Workforce Challenges & DDS Waiver Services Analysis
Average Cost of Adding Someone to the DD Waiver Across All Ages
A&M calculated a weighted average based on the distribution of ages across the full 2018-2021 waiver population. This differs from the earlier figure as it includes an
estimate of what this population spends on Medicaid when not enrolled on the Waiver. This number is subtracted from the total Medicaid spending on the Waiver.
Age
Average Cost of HCBS + State
Plan Medicaid / new Slot
% Sample % Total
Population Waiver
Annually*
Population
0-2
$8,140
57%
34%
3-5
$4,796
3%
3%
6-12 $5,626
•
7%
9%
13-17 $23,793
3%
5%
18-21 **$23,793 - $47,739
5%
4%
22+
$47,739
25%
43%
Figures rounded to the nearest dollar.
*
*Assumes average LOS of 281 days continues
**Due to limited sample size, we used neighboring age groups as a proxy for this age range
Average Additional Cost of One
Waiver Slot Over A Year;
Calculated across sample: $18,838 -
22,970
Weighted to match age distribution
of the total waiver population:
$26,087 $27,045
Federal Matching for North Dakota is
51.55% of spending
Average yearly State cost per
additional DD Waiver slot: $12,639
- $13,103
ALVAREZ & MARSAL
LEADERSHIP ACTION. RESULTS.View entire presentation