Our Services
Attendant Care (ATC)
Attendant Care provides hands-on assistance with activities of daily living so members can remain safe, comfortable, and as independent as possible in their homes and communities.
Our goal: To provide respectful and dependable assistance while promoting each member’s dignity, choice, safety, and independence.
Habilitation (HAH)
Habilitation helps members learn and strengthen skills that support greater independence in everyday life. Services are guided by each member’s individualized goals.
Our goal: To help each member develop confidence, strengthen their abilities, and make meaningful progress toward their personal goals.
Respite (RSP)
Respite provides temporary relief for primary caregivers while ensuring members continue to receive safe and supportive supervision.
Our goal: To give families peace of mind while providing members with safe, compassionate, and engaging support.
Your Guide to Attendant Care
Attendant Care (ATC) provides individualized assistance with personal care, daily living activities, household tasks, and specialized supervision when a member requires additional support due to their disability-related needs.
Assessment and Service Authorization
To receive Attendant Care services, the member's DDD Support Coordinator will conduct an assessment to determine the type and amount of assistance needed.
During this assessment, families should be prepared to discuss the member's daily routines, the activities they need help completing, the level of assistance required, and approximately how much time each task takes.
Although Attendant Care covers common daily living activities, each member receives an individualized authorization based on their specific needs and circumstances.
Attendant Care and Habilitation
Some activities supported through Attendant Care may also be addressed through Habilitation (HAH).
Habilitation focuses on teaching members new skills and promoting independence, while Attendant Care provides assistance with tasks the member cannot safely or independently complete.
When an activity is already being addressed through a Habilitation goal, the DDD Support Coordinator will evaluate whether Attendant Care is also appropriate. Factors may include the member's progress, ongoing support needs, and ability to complete the activity independently. Services must be authorized appropriately to avoid duplication.
Attendant Care for Children
For members under 18, the assessment considers the level of assistance typically expected for children of a similar age.
For example, young children generally need help with bathing, dressing, and toileting. However, when a child's disability creates care needs beyond what is developmentally typical, additional Attendant Care services may be appropriate.
Each child's eligibility and authorized services are determined through an individualized assessment.
Temporary Attendant Care Needs
Attendant Care may sometimes be authorized for temporary circumstances that increase a member's need for assistance.
Examples include a primary caregiver experiencing an injury that limits their ability to provide care or a member recovering from surgery and requiring additional personal care support.
The DDD Support Coordinator will determine whether additional or temporary services are appropriate.
Where Can Attendant Care Be Provided?
Attendant Care services may be delivered in the member's home or in approved community settings, depending on the member's needs and authorized service plan.
Specialized Attendant Care Supervision
Some members require additional supervision because significant health or safety concerns prevent them from safely participating in traditional supervision-based programs, such as daycare, school, or day programs.
These circumstances may involve substantial medical monitoring needs, significant safety risks, or a history of elopement.
Specialized ATC Supervision must be specifically assessed and authorized by DDD. Parent providers are not permitted to deliver ATC Supervision services.
Attendant Care Monitoring Visits
To help ensure members receive safe, appropriate, and high-quality care, Source of Hope conducts regular Attendant Care Monitoring visits.
The monitoring schedule includes:
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Initial Visit: Within the first 5 days of beginning ATC services.
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30-Day Visit: Approximately 30 days after services begin.
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60-Day Visit: Approximately 60 days after services begin.
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Ongoing Visits: Every 90 days thereafter.
During these visits, an ATC Monitor may briefly observe the provider performing an authorized, non-intrusive care task. The monitor also reviews the member's health, safety, and quality of care and may speak with the member or guardian about their satisfaction with services.
Provider Documentation Requirements
Attendant Care providers are responsible for accurately documenting the services delivered during each shift.
Providers must record the authorized tasks completed and maintain appropriate service documentation in accordance with DDD, AHCCCS, and Source of Hope requirements.
Your Guide to Habilitation
Habilitation (HAH) helps individuals with developmental disabilities develop essential life skills, build confidence, and achieve greater independence. Each member receives individualized support based on their unique abilities, needs, and personal goals.
Assessment and Goal Development
To begin Habilitation services, your DDD Support Coordinator will conduct an assessment to identify the skills the member would like to develop.
Members and families should be prepared to discuss approximately 3–6 meaningful goals they would like to work toward over the next 90 days, 180 days, or 12 months.
Goals may focus on communication, personal care, household responsibilities, safety, community participation, or other skills that promote independence.
Every member's goals are unique and are developed around their individual needs, abilities, interests, and priorities.
Assistance With Developing Goals
Creating meaningful and measurable goals is an important part of successful Habilitation services.
Your Source of Hope Case Manager can provide guidance and assistance with developing clear, realistic, and achievable goals that support the member's growth and independence.
Habilitation Hours and Scheduling
The DDD Support Coordinator determines the number of authorized Habilitation hours based on the member's assessed needs, established goals, and the amount of time required to practice those skills.
Habilitation hours are authorized on a weekly basis. Unused weekly hours cannot be carried over or saved for future weeks.
Families and providers should plan their schedules to make the best use of the member's authorized services.
Tracking Progress Toward Goals
Habilitation providers are responsible for documenting the member's progress after each service session.
Progress notes should include:
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Goals Practiced: The specific skills or objectives addressed during the session.
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Level of Assistance: The type and amount of verbal, visual, or physical prompting provided.
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Frequency: How often the member practiced each goal.
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Accuracy and Response: How successfully the member completed the activity and responded to assistance.
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Progress: Improvements, challenges, or milestones observed.
These records help the DDD Support Coordinator and the member's support team evaluate progress, determine whether goals have been mastered, and identify any necessary adjustments.
Reviewing and Updating Habilitation Goals
The DDD Support Coordinator will review the member's Habilitation goals and authorized service hours at least annually as part of the Person-Centered Service Plan (PCSP) review process.
However, members and families do not have to wait until the annual review to discuss changes.
If a member masters a goal, develops new interests, experiences challenges, or requires different support, families may request updates to the PCSP through their DDD Support Coordinator.
Supporting Every Step Toward Independence
At Source of Hope, we believe every achievement matters. Our Habilitation services focus on helping members learn new skills, celebrate their progress, and develop greater confidence in their everyday lives.
Your Guide to Respite
Respite (RSP) provides temporary relief for primary caregivers while ensuring members receive safe, compassionate, and dependable support. This service allows families to take a break from their caregiving responsibilities while their loved ones remain in a safe and supportive environment.
Respite Hours and Annual Allowance
DDD/ALTCS members may receive up to 600 hours of Respite services per benefit year, subject to applicable program requirements and authorization.
The Respite benefit year runs from October 1 through September 30. Respite hours reset on October 1, and any unused hours from the previous benefit year do not roll over.
Flexible Scheduling for Families
Respite services offer flexibility to accommodate each family's unique needs and schedule.
Some families choose to use their authorized Respite hours regularly throughout the week, while others prefer to use them occasionally for appointments, personal responsibilities, special events, or when additional caregiver support is needed.
Families can schedule Respite services according to their needs, within their available authorized hours.
Requesting Additional Respite Hours
In some situations, a DDD Support Coordinator may initially authorize only a portion of the member's available annual Respite hours.
If additional hours are needed, families may contact their DDD Support Coordinator to request authorization for more hours, up to the applicable annual limit.
Once the member has used their full annual Respite allowance, additional hours are generally unavailable until the new benefit year begins on October 1, unless an applicable exception is authorized.
Supporting Caregivers and Families
Caring for a loved one is a meaningful responsibility, but caregivers also need time to care for themselves and manage everyday life.
Respite allows primary caregivers to:
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Attend appointments or take care of personal responsibilities.
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Spend time with other children or family members.
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Complete household tasks and errands.
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Exercise, relax, or enjoy personal activities.
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Rest and recharge from daily caregiving responsibilities.
Respite provides families with peace of mind, knowing their loved one is receiving attentive and compassionate support while they take time for themselves.
Where Can Respite Services Be Provided?
Respite services may be provided in the member's home or in approved community settings, depending on the member's needs, preferences, and authorized service arrangements.
During Respite, members may enjoy recreational activities, community outings, games, arts and crafts, or other appropriate activities while receiving necessary supervision.
Respite Documentation Requirements
Unlike Habilitation (HAH), Respite does not involve structured skill-building goals or goal-progress notes after each visit.
However, providers must still accurately document their service visits, including required Electronic Visit Verification (EVV) records, and follow all applicable Source of Hope and DDD documentation requirements.
Caring for Families. Supporting Every Member.
At Source of Hope, we understand the importance of supporting both members and the people who care for them.
Our Respite services are designed to provide caregivers with valuable time to rest and recharge while ensuring members continue to receive safe, respectful, and compassionate care.
About Home and Community Based Services (HCBS)
Home and Community-Based Services (HCBS) provide individuals with developmental disabilities the support they need to live safely, develop independence, and thrive in their homes and communities. Individuals who are enrolled with the Arizona Division of Developmental Disabilities (DDD) and receive coverage through the Arizona Long Term Care System (ALTCS) may choose Source of Hope LLC as their provider agency for authorized services. Through Habilitation, Attendant Care, and Respite, we deliver compassionate, person-centered support tailored to each member’s unique needs, goals, and abilities.
