Services provided from 3 years of age to end of life for individuals for whom the IHSW is not sufficient to meet their needs. Services in this program are not capped, but must be approved by the service recipients Inter-disciplinary Team (IDT), the IDT is made up of service recipient, service recipient’s guardian/family, DDSD Case Manager, service provider staff and any other professional knowledgeable about the health or care of the service recipient; and then the IDT recommendations are reviewed and approved or denied by the State office of DHS/DDSD. Prior authorization is required for all services provided.