In:
Intellectual and Developmental Disabilities, American Association on Intellectual and Developmental Disabilities (AAIDD), Vol. 46, No. 3 ( 2008-06-01), p. 200-214
Abstract:
This article examines expenditures for a random sample of 1,421 adult Home and Community Based Services (HCBS) and Intermediate Care Facility/Mental Retardation (ICF/MR) recipients in 4 states. The article documents variations in expenditures for individuals with different characteristics and service needs and, controlling for individual characteristics, by residential setting type, Medicaid program (ICF/MR or HCBS), and state. Annual average per-person Medicaid expenditures for HCBS recipients were less than those of ICF/MR residents ($61,770 and $128,275, respectively). HCBS recipients had less severe disability (intellectual, physical, health service needs) than ICF/MR residents. Controlling these differences, and for congregate settings, HCBS were less costly than ICFs/MR, but this distinction accounted for only 3.3% of variation in expenditures. Persons living with families receiving HCBS ($25,072) and in host families (including foster, companion, or shared living arrangements; $44,112) had the lowest Medicaid expenditures.
Type of Medium:
Online Resource
ISSN:
1934-9556
,
1934-9491
DOI:
10.1352/2008.46:200-214
Language:
English
Publisher:
American Association on Intellectual and Developmental Disabilities (AAIDD)
Publication Date:
2008
SSG:
5,2
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