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:
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
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
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.
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
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
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 – firstname.lastname@example.org@dhw.idaho.gov Darcy Neser, FACS – email@example.com@dhw.idaho.gov