The Consortium unanimously agreed upon the following premises and makes the following recommendations:
Children and youth should be eligible for the program regardless of the parent’s income. However, a sliding fee scale called the “family wheel” should be implemented so that families share appropriately in covering the costs.
The program should serve only ages 3-21. Children under the age of three should access First Steps. The Consortium plans to address the needs of adults with ASD at a later date.
Children who are the most at risk for being institutionalized should have priority to services initially. However, the Consortium believes that early intervention is the key to long term success for any program for ASD. Therefore, the Consortium recommends a tiering or leveling approach to serving the children and youth with ASD. Based on this concept, the Consortium divided the targeted children into four categories.
Children and youth with a primary diagnosis of ASD, who can not access other Medicaid eligible services for ASD, are currently placed out of the home or are at risk of immediate out of home placement due to:
Severe acting out behaviors that are self injurious, aggressive or dangerous to others and that have occurred over a four week period of time across one or more of the three life domains.
Persistent moderate levels of acting out behaviors that are self injurious, aggressive or dangerous to others coexisting with severe deficiencies in sensory, social and communication development that occur on a daily basis over a four week period of time across one or more of the three life domains.
Children and youth who exhibit intermittent acting out behaviors that are self-injurious, aggressive, dangerous to others or coexisting with moderate sensory, social and communication deficits that occur on a daily basis over a three month period of time across one or more of the three life domains.
Children and youth who exhibit sporadic maladaptive behavior AND mild to moderate communication, social or sensory deficits for a six month period of time across one of more of the three life domains.