OasisForAutism.com Resource Library

Comprehensive Resources for Caregivers of Autistic Adults | Updated August 2026 — Full B1–B173 Topic Coverage

WhyIs help so hard to find?
WhoCan help us with…?
WhereCan I find local resources?
WhenWill our existing services change?
WhatWhat exists? What’s been cut? What’s left?
HowCan I help fight for what we need?

Understanding Autism Spectrum Disorder

DSM-5 Levels and Support Needs Classification

Official Diagnostic Resources
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
Assessment Tools and Screening
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
Understanding Support Levels
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
Communication and AAC
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

Finding Autism-Competent Providers
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
Sedation Dentistry
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
Insurance and Medicaid
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
Sensory Preparation
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

Non-Verbal Pain Assessment Tools
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
Common Pain Sources
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
Healthcare Communication Tools
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

Crisis Resources (24/7)
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
Finding Autism-Competent Providers
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
Anxiety Resources
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
Depression Resources
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
Therapy Modalities
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)
Medication Resources
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

Meltdown Education
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
Sensory Tools and Equipment
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
Prevention and Trigger ID
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
De-escalation Training
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
Safety Planning
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

Scam Recognition and Reporting
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
Financial Protection Tools
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
Legal Protections and Reporting
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
Special Needs Planning
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
Guardianship Alternatives & Supported 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
Healthcare Rights & Advance Directives
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
Representative Payee, POA & Successor Planning
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
Voting Rights & Identification Documents
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

Special Needs Trusts & ABLE Accounts
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
SSI, SSDI & Disabled Adult Child (DAC) Benefits
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
Estate Planning & Family Inheritance
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
Tax Credits & Caregiver Deductions
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

Housing Models & Alternatives to Group Homes
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
HCBS Settings Rule Compliance
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

Vocational Rehabilitation & Employment First
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
Customized & Supported Employment
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
Day Program Alternatives
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

Crisis Response Systems
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
Elopement, Wandering & Law Enforcement Preparedness
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
Criminal Justice System
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

Respite Care & Burnout Prevention
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
Aging Caregivers & Emergency Planning
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
Workforce Relations & Caregiving Economics
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

AAC & Communication Technology
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
Smart Home & Safety Technology
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
Service, Therapy & Companion Animals
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
Transportation & Travel
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
Recreation & Social Connection
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

Sensory & Home Design / Executive Function
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
Medical-Behavioral Overlap: GI, Seizures & Pain
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
Behavioral Support: SIB, Aggression & Daily Structure
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
Personal Care: Incontinence & Grooming
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
Medication Management
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

Self-Direction Programs
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
Michigan Home Help Program
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

Medicaid/HCBS Basics & Waiting Lists
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
Federal Rights & Rules (Olmstead, ADA, HCBS Settings)
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
Federal Budget & Legislation
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

National Workforce Data & Research
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
State Wage Comparisons
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

Building a Paper Trail & Evidence
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
Navigating Denials & Person-Centered Planning
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
Advocacy Toolkits & Campaign Playbooks
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
Testifying & Public Comment
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

Michigan System Navigation: PIHP, CMH & Waivers

Regional System & CMH Basics
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
Waivers Explained & Applications
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
Navigation Resources & Service Deserts
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
Legal Settlements Affecting Michigan Services
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

State Budget & Rate 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
Michigan Bills to Watch
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
Tracking Service Cuts
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

National Transition Data & IEP Rights
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
Michigan Transition Roadmap
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

Sexuality & Reproductive Health
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
Grief, Loss & Bereavement Support
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
Aging with Autism & Late Diagnosis
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
Evaluating Providers
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

States That Eliminated Waiting Lists
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
Economic Case for HCBS Investment
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
Historical Timeline Sources
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