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Families urge adding adult services to Utah's technology-dependent Medicaid waiver
Summary
Families and advocates told the Social Services Appropriations Subcommittee the state's Technology Dependent waiver lacks adult day, employment and community supports; state staff outlined what legislative steps and federal approvals would be required and offered cost estimates.
Advocates and state officials told the Social Services Appropriations Subcommittee that adults enrolled in Utah's Technology Dependent Medicaid waiver lack access to the community, employment and day services available on other waivers.
At a July committee hearing, Tina Purcelles said the Technology Dependent waiver provides private-duty nursing that allows medically complex children and adults who use ventilators or tracheostomies to live at home, but it does not include the adult-oriented community supports provided under waivers administered by the Division of Services for People with Disabilities (DSPD). “If we were to compare the waivers, DSPD's all have an adult component if there is an adult on the waiver,” Purcelles said. She told the committee that in a 2023 study with the department, the program served about 145 people overall and that about 40 adults at that time appeared to lack access to adult supports.
The omission means, Purcelles said, that adults on the Technology Dependent waiver often have no access to day programs, vocational rehabilitation, work training or other…
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