Workforce Challenges & DDS Waiver Services Analysis
Understanding & Managing Costs of Expansion (1 of 2)
Services expansion requires investment. There are several options to expand in a way that is planned and meets budgetary constraints/ funds
availability. These can be used individually or combined to reach the state's goal in a way that is reasonable and targeted.
Participants
States choose
the maximum
number of
people that are
served in this
kind of HCBS
waiver.
• Limit the number
of children that
can be served in
the waiver each
year
Individual Cost
$
Set a maximum
cost per person
This can be a
hard cap or soft
cap, which
would give
additional
flexibility to
respond to
individual needs
of people served
by the waiver
Service Array
·
Limit the service
array
Review past
service
utilization and
spend by
population to
project new
costs/ year for
expansion
Additionally, there are
people with disabilities
now who are in
correctional facilities,
homeless shelters,
and foster care; or
who have declared
bankruptcy due to
medical debt
A strong HCBS
program will help
mitigate those costs
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation