Performance Improvement 2009. What Home- and Community-Based Waivers Have States Designed for People With Intellectual and Developmental Disabilities?


The study explored how waivers emerged to address the needs of people with intellectual and developmental disabilities (I&DD), compile information about comprehensive and supports waivers, and learn about participant characteristics and experiences.

The rapid growth in the number of states operating waivers is noteworthy and will continue. Nearly every state grapples with a large waiting list for services and the prospect that demand for services will continue to climb. States are searching for lower-cost alternatives. Operating supports waivers offer a way to channel demand away from costly residential services. Because supports waivers offer a lower-cost alternative to comprehensive waivers, state policy makers may be more amenable to periodic increases in funding for services for people with I&DD. To make most effective use of supports waivers, states will need to ensure that proper resources are in place to support them, operational difficulties are resolved, and an appropriate role for these waivers is found within the larger state system.

Report Title: Gauging the Use of HCBS Supports Waivers for People with Intellectual and Developmental Disabilities: Final Project Report
Agency Sponsor: ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Ruth Katz, 202-690-6443
Performer: Human Services Research Institute, RTI International
PIC ID: 8893

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"PerformanceImprovement2009.pdf" (pdf, 1.26Mb)

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