Carli Friedman, CQL | The Council on Quality and Leadership.
Intellect Dev Disabil. 2023 Aug 1;61(4):269-279. doi: 10.1352/1934-9556-61.4.269.
Medicaid Home- and Community-Based Services (HCBS) 1915(c) waivers are the most prominent funding mechanism for the long-term services and supports (LTSS) of people with intellectual and developmental disabilities (IDD). This study's aim was to conduct an in-depth national analysis of fiscal year (FY) 2021 HCBS 1915(c) waivers for people with IDD. In FY 2021, over $43.2 billion was projected for the HCBS of 861,038 people with IDD. An average of $47,315 was projected per person with IDD annually. The services that received the most funding were: residential habilitation; supports to live in one's own home; and day habilitation. HCBS is necessary so people with IDD can live and thrive in their communities.
医疗补助家庭和社区为基础的服务(HCBS)1915(c)豁免是为智力和发育障碍(IDD)人士提供长期服务和支持(LTSS)的最主要资金机制。本研究旨在对 2021 财年(FY)针对 IDD 人士的 HCBS 1915(c)豁免进行深入的全国性分析。在 FY 2021 年,预计将为 861,038 名 IDD 人士提供超过 432 亿美元的 HCBS。预计每位 IDD 人士每年的平均费用为 47,315 美元。获得最多资金的服务是:居住康复;支持在自己的家中生活;以及日间康复。HCBS 是必要的,这样 IDD 人士才能在社区中生活和茁壮成长。