Policy Research Brief: Institutionalization Bias in Long-Term Services and Supports for People with IDD
Medicaid requires states to provide institutional services to eligible Medicaid recipients, but allows states to have waiting lists for recipients preferring home and community based services. This results in an institutional bias in Medicaid funded long-term supports and services. This Policy Research Brief recommends reducing the use of institutional services; eliminating Medicaid's institutional bias by making HCBS an entitlement; and promoting person-centered services, full community inclusion, and individual choice.
- September 2023
- Volume 30, Number 2
- Research and Training Center on Community Living (RTC-CL)
- Housing and residential services
- Community group residential
- Medicaid services (residential)