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Medicaid-financed residential care for persons with mental retardation.

Lakin KC, Hall MJ - Health Care Financ Rev (1990)

Bottom Line: Results indicate that Medicaid support through the ICF/MR program has shown little recent growth in terms of number of persons served, although expenditures continue to increase.Medicaid's HCBS waiver is being used increasingly by States to support residential placement because of its greater flexibility and more individualized approach relative to ICF/MR care.Use of Medicaid to finance care for persons with MR/RC varies considerably across States.

View Article: PubMed Central - PubMed

Affiliation: Health Care Financing Administration, Baltimore, MD 21207.

ABSTRACT
Two sources of Medicaid support for persons with mental retardation and related conditions (MR/RC) are examined, the intermediate care facility for the mentally retarded (ICF/MR) program and the home and community-based services (HCBS) waiver. Results indicate that Medicaid support through the ICF/MR program has shown little recent growth in terms of number of persons served, although expenditures continue to increase. Medicaid's HCBS waiver is being used increasingly by States to support residential placement because of its greater flexibility and more individualized approach relative to ICF/MR care. Use of Medicaid to finance care for persons with MR/RC varies considerably across States.

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Related in: MedlinePlus

Number of institutional and community Medicaid recipients of ICF/MR and HCB waiver services: June 30,1977,1982, and 1988
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Related In: Results  -  Collection


getmorefigures.php?uid=PMC4195150&req=5

f3-hcfr-90-supp-149: Number of institutional and community Medicaid recipients of ICF/MR and HCB waiver services: June 30,1977,1982, and 1988

Mentions: In prior sections of this article, the increase in ICF/MR care provided in community-based relative to institutional settings has been discussed. To get a more complete picture of the extent of Medicaid funding for care in community-based settings it is useful to combine utilization figures from both small ICFs/MR and waiver service recipients. Although not all the waiver recipients were in residential settings, in order to qualify for this program they are required to be people who in the absence of waiver services would require institutional services. On June 30, 1988, 33 percent of combined ICF/MR and waiver service recipients were in community settings, compared with 20 percent of ICF/MR residents only (derived from data in Figure 3). Seventeen States had more than one-half of their total ICF/MR and waiver recipients in small residential facilities or in their own homes (Lakin et al., 1990).


Medicaid-financed residential care for persons with mental retardation.

Lakin KC, Hall MJ - Health Care Financ Rev (1990)

Number of institutional and community Medicaid recipients of ICF/MR and HCB waiver services: June 30,1977,1982, and 1988
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195150&req=5

f3-hcfr-90-supp-149: Number of institutional and community Medicaid recipients of ICF/MR and HCB waiver services: June 30,1977,1982, and 1988
Mentions: In prior sections of this article, the increase in ICF/MR care provided in community-based relative to institutional settings has been discussed. To get a more complete picture of the extent of Medicaid funding for care in community-based settings it is useful to combine utilization figures from both small ICFs/MR and waiver service recipients. Although not all the waiver recipients were in residential settings, in order to qualify for this program they are required to be people who in the absence of waiver services would require institutional services. On June 30, 1988, 33 percent of combined ICF/MR and waiver service recipients were in community settings, compared with 20 percent of ICF/MR residents only (derived from data in Figure 3). Seventeen States had more than one-half of their total ICF/MR and waiver recipients in small residential facilities or in their own homes (Lakin et al., 1990).

Bottom Line: Results indicate that Medicaid support through the ICF/MR program has shown little recent growth in terms of number of persons served, although expenditures continue to increase.Medicaid's HCBS waiver is being used increasingly by States to support residential placement because of its greater flexibility and more individualized approach relative to ICF/MR care.Use of Medicaid to finance care for persons with MR/RC varies considerably across States.

View Article: PubMed Central - PubMed

Affiliation: Health Care Financing Administration, Baltimore, MD 21207.

ABSTRACT
Two sources of Medicaid support for persons with mental retardation and related conditions (MR/RC) are examined, the intermediate care facility for the mentally retarded (ICF/MR) program and the home and community-based services (HCBS) waiver. Results indicate that Medicaid support through the ICF/MR program has shown little recent growth in terms of number of persons served, although expenditures continue to increase. Medicaid's HCBS waiver is being used increasingly by States to support residential placement because of its greater flexibility and more individualized approach relative to ICF/MR care. Use of Medicaid to finance care for persons with MR/RC varies considerably across States.

Show MeSH
Related in: MedlinePlus