Workforce Challenges & DDS Waiver Services Analysis
Reducing Costs Over Time
The North Dakota DD System is already lean. Efficiency can be achieved by reducing reliance on Intermediate Care Facilities, the most expensive types
of supports. Doing that in a way that is person-centered and not disruptive to people and families takes time. Begin by offering lower cost supports
designed to support families and engage people in their communities.
Least expensive to most expensive solutions
Most integrated setting to less integrated
Supported Employment
Family Support
Services
Family Support
Waivers
Comprehensive
HCBS Waivers
Private
Intermediate
Care Facilities
State Operated
Intermediate
Care Facilities
With growing autism prevalence, demand for services is
increasing. Meet the need by investing in lower cost, more
inclusive services and supports that are person-centered,
support families, and engage people in their communities.
Credit: Adapted from Human Services Research Institute, "Nudging the System"
Use comprehensive
waivers only for
people with the
highest needs.
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Once community capacity is established,
consider rightsizing population of people.
using ICFs over time.
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation