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

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INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
卷 61, 期 6, 页码 506-516

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

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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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