County staff warn proposed state IDD rate changes could create a multi‑million-dollar shortfall
Jul 24, 2026
Agency staff told the committee that proposed state-level changes to IDD funding are on hold because the state did not submit required materials to CMS in time; staff cited a potential $22,000,000 shortfall if a 2% reduction proceeds and emphasized uncertainty about absorption of the gap.
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Montgomery County agency staff told the Health and Human Services committee the county is monitoring proposed state changes to Developmental Disabilities Administration (DDA) funding and that those changes require federal review by the Centers for Medicare & Medicaid Services (CMS) before implementation. Dr. Patrice McGee said the state DDA did not submit required materials to CMS in time, which has put an across-the-board 2% reduction on hold for now, and that advocates are anticipating a potential October 1 timing if it proceeds.
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