Delaware House Substitute 1 For House Bill 104: The Michael McNesby Full Funding For Adults With I/DD Act

The legislation was signed on September 4, 2018. The state intends to fully fund Medicaid home- and community-based services (HCBS) for adults with intellectual/developmental disabilities (I/DD). Currently, the Delaware Division of Developmental Disabilities Services (DDDS) funds I/DD HCBS at 75% of the benchmark market rate established in a 2014 study. The goal is to increase hourly wages of direct support professionals (DSPs) to improve recruitment and retention of DSPs, to decrease staff turnover, and to decrease position vacancies. The legislation also requires that the adequacy of the rate system be evaluated against performance measures that are . . .