Occupational Therapy in Medicaid Home and Community-Based Services Waivers. / Carli Friedman in American Journal of Occupational Therapy, Vol. 72/2 (March/April 2018)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-21 Titre : Occupational Therapy