Workforce Challenges & DDS Waiver Services Analysis
Roadmap
Implementing these recommendations will bring sustainable and systemic change, but it is a significant lift. It will take time (spanning across biennia), FTEs, and funding.
Phase 1
1.
Level of Care Reform
•
.
•
National review of best practice tools
Stakeholder engagement
Piloting along with current system to determine
population impact
Determine new tool and LOC
Implementation Planning
•
Development of a detailed roadmap and project
plan that sequences tasks, builds out timelines,
IT systems impacts, and assigns responsible
parties
Stand up Project Management Office with a
governance structure, for regular reporting,
guidance, and risk escalation and mitigation
3. Stakeholder Engagement
•
Develop Cross-Disability Advisory Council to
inform LOC Reform and Implementation Planning
Structured statewide stakeholder engagement
through information sharing and innovation
sessions to create opportunities for double loop
learning.
1.
.
Phase 2
Waiver Redesign
•
•
•
.
National review of best and promising
practices to support individuals and families
Stakeholder engagement
Determine service array, tiered approach,
cost limitations
Cost reporting as a foundation for rates
Draft, vet and submit waiver applications;
negotiate with CMS
2. Implementation Planning
3.
•
•
Leverage PMO and governance structure
from Phase 1 to continue to build out the
detailed roadmap and project plan.
Continue regular reporting and risk
mitigation
Stakeholder Engagement
•
.
Work closely with Cross-Disability Advisory
Council to advise on redesign efforts.
Continue structured statewide stakeholder
engagement through information sharing
and innovation sessions
Phase 3
1. Future State: No Wrong Door
•
Move beyond waiver redesign to HHS redesign
o One-Stop Coordinated System
Single standard process with common
protocols and information exchange
。 Objective and neutral
o Person-Centered
Use of Private & Public Programs
。 Seamless & Person Friendly
2. Implementation Planning
3. Stakeholder Engagement
Phases 2 & 3 will be influenced by the learning
from the work in the prior phase. The phases may
happen consecutively, or, with sufficient
resources, could be overlapping.
ALVAREZ & MARSAL
LEADERSHIP. ACTION. RESULTS.View entire presentation