Lakin K C, Hall M J
Health Care Financing Administration, Baltimore, MD 21207.
Health Care Financ Rev. 1990 Dec;Spec No(Suppl):149-60.
Two sources of Medicaid support for persons with mental retardation and related conditions (MR/RC) are examined, the intermediate care facility for the mentally retarded (ICF/MR) program and the home and community-based services (HCBS) waiver. Results indicate that Medicaid support through the ICF/MR program has shown little recent growth in terms of number of persons served, although expenditures continue to increase. Medicaid's HCBS waiver is being used increasingly by States to support residential placement because of its greater flexibility and more individualized approach relative to ICF/MR care. Use of Medicaid to finance care for persons with MR/RC varies considerably across States.
本文考察了医疗补助为智障及相关病症患者（MR/RC）提供支持的两个来源，即智障中级护理机构（ICF/MR）项目和基于家庭与社区的服务（HCBS）豁免计划。结果表明，尽管支出持续增加，但通过ICF/MR项目获得的医疗补助在服务人数方面近期增长甚微。由于相对于ICF/MR护理而言，HCBS豁免计划具有更大的灵活性和更个性化的方式，各州越来越多地利用该计划来支持居家安置。各州在利用医疗补助为MR/RC患者提供护理方面存在很大差异。
