Workforce Challenges & DDS Waiver Services Analysis
The Future of HCBS Waivers in North Dakota
North Dakota's HCBS waiver array will provide services based on level of need across the lifespan.
Waiver
Comprehensive
Waiver -
Intellectual &
Developmental
Disability. &/
Or Autism
Target Population
High-needs and complex children and
adults with intellectual and/ or
developmental disabilities and autism
Summary
Use stakeholder engagement and the completed national scan of
Individual and Family waivers to identify promising practices that
may better support the target population and their families (for
example: residential services that are an alternative to group
homes, remote supports)
Cross Disability
IFS Waiver
Children ages 3-18 (or 21) with mild.
to moderate support needs
Service array will include cost-effective community interventions
that support children with disabilities and their families.
Waitlist
Age
Level of Care
No
0-no max
Modernized Level of Care (LOC) to
match AAIDD, DSM-5, and ICD-11
definitions
New LOC for children ages 3-5
that matches IDEA Part B
For
3-18/21 •
ICF and NF for 6+
discussion
HCBS Waiver
Seniors 65 to no max age, and
individuals with physical and other
disabilities ages 18-64 years
No changes to existing waiver that provides adult day care, adult
residential care, case management, homemaker, residential
habilitation, respite care, supported employment, adult foster care,
chore, community support service, community transition.
services, companionship service, emergency response,
environmental modification, extended personal care, family
personal care, home delivered meals, non-medical transportation,
specialized equipment & supplies, supervision, and transitional
living services
Seniors
65 - no
No
max
No change Nursing Facility LOC
PD: 18-
64
*
Currently ND Century Code 75-03-23-04 holds that if a person is found eligible for the DD waiver, they are not able to receive services through a different
waiver. This section would need to be amended to allow the person to select the waiver that best fit their assessed needs.
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation