THE HOME AND COMMUNITY BASED SERVICES WAIVER PROGRAM

THE HOME AND COMMUNITY
BASED SERVICES WAIVER PROGRAM
CHILDREN WITH AUTISM SPECTRUM DISORDER
Autism Waiver
Purpose
• Allows eligible
children with
Autism Spectrum
Disorder to
receive services
to support them
in their homes
and
communities.
Autism Waiver
Approved by the
Federal
Government
Operated by the
state
Department of
Health and
Mental Hygiene
Administrated by
MSDE with local
waiver
coordinators in
each county who
oversee approval
Autism Waiver
Services
Service
Coordination
• Each child is assigned an
Autism Waiver Service
Coordinator or case
manager to coordinate
and monitor services on
a monthly basis.
• Each child is observed at
least four time per year
by the Service
Coordinator and
monthly progress notes
are maintained.
Autism Waiver
Medical and Technical Criteria
Children who have an Individualized Family
Service Plan (IFSP) or Individualized
Education Program (IEP) and are enrolled in
the public school system
Diagnosed with Autism Spectrum Disorder
Receive more than 12 hours per week of
special education and related services
Need Intermediate Care Facility for the
Intellectually Disabled (ICF-ID) level of care
(institutional) - reevaluated annually
Autism Waiver
Financial Criteria
Only applies to the child
Income and assets are reviewed to
determine financial eligibility for
Medical Assistance
Monthly income may not exceed
300% of SSI benefits and assets
may not exceed $2,000 (savings,
trust, stocks, etc)
Autism Waiver
Benefits
Families are eligible for services not currently
provided through local school systems, early
intervention programs, or regular state plan
Medicaid
Health coverage is provided through Medical
Assistance at no cost
Autism Waiver
Services
Intensive
Individual
Support Services
Family
Training
• One-to-one interventions in the home or
community to facilitate successful home and
community living
• Consultation with the parents to create and
provide instruction regarding behavioral
interventions, the use of equipment, and/or
strategies to safely maintain the child at
home
Autism Waiver
Services
Therapeutic
Integration
Residential
Habilitation
Services
• Structured after school, weekends, and nonschool days that focus on expressive therapies
(art, music, dance and/or activity therapy)
therapeutic recreational activities, development
of social skills, and behavior management
• Intensive residential placement when a child
cannot be maintained safely at home. Must be
designed to provide home-like, therapeutic, and
safe environment that build skills allowing for an
eventual return to the child’s home
Autism Waiver
Services
Respite Care
• Provides parents with relief in providing
the care
• Physical adaptations to the home that
are necessary to ensure the health,
Environmental welfare, and safety of the child or enable
Accessibility
greater independence
Adaptations
Autism Waiver
Services
Adult Life
Planning
Medicaid
Services
Include
• Provides families of children over
18 with assistance in exploring
adult services
•
•
•
•
•
•
•
Physician and hospital care
Pharmacy
Home health
Laboratory Services
Disposable medical supplies and equipment
Mental health services
Payment of Medicare premiums, co-payments and deductibles
Students with Autism Spectrum Disorder
in the State of Maryland
9,000
8,186
8,000
7,510
7,000
6,342
5,764
6,000
5,288
4,659
5,000
4,084
4,000
3,488
2,832
3,000
2,000
1,000
422
697
999
1,282
1,594
1,886
2,304
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
0
Autism Waiver
Facts
Maryland is approved for 1,000 slots to serve all 24
counties
Each year MSDE requests to increase the number, but it
has been denied each year primarily due to the expense
Montgomery County has 235 children approved to receive
autism waiver services and we are currently reviewing 30
additional students. We which are the largest program in
the state
There are over 750 children on the registry (wait list) from
Montgomery County and over 3,700 on the statewide
registry
Autism Waiver
Facts
3500
3,324
3000
2500
2000
1500
2004
2011
1000
643
500
159
203
532
106
22 75
0
Enrolled
On Registry
MC
On Registry
State
Approved
Providers in
MC
3 14
# in
Residential
Habilitation
Autism Waiver
Facts
160
140
120
70
100
Other
80
Autism Classes
60
42
40
20
59
32
0
Non-Public
Public Programs
Centers
Autism Waiver
Facts
Typical Services Received in Hours per Week
25
40
Intensive Individual
Support Services
Family Training
168 hours
every 6
months
20
Therapeutic
Integration
Respite
Autism Waiver
Participants by LEA
Worcester
Wicomico
Washington
Talbot
Somerset
St. Mary's
Queen Anne's
Prince George's
Montgomery
Kent
Howard
Harford
Garrett
Frederick
Dorchester
Charles
Cecil
Carroll
Caroline
Calvert
Baltimore County
Baltimore City
Anne Arundel
Allegany
0
50
100
150
200
250
Questions?