Workforce Challenges & DDS Waiver Services Analysis
Gap Analysis
A&M conducted a gap analysis exploring North Dakota's various pathways to existing services and outlining current gaps in access; researched and
analyzed peer states to compare service offerings; conducted a national scan of home and community-based services and waivers; and identified
promising approaches used to modify or expand programs to address service access gaps.
State Staff
Stakeholders
Document
Review
Service &
Waiver Review
Process Maps
Interviews with 35+ employees
Developmental Disabilities Program Administrators Focus Group
2 Developmental Disabilities Program Managers Focus Groups
Interviews with more than 40 advocates, including self-advocates and
family members
2 Autism Spectrum Disorder Taskforce Listening Sessions
2 Autism Spectrum Disorder Advocacy Coalition Listening Sessions
Reviewed approximately 70 documents provided by DHS, including
statute, regulations, waivers, policies, and process flows
Reviewed an array of ND services, including Aging, Autism Spectrum
Disorder Voucher, Behavioral Health, Early Childhood, Early
Intervention, Early & Periodic Screening, Detection, & Treatment,
Home & Community-Based Services Waivers, Medicaid State Plan,
Specialized Health Services, and Vocational Rehabilitation
Developed process maps of DDA intake and eligibility for 0 - 3; 3
years to adult
Bi-weekly Working Sessions
Intake Observation
LSTC Site Visit
ND Association of Community Providers interview, survey, and listening
session
Listening session for unaffiliated providers
Listening session with special education teachers and administrators
Attended Olmstead meeting
Reviewed relevant state and advocacy websites
Conducted national scan of individual and family support waivers
Reviewed and interviewed select peer and promising practice states
LEADERSHIP ACTION. RESULTS.View entire presentation