by Jim Copeland

It seems like every time I am asked to write something, there is some sort of crisis.  This month is no exception.  There are a number of things taking place right now that are somewhat stress producing.  There is the state budget shortfall and all the associated press related to it.  There is the projected Medicaid budget deficit and the laundry list of issues related to cost containment.  There is the upcoming Developmental Disabilities Waiver re-write.  Each of these things by themselves are enough to cause at least a rapid heart rate.  But, when you add them all together, they are enough to cause, at least for me, heart attack or stroke related symptoms.

In a recent public meeting, the Developmental Disabilities Supports Division (DDSD) reported that the DD Waiver has to change.  This need is due to increasing demand and limited resources.  The system needs to increase the overall cost effectiveness and maximize the impact of available funds while maintaining person centered services.  The average cost of supporting someone on the waiver for Fiscal Year 2009 was $73,500.  The projection for Fiscal Year 2010 is $75,300.  The average cost for eight other states with similar waiver programs ranged from $14,500 to $58,500 per person.

82% of all individuals on the DD Waiver are receiving a residential service.  The cost of those services accounted for 66% of the total cost of the Waiver expenditures in Fiscal Year 2008.  The purpose of the waiver is to prevent the need for institutional care and lead to greater independence from paid supports, to provide meaningful social integration, and promote the development of daily living skills essential to a successful, inclusive life in the community.

While almost 4000 individuals are currently receiving supports, there are more than 4,650 waiting for supports.  The wait for services currently exceeds 7 years.  The waiver is designed to be a lifespan program.  The current service package is focused primarily on adults.  It is reported that the majority of the 4,650 waiting for services are children under the age of 18. 

We need to prepare for some changes.  The changes that will be implemented will be effective July 1, 2010.  Now is the time to have your voice heard.  Please give your input to your Service Coordinator, to the DDSD staff, to the Human Services Department, or your elected representatives.

Change is coming.  Without your input, you leave yourself open to the whims of the system.  Even with your input, you will be open to the whims of the system, but at least you will have had your say.  If you have questions, please feel free to contact me.  I may be reached at 366-2117 or by e-mail at jcopeland@altamiranm.org. 

Thanks for your continued support and interest in Alta Mira.