Understanding The Opportunities In The I/DD Medicaid HCBS Wait List

The market landscape for services for the consumer population with intellectual/developmental disabilities (I/DD) is shaped by state policy. Traditional services for consumers with I/DD are provided in institutional settings, such as intermediate care facilities. But under Medicaid home- and community-based services (HCBS) waivers, the services are markedly different – they are provided in integrated community settings and can include personal care, homemaker services, and employment supports.

Approximately 2% of the U.S. population, or 6.2 million people, has an I/DD; however, the number of consumers receiving services and how these services are provided varies widely . . .