services Manual 120, Comprehensive Assessment | mdhhs-pres-prod.michigan.gov/olmweb/ex/AS/Public/ASM/120.pdf | How hours are scored: the 1 to 5 independence scale and the level 3 payment threshold |
| MDHHS – Adults & Seniors Forms and Publications | www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/forms-pubs | Where to download the DHS-0054-a medical needs form and Home Help publications |
National Medicaid, HCBS Policy & Federal Advocacy
| Name | URL | Description / Notes |
|---|---|---|
| Medicaid.gov – Home & Community-Based Services | www.medicaid.gov/medicaid/home-community-based-services/index.html | Official primer on HCBS waivers, authorities, and eligibility pathways |
| KFF – Waiting Lists for Medicaid HCBS, 2016-2025 | www.kff.org/medicaid/a-look-at-waiting-lists-for-medicaid-home-and-community-based-services-from-2016-to-2025/ | Annual survey tracking over 600,000 people on HCBS waiver waiting lists |
| KFF – Key Questions About HCBS Waiver Waiting Lists | www.kff.org/medicaid/key-questions-about-medicaid-home-and-community-based-services-waiver-waiting-lists/ | Explainer on why waiting lists exist and how states manage them |
| CMS – Ensuring Access to Medicaid Services Final Rule | www.cms.gov/newsroom/fact-sheets/ensuring-access-medicaid-services-final-rule-cms-2442-f | 2024 rule requiring states to publicly report HCBS waiting-list data by July 2027 |
| Medicaid.gov – Person-Centered Service Planning in HCBS | www.medicaid.gov/medicaid/home-community-based-services/downloads/person-centrd-servc-plan-hcbs-req-best-pract-updated.pdf | Federal requirements and best practices for person-centered planning |
| Medicaid.gov – HCBS Provisions Overview | www.medicaid.gov/medicaid/access-care/home-and-community-based-services-provisions | Explains 1915(c)/(i)/(k) waiver authorities and level-of-care requirements |
| Name | URL | Description / Notes |
|---|---|---|
| ADA.gov – Olmstead: Community Integration for Everyone | archive.ada.gov/olmstead/index.html | DOJ’s official archive on the 1999 Olmstead decision and integration mandate |
| ADA.gov – Olmstead Mandate Statement | www.ada.gov/resources/olmstead-mandate-statement/ | DOJ statement on enforcing Title II’s integration mandate post-Olmstead |
| The White House – Ending Crime and Disorder on America’s Streets | www.whitehouse.gov/presidential-actions/2025/07/ending-crime-and-disorder-on-americas-streets/ | July 2025 executive order promoting civil commitment and institutional treatment |
| ABA Commission on Disability Rights – Statement on the Executive Order | www.americanbar.org/groups/diversity/disabilityrights/news/trumps-executive-order/ | ABA analysis calling the order a rollback of disability rights protections |
| National Council on Severe Autism – ADA at 35 | www.ncsautism.org/blog/ada | NCSA report on ADA gaps and civil rights violations for people with severe autism |
| Medicaid.gov – HCBS Settings Final Rule | www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/home-community-based-services-final-regulation | 2014 CMS rule defining qualifying HCBS settings and integration standards |
| ACL – Section 504 Final Rule | acl.gov/504rule | May 1, 2024 HHS rule on disability nondiscrimination, most integrated setting, and value assessments |
| Name | URL | Description / Notes |
|---|---|---|
| KFF – How Will OBBBA Affect the ACA, Medicaid, and the Uninsured Rate? | www.kff.org/medicaid/how-will-the-2025-budget-reconciliation-affect-the-aca-medicaid-and-the-uninsured-rate/ | KFF analysis of OBBBA’s Medicaid coverage and spending impacts |
| KFF – Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | www.kff.org/medicaid/tracking-the-medicaid-provisions-in-the-2025-budget-bill/ | Ongoing tracker of OBBBA Medicaid provisions and implementation timeline |
| Congress.gov – S.2076 HCBS Relief Act of 2025 | www.congress.gov/bill/119th-congress/senate-bill/2076/text | Bill text: 10-point FMAP increase for HCBS in FY 2026-2027, capped at 95 percent |
| ANCOR – Tell Congress: Support the HCBS Access Act | ancor.org/actions/tell-congress-support-the-hcbs-access-act/ | Bill summary and action page for the Act eliminating HCBS waiting lists |
