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. 1990 Dec;Spec No(Suppl):149-60.

Medicaid-financed residential care for persons with mental retardation

K C Lakin  1 , M J Hall
Affiliations

Medicaid-financed residential care for persons with mental retardation

K C Lakin et al. Health Care Financ Rev. 1990 Dec.

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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Figures

Figure 1
Figure 1. Residents of certified ICFs/MR, by size and State and non-State operation: June 30,1977,1982,1986, and 1988
Figure 2
Figure 2. Number of residents in large and small facilities, by ICF/MR certification: June 30,1977, 1982, and 1988
Figure 3
Figure 3. Number of institutional and community Medicaid recipients of ICF/MR and HCB waiver services: June 30,1977,1982, and 1988
See this image and copyright information in PMC

References

    1. Allard MA, Toff GE. Current and Future Development of Intermediate Care Facilities for the Mentally Retarded: A Survey of State Officials George Washington University. Intergovernmental Health Policy Project; Washington: Aug. 1980.
    1. Bellman W. Congressional Record, 117. U.S. Senate; Dec 4, 1971. Remarks regarding ICF/MR provisions in the 1972 Amendments to the Social Security Act; pp. 44713–44786.
    1. Blatt B. Exodus from Pandemonium: Human Abuse and Reformation of Public Policy. Boston: Allyn and Bacon; 1970.
    1. Blatt B. Souls in Extremis. Boston: Allyn and Bacon; 1973.
    1. Boggs EM, Lakin KC, Clauser SA. Medicaid coverage of residential services. In: Lakin KC, Hill BK, Bruininks RH, editors. An Analysis of Medicaid's Intermediate Care Facility for the Mentally Retarded (ICF/MR) Program. University of Minnesota, Center for Residential and Community Services; Minneapolis: 1985.

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