"Get us real jobs:" Supported employment services for people with intellectual and developmental disabilities in Medicaid Home and Community Based Services Waivers.
BACKGROUND: Despite their interest in and ability to work in integrated settings the majority of adults with intellectual and developmental disabilities (IDD) in the United States are funneled into segregated settings. OBJECTIVE: Because of the essential role Medicaid 1915(c) Home and Community Base...
| Publicado en: | Journal of Vocational Rehabilitation Vol. 46; no. 1; pp. 107 - 117 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120984391&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120984391 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10522263 3O2 jtl: Journal of Vocational Rehabilitation issn: 10522263 maglogo: N pubinfo: dt: 2017 vid: 46 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 120984391 120984391 120984391 10.3233/JVR-160847 120984391 ppf: 107 ppct: 10 formats: fmt: @attributes: type: P tig: atl: "Get us real jobs:" Supported employment services for people with intellectual and developmental disabilities in Medicaid Home and Community Based Services Waivers. aug: au: Friedman, Carli Rizzolo, Mary C. affil: Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA sug: subj: Medicaid Intellectual Disability Employment, Supported Human Employment, Supported Economics United States ab: BACKGROUND: Despite their interest in and ability to work in integrated settings the majority of adults with intellectual and developmental disabilities (IDD) in the United States are funneled into segregated settings. OBJECTIVE: Because of the essential role Medicaid 1915(c) Home and Community Based Services (HCBS) waivers play in providing both long-term supports and supported employment services the aim of this study was to examine how HCBS waivers allocated supported employment services in fiscal year 2014. This included an examination of hourly reimbursement rates and annual service prevision per participant as well as variance across states. METHODS: Supported employment services in Medicaid 1915(c) HCBS waivers for people with IDD were analyzed to determine trends, service utilization, and projected expenditures. RESULTS: Although HCBS waivers play a critical role in providing supported employment services for people with IDD, we found wide variability across services and states in terms of projected total spending, projected spending per participant, and service rates. CONCLUSIONS: Expansion of supported employment services is important so people with disabilities can access employment in the most integrated settings possible in alignment with the Americans with Disabilities Act and the Olmstead v L.C. decision. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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