DDP1 Supplement (New York OPWDD)

Updated: Oct 30, 2026

The DDP-1 form, known formally as the Developmental Disabilities Profile Registration/Movement Form, is designed to track significant changes in the lives of individuals with developmental disabilities, including moves, program changes, and demographic updates. It requires completion of specific items like demographic data, residential information, and disability details, laying out a comprehensive profile for each registered individual. For those interested in ensuring the accuracy and current status of individuals within developmental disability programs, click the button below to fill out the DDP-1 form accurately.

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How to Fill Out DDP1 Supplement

DDP1 Supplement at a glance

What it is: The DDP1 Supplement is a form that the Agency/Provider completes and attaches to the DDP1 when submitting to enroll an individual in a new service.

Where and when to file: When requesting a change in service amount (units) for an existing service, complete this form (no DDP1 required) and submit it to the DDRO.

The Agency/Provider completes this form, and it must be submitted for any of these services, Day Habilitation, Community Habilitation, Community Pre-Voc, Site-Based Pre-Voc, Hourly Respite, SEMP, Pathway to Employment and Free Standing Respite.

A filled-in DDP1 Supplement example: a provider requests a new service

DDP1 Supplement example filled out, example: a provider requests a new service — A provider staff member at a sample agency fills out the DDP1 Supplement. It requests enrollment in a new service of 2080 units a year. The picture shows the filled form, and all its values are invented. Assume 40 units of Community Habilitation a week, so 40 times 52 weeks is 2080 units a year. Only a new service is requested, so the INCREASE IN SERVICE AMOUNT and DECREASE IN SERVICE AMOUNT boxes in Type of request stay empty. Medicaid and Waiver enrollment are verified, so that box is ticked. New units are required, so the Check here box in the start date and funding group is ticked.

How to fill out DDP1 Supplement, box by box

Type of request and verification of Medicaid

Check the TYPE OF REQUEST: Requesting enrollment in a NEW SERVICE, Requesting an INCREASE IN SERVICE AMOUNT for an existing service, or Requesting a DECREASE IN SERVICE AMOUNT for an existing service.

Check Verification of Medicaid (current/appropriate coverage type) and Waiver enrollment as of today's date.

Demographic information: the individual's name and TABS ID

Under DEMOGRAPHIC INFORMATION, enter the INDIVIDUAL'S NAME as LAST, FIRST and M, and the TABS ID.

Service amounts

Under SERVICE AMOUNTS, enter the Specific Service Type, the TABS Program Code and the Total Service Amount in UNITS/YEAR (for fraction, ½ unit = .50).

To calculate units annually, determine number of units required per week and multiply times 52 weeks.

Under SERVICE AMOUNTS, the * after UNITS/YEAR applies to this: for SEMP and Pathway to Employment, enter “0” as the service amount.

UNIT CONVERSION KEY: Group Day Habilitation 1 unit = 4+ hours, 1/2 unit = 2-4 hours.

Supplemental Group Day Habilitation 1 unit = 4+ hours, 1/2 unit = 2-4 hours.

Community Habilitation, Community Pre-Voc (NSB), Site-Based Pre-Voc, Free Standing Respite - IRAs and Hourly Waiver Respite: 1 unit = 15 minutes.

Service start date and funding

Under FIRST DAY OF BILLABLE SERVICE INITIATION DATE (projected) AND FUNDING, enter the SERVICE START DATE in MO, DAY and YR.

Check here if new units will be required to support this request.

Requests for new funding are subject to review by the regional office.

Provider contact information

Under PROVIDER CONTACT INFORMATION, enter the PROVIDER STAFF COMPLETING FORM (print), TITLE or POSITION, PHONE NUMBER, extension, EMAIL ADDRESS and the DATE.

Common questions about DDP1 Supplement

Where do I file it?

When requesting a change in service amount (units) for an existing service, submit the form to the DDRO (no DDP1 required); when submitting to enroll an individual in a new service, attach it to the DDP1.

Sources

[1] DDP1 Supplement (Form Revised 06/26/2015), opwdd.ny.gov (the Official source link on this page).

Form DDP-1 PDF Details

In an evolving landscape where the administration and management of programs services for individuals with developmental disabilities remain paramount, the Developmental Disabilities Profile Registration/Movement Form, known colloquially as the DDP-1, emerges as a critical tool. This form is meticulously designed to collect essential demographic, residential, and programmatic information for individuals receiving services under the umbrella of agencies certified or funded by the Office for People With Developmental Disabilities (OPWDD). Mandating completion of specific items such as demographic data, the individual's name, sex, date of birth, and county of residence, the DDP-1 ensures that vital information is systematically recorded and updated. Moreover, it encompasses a broad spectrum of purposes including changes in demographic data, additions, removals, transfers within the agency, out-of-state moves, and death notifications. Program codes, an eight-digit number crucial for program identification within the TABS system, along with preferred communication methods and officially documented disabilities, stand out as indispensable elements in aligning individuals with the most appropriate and responsive services. Through the structured completion of items 1-7 and 18 by agency staff, the DDP-1 form acts as a linchpin in the overarching goal of delivering tailored and efficacious services to those with developmental disabilities, ensuring their needs are met with precision and understanding.

Question	Answer
Form Name	DDP1 Supplement (New York OPWDD)
Form Length	1 pages
Fillable?	Yes
Fillable fields	24
Avg. time to fill out	5 min 7 sec
Other names	prader, Neurofibromatosis, DDP, ddp1