Act Early Waiver

1. Act Early Waiver March 6, 2012

2. Medicaid Waiver • The Act Early Waiver is a new Medicaid waiver that was implemented as part of the Children’s System Redesign in July 2011 • The waiver is designed for children ages 3 through 6 who have Autism Spectrum disorder or significant maladaptive behaviors

3. Eligibility The Act Early waiver has three tiers of eligibility. • First, the child must meet developmental disability criteria • diagnosed with a developmental disability • Have substantial limitations in 3 out of the 7 life skill areas • Secondly, a child must meet ICF/ID level of care • demonstrated by either a -22 GMI on the SIB-R • or a 50% delay in functional age • Third, a child must be: • diagnosed with an Autism Spectrum disorder • or have -22 GMI on the SIB-R anda 50% delay in functional age

4. Parent Participation • In order to access the Act Early Waiver, the parent is required to be present and actively participate in at least 20% of the intervention time provided to the child.

5. Evidence Based Practices Intervention must be based upon evidence-based practice including:

6. Operational Information • Department approves plans for children who are 2 years 9 months through 6 years 9 months. • This allows for 90 day eligibility and plan development process • The Act Early budget category is $29,300 • The Act Early Waiver does not include a Family Directed Services option • Families who do not want to participate in the 20% parent intervention or who want to family direct can choose the Children’s DD Waiver • As of March 1st there are 46 Act Early plans approved by the Department

7. Sample Act Early Plan

8. Questions and Contact Information • For questions on the Act Early Waiver please email Redesign@dhw.idaho.gov • For more information on the Children’s Redesign, please visit: www.redesignforchildren.medicaid.idaho.gov • Interagency Autism Planning Group representatives: • Stephanie Perry, Medicaid – perrys@dhw.idaho.gov • Darcy Neser, FACS – neserd@dhw.idaho.gov