4.1 Article

Understanding the Impacts of COVID Policy Changes on Access to Needed Supports for Families With Children Receiving Medicaid HCBS Waiver Services

Journal

INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
Volume 61, Issue 6, Pages 506-516

Publisher

AMER ASSOC INTELLECTUAL and DEVELOPMENTAL DISABILITIES - AAIDD
DOI: 10.1352/1934-9556-61.6.506

Keywords

intellectual disability; public policy; Medicaid HCBS; COVID-19

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Research findings indicate that some families in a Midwestern state took advantage of flexible service delivery models introduced during the COVID-19 pandemic. These changes addressed important needs of the families who accessed the services, and they hope that these changes can be sustained in the future.
The COVID-19 pandemic necessitated rapid policy changes to address new demands on disability service systems. A statewide survey of families of people who received Medicaid funded home-and community-based (HCBS) long-term services and supports (LTSS) in one Midwestern state was conducted to understand (1) utilization of services allowed under the policy change, (2) family's experiences if their family member with a disability accessed the services, and (3) family's perspectives on the need for ongoing changes in the future. Overall, the results suggest that a subset of families took advantage of flexibilities introduced into service delivery models during the pandemic, and the changes-when accessed-addressed important needs that a large majority of families that accessed the services hoped would be sustained in the future.

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