Workforce Challenges & DDS Waiver Services Analysis
The Opportunity: Improving The Experience for Young Children Ages 3-5
North Dakota's DD Waiver offers strong support for children under three; however, stakeholder interviews and data analysis indicate there is a
significant drop-off at age three, when young children still do not yet have access to additional school supports
Number of ID/DD Waiver Participants in Sample Who Continued
on Waiver Past Third Birthday
Total Waiver Participants in Sample
396
Turned Three During 2018-2021...
176
Continued on Waiver Past Third...
15
91% of waiver participants who turned
three during the 2018-2021 sample
period did not continue beyond their
third birthday (mix of denials and
families who chose not to continue
services)
➤ Anecdotally, stakeholders described a
perceived "cliff" at age three - often
losing not only waiver but also the
income/ asset waiver many are using
to access Medicaid insurance
➤ According to interviews with State
staff, the DD Waiver regularly
experiences significant year-to-year
turnover, with around 800-900 people
moving off yearly, many of whom are
age three
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ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation