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MARCH 6, 2012 Act Early Waiver. Medicaid Waiver The Act Early Waiver is a new Medicaid waiver that was implemented as part of the Children’s System Redesign.

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Presentation on theme: "MARCH 6, 2012 Act Early Waiver. Medicaid Waiver The Act Early Waiver is a new Medicaid waiver that was implemented as part of the Children’s System Redesign."— Presentation transcript:

1 MARCH 6, 2012 Act Early Waiver

2 Medicaid Waiver The Act Early Waiver is a new Medicaid waiver that was implemented as part of the Children’s System Redesign in July 2011 The waiver is designed for children ages 3 through 6 who have Autism Spectrum disorder or significant maladaptive behaviors

3 Eligibility The Act Early waiver has three tiers of eligibility. First, the child must meet developmental disability criteria  diagnosed with a developmental disability  Have substantial limitations in 3 out of the 7 life skill areas Secondly, a child must meet ICF/ID level of care  demonstrated by either a -22 GMI on the SIB-R  or a 50% delay in functional age Third, a child must be:  diagnosed with an Autism Spectrum disorder  or have -22 GMI on the SIB-R and a 50% delay in functional age

4 Parent Participation In order to access the Act Early Waiver, the parent is required to be present and actively participate in at least 20% of the intervention time provided to the child.

5 Evidence Based Practices Intervention must be based upon evidence-based practice including: Antecedent Based InterventionsComputer Aided InstructionDifferential Reinforcement Discrete Trial TrainingExtinctionFunctional Behavior Assessment Functional Communication TrainingNaturalistic InterventionParent Implemented Intervention Visual SupportsPeer Mediated InstructionPicture Exchange Communication Video ModelingPivotal Response TrainingPrompting ReinforcementResponse Interruption/RedirectionSelf Management Social NarrativesSocial Skills GroupsSpeech Generating Devices Structured Work SystemsTask AnalysisTime Delay

6 Operational Information Department approves plans for children who are 2 years 9 months through 6 years 9 months.  This allows for 90 day eligibility and plan development process The Act Early budget category is $29,300 The Act Early Waiver does not include a Family Directed Services option Families who do not want to participate in the 20% parent intervention or who want to family direct can choose the Children’s DD Waiver As of March 1 st there are 46 Act Early plans approved by the Department

7 Sample Act Early Plan

8 Questions and Contact Information For questions on the Act Early Waiver please email Redesign@dhw.idaho.gov Redesign@dhw.idaho.gov For more information on the Children’s Redesign, please visit: www.redesignforchildren.medicaid.idaho.gov www.redesignforchildren.medicaid.idaho.gov Interagency Autism Planning Group representatives:  Stephanie Perry, Medicaid – perrys@dhw.idaho.govperrys@dhw.idaho.gov  Darcy Neser, FACS – neserd@dhw.idaho.govneserd@dhw.idaho.gov


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