Workforce Challenges & DDS Waiver Services Analysis
Access: Eligibility for DD
TRANFORMATIONAL
Remove requirement that a person benefit from Active Treatment
•
Remove the requirement for home and community-based services that a person would benefit from Active Treatment.
○ Active Treatment is a condition of participation for Intermediate Care Facilities for Individuals with Intellectual
Disabilities.
o It is the aggressive, consistent implementation of a program of specialized and generic training, treatment, health-
and related services. In contrast, habilitation is the core of Medicaid HCBS waivers for IDD.
o In promulgating the final rule which defined active treatment, the Centers for Medicare and Medicaid Services drew
a distinction between habilitation and active treatment, finding that active treatment is broader, encompassing
habilitation as well as "the whole range of services necessary for clients to achieve maximum possible
independence."
o The aggressive nature and consistent application of active treatment may be comparable to the habilitation
provided in some intensive Medicaid HCBS settings; however, not everyone receiving Medicaid HCBS would
require active treatment. People in need of less than daily supports, for example, would likely not meet Active
Treatment criteria.
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ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation