System Transformation

The Office for Citizens with Developmental Disabilities (OCDD) has begun a statewide System Transformation that aims to improve access to, quality of, cost-effectiveness of and efficiency of community services for persons with developmental disabilities utilizing state plan Medicaid, waiver, EarlySteps, and state general funds services. The efforts will also influence the access structures to public and private intermediate care facilities/developmental disabilities (ICF/DD).

Goals of OCDD System Transformation

  • Serve more persons in home and community-based services (HCBS)
  • Achieve cost effectiveness in HCBS versus institutional options
  • Reduce institutional reliance in both private and public settings
  • Provide access to appropriate services based upon need
  • Increase utilization of natural and community supports versus paid supports

OCDD System Transformation Workgroups

  • Increased Consumer Choice & Control Services
  • Lifespan Planning
  • Request for Services Registry
  • Service Array/Services
  • Single Point of Entry/No Wrong Door
  • Stakeholder Engagement
  • Support Utilization & Transformed System Design
  • System Transformation Feasibility & Implementation Management 

Information About the New Tiered Waiver SystemOCDD Statewide Community Meetings on Tiered Waiver System

Please join the OCDD Assistant Secretary Mark A. Thomas along with executive staff, who will share information about the new tiered waiver system, which is a vital part of our system transformation efforts to improve the developpmental disabilities service delivery system in Louisiana.

OCDD would like to encourage individuals who are currently on the Request for Services Registry, also referred to as the New Opportunities Waiver (NOW) waiting list to attend one of these important meetings. 

Please see the schedule of upcoming community meetings that will provide you and /or your family with information on the new tiered waiver system. To download flier - OCDD Tiered Waiver Community Meetings.

For more information on the move to a new tiered waiver system, please call 1-866-517-7687 or email

OCDD Tiered Waiver Community Meetings

Information About the Request for Services Registry (RFSR) Screening Initiative

Public Meeting:  A public meeting regarding Proposed Changes to the Request for Services Registry was held April 28, 2015 from 10 a.m. to noon at the LDH Bienville Building in Conference Room 118.

Click HERE for Announcement

Click HERE for Handouts

Press Release: Office for Citizens with Developmental Disabilities to Screen Individuals to Better Determine Needs

RFSR Documents:

Interim Validation Process
Telephone Script
Face-to-Face Interview
Individual Decision Form
Individual Decision Form Decline
Request for Services Registry (RFSR) Information Update

OCDD Stakeholder Feedback

OCDD would like to hear your concerns and answer your questions about the system transformation efforts underway. If you have any thoughts that you would like to share, please feel fre to send them to You can also provide confidential feedback by completing this OCDD stakeholder survey.