Workforce Challenges & DDS Waiver Services Analysis
Projected Cost of Adding Someone to the DD Waiver, By Age
A&M utilized claims data from the 400-participant sample to calculate the average total Medicaid spending among DD Waiver participants, by age group.
Age
Note: Average total cost across all age ranges in the sample was $41,727. Comparatively, the 2020 federal reporting average was $46,921.
Average Cost of HCBS + State Plan Medicaid / Federal
New Waiver Slot Annually*
North Dakota's Cost
Contribution**
0-2
$10,717
$5,525
$5,192
3-5
$15,783
$8,136
$7,647
6-12
13-17
18-21
$23,691
$12,213
$11,478
$23,467
$12,097
$11,370
$30,258
$15,598
$14,660
22+
$76,961
$39,674
$37,288
Figures are rounded to the nearest dollar.
Cost includes State Plan & DD waiver service costs. It does not include Medicaid Administrative costs, including case management.
*Assumes average LOS of 281 days continues; assumes costs remain constant. This figure does not account for the fact that some
amount of Medicaid State Plan spending may occur for individuals prior to and regardless of Waiver Enrollment.
**2023 Federal Matching Percentage for North Dakota is 51.55%
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation