As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
Approaches to the Integration of Services for Individuals with Intellectual and Other Developmental Disabilities
Brendan Hogan, Kate Bazinsky, and Beth Waldman, Bailit Health Purchasing
Today, there is a great deal of focus on integration of physical and behavioral health care services within the health care system overall, as well as within state Medicaid programs. Individuals with intellectual and other developmental disabilities (I/DD) often have multiple physical, behavioral, and long-term services and support (LTSS) needs. Many advocates of integration suggest that the consolidation of these services can provide an opportunity to improve care for individuals with I/DD. Based on interviews conducted with I/DD staff in six states (Arizona, Kansas, Michigan, New York, Tennessee, and Vermont), this paper highlights approaches to integrating services within the Medicaid program for individuals with I/DD, and lessons learned from states with integration activities underway.