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Helping People. It’s who we are and what we do. Steve Sisolak Governor Richard Whitley Director State of Nevada Department of Health and Human Services Aging and Disability Services Division Autism Treatment Assistance Program (ATAP) Yeni Medina DS 4 As of 1/31/19

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Page 1: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Helping People. It’s who we are and what we do.

Steve Sisolak

Governor

Richard Whitley

Director

State of Nevada

Department of Health and Human Services

Aging and Disability Services Division

Autism Treatment Assistance Program (ATAP)

Yeni Medina DS 4

As of 1/31/19

Page 2: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

ATAP

• January monthly caseload to date (1/31/19)

• 51 new applications

• 649 active children, average age: 9

• 412 total children waiting, average age: 7

• Average wait time: 341 days

Page 3: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

ATAP Caseload Growth

235

275

464

516542

596

560

451

122134

212

438

642

716 717

674

0

100

200

300

400

500

600

700

800

FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019

Average of Total Unduplicated Persons on Waitlist

Average of Total Active Cases

Page 4: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Referrals to date

11

8

25

48

55

49

46

49

0

10

20

30

40

50

60

FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019

New Application Average

Page 5: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Case mix breakdown by plan type Plan Type

Status

Active Waiting

ATAP-Comprehensive 79 12% 51 12%

ATAP-Insurance Assistance 286 44% 153 37%

ATAP-Plan Undetermined 0 0% 82 20%

ATAP-Service Coordination 200 31% 92 22%

ATAP-Social Skills 13 2% 0 0%

ATAP-Targeted Basic 16 2% 1 0%

ATAP-Targeted Extensive 51 8% 33 8%

ATAP-Therapeutic 2 0% 0 0%

ATAP-Transition Plan 2 0% 0 0%

Grand Total 649 412

Page 6: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Waiting Children by Age Age Undetermined Comprehensive Insurance Service Coord Social Skills Extensive Medicaid FFS Medicaid MCO Grand Total

1 Year old 2 1 1 4

2 Years old 14 1 11 8 4 38

3 Years old 9 8 40 11 4 72

4 Years old 2 6 25 1 21 5 60

5 Years old 5 2 13 24 1 45

6 Years old 3 1 14 14 2 34

7 Years old 4 1 5 10 20

8 Years old 2 5 1 19 3 30

9 Years old 2 4 9 1 16

10 Years old 1 2 2 10 2 17

11 Years old 2 3 9 2 16

12 Years old 1 4 1 6 12

13 Years old 2 11 13

14 Years old 2 3 8 13

15 Years old 2 1 2 7 1 13

16 Years old 1 1

17 Years old 1 2 1 4

18 Years old 1 2 3

19 Years old 1 1

Grand Total 49 21 133 1 0 10 171 27 412

Page 7: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Active Children by Age Age

Comp-rehensive

InsuranceServiceCoord

SocialSkills

Basic Extensive Therapeutic Transition Medicaid MCOGrand Total

2 Years old 1 2 1 4

3 Years old 3 13 5 1 22

4 Years old 10 30 1 1 1 1 12 3 59

5 Years old 9 29 1 1 19 1 60

6 Years old 12 27 1 1 20 2 63

7 Years old 10 22 2 3 21 4 62

8 Years old 5 13 6 1 29 2 56

9 Years old 12 18 2 2 5 20 2 61

10 Years old 1 15 2 1 2 5 17 1 44

11 Years old 15 1 2 2 25 2 47

12 Years old 14 1 1 1 6 21 1 45

13 Years old 5 1 3 1 2 1 10 2 25

14 Years old 6 1 3 3 20 2 35

15 Years old 6 1 1 13 1 22

16 Years old 8 1 2 6 2 19

17 Years old 2 1 1 1 1 5 11

18 Years old 2 5 7

19 Years old 2 1 1 3 7

Grand Total 63 229 12 12 14 37 2 2 252 26 649

Page 8: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Count of Active & Waiting by Area

Rural139

South418

North92

Active

Rural92

South276

North44

Waiting

Page 9: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Wait Time by Area

0

50

100

150

200

250

300

350

400

North Rural South

223260

386

AVERAGE WAIT IN DAYS

Page 10: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Insurance Coverage Availability

0

50

100

150

200

250

MedicaidMedicaid

(Secondary)Medicaid

MCO MedicaidMCO

(Secondary)

PrivateInsurance Under

Insured Uninsured

Waiting

Active

Page 11: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Interventionist to RBT changes

324

309349

325290

243258

211

82

121 116101

8599

93

100 108

112137

209 206

298

341360

403

419

400

445

491 497522529

530

578

617

617

0

100

200

300

400

500

600

700

Behavior Interventionist

Registered Behavior Technician

Page 12: State of Nevada Department of Health and Human Servicesdpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Boards/...Helping People. It’s who we are and what we do. Steve Sisolak Governor

Questions –Comments

Yeni Medina

Developmental Specialist 4

702-668-3275

[email protected]