Eligibility for an Individual with

Autism and No Intellectual

Disability

How do I know if an individual with autism is eligible for services?

Autism Spectrum Disorder (ASD) Program

People who have a diagnosis of autism spectrum disorder, but do not have an intellectual disability may be eligible for services from the Autism Spectrum Disorder Program through the Department of Social Services (DSS).

Learn more about the ASD program.

Am I eligible for services?

Learn about eligibility for the Autism Spectrum Disorder program.

Apply for Services

1. Print and complete Application (English) (PDF) or Print Application (Spanish) (PDF)
2. Show that you are applying for the Autism Spectrum Disorder Program on page 2. (And not for services for an intellectual disability).
3. Gather and submit all items listed on the Application Checklist (also listed on page 6 of the application):
   • Psychological and Educational Testing performed through the age of seventeen (17)
     • A standardized test of Autism must be done prior to the age of twenty-one (21).
   • Medical history and most recent physical
   • HIPAA acknowledgment form (also on page 6 of the application)
   • Guardianship or conservatorship forms if applicable
   • Proof of CT residence
   • Copies of the following:
     • Birth certificate
     • Social Security card
     • Medical insurance card
     • Educational information
4. If you are MISSING any of the items listed, you’ll need to complete a Release of Information form (doc). (also on page 7 of the application)
   • Guide for missing eligibility documents
5. Submit all items to:
   Department of Developmental Services
   Eligibility Unit
   460 Capitol Avenue
   Hartford, CT 06106
   Fax: 860-622-2797
   Email: DDS.Eligibility@ct.gov

Can’t print these forms? Please email DDS.Eligibility@ct.gov to request an application be mailed to you.

Get Help Applying

Need help completing your application? Find someone who can assist you.

Were you deemed ineligible for services? Learn more about requesting a hearing.

• Checklist for Application (PDF)
• Checklist for Application Spanish (PDF)
• Guide for Missing Eligibility Documents
• Guide for Missing Eligibility Documents (PDF) 

Resources

• Connecticut’s Guidelines for a Clinical Diagnosis of Autism (PDF)
• Autism Spectrum Disorder - Age-Related Resources
• Autism Resource Library
• Eligibility Fact Sheet
• Guideline for Psychological Reports
• Guideline for Psychological Reports (PDF)
• Autism Eligibility Fact Sheet (PDF)
• HIPAA Fact Sheet
• Medicaid Fact Sheet
• How to Apply for Title 19 (Medicaid)
• More Helpful Resources

Contact

For assistance, call 1-866-433-8192 or 1-860-418-6117.

Contact the Department of Social Services About the ASD Program.

Contact the DDS Eligibility Unit about something else.