医疗补助家庭和社区基础豁免计划与支持性就业。

The Medicaid Home and Community-Based Waiver and supported employment.

作者信息

West M, Revell G, Kregel J, Bricout J

机构信息

Rehabilitation Research & Training Center on Supported Employment, Virginia Commonwealth University, Richmond 23284-2011, USA.

出版信息

Am J Ment Retard. 1999 Jan;104(1):78-87. doi: 10.1352/0895-8017(1999)104<0078:TMHACW>2.0.CO;2.

DOI:10.1352/0895-8017(1999)104<0078:TMHACW>2.0.CO;2

PMID:9972836

Abstract

The Medicaid Home and Community-Based (HCB) Waiver is the primary funding source for long-term care for individuals with developmental disabilities. Findings from a national survey of 48 state coordinators regarding waiver-funded supported employment services are presented. Very low utilization for this service was found, primarily due to limits on eligibility. However, respondents in 18 states reported large numbers of waiver participants receiving employment services under other service categories. Eleven states had waiting lists for waiver-funded supported employment, totalling three times those actually receiving services. Low reimbursement rates to provider agencies and disinterest of providers in using waiver funds were significant barriers to expansion of service capacity.

摘要

医疗补助家庭和社区基础（HCB）豁免计划是为发育障碍患者提供长期护理的主要资金来源。本文呈现了一项针对48个州协调员开展的关于豁免计划资助的支持性就业服务的全国性调查结果。结果发现该服务的利用率极低，主要原因是资格限制。然而，18个州的受访者报告称，大量豁免计划参与者在其他服务类别下接受就业服务。11个州有豁免计划资助的支持性就业服务等候名单，等候名单上的人数总计是实际接受服务人数的三倍。向服务提供机构的低报销率以及服务提供者对使用豁免资金缺乏兴趣，是扩大服务能力的重大障碍。