Notices of cost plan reductions from APD are now being received by many families and individuals served by The Agency for Persons with Disabilities (APD) iBudget Medicaid Waiver program. These reductions are based on the implementation of the new algorithm used in the iBudget Waiver program.
If you receive a cost plan reduction, and we are hearing that the reductions coming in from using the algorithm are very harsh, then know that you do have options.
First, remember that your Waiver Support Coordinator is supposed to work for you! They have been given instructions by APD that if the individual cannot accept the cost plan reduction due to the implementation of the new algorithm, then they are to take steps to preserve your funding. If you do not require your current level of funding, you can accept the cost plan reduction. However, if you have a provider that is currently providing iBudget waiver services and you accept the reductions, you should notify them immediately. The provider may not be able to maintain your services if you accept the reduction.
Click Here to view the attached one pager, from APD, detailing how the system is supposed to work.
We have heard from some individuals that their Waiver Support Coordinator (WSC) has told them that there isn’t any use in trying to regain their funding. This is NOT true. If your WSC has told you this and they do not want to file the paperwork for an “AIM” meeting, you should call your regional office to complain and report them.
Your funding will not be reduced during the time that you are working with your Waiver Support Coordinator to preserve your cost plan funding.
In conclusion, APD is stating that the algorithm amount is just the first step in the process. If you need your funding, you will need to make certain that the follow up steps are taken to preserve your funding and services.