Workforce Challenges & DDS Waiver Services Analysis
Building on the Strengths of the Current Autism Voucher Program
The Autism Voucher serves several important roles today but could be improved in parallel with the Waiver reform to ensure balanced ASD services for all.
H ASD Voucher Strengths
The ASD Voucher Program provides three core benefits
as it exists today:
1. No Waitlist: The ASD Voucher allows individuals to
receive services immediately without going through the
ASD Waiver waitlist process.
Expanded Eligibility*: The Voucher allows the State to
use general funds to offer ASD services to individuals
who otherwise would not be eligible through Medicaid.
3. Flexibility: The Voucher allows families to purchase
goods and services that fit their unique needs, including
options such as fidget toys or karate lessons.
ASD System Changes
The ASD Voucher could be improved, alongside the
Waivers, to better meet the needs of all kids with ASD:
1. No Waiver Waitlist: Fund the Children's IFS Waiver
sufficiently to ensure no waitlist for any ASD services, not
just the Voucher.
2. Revise Voucher Eligibility*: Require a Medicaid denial to
ensure ASDV funds are targeted to those who need them
most, and that federal money is maximized wherever
possible.
3. Add Waiver Flexibility: Add more flexibility to the Waiver
through Individual Goods and Services (IDGS) to ensure
families don't have to choose between Medicaid and their
children's unique support needs.
*Eligibility: The ASD Voucher includes individuals at 200% of the FPL and below. In comparison, eligibility for
CHIP (a Medicaid program which provides coverage for children) includes those at 175% of the FPL and below.
40
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation