P007: Number of individuals receiving developmental disabilities waiver services
Current Value
4,614#
Definition
Line
Bar
Story Behind the Curve
- Every state in the nation has the option to provide home and community-based services with approval from the Centers for Medicare and Medicaid Services (CMS). Nationwide, over 44 states, and the District of Columbia, provide home and community-based Medicaid waiver services to people with Intellectual or Developmental Disabilities (I/DD).
- The Developmental Disabilities Waiver program (DDW) serves as an alternative to institutional care. DDW provides a variety of services for people with I/DD to support them in living independently and participating actively in their communities.
- In FY18-Q3, the Developmental Disabilities Supports Division (DDSD) had 4,614 persons receiving Developmental Disability Waiver services.
- DDSD’s ability to allocate people into waiver services is impacted by available budget. The 2018 legislative session allocated $2 million which will be used for approximately 80 allocations in FY19.
- Out of the 39 new allocations carried over from 2016, 38 individuals are now in service, leaving one person still in the allocation process. The Intake and Eligibility Bureau has developed an allocation plan and is preparing for the FY19 allocations.
Partners
- Human Services Department's (HSD's) Medical Assistance Division (MAD)
- HSD's Income Support Division (ISD)
- University of New Mexico Center for Development and Disability (CDD)
- Qualis, Third Party Assessor (TPA)
- Health care and community providers
- Case management agencies
- Parent and advocacy support groups
What Works
- Identifying issues with the budget approval and review process to ensure the uninterrupted receipt of services.
- Increasing community awareness of services for individuals with developmental disabilities.
- Improving case management agencies' service capacity to provide information regarding different types of available services.
- Working with and using HSDs 1915C client tracker report to prevent category of eligibility closures.
Strategy
- Support case management agencies in increasing awareness of different types of available services for individuals with developmental disabilities.
Action Plan
- Q1: DDSD and HSD will analyze utilization and expenditure data to determine if funding allows for attrition and regular new allocations. Continuing through Q4. Completed.
- Q2: Get the last three new allocations into services in FY18. Work with case management and consultant agencies to assist the last three new allocations into services in FY18. Continuing through Q4. Incomplete.
- Q3: Use completed cost analysis to formulate policies and procedures addressing cost differentials and increases between services for both DD Waiver and Mi Via Waiver participants. Incomplete.
- Q4: HSD and DDSD will continue to monitor service utilization, expenditures, and attrition to determine if DDSD can allocate any new people into services with existing resources.