title: The Medicaid Home and Community-Based Waiver and supported employment.
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.
authors.affiliation: Rehabilitation Research & Training Center on Supported Employment, Virginia Commonwealth University, Richmond 23284-2011, USA. mwest@saturn.vcu.edu
authors.forename: M
authors.initials: M
authors.lastname: West
authors.forename: G
authors.initials: G
authors.lastname: Revell
authors.forename: J
authors.initials: J
authors.lastname: Kregel
authors.forename: J
authors.initials: J
authors.lastname: Bricout
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S. / Q000331:legislation & jurisprudence; D003156:Community Mental Health Services / Q000191:economics / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D003365:Costs and Cost Analysis; D003625:Data Collection; D002658:Developmental Disabilities / Q000191:economics / Q000534:rehabilitation*; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence* / Q000534:rehabilitation*; D004608:Eligibility Determination; D004651:Employment / Q000331:legislation & jurisprudence*; D005380:Financing, Government / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008607:Intellectual Disability / Q000191:economics / Q000534:rehabilitation*; D008484:Medicaid / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D012051:Reimbursement Mechanisms; D014481:United States; D014850:Waiting Lists