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