Friedman Carli
Carli Friedman, CQL | The Council on Quality and Leadership.
Intellect Dev Disabil. 2017 Oct;55(5):281-302. doi: 10.1352/1934-9556-55.5.281.
Medicaid Home and Community Based Services (HCBS) 1915(c) waivers are the largest source of funding for the long term services and supports of people with intellectual and developmental disabilities (IDD). National-level analyses of HCBS IDD waivers are crucial because of the large variance across states, the recent CMS rule and regulation changes (CMS 2249-F/2296-F), and the ever changing economic and political landscape. Therefore, the aim of this study was to examine state waiver priorities for people with IDD. In FY 2015, 111 waivers projected spending $25.6 billion for approximately 630,000 people with IDD. The services with the most funding were residential habilitation, supports to live in one's own home, and day habilitation. However, our analysis revealed large discrepancies across states and services.
医疗补助家庭和社区基础服务（HCBS）1915（c）豁免是为智力和发育障碍（IDD）患者提供长期服务和支持的最大资金来源。由于各州之间存在巨大差异、医疗保险和医疗补助服务中心（CMS）近期的规则和法规变化（CMS 2249-F/2296-F）以及不断变化的经济和政治形势，对HCBS IDD豁免进行国家级分析至关重要。因此，本研究的目的是调查各州针对IDD患者的豁免优先事项。2015财年，111项豁免计划为约63万名IDD患者支出256亿美元。获得资金最多的服务是住宿 habilitation、居家生活支持和日间 habilitation。然而，我们的分析揭示了各州和各项服务之间存在巨大差异。
