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the training, the Consortium is recommending that families be required to pay a monthly fee based on a sliding scale. The sliding fees would augment the training budget.  Finally, it is recommended that the providers also pay a small fee to supplement the cost of the training.

The remaining funds would be allocated for direct services to children, youth and families.  Initially the largest amount of funding would be allocated toward the children identified in group one with limited funds allocated toward group two and group three.  However, over a period of four years the allocation would decrease yearly for groups one and two and increase for group three.  The concept behind this plan is to address the needs of the group one children and yet begin to emphasize the need for early intervention. Theoretically, the Consortium believes that if providers and parents are trained and intervention is provided early, then the number of group one children should decrease over the years.  This concept allows for significant positive outcomes for more children.

Entry into the program

When determining how a child would enter a program, the Consortium reviewed past history of the current service array and at the fiscal realities of the future program.  In an effort to ensure that every available dollar is directed toward the development or delivery of services for children, the Consortium strongly recommends that the regional interagency councils oversee the program.

The Consortium stated that the RIACs have a better understanding of the services available in the regions, have a better understanding of person centered planning and the wrap around model, have at least a minimum understanding of ASD, have experience in referral and nominations, can provide oversight to the program, can provide flexibility in implementing the program.  The RIACs can also provide the oversight at no additional cost to the program.  Many of the parents who have experience with the original model of IMPACT Plus and the RIACs believe that the approach was more appropriate provided fair decision making and had more expertise in handling issues of ASD.

While the Consortium feels strongly that the RIACs are the appropriate bodies for the ASD program, they strongly recommend at a minimal that Medicaid find an already existing mechanism to oversee the program without deducting administrative costs from the already dismal funds available.

The process for entry into the program would include the following:

Child/youth has Axis I Diagnosis of ASD and has documentation from a QMHP to support the diagnosis

Child/youth is between the ages of 3-21

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