P007: Developmental Disabilities Supports Division

P007: Percent of developmental disabilities waiver applicants who have a service plan in place within 90 days of income and clinical eligibility

Current Value

80.0%

FY 2018

Definition

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Story Behind the Curve

This performance measure is in response to Lewis v. New Mexico Department of Health. The Developmental Disabilities Supports Division (DDSD) Intake and Eligibility Bureau (IEB) works closely with internal and external partners to ensure that individuals with disabilities receive waiver services in a timely manner by completing the necessary application requirements.
This performance measure is important in ensuring allocated individuals have a service plan in place within 90 days of income and clinical eligibility.
During FY18-Q2, there were five individuals who had been allocated to the waiver (from previous allocations as no new allocations are currently being made due to lack of resources) but who were not yet in service. Four of these individuals had a service plan in place within 90 days of income and clinical eligibility (80%).
DDSD’s ability to allocate people into waiver services is impacted by available budget funds.
Central Registry Unit (CRU) staff will continue to collaborate with case managers and consultants to track the progress of newly allocated individuals until they start receiving services. DDSD anticipates that the development of the Client Data Management System (CDMS) (in process) will reduce tracking issues.

Partners

Human Services Department (HSD) Medical Assistance Division (MAD)
HSD's Income Support Division (ISD)
Qualis (HSD's contracted Third Party Assessor)
University of New Mexico Center for Development and Disability (CDD)
New Mexico Department of Health's (NMDOH) Outside Review
Advisory and Support groups
NMDOH DDSD Mi Via Program
Community Providers, Case Management, and Consultant Agencies
Managed Care Organizations

What Works

Extensive review at the individual and aggregate level of allocation status reports by CRU staff to determine if systemic or case-specific problems exist during the allocation process.
On-going communication and collaboration with case managers, Mi Via Consultants, and DDSD staff regarding the allocation process and deadlines.
On-going focus on communication with applicants to maintain current contact information and to make sure they are familiar with eligibility criteria and available services.

Strategy

Review status reports regularly to determine if systemic or case-specific problems are encountered during the allocation process.
Provide trainings when requested and collaborate with providers, partners, and DDSD staff regarding the allocation process and deadlines.
Maintain current contact information for applicants.
Increase applicant awareness of Medicaid, State General Fund, and community-based service options.

Action Plan

Q1-Q4: Maintain contact, via telephone and/or postal service, with applicants who have not completed income and clinical eligibility to offer assistance with addressing barriers. Completed and on-going.
Q1-Q4: Troubleshoot issues with applicants and Case Management or Consultant Agencies to assist the applicants in completing the income and clinical eligibility process and addressing systemic barriers. Completed and on-going.
Q1-Q4: Specifically track all expedited allocations to ensure the small percentage of individuals who receive an expedited allocation proceed through the income and clinical eligibility process as quickly as possible. Completed and on-going.

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