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Department outlines plan and timeline for cross‑disability waiver; implementation targeted for July 1, 2028

2865606 · April 3, 2025
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Summary

DHHS said it is working toward a cross‑disability waiver with a target implementation date of July 1, 2028. Committee heard the requested startup funds are for administrative infrastructure — contracts, psychiatric assessments, family navigation supports — and that ongoing costs would shift from existing waivers as individuals transition.

The Appropriations - Human Resources Division heard details on the department’s cross‑disability waiver design and implementation timeline. Sarah Acre said the department is targeting a July 1, 2028, implementation and is requesting startup and administrative funding to design the new waiver’s service package, level‑of‑care rules and front‑door processes.

Acre said the dollars are “not about providing services” initially but about administrative setup and building service infrastructure: hiring or contracting a psychiatrist to help with intake assessments, funding family navigation supports, testing new levels of care and designing quality measures. “These are ongoing costs and so … those costs would transition then into service delivery as the waiver goes live,” Acre said.

Acre told senators the department expects individuals served on autism and medically fragile waivers — and some on the DD waiver — could transition to the cross‑disability waiver depending on the final service package and eligibility criteria. The committee asked whether the Cross Disability Advisory Council would provide input; Acre confirmed the advisory council already exists and “would be very instrumental in informing the level of care process.”

The committee did not take a formal vote on the waiver design or the requested funds in the transcript; members generally expressed support for giving the department resources to implement the waiver but asked for continued collaboration with providers and stakeholder groups as design work proceeds.