Workforce Challenges & DDS Waiver Services Analysis
Autism Voucher Program Recommendations
Unlike Waiver funds, Autism Voucher Funds are not matched by the federal government; it is therefore essential that ND ensures maximum effectiveness of these
funds. Recommendations are aimed at maximizing federal financial participation, learning from the Voucher experience, and ensuring people do not lose supports.
Current State
The ASD Voucher
Program is not meeting
its full potential to provide
services for families who
would otherwise not be
eligible, as many of the
current participants could
be served through
Medicaid. Serving
Medicaid eligible
individuals through ASDV
means the State cannot
claim the 50% federal
match, which would help
serve more individuals.
Next Steps
(1) Add sufficient slots to
the ASD Waiver for
eligible people currently
on the Voucher and
projected new
participants.
(2) Make the Voucher a
program of last resort.
Require current recipients
and new applicants to
apply for Medicaid and
waiver services.
(3) Align ASD Waiver and
Voucher services
Medium Term
(1) In the children's
waiver, develop a robust
individually directed
goods and services
program that builds upon.
learnings from the
Voucher.
(2) Align ASD Voucher
services with the new
children's waiver.
(3) Continue to require
that all Medicaid eligible
people use the waiver.
Long Term
Study the population of
people who remain on the
ASD Voucher (do not
qualify for Medicaid) to
understand this
population and explore
any gaps in the system
that need to be
addressed in order to
better serve these and
other similar individuals.
moving forward.
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ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation