Workforce Challenges & DDS Waiver Services Analysis
Cost of Adding Someone to the DD Waiver, By Age*
A&M calculated the true cost of adding someone to the waiver, by age, using the four years of sample claims. This figure differs from the earlier slides as it includes an
estimate of what this population spends on Medicaid when not enrolled on the Waiver. This number is subtracted from the total Medicaid spending when on the Waiver.
Age
Average Yearly
Medicaid State
Plan Costs If Not
on DD Waiver
Average Yearly
State Plan & HCBS
Medicaid Costs on
DD Waiver*
Participant
Count
Average Additional Cost of
Waiver Slot Over One Year,
Assuming 281 LOS (50% of cost
would be paid by Federal match)
0-2
$2,725
$10,866
$8,140
221
3-5
$11,206
$16,003
$4,796.45
10
6-12
$18,394
$24,020
$5,626
12
13-17
$0
$23,793
$23,793
3
22+
$29,222
$76,961
$47,739
16
All
$6,859
$29,829
$22,970
269
Figures rounded to nearest dollar.
*Assumes average LOS of 281 days continues
66
**Due to limited sample size, we did not include ages 18-21 in these calculations
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation