Factors associated with expenditures for medicaid home and community based services (HCBS) and intermediate care facilities for persons with mental retardation (ICF/MR) services for persons with intellectual and developmental disabilities

Intellect Dev Disabil. 2008 Jun;46(3):200-14. doi: 10.1352/2008.46:200-214.

Abstract

This article examines expenditures for a random sample of 1,421 adult Home and Community Based Services (HCBS) and Intermediate Care Facility/Mental Retardation (ICF/MR) recipients in 4 states. The article documents variations in expenditures for individuals with different characteristics and service needs and, controlling for individual characteristics, by residential setting type, Medicaid program (ICF/MR or HCBS), and state. Annual average per-person Medicaid expenditures for HCBS recipients were less than those of ICF/MR residents ($61,770 and $128,275, respectively). HCBS recipients had less severe disability (intellectual, physical, health service needs) than ICF/MR residents. Controlling these differences, and for congregate settings, HCBS were less costly than ICFs/MR, but this distinction accounted for only 3.3% of variation in expenditures. Persons living with families receiving HCBS ($25,072) and in host families (including foster, companion, or shared living arrangements; $44,112) had the lowest Medicaid expenditures.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Child
  • Community Health Services / economics*
  • Community Health Services / statistics & numerical data
  • Developmental Disabilities / economics
  • Developmental Disabilities / therapy*
  • Factor Analysis, Statistical
  • Female
  • Health Care Costs / statistics & numerical data
  • Health Expenditures / statistics & numerical data*
  • Home Care Services / economics*
  • Home Care Services / statistics & numerical data
  • Humans
  • Intellectual Disability / economics
  • Intellectual Disability / therapy*
  • Intermediate Care Facilities / economics*
  • Male
  • Medicaid / economics*
  • Medicaid / statistics & numerical data
  • Socioeconomic Factors
  • United States