A Qualified Developmental Disability Professional (QDDP) is a professional who meets Virginia's experience and credential requirements for providing professional oversight within developmental disability services. Virginia defines a QDDP as an individual with qualifying education or professional credentials and at least one year of documented experience working directly with individuals who have developmental disabilities.

Within Virginia developmental disability services, QDDPs may support providers with person-centered service planning, development and oversight of the provider's Plan for Supports, documentation review, Person-Centered Reviews, monitoring of services and outcomes, identification of support needs and risks, and ongoing regulatory compliance. Specific QDDP responsibilities depend on the service being provided and the applicable DBHDS and DMAS requirements.

Bird's Eye View provides contracted QDDP support to developmental disability service providers throughout Virginia.

Yes. Virginia's DBHDS licensing regulations recognize both employees and contractors in provider operations. A provider may use a qualified contractor to perform applicable professional responsibilities, provided the individual meets the qualifications required for the position and the provider appropriately verifies those qualifications and credentials.

When contracting for QDDP support, providers remain responsible for ensuring their services comply with applicable licensing requirements, Medicaid requirements, their service description, and their own policies and procedures. The specific QDDP responsibilities needed may also vary depending on the licensed or waiver service being provided.

Bird's Eye View provides contracted QDDP support to Virginia developmental disability providers that need ongoing professional oversight or additional QDDP capacity.

A quarterly Person-Centered Review (PCR) is a provider review used to evaluate an individual's services and progress during the review period. The review should reflect what occurred during the quarter and address the individual's progress toward their outcomes, relevant changes or concerns, and information needed to determine whether current supports remain appropriate.

Person-Centered Reviews should be individualized and based on the person's actual experiences and services during the quarter rather than repeating the same information from one review period to the next. DBHDS provides an optional quarterly PCR template containing important elements for completing required quarterly reviews. Virginia DBHDS

Bird's Eye View provides quarterly Person-Centered Review preparation and documentation oversight as part of our contracted QDDP services for Virginia developmental disability providers.

A quarterly Person-Centered Review should provide a meaningful evaluation of the individual's progress during the review period. Virginia regulations require providers to evaluate progress toward the individual's ISP goals and objectives, determine whether the objectives and strategies remain relevant, and document evidence of progression toward or achievement of each targeted outcome. Virginia Law

When a goal or objective has not been accomplished by its identified target date, the provider and appropriate team members must review the reasons for the lack of progress and provide the individual an opportunity to make an informed choice about how to proceed. The ISP should also be updated when changes are indicated. Virginia Law

A strong review should reflect what actually occurred during the quarter rather than repeating prior-quarter language. DBHDS materials have identified concerns such as reviews that do not address all outcomes, omit relevant information from the three-month period, fail to describe progress or regression, or repeat the same information each quarter. Virginia DBHDS

Bird's Eye View prepares detailed Person-Centered Reviews using provider documentation and available service information to summarize progress, supports provided, relevant changes, risks, and areas requiring continued attention.

Virginia DBHDS licensing regulations require providers to complete quarterly reviews of the Individualized Services Plan (ISP) at least every three months from the date the comprehensive ISP was implemented. These reviews evaluate the individual's progress toward ISP goals and objectives, determine whether current objectives and strategies remain relevant, and document evidence of progress toward or achievement of each targeted outcome. Virginia Law

For most services, documentation of the quarterly review must be added to the individual's record no later than 15 calendar days after the review was due. Case management services have a different timeframe and may add the quarterly review to the record no later than 30 calendar days after the review was due. Virginia Law

Providers should remember that the additional documentation timeframe does not extend the quarterly review due date itself. The review is still required at least every three months; the regulation allows additional time for the documentation to be added to the individual's record. Virginia Law

Bird's Eye View provides quarterly Person-Centered Review preparation and tracking as part of our contracted QDDP services to help providers maintain consistent review schedules and complete required documentation.

The ISP Part V, also called the Plan for Supports, is the portion of Virginia's Person-Centered Individual Support Plan completed by the service provider. DBHDS describes Part V as the provider-completed portion of the ISP and provides specific guidance and templates for its development. Virginia DBHDS

Part V translates the individual's desired outcomes into the specific activities and supports the provider will deliver. It describes how supports will be individualized based on the person's preferences and needs and includes information such as support activities and instructions, frequency of supports, and other information necessary to implement the plan. Virginia DBHDS

The broader ISP must be person-centered and based on the individual's needs, strengths, abilities, preferences, goals, and natural supports. Virginia regulations require the ISP to identify relevant goals and objectives, strategies, needed services and supports, frequency of services, responsible parties, risks, and other applicable support needs. Virginia Law

Bird's Eye View provides ISP Part V development, review, and ongoing oversight as part of our contracted QDDP services for Virginia developmental disability providers.

