Friedman Carli
Carli Friedman, The Council on Quality and Leadership, Towson, MD.
Intellect Dev Disabil. 2019 Feb;57(1):1-13. doi: 10.1352/1934-9556-57.1.1.
Direct support professional (DSPs) are crucial to long-term services and supports (LTSS) in the United States for people with intellectual and developmental disabilities (IDD). This study examined how states utilize DSPs' personal care services in Medicaid Home and Community Based Services (HCBS) 1915(c) waivers across the nation. We found extreme variance across states and services; ensuring people with IDD receive quality services demands this lack of standardization is reduced. Not only did the reimbursement rates range widely, the majority of rates were very close to the federal minimum wage. In recognition of this important work, states need to reconsider the waiver reimbursement rates of services provided by DSPs.
直接支持专业人员（DSPs）对于美国为智力和发育障碍（IDD）患者提供的长期服务与支持（LTSS）至关重要。本研究调查了各州如何在全国范围内利用DSPs的个人护理服务用于医疗补助家庭和社区基础服务（HCBS）1915（c）豁免项目。我们发现各州和各项服务之间存在极大差异；要确保IDD患者获得优质服务，就需要减少这种缺乏标准化的情况。不仅报销率差异很大，而且大多数报销率非常接近联邦最低工资标准。鉴于这项重要工作，各州需要重新考虑DSPs提供服务的豁免报销率。
