RISP Data Bytes: Medicaid-Funded Services for People With IDD Shift From Institutions to Home and Community-Based Services Between 1982 and 2020

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Part of the RISP Data Bytes series.
Author(s)
Sheryl A Larson, Jon Neidorf
Web
Cost:
Free

Description

Since 1982, the number of individuals with Intellectual and Developmental Disabilities (IDD) receiving services in community settings has surged, while those in Medicaid-funded IDD institutions have been cut in half. Home and Community-Based Services (HCBS) prove far more cost-effective than institutional care in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). We should continue increasing access to community-based services, enabling transitions for those in ICF/IID who desire it. Addressing the shortage of direct support workers is crucial to fulfilling service commitments for all.

Details

Date
May 2025 
Type
Brief 
Publisher
Residential Information Systems Project (RISP)

Topics

  • Housing and residential services
    • Institutions and deinstitutionalization
    • Medicaid services (residential)
  • Specific disability
    • Intellectual/developmental disability (IDD)