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

72.7%

FY 2018

Definition

Line Bar

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 FY19 Q1, 26 out of 31 newly allocated individuals had a service plan in place within 90 days of income and clinical eligibility determination.
The Central Registry Unit (CRU) developed an allocation plan for the FY19 allocations, which includes an improved tracking system to help ensure individuals get into service quickly. The plan includes coordination with other units within the division.
The CRU staff is collaborating with case managers and consultants to track the progress of the FY19 allocation group. They are seeking assistance from managers and other units to help address barriers.

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﴿
NMDOH Outside Review
Advisory and Support groups
NMDOH Home and Community Based Services (HCBS) Programs
Community Providers, Case Management, and Consultant Agencies
Managed Care Organizations

What Works

Micro and macro level review 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

Regularly review status reports to determine if systemic or case‐specific problems are encountered during the allocation process.
Provide trainings and collaborate with providers, partners, and DDSD staff regarding the allocation process and timelines.
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. 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. 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.
Q3-Q4: Develop and implement an allocation plan for the FY19 allocations with provisions for tracking allocations. Completed.

FY18 Annual Progress Summary

At the end of FY18, 8 of 11 (72.7%) individuals had a service plan in place within 90 days of income and clinical eligibility. These individuals were part of prior allocation groups, which had been experiencing delays getting into service. This result is consistent with the FY17 outcome of 73.6%. This outcome is expected to improve with the new allocation plan for the FY19 allocation group.

FY19 Annual Progress Summary

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