State addendum · first edition, October 2026 Ready

Employment Services in Arizona

Arizona has no 1915(c) waiver: developmental disability services run through a Section 1115 demonstration, and vocational rehabilitation pays first, through a broker.

Arizona at a glance

Agency for employment services	Division of Developmental Disabilities (DDD), Department of Economic Security
How employment is funded	AHCCCS Section 1115 demonstration (ALTCS)
Vocational rehabilitation	Rehabilitation Services Administration (RSA), Vocational Rehabilitation
Medicaid agency	AHCCCS
Minimum wage	$15.15 (2026)

The three biggest differences

Managed care, not a waiver. DDD is both the state agency and the health plan; providers contract as Qualified Vendors.
VR first, through a broker. Vocational rehabilitation is the primary payer and buys services through a managed service provider.
One 15-minute unit. Every DDD employment service bills the same way, at urban, rural and Flagstaff rates.

What the full addendum gives you

Twelve sections, filed directly behind Volume 0 and adopted by a single change request. Every rule cites its official source; anything not yet confirmed is marked for verification, never guessed.

How to use the addendum, and the three biggest differences
At a glance: every Maryland role and its local equivalent
Crosswalk: each Maryland reference, its replacement, and where it is amended
Waiver (or local) employment services: codes, units, rates, limits
Vocational rehabilitation: becoming a vendor, fees, invoicing, fading
Provider certification and staffing
Incident reporting and protection from harm
Billing, records and retention
Local law that changes the package: wages, recording, false claims, safety, breach
State-use purchasing and contract sites
Volume-by-volume amendments, 0 to 15
Open items to verify, and the official sources

Request the Arizona addendum Start the fit assessment

The addendum is issued with the Adoption License. Ask for it here and the Adoption Office replies within one business day.