Choice-making among medicaid HCBS and ICF/MR recipients in six states

K. Charlie Lakin; Robert Doljanac; Soo Yong Byun; Roger Stancliffe; Sarah Taub; Giuseppina Chiri

doi:10.1352/2008.113.325-342

Choice-making among medicaid HCBS and ICF/MR recipients in six states

K. Charlie Lakin
, Robert Doljanac
, Soo Yong Byun
, Roger Stancliffe
, Sarah Taub
, Giuseppina Chiri

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

Choice in everyday decisions and in support-related decisions was addressed among 2,398 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services and living in nonfamily settings in six states. Everyday choice in daily life and in support-related choice was considerably higher on average for HCBS than for ICF/MR recipients, but after controlling for level of intellectual disability, medical care needs, mobility, behavioral and psychiatric conditions, and self-reporting, we found that choice was more strongly associated with living in a congregate setting than whether that setting was HCBS- or ICF/MR-financed. Marked differences in choice were also evident between states.

Original language	English (US)
Pages (from-to)	325-342+418
Journal	American Journal on Mental Retardation
Volume	113
Issue number	5
DOIs	https://doi.org/10.1352/2008.113.325-342
State	Published - Sep 2008

All Science Journal Classification (ASJC) codes

Education
Rehabilitation
Developmental and Educational Psychology
General Health Professions

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abstract = "Choice in everyday decisions and in support-related decisions was addressed among 2,398 adults with intellectual and developmental disabilities receiving Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facility (ICF/MR) services and living in nonfamily settings in six states. Everyday choice in daily life and in support-related choice was considerably higher on average for HCBS than for ICF/MR recipients, but after controlling for level of intellectual disability, medical care needs, mobility, behavioral and psychiatric conditions, and self-reporting, we found that choice was more strongly associated with living in a congregate setting than whether that setting was HCBS- or ICF/MR-financed. Marked differences in choice were also evident between states.",

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AU - Taub, Sarah

AU - Chiri, Giuseppina

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Choice-making among medicaid HCBS and ICF/MR recipients in six states

Abstract

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