DOI: 10.1352/1934-9556-61.4.269 ISSN: 1934-9556

Medicaid Home- and Community-Based Services Waivers for People With Intellectual and Developmental Disabilities

Carli Friedman
  • Psychiatry and Mental health
  • Community and Home Care
  • Developmental and Educational Psychology
  • Education
  • Pediatrics, Perinatology and Child Health


Medicaid Home- and Community-Based Services (HCBS) 1915(c) waivers are the most prominent funding mechanism for the long-term services and supports (LTSS) of people with intellectual and developmental disabilities (IDD). This study's aim was to conduct an in-depth national analysis of fiscal year (FY) 2021 HCBS 1915(c) waivers for people with IDD. In FY 2021, over $43.2 billion was projected for the HCBS of 861,038 people with IDD. An average of $47,315 was projected per person with IDD annually. The services that received the most funding were: residential habilitation; supports to live in one's own home; and day habilitation. HCBS is necessary so people with IDD can live and thrive in their communities.

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