Community Pathways Waiver Amendment #1 - Proposal

Reserved Capacity Changes

Purpose:

Update and establish new reserve waiver capacity for waiver participants.

Overview:

The State currently reserves waiver capacity for the following priority groups: Money Follows the Person, Court Involved, Emergency, Waiting List Equity Funds, and Transitioning Youth. These categories will be adjusted based on trends and stakeholder input including increasing the capacity for Money Follows the Person and Transitioning Youth.

The State will also establish the following new reserved capacity categories: Psy Hospital Transitions (individuals transitioning from a mental health facility), State Funded Conversions, and Military dependents.

Individuals with developmental disabilities that transition from an inpatient mental health facilities need community supports and services. Transitions from an inpatient mental health facility is not covered under the federal Money Follows the Person grant. The State has identified this group as a priority and therefore is establishing reserved capacity.

State Funded Conversions refers to individuals receiving ongoing services funded with 100 percent State general funds. This includes prior year waiver year participants that lost waiver eligibility. Some individuals may leave the waiver for various reasons such as entering a hospital or rehabilitation facility to meet their needs at that time. If the individual is unable to transition out prior to the end of the waiver year, their space in the waiver is no longer available. The State has supported these individuals with 100 percent State General Funds for services instead of placing them on a waiting list if they do not meet any of the existing reserved capacity priority categories. By establishing this priority category, the State can provide additional waiver services to meet individual needs and maximize State General Funds to support additional individuals in the waiver.

Military Families category is based on legislation (Senate Bill 563) passed during the Fiscal Year 2015 session to support reentry of individuals’ into services after returning to the State. The U.S. Department of Defense has put out information and fact sheets related to eligibility requirements and lengthy waiting list hindering military families from obtaining support and services for members with special needs during critical transitions periods. There are national efforts to allow dependents of service members to retain their priority for receiving home and community-based services.

Category Current Proposed Change​
Money Follows the Person
20
50
Court Involvement
25
25
Emergency
50
100
Waiting List Equity Funds
40
25
Transitioning Youth
608
700
State Funded Conversions
N/A
500
Psy Hospital Discharges
N/A
10
Military Families
N/A
20
Total
743
1430

Reference: Community Pathways Waiver pages 34-36 on the DDA Website at: MD0023R0600.pdf