Overview of Nevada's Autism Treatment Assistance Program (ATAP) Caseload and Services

The State of Nevada's ATAP program, overseen by Governor Brian Sandoval and Director Richard Whitley, assists children with autism by providing comprehensive services. The program currently serves a caseload of 698 active children with an average age of 9.477. However, there are still 477 children waiting for services with an average wait time of 363 days. The program offers various service plans tailored to different needs, including comprehensive, insurance assistance, and service coordination. The breakdown of waiting children by age and active children by age highlights the program's efforts in catering to different age groups.

• Nevada
• ATAP
• Autism Treatment
• Services

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1. Brian Sandoval Governor Richard Whitley Director State of Nevada Department of Health and Human Services Aging and Disability Services Division Autism Treatment Assistance Program (ATAP) Samantha Jayme HPM 3 10/04/2018 Helping People. It s who we are and what we do.

2. ATAP August Monthly caseload to date (8/31/18) 71 new applications 698 active children, average age: 9 477 total children waiting, average age: 6 Average wait time: 363 days

3. ATAP Caseload Growth 800 700 717 716 695 596 642 600 560 516 542 480 500 464 438 400 275 300 Average of Total Unduplicated Persons on Waitlist 235 200 212 Average of Total Active Cases 134 100 122 0 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019

4. Referrals to date New Application Average 70 59 60 55 49 48 50 46 40 30 25 20 11 8 10 0 FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 FY 2019

5. Case mix breakdown by plan type Status Plan Type Active Waiting ATAP-Comprehensive: 202 29% 110 23% ATAP-Insurance Assistance: 287 41% 169 35% ATAP-Plan Undetermined: 0 0% 113 24% ATAP-Service Coordination: 41 6% 16 3% ATAP-Social Skills: 15 2% 1 0% ATAP-Targeted Basic: 32 5% 3 1% ATAP-Targeted Extensive: 113 16% 65 14% ATAP-Therapeutic: 3 0% 0 0% ATAP-Transition Plan: 5 1% 0 0% Grand Total 698 477 5

6. Waiting Children by Age Age Undetermined Comprehensive Insurance Social Skills Extensive Medicaid FFS Medicaid MCO Grand Total 1 Year old 1 1 1 3 2 Years old 21 17 5 3 46 3 Years old 12 7 33 17 9 78 4 Years old 5 4 26 1 30 4 70 5 Years old 4 3 17 17 3 44 6 Years old 2 15 20 5 42 7 Years old 2 9 22 2 35 8 Years old 2 2 5 1 20 2 32 9 Years old 2 1 3 14 20 10 Years old 2 1 3 12 2 20 11 Years old 3 6 1 2 12 24 12 Years old 1 4 1 8 1 15 13 Years old 5 12 2 19 14 Years old 3 2 9 1 15 15 Years old 2 3 4 9 16 Years old 1 1 1 3 17 Years old 1 1 18 Years old 1 1 Grand Total 57 19 149 1 10 205 36 477

7. Active Children by Age Age Comprehensive Insurance Social Skills Basic Extensive Therapeutic Transition Medicaid MCO Total 2 Years old 1 5 2 7 3 Years old 3 12 13 4 32 4 Years old 14 30 1 10 7 62 5 Years old 10 25 2 20 4 61 6 Years old 15 30 1 1 1 25 4 77 7 Years old 14 16 1 4 18 6 59 8 Years old 9 17 1 4 1 30 4 66 9 Years old 9 23 3 1 26 2 64 10 Years old 1 15 1 4 3 1 1 20 3 49 11 Years old 1 15 2 5 1 24 3 51 12 Years old 9 1 2 5 25 2 44 13 Years old 8 5 1 17 2 33 14 Years old 4 2 4 2 12 3 27 15 Years old 6 1 1 15 3 26 16 Years old 6 3 1 5 1 16 17 Years old 4 1 1 4 10 18 Years old 1 1 4 6 19 Years old 4 3 7 Grand Total 77 230 11 19 32 3 5 273 48 698

8. Count of Active & Waiting by Area Active North 98 Rural 152 Waiting North 44 South 448 Rural 96 South 337

9. Wait Time by Area AVERAGE WAIT IN DAYS 450 400 350 300 250 401 200 277 150 252 100 50 0 North Rural South

10. Insurance Coverage Availability 250 Waiting 200 Active 150 100 50 0 Medicaid Medicaid (Secondary) Medicaid MCO Medicaid MCO (Secondary) Private Insurance Under Insured Uninsured

11. Interventionist to RBT changes 600 522529 Behavior Interventionist Registered Behavior Technician 530 497 491 500 445 419 403 400 400 360 325 341 349 324 300 298 309 290 258 209 206 243 200 211 137 93 100 121 116 101 99 85 82 0 Aug-16 Oct-16 Dec-16 Feb-17 Apr-17 Jun-17 Aug-17 Oct-17 Dec-17 Feb-18 Apr-18 Jun-18 Aug-18

12. Questions Comments Samantha Jayme, MSW HPM 3 702-668-3272 sjayme@adsd.nv.gov