Workforce Challenges & DDS Waiver Services Analysis
Modernizing the HCBS Waiver System: The Proposed Future State
North Dakota can achieve its vision to fill the gap for people with developmental disabilities and autism by modernizing its existing waiver system
Current State
ID/DD Waiver
Future State
Updated, Comprehensive ID/DD Waiver
Modernizes Level of Care (LOC) to match AAIDD, DSM-5, and ICD-11 definitions
Services designed for high-needs and complex people with Intellectual Disabilities,
Developmental Disabilities and / or Autism
Serves children and adults with Intellectual Disabilities, Developmental Disabilities and / or
Autism
Children's Cross Disability IFS Waiver
ASD Waiver
Medically Fragile
Waiver
New LOC for children ages 3-5 that matches IDEA Part B
Incentivize self-direction
Uses family navigators to support person-centered planning
Service array will include cost-effective community interventions that support children with
disabilities and their families
For discussion, should this go to age 18 or age 21?
Note: A&M recommends leaving the Children's Hospice waiver separate. This is a limited and targeted population with
special needs that is currently being served in that waiver.
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ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation