Medicaid HCBS Is Driving A New I/DD Service Delivery Paradigm

For consumers with intellectual and developmental disabilities (I/DD) and the provider organizations delivering services (including long-term services and supports), the Medicaid system is complex and different in every state – a challenge covered previously by my colleague Athena Mandros in, Medicaid Services For Consumers With I/DD – You Need A State Roadmap. As we continue to look towards new policies to promote the use of home- and community-based services (HCBS), the complexities continue to grow.

One big issue coming up is the approval of each state's Medicaid statewide transition plan (STP) to transition their HCBS. Per the . . .