Workforce Challenges & DDS Waiver Services Analysis
The Opportunity: A Need to Streamline Access to Services
North Dakota's waivers have different eligibility requirement and varying funding support, resulting in disparate access to services. There are also
drop off points created both by the end of the ASD waiver at age 15, and by changing levels of care on the DD Waiver at age 3.
Waiver
Age
Diagnostic
Criteria
Waiting List
Individual Cost
Limit
Max Participants/
Year
Average Waiver
Spend /Year*
ID/DD
0-no max
ID, or DD and
related condition
No
No limit
6.830
$37,624
Autism Spectrum
Disorder
No limit
0-15
ASD
Yes
150
$20,160
Children's
Hospice
Medically Fragile in
0-21
need of palliative
care
Medically Fragile
3-17
Highest monthly
NO
nursing facility
No
rate allowed by
DHS
Medically Fragile
Yes
$18,996
*As projected in Appendix J of Waiver Application
16
50
30
$32,165
25
$6,228
Differences in age
coverage, diagnostic
criteria, and slot
availability drive inequity
between children and
adults with different
categories of disability
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation