Summary

The Consumer-Directed Care Plus (CDC+) Waiver Program presents individuals (consumers) with the option to control and direct Medicaid funds through individual care plans and budgets.  Our audit of the Agency for Persons with Disabilities (APD) focused on APD’s management of Developmental Services Waiver Program (DD) consumers and covered the period July 2005 through February 2007, and selected actions taken through July 26, 2007.

Finding No. 1:         Due to lack of fiscal controls, CDC+ Waiver Program funds were allowed to accumulate in DD consumers’ accounts instead of being returned to the State.

Finding No. 2:         The CDC+ Waiver Program had not sustained the required Federal budget-neutrality status.  As the Waiver nears the expiration date of February 2008, the State intends to ensure budget neutrality by recouping excess funds accumulated in consumers’ accounts.

Finding No. 3:        APD had not implemented the formal monitoring procedures described in the State’s CDC+ Waiver Program Operational Protocol. 

The Director's response is included at the end of this report as Appendix A.