An ISP Part V, or Plan for Supports, should clearly describe how the provider will support the individual in working toward the outcomes identified through the person-centered planning process. The plan should be individualized to the person's needs, preferences, abilities, and desired outcomes rather than relying on generic support language.

Part V should identify the individual's desired outcome, the specific support activities the provider will deliver, how progress or completion of those activities will be measured, the frequency or general schedule of supports, and individualized support instructions describing how staff should provide the support. Relevant preferences and instructions that apply consistently across activities and settings should also be addressed. DBHDS guidance specifically identifies these as important elements of the provider's Plan for Supports. Virginia DBHDS

Support activities should be specific and connected to the individual's outcome. Support instructions should explain how the person is to be supported, including relevant preferences, assistance needs, prompting strategies, or other individualized information necessary for staff to implement the plan consistently. DBHDS guidance also indicates that each separate support activity should have its corresponding support instructions and a way to determine when the support is no longer wanted or needed. Virginia DBHDS

Bird's Eye View develops and reviews ISP Part V Plans for Supports as part of our contracted QDDP services, with an emphasis on individualized, measurable, and person-centered documentation.

WaMS, or the Waiver Management System, is used in Virginia's Developmental Disability Waiver system to support processes related to waiver enrollment, Individual Support Plans, service authorizations, and other waiver-related activities. Virginia's DD Waivers include the Community Living (CL), Family and Individual Supports (FIS), and Building Independence (BI) Waivers. Virginia Medicaid

WaMS plays an important role in the service authorization process. For DD Waiver services requiring authorization, service authorization information and required documentation are submitted through WaMS for DBHDS review. Support Coordinators have specific responsibilities within the authorization process, while providers are responsible for supplying applicable service information and documentation and responding to authorization requirements relevant to the services they provide. Virginia Medicaid

Depending on the provider's services and internal structure, QDDP support may include monitoring WaMS activity, reviewing service authorization information, assisting with provider documentation needed for authorization requests, monitoring authorization status, and helping address returned or rejected requests in coordination with the provider and Support Coordinator.

Bird's Eye View includes WaMS and service authorization monitoring within our contracted QDDP services to help providers identify authorization concerns and maintain appropriate follow-up.

A DD Waiver service authorization request may require additional action before services can be authorized. After the Support Coordinator submits the service authorization request through WaMS, DBHDS service authorization staff may approve, reject, deny, or pend the request depending on the information submitted and whether applicable service authorization requirements are met.

A pended request generally requires additional information or clarification before a determination can be made. A rejected request may occur when required information or basic submission requirements are not met and the request cannot be processed. A denial is different because it reflects a determination that the individual or requested service does not meet applicable DD Waiver criteria or requirements and may result in appeal rights. Virginia DBHDS

When revisions or additional information are needed, the provider may need to review the service authorization, correct or supplement the supporting documentation, revise the applicable ISP Part V or service information when appropriate, and coordinate with the Support Coordinator so the request can be resubmitted or otherwise addressed. Providers should review the specific reason provided in WaMS rather than assuming every returned authorization requires the same correction. Virginia DBHDS

Bird's Eye View provides WaMS and service authorization monitoring as part of our contracted QDDP services, including review of returned authorization requests, identification of documentation concerns, and coordination with provider teams to support appropriate follow-up.

Documentation concerns can occur when provider records do not clearly demonstrate the services and supports delivered to the individual or do not align with the individual's current ISP and Plan for Supports. Strong documentation should be individualized, accurate, consistent, and sufficient to demonstrate implementation of the person's services and progress toward identified outcomes.

Common documentation concerns may include incomplete or generic service notes; documentation that does not address the individual's outcomes or support activities; insufficient evidence of progress, regression, or supports provided; inconsistencies between daily documentation and the ISP Part V; incomplete quarterly reviews; repeated or copied language that does not reflect the individual's actual experiences; missing information related to identified risks or support needs; and documentation that does not clearly demonstrate that authorized services were delivered as planned.

Documentation problems are not always isolated to an individual note. Repeated deficiencies may indicate a broader need to review staff guidance, documentation practices, ISP development, internal auditing processes, or other provider systems.

Bird's Eye View provides documentation audits and compliance support to help Virginia developmental disability providers identify documentation concerns, strengthen internal practices, and develop systems that support accurate, person-centered, and regulatory-aligned documentation.