| Medicaid.gov – ARPA Section 9817 HCBS Overview | www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-guidance-additional-resources/strengthening-and-investing-home-and-community-based-services-for-medicaid-beneficiaries-american-rescue-plan-act-of-2021-section-9817 | Details the temporary 10-point FMAP boost for HCBS and its 2025 spending deadline |
| KFF – Medicaid Spending on Mandatory vs. Optional Populations | www.kff.org/medicaid/medicaid-an-overview-of-spending-on-mandatory/ | Source of the finding that 86% of optional Medicaid spending covers elderly/disabled enrollees |
| KFF – Medicaid Work Requirements Tracker | www.kff.org/medicaid/medicaid-work-requirements-tracker-overview/ | Tracks state implementation of OBBBA work requirements starting January 2027 |
| Congress.gov – H.R.4029 HCBS Relief Act of 2025 | www.congress.gov/bill/119th-congress/house-bill/4029 | House companion to S.2076, led by Rep. Debbie Dingell (MI-06) |
| Rep. Debbie Dingell – HCBS Access Act Reintroduction | debbiedingell.house.gov/news/documentsingle.aspx?DocumentID=6822 | April 2026 introduction of the HCBS Access Act and Long-Term Care Workforce Support Act |
| KFF – CBO Medicaid Reductions by State, Enacted Package | www.kff.org/medicaid/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package/ | State-level allocation of the $911 billion federal Medicaid reduction over ten years |
| CMS – Medicaid Community Engagement Requirement (CMS-2454-IFC) | www.cms.gov/newsroom/fact-sheets/medicaid-community-engagement-requirement-certain-individuals-interim-final-rule-comment-period-cms | The work requirement rule issued June 1, 2026; 80 hours a month, ages 19-64, compliance January 1, 2027 |
| MACPAC – Implementation of ARPA Section 9817 | www.macpac.gov/wp-content/uploads/2026/01/Issue-Brief-Implementation-of-ARPA-Section-9817-Additional-Support-for-Medicaid-HCBS-during-COVID-2-1.pdf | January 2026 brief: $37.1 billion planned, $26.3 billion to workforce, no evaluation requirement in the law |
| ADvancing States – ARPA HCBS Initiative | www.advancingstates.org/state-technical-assistance/arpa-hcbs-initiative | State ARPA spending plan analyses and lessons learned from the HCBS investment |
| ANCOR – The HCBS Relief Act | www.ancor.org/resources/the-hcbs-relief-act/ | S. 2076 and H.R. 4029: a 10 point federal match increase for HCBS during 2026 and 2027 |
| NDSS – HEADs UP Act (H.R. 3409) | ndss.org/news/ndss-supports-reintroduction-heads-act-hr-3409 | Would designate people with IDD a Medically Underserved Population; reintroduced May 14, 2025 |
Direct Support Workforce Crisis Data
| Name | URL | Description / Notes |
|---|---|---|
| PHI National – Direct Care Workers in the U.S., Key Facts 2025 | www.phinational.org/resource/direct-care-workers-in-the-united-states-key-facts-2025/ | Projects 9.7 million direct care job openings 2024-2034 and median wage data |
| PHI National – Workforce Data Center | www.phinational.org/policy-research/workforce-data-center/ | Interactive national and state-level direct care workforce statistics |
| ANCOR – State of America’s Direct Support Workforce Crisis 2025 | www.ancor.org/resources/the-state-of-americas-direct-support-workforce-crisis-2025/ | Annual survey: 88% of providers report staffing shortages, 52% considering cuts |
| National Core Indicators – State of the Workforce Survey | idd.nationalcoreindicators.org/ | Multi-state collaborative data on DSP wages, turnover, and vacancy rates |
| Congress.gov – Recognizing the Role of Direct Support Professionals Act | www.congress.gov/bill/118th-congress/senate-bill/1332 | Bipartisan bill directing OMB to create a distinct BLS classification for DSPs |
| InterHab – Strategic Roadmap: Eliminating the IDD Waiting List | kslegislature.gov/li_2022/b2021_22/committees/ctte_spc_2021_hcbs_idd_waiver_1/documents/testimony/20211021_05.pdf | Kansas data: provider rates up 35.20% over 21 years against 63.86% CPI inflation |
| Bureau of Labor Statistics – Consumer Price Index | www.bls.gov/cpi/ | CPI series and inflation calculator for measuring reimbursement rate erosion |
| Rockefeller Institute – Economic Impact of NY Disability Providers | rockinst.org/issue-area/the-economic-and-social-impact-of-disability-services-providers-in-new-york-and-nysid-new-developments/ | $9.0 billion in provider revenue generating $15.6 billion in output and 194,186 jobs |
| Name | URL | Description / Notes |
|---|---|---|
| Illinois DHS – January 1, 2025 Wage/Rate Increase | www.dhs.state.il.us/page.aspx?item=170749 | State’s official schedule of DSP wage increases under the HCBS waiver |
| Illinois DHS – 2026 DSP Wage Increase Q&A | www.dhs.state.il.us/page.aspx?item=176846 | State guidance on Illinois’s move to 150% of minimum wage for DSPs |
| IARF – Legislative Priorities | www.iarf.org/2024-legislative-priorities.html | Illinois provider association’s advocacy record on permanent DSP wage legislation |
| PHI National – Direct Care Workforce State Index Tool | www.phinational.org/state-index-tool/ | Interactive tool ranking and comparing DSP wages and policies across states |
| ANCOR – Wages & Reimbursement Rates | www.ancor.org/priorities/dsp-workforce/wages-reimbursement-rates/ | National overview of state Medicaid rate-setting approaches for DSP wages |
Advocacy Skills, Documentation & Legislative Engagement
| Name | URL | Description / Notes |
|---|---|---|
| Wrightslaw | www.wrightslaw.com/ | Special education law and advocacy resource for building a documentation record |
| Indiana Resource Center for Autism (IRCA) | www.iidc.indiana.edu/irca/index.html | IU autism center’s advocacy and lifetime record-keeping resources |
| Special Needs Alliance | www.specialneedsalliance.org/ | National attorney network on documentation for disability benefits planning |
| National Health Law Program – Defining Medical Necessity | healthlaw.org/resource/q-a-defining-medical-necessity/ | Explains how “medical necessity” documentation drives Medicaid coverage decisions |
| National Disability Rights Network | www.ndrn.org/ | Federally mandated protection & advocacy network for documenting service loss and abuse |
| MuckRock | www.muckrock.com/ | Platform for filing, tracking, and sharing public records (FOIA) requests |
| National Freedom of Information Coalition | www.nfoic.org/ | State-by-state guide to public records laws and FOI request assistance |
| Name | URL | Description / Notes |
|---|---|---|
| National Health Law Program | healthlaw.org/ | Legal advocacy organization on Medicaid rights, denials, and appeals |
| Bazelon Center for Mental Health Law | www.bazelon.org/ | Legal advocacy on institutionalization, Medicaid access, and disability rights |
| eCFR – 42 CFR 431.230, Maintaining Services | www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-E/section-431.230 | Federal regulation guaranteeing continued benefits (“aid pending”) during an appeal |
| Medicaid.gov – Person-Centered Service Planning in HCBS | www.medicaid.gov/medicaid/home-community-based-services/downloads/person-centrd-servc-plan-hcbs-req-best-pract-updated.pdf | Federal standards for person-centered planning and budget methodologies |
| MDHHS – Office of Recipient Rights | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/recipientrights | How to file a rights complaint when services in the plan of service are not delivered |
| MDHHS – Recipient Rights Complaint Form | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/recipientrights/recipient-rights-complaint-form | Statewide complaint form accepted by every Michigan CMH Office of Recipient Rights |
| MDHHS – Appeal and Grievance Resolution Processes Technical Requirement | www.michigan.gov/-/media/Project/Websites/mdhhs/Folder3/Folder93/Folder2/Folder193/Folder1/Folder293/Appeal-and-Grievance-Resolution-Processes-Technical-Requirement.pdf | The controlling deadlines: 60 days to appeal, 10 days for benefit continuation, 120 days to a fair hearing |
| Name | URL | Description / Notes |
|---|---|---|
| The Arc – Storytelling Toolkit for Advocates | thearc.org/resource/storytelling-toolkit-for-advocates/ | Includes “My Testimony Blueprint” for crafting personal advocacy stories |
| ANCOR – Amplifier | www.ancor.org/amplifier/ | Online action tool for contacting Congress on I/DD and workforce legislation |
| ANCOR – Advocacy Toolkit | www.ancor.org/advocacy/toolkit/ | Resources for building sustained, escalating grassroots advocacy campaigns |
| BillTrack50 | www.billtrack50.com/ | Free tracker for monitoring state and federal disability-related legislation |
| Maryland Matters – DD Community Funding Restored | marylandmatters.org/2025/03/24/developmental-disability-community-tentatively-exuberant-at-restored-funding/ | Coverage of the 2025 campaign that restored $300 million in proposed DDA cuts |
| The Arc Maryland | thearcmd.org/ | Lead state advocacy organization behind Maryland’s 2025 budget restoration campaign |
| Family Voices | familyvoices.org/ | National grassroots family advocacy network with state affiliate organizations |
| Disability Belongs (formerly RespectAbility) | www.disabilitybelongs.org/ | Trains families and self-advocates in media-safe disability storytelling and civic engagement |
| Name | URL | Description / Notes |
|---|---|---|
| Autistic Self Advocacy Network – Power Tools | autisticadvocacy.org/actioncenter/tools/ | Guides on testifying before legislatures, lobbying basics, and elevator speeches |
| Regulations.gov | www.regulations.gov/ | Federal portal for submitting public comment on proposed Medicaid/HCBS rules |
| Disability Rights Ohio – How to Give Effective Testimony | www.disabilityrightsohio.org/blog/how-to-give-effective-testimony-in-ohios-legislature-part-1 | Widely-cited P&A agency guide to structuring legislative testimony |
| National Disability Rights Network | www.ndrn.org/ | Network of protection & advocacy agencies offering testimony and legislative resources |
| Name | URL | Description / Notes |
|---|---|---|
| Community Mental Health Association of Michigan | cmham.org/ | Statewide association representing Michigan’s public CMH centers and PIHPs |
| CMHSP Directory (CMHAM) | cmham.org/membership/cmhsp-directory/ | Directory of Michigan’s county-based Community Mental Health Services Programs |
| Michigan AG – Open Meetings Act Resources | www.michigan.gov/ag/resources/open-meetings | State guidance on public participation rights, applicable to CMH boards |
| MDHHS Mental Health Services Overview | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth | State hub explaining Michigan’s CMH system structure |
| Name | URL | Description / Notes |
|---|---|---|
| Habilitation Supports Waiver (HSW) | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/medwaivers/habilitation-supports-waiver | Official MDHHS page on Michigan’s I/DD home-based services waiver |
| MI Choice Waiver Program | www.michigan.gov/mdhhs/assistance-programs/healthcare/seniors/michoicewaiver/mi-choice-waiver-program | MDHHS page on the nursing-facility-level-of-care HCBS waiver |
| Children’s Waiver Program | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/medwaivers/childrens-waiver-program | MDHHS page on the Medicaid HCBS waiver for children with I/DD |
| Michigan Medicaid Waivers Overview | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/medwaivers | MDHHS hub listing all Michigan behavioral health Medicaid waivers |
| Michigan Waiver Factsheet (Medicaid.gov) | www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/Waiver-Descript-Factsheet/MI | CMS factsheet summarizing Michigan’s approved Medicaid waivers |
| Name | URL | Description / Notes |
|---|---|---|
| Autism Alliance of Michigan | autismallianceofmichigan.org/ | Statewide nonprofit providing autism case management and family navigation |
| MiNavigator | autismallianceofmichigan.org/contact-minavigator/ | Free MDHHS-funded statewide autism resource navigation service |
| Bridge Michigan – Autism Group Rallies After Funding Cut | bridgemi.com/talent-education/michigan-autism-group-rallies-to-save-key-program-after-state-slashes-2m/ | Coverage of 2025 state funding cuts reducing MiNavigator capacity |
| Michigan Developmental Disabilities Council | www.mimddc.org/ | Advocacy body tracking Michigan disability policy and service changes |
| The Arc of Michigan | arcmi.org/ | Statewide advocacy organization with local chapter finder and family resource center; 800-292-7851 |
| Name | URL | Description / Notes |
|---|---|---|
| MDHHS – Children’s Medicaid Behavioral Health Settlement | www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/childrenandfamilies/childrens-medicaid-behavioral-health-settlement | Official MDHHS page on the K.B. v. Michigan children’s HCBS settlement |
| National Health Law Program – K.B. v. Michigan Settlement | healthlaw.org/news/settlement-reached-in-class-action-lawsuit-to-improve-childrens-mental-health-services-in-michigan/ | Summary of the August 2025 approved children’s behavioral health settlement |
| Disability Rights Michigan | www.drmich.org/ | Michigan’s federally designated protection & advocacy agency for disability legal rights |
| Michigan Health & Hospital Association – MDHHS Withdraws PIHP Procurement | www.mha.org/newsroom/mdhhs-withdraws-pihp-procurement/ | Reporting on the January 2026 court ruling halting PIHP consolidation |
| NCLEJ – Waskul Settlement Court Approval | nclej.org/news/court-approves-settlement-giving-over-100m-in-additional-medicaid-funding-for-michiganders-with-developmental-disabilities | CLS rate raised from $20.44 to $31 per hour; $110M+ over five years; costing out by 2029 |
| National Health Law Program – K.B. v. Michigan D.H.H.S. | healthlaw.org/resource/k-b-v-michigan-d-h-h-s-eastern-district-of-michigan/ | Case documents for the children’s intensive HCBS settlement approved August 28, 2025 |
Michigan Budget, Legislation & Advocacy
| Name | URL | Description / Notes |
|---|---|---|
| Direct Care Worker Wage Coalition | www.dcwmichigan.org/ | Coalition tracking Michigan direct care rate and wage advocacy campaigns |
| The Arc of Oakland County – Direct Care Worker Advocacy | www.thearcoakland.org/advocacy-initiatives/direct-care-worker/ | Local advocacy hub on the 2025 direct care agency rate cut fight |
| Incompass Michigan | incompassmi.org/ | Statewide network of disability service providers advocating on Medicaid rate policy |
| Disability Rights Michigan (formerly MPAS) | www.drmich.org/ | Legal advocacy organization covering CLS budgets and Medicaid rights; rebranded from Michigan Protection & Advocacy Service in 2020 |
| Disability Rights Michigan – Waskul Settlement | www.drmich.org/stories/waskul_1/ | Coverage of the Waskul v. Washtenaw CMH settlement on CLS budget costing |
| Michigan House Fiscal Agency | www.house.mi.gov/hfa | Plain-language budget summaries, executive budget reviews, and appropriations analyses |
| Michigan Senate Fiscal Agency | sfa.senate.michigan.gov/ | Bill analyses, budget reviews, and departmental appropriations detail |
| Citizens Research Council of Michigan | crcmich.org/ | Nonpartisan analysis of Michigan budget, Medicaid, and federal cut impacts |
| Name | URL | Description / Notes |
|---|---|---|
| Michigan Alliance for Families | www.michiganallianceforfamilies.org/ | Step-by-step guidance on CMH, MRS, waivers, SSI and guardianship transitions |
| Michigan Alliance for Families – Transition Workshop | www.michiganallianceforfamilies.org/workshop-transition/ | Handouts on Michigan’s step-by-step adult transition process |
| Michigan Alliance for Families – Guardianship | www.michiganallianceforfamilies.org/guardianship/ | Guide to guardianship and alternatives for transition-age adults |
| Michigan Legislature Bill Search | www.legislature.mi.gov/Bills | Official tool for tracking Michigan bills, including disability and mental health categories |
| Michigan Legislature – Public Acts | www.legislature.mi.gov/Laws/PublicActs | Track newly signed Michigan laws affecting disability services |
| Michigan Disability Rights Coalition | www.mymdrc.org/ | East Lansing-based statewide grassroots cross-disability advocacy coalition; 800-578-1269 |
| BillTrack50 | www.billtrack50.com/ | Free tracker for monitoring state and federal disability-related legislation |
| Name | URL | Description / Notes |
|---|---|---|
| Michigan Developmental Disabilities Council | www.mimddc.org/ | Advocacy body tracking Michigan disability policy and service changes |
| Direct Care Worker Wage Coalition – FY26 Budget Obstacles | www.dcwmichigan.org/fy-26-budget-obstacles | Ongoing tracking of Michigan budget threats to direct care services |
| Disability Rights Michigan – Michigan’s Medicaid System | www.drmich.org/michigans-medicaid-system/ | Overview resource tracking Medicaid service structure and changes |
| Community Mental Health Association of Michigan | cmham.org/ | Statewide association tracking CMH/PIHP policy and service changes |
Transition to Adulthood
| Name | URL | Description / Notes |
|---|---|---|
| Drexel University – The Services Cliff | drexel.edu/autismoutcomes/publications-and-reports/publications/The-Services-Cliff-Among-Young-Adults-on-the-Autism-Spectrum/ | Research on roughly 50,000 autistic youth aging out of services annually |
| IDEA Topic Areas (U.S. Dept of Education) | sites.ed.gov/idea/topic-areas/ | Federal IDEA hub covering transition service requirements and guidance |
| IDEA Sec. 300.43: Transition Services | sites.ed.gov/idea/regs/b/a/300.43 | Federal regulatory definition of required IEP transition services |
| NTACT:C | transitionta.org/ | National technical assistance center on secondary transition for students with disabilities |
| AHEAD (Association on Higher Education And Disability) | www.ahead.org/ | Professional association for college disability services offices; state affiliate directory |
| LifeCourse Nexus | www.lifecoursetools.com/ | Charting the LifeCourse framework and tools for lifelong person-centered planning |
| Name | URL | Description / Notes |
|---|---|---|
| Michigan Dept of Education – Special Education | www.michigan.gov/mde/services/special-education | State special education services hub covering transition supports |
| MDE – Evaluations and Eligibility | www.michigan.gov/mde/services/special-education/evaluations-eligibility | State eligibility rules including cognitive impairment determinations (Age 26 rule) |
| Michigan Alliance for Families | www.michiganallianceforfamilies.org/ | Michigan’s transition guide covering CMH, MRS, waivers, SSI and guardianship |
| Michigan Alliance for Families – Transition Workshop | www.michiganallianceforfamilies.org/workshop-transition/ | Workshop materials on Michigan’s age-based transition planning steps |
Life Stages & Specialized Topics
| Name | URL | Description / Notes |
|---|---|---|
| Elevatus Training | www.elevatustraining.com/ | National leader in sexuality and healthy relationships education for people with I/DD |
| ACOG – Medical Management of Menstrual Suppression | www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2022/09/general-approaches-to-medical-management-of-menstrual-suppression | Clinical consensus on menstrual suppression for patients with disabilities |
| ACOG – The Initial Reproductive Health Visit | www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/10/the-initial-reproductive-health-visit | Committee guidance on reproductive healthcare visits, including for disabled patients |
| Autistic Women & Nonbinary Network | awnnetwork.org/ | Community support and health resources for autistic women and nonbinary people |
| Name | URL | Description / Notes |
|---|---|---|
| The Compassionate Friends | www.compassionatefriends.org/ | National bereavement support network for families after the death of a child, at any age; 877-969-0010 |
| Institute for Patient- and Family-Centered Care (IPFCC) | www.ipfcc.org/ | Advocacy tools and best practices for family presence during hospital stays and end-of-life care |
| Name | URL | Description / Notes |
|---|---|---|
| National Institute on Aging | www.nia.nih.gov/ | NIH institute researching aging, including autism-dementia risk overlap |
| NIA – Autism and Alzheimer’s Workshop | www.nia.nih.gov/news/workshop-can-autism-spectrum-disorders-tell-us-anything-about-alzheimers-disease | NIA research workshop examining links between autism and Alzheimer’s |
| AASPIRE | aaspire.org/ | Academic-community partnership researching healthcare and aging for autistic adults |
| Autistic Self Advocacy Network | autisticadvocacy.org/ | Self-advocacy organization addressing late-diagnosed and adult autism issues |
| CDC – Autism Data and Statistics | www.cdc.gov/autism/data-research/index.html | Federal prevalence data spanning children through adults |
| Name | URL | Description / Notes |
|---|---|---|
| Association for Science in Autism Treatment | asatonline.org/ | Nonprofit combating pseudoscientific autism treatments like chelation and HBOT |
| ASAT – Hyperbaric Oxygen Therapy Review | asatonline.org/for-parents/becoming-a-savvy-consumer/hyperbaric-oxygen-therapy/ | Evidence review of hyperbaric oxygen therapy claims for autism |
| Autism Science Foundation | autismsciencefoundation.org/ | Research nonprofit promoting evidence-based evaluation of autism treatments |
| Autism Science Foundation – Non-Evidence-Based Treatments | autismsciencefoundation.org/beware-of-non-evidence-based-treatments/ | Guide to identifying non-evidence-based autism interventions |
| Great Lakes Center for Autism Treatment and Research | www.residentialopportunities.org/what-we-do/autism-services-at-great-lakes-center | Michigan’s intensive autism residential and outpatient program, Portage and Galesburg; serves to age 21 only |
State Comparisons & Historical Context
| Name | URL | Description / Notes |
|---|---|---|
| KFF – Waiting Lists for Medicaid HCBS, 2016-2025 | www.kff.org/medicaid/a-look-at-waiting-lists-for-medicaid-home-and-community-based-services-from-2016-to-2025/ | State-by-state comparison of I/DD waiver waiting lists, including NJ, CT, LA |
| KFF – Key Questions on HCBS Waiting Lists | www.kff.org/medicaid/key-questions-about-medicaid-home-and-community-based-services-waiver-waiting-lists/ | Explainer on how states manage or avoid I/DD waiver waitlists |
| California DDS – The Lanterman Act Entitlement | www.dds.ca.gov/newsletter/the-lanterman-act-entitlement-a-promise-that-sets-california-apart/ | Official explanation of California’s no-waitlist legal entitlement model |
| Name | URL | Description / Notes |
|---|---|---|
| MECEP – Closing the Gap: Maine’s Direct Care Shortage | www.mecep.org/jobs-and-income/closing-the-gap-maines-direct-care-shortage-and-solutions-to-fix-it/ | Analysis of Maine’s roughly $1 billion annual economic loss from DSP shortage |
| ANCOR Medicaid Resource Center | www.ancor.org/medicaid/ | National provider association resources on HCBS cost-effectiveness data |
| National Council on Disability | www.ncd.gov/ | Federal agency publishing reports comparing institutional vs. community care costs |
| NCD – Olmstead: Reclaiming Institutionalized Lives | www.ncd.gov/report/olmstead-reclaiming-institutionalized-lives/ | NCD report on costs and outcomes of institutional vs. community-based care |
| RISP – LTSS Spending Changes, 1982 to 2019 | publications.ici.umn.edu/risp/data-bytes/changes-in-spending-for-long-term-services-and-supports-between-1982-and-2019 | Per person cost comparison: $140,210 ICF/IID against $48,458 HCBS waiver |
| GAO-23-105457 – Medicaid Expenditures for Adults with IDD | www.gao.gov/products/gao-23-105457 | Federal audit comparing HCBS and institutional spending, six states, 2019 data |
| Name | URL | Description / Notes |
|---|---|---|
| SAMHSA | www.samhsa.gov/ | Federal agency overseeing community mental health policy since the 1963 Act |
| Medicaid.gov – Program History | www.medicaid.gov/about-us/program-history | CMS official history of Medicaid, foundation for the 1981 HCBS waiver authority |
| Medicaid.gov – HCBS Authorities | www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities | CMS page on 1915(c) waiver authority created under 1981 federal law |
| IDEA (U.S. Dept of Education) | sites.ed.gov/idea/ | Official IDEA site covering the law’s evolution since its 1975 origin |
| APA – The Psychiatric Bed Crisis in the US | www.psychiatry.org/getmedia/81f685f1-036e-4311-8dfc-e13ac425380f/APA-Psychiatric-Bed-Crisis-Report-Full.pdf | Documents the 1955 peak state hospital census of 558,922 and the decline through 2014 |



