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Department of Medical Assistance Services
Board of Medical Assistance Services
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10/14/20  11:56 am
Commenter: Jackie McKean

Priority Changes for Individuals on DDW Waitlist and receiving HNS Benefits

Scenario Question:  Say an individual qualifies for the CCC+ services and thus the proposed HNS Benefits because of complex medical needs and high risk of becoming homeless.  Suppose that this same individual also qualifies for the DD Waiver (DDW) due to their diagnosis of DD and Autism.  Their Support Coordinator and a MCO help the individual get HNS Benefits through CCC+, but the individual expresses their desire for the DDW.  So the Support Coordinator makes sure that the individual remains on the DDW Waitlist until funds for a slot can be procured.  Will receiving CCC+ Waiver HNS Benefits while still on the DDW Waitlist prolong their wait time? If so, that's unethical.  An individual on the DDW waitlist and desperately needing HNS benefits should not have to wait longer. What will DMAS do to ensure that the individual's DDW waitlist prioritization is changed to a higher level (Priority 1 from Priority 2)?

CommentID: 87365