title: Mental/Behavioral Health Services: Medicaid Home and Community-Based Services 1915(c) Waiver Allocation for People With Intellectual and Developmental Disabilities.
abstract: Research has indicated that people who have intellectual and developmental disabilities (IDD) appear to be more vulnerable to having a co-existing psychiatric diagnosis. This study examined Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver applications for people with IDD to determine the mental/behavioral health services proposed. We found that a large variance exists across states in projected spending for services, spending per participant, annual hours of service per participant, and hourly reimbursement rates. Moreover, compared to overall funding we found a general lack of state commitment to mental/behavioral services. States must shore up the capacity of their HCBS 1915
authors.forename: Carli
authors.initials: C
authors.lastname: Friedman
authors.forename: Amie
authors.initials: A
authors.lastname: Lulinski
authors.forename: Mary C
authors.initials: MC
authors.lastname: Rizzolo
mesh_terms: D003153:Community Health Services / Q000191:economics*; D004608:Eligibility Determination; D005102:Health Expenditures; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008607:Intellectual Disability / Q000191:economics*; D008134:Long-Term Care / Q000191:economics; D008484:Medicaid / Q000191:economics*; D008605:Mental Health Services / Q000191:economics*; D014481:United States
keywords: Home and Community-Based Services waivers; Mental/behavioral health; dual diagnosis; intellectual and developmental disabilities