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Occupational Therapy in Medicaid Home and Community-Based Services Waivers.

OBJECTIVE. Medicaid Home and Community-Based Services (HCBS) 1915(c) waivers are the largest provider of long-term services and supports for people with intellectual and developmental disabilities (IDDs). In this study, we explored how HCBS IDD waivers projected providing occupational therapy servic...

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Published in:American Journal of Occupational Therapy Vol. 72; no. 2; pp. 1 - 31
Main Authors: Friedman, Carli, VanPuymbrouck, Laura
Format: research tables/charts Journal Article
Published: American Occupational Therapy Association Mar/Apr2018
Online Access:View this record in EBSCOhost
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      jtl: American Journal of Occupational Therapy
      issn: 02729490
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      dt: Mar/Apr2018
      vid: 72
      iid: 2
      pid: 6680
      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2018.024273
        127926689
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        atl: Occupational Therapy in Medicaid Home and Community-Based Services Waivers.
      aug:
        au:
          Friedman, Carli
          VanPuymbrouck, Laura
        affil: Carli Friedman, PhD, is Director of Technical Assistance and Data Analysis, CQL The Council on Quality and Leadership, Towson, MD
      sug:
        subj:
          Occupational Therapy Economics
          Medicaid Economics
          Community Health Services Economics
          Intellectual Disability Therapy
          Developmental Disabilities Therapy
          Home Health Care Economics
          Qualitative Studies
          Quantitative Studies
          Health Care Costs
          Health Resource Utilization
          United States
          Geographic Factors
          Comparative Studies
          Descriptive Statistics
          Insurance, Health, Reimbursement
          Data Analysis Software
          Content Analysis
          Documentation
          Funding Source
      ab: OBJECTIVE. Medicaid Home and Community-Based Services (HCBS) 1915(c) waivers are the largest provider of long-term services and supports for people with intellectual and developmental disabilities (IDDs). In this study, we explored how HCBS IDD waivers projected providing occupational therapy services in Fiscal Year (FY) 2015. METHOD. Medicaid HCBS IDD waivers across the nation gathered from the Centers for Medicare and Medicaid Services were qualitatively and quantitatively analyzed to determine how they projected providing occupational therapy services in terms of service expenditures and utilization. RESULTS. In FY 2015, $14.13 million of spending was projected for occupational therapy services of 7,500 participants. However, there was large heterogeneity across states and services in terms of total projected spending, spending per participant, and reimbursement rates. CONCLUSION. Comparisons across states strengthen the profession's ability to assert the value of its services. These findings can help identify best practices and can advocate for the refinement of state occupational therapy programs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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