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Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

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Statewide Initiatives



211 - Get Connected. Get Answers.

Resource Allocation Information

The Office for Citizen's with Developmental Disabilities (OCDD) strives to ensure that services in the New Opportunities Waiver (NOW) are available to meet the support needs for people receiving services. 

In 2008, the Louisiana legislature directed DHH/OCDD to implement cost control mechanisms for operating the NOW as a high quality home and community based services program which is both sustainable and cost effective while utilizing the following mechanisms and strategies:  uniform needs based assessments; resource allocation models; containment of individual expenses; and programmatic/fiscal reviews to increase efficiencies.  This directive resulted in the NOW rule LAC 50:XXL.13704 being promulgated. With this rule, effective February 1, 2009 a uniform based assessment and a resource allocation model were implemented in the service planning process. The assessments selected for use in Louisiana were the Supports Intensity Scale (SIS) and the LA PLUS. These assessments are utilized to determine the level of support needs for each person accessing the NOW. For each level of support need, there are a recommended number of Individual and Family Support (IFS) services available based on the person's current living situation.

With the initial implementation of the resource allocation model, OCDD established a three year phase in schedule for current persons to move into their allocation. In 2011, additional rate cuts were proposed for community service providers because of the funding challenges in Louisiana. Instead of making these additional rate cuts to community services, a decision was made with input from advocates, support coordinators and providers to discontinue the three year phase in of Resource Allocation. With the discontinuation of the three year phase in option, OCDD engaged in state wide meetings to provide information to individuals and/or their families. It was expressed in these sessions that a reduction in support hours would only occur following discussions with the support coordinator and support team to determine if the person can use options like sharing, work/day program options, natural support hours or unsupported time to reduce hours. If a person is unable to access one or some combination of these options, there are mechanisms in place to request additional support hours. The support team will need to provide justification for the additional supports to the Local Governing Office (local district/authority) waiver section. For more information regarding requests for additional support hours please review the Guidelines for Support Planning section 5. 

OCDD is committed to developing tools to support the Intellectual and Developmental Disabilities community (I/DD) in creating a sustainable delivery system that makes sense for people supported through the office's program. It is incumbent on all of us to hold one another accountable as we strive to move people from a "service life" to a "community life."

Helpful Information on the Resource Allocation Process

If you have questions, please review the NOW Program and Resource Allocation frequently asked questions below, contact the Office for Citizens with Developmental Disabilities at 1.866.783.5553, or contact a local district/authority.