Workforce Challenges & DDS Waiver Services Analysis
Access: Eligibility & Level of Care
Advocates and state staff recognize that there is an inconsistency in eligibility determinations across regions. Additionally, the current definition of
developmental disability focuses on conceptual and practical adaptive deficits. More modern definitions also consider social adaptive deficits.
Recognizing this category of limitation would open the door to services for people with Autism Spectrum Disorder.
PROPOSED SOLUTIONS
TRANSACTIONAL
ā
OPERATIONAL
TRANFORMATIONAL
Centralize eligibility determinations for the DDA
Align eligibility and level of care (LOC). Grandfather in current population of state-only people so
that they do not lose eligibility
Change eligibility for ages 0 through 6 to match IDEA Part B and Part C requirements
Update definition of developmental disability from the federal definition to match AAIDD
definition. Continue to require that a person meet at least 3 functional limitations; require that the
limitations cross two adaptive areas. Remove requirement for Active Treatment
Develop a cross-disability family support waiver for children to provide parity across services.
Please see main deck for details regarding these recommendations
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ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation