Case Study: The Commonwealth of Massachusetts Department of Developmental Services (MA DDS)

The Client:

The Commonwealth of Massachusetts Department of Developmental Services (MA DDS)

The Project:

Development of a participant direction pilot program for individuals with developmental disabilities.

The Challenge:

While working with the Robert Wood Johnson Foundation and the Center for Self-Determination, Public Partnerships, LLC (PPL) was tasked to help create the “Owner’s Manual for Self- Determination”. The development of this manual initiated a pilot project – Intermediary Service Organization (ISO) – that began in the metro-Boston region of Massachusetts in 2000. The region had many complex cases that required it to look for an alternative to traditional vendors for services which were not being delivered. The ISO program emphasized local responsibility, offering individuals and DDS service coordinators significant flexibility and responsibility in managing resources.

The PPL Approach:

PPL took a number of steps to launch the pilot program:

  • PPL worked with highly motivated and committed service coordinators, who lent their
    experience in precisely crafting service models and negotiated rates, which ultimately led to
    an overall improved experience for participants.
  • PPL developed the Extranet, a budget authorization web-portal which provided service
    coordinators with the flexibility to revise budgets to meet the changing needs of participants in
    the ISO.
  • PPL worked with participants and designated agency staff to determine the nature, extent,
    and availability of services and supports sought by the individual and to identify appropriate
    choices to meet needs consistent with each participant’s individual support plan and a
    participant-directed approach.
  • PPL assists in the implementation of participants’ support plans by serving as fiscal
    intermediary, providing financial monitoring, billing, payment and reporting, support worker
    recruitment and credentialing, quality assurance, information systems development, and

The Result:

The initial metro-Boston pilot program expanded state-wide in 2003 to serve several hundred participants. Accomplishments from this project include:

  • Greater self-determination for individuals with developmental disabilities.
  • Development of new support services, customized supports, and innovative approaches to
    using community resources.
  • More efficient management of public funds and resources.
  • Experts suggest that individuals with disability actively manage their spending and are good
    stewards of their budgets.



Why Choose Us?

"We make it easier for consumers to create their own opportunities."

We build each program to meet the unique needs of each state and the program participants while satisfying the most current Centers for Medicare and Medicaid Services (CMS) and IRS requirements.


What Clients are Saying...

  • “Kianga displayed Superior Customer Service on her call today, let me vent, had great patience, and came up with a solution that I was happy with. Thanks.”– program participant in Virginia

Contact Us

Feel free to contact us today

Address: 148 State Street 10th Floor Boston, MA 02109
Telephone: 1-855-2GETPPL (855-243-8775)
FAX: 617-717-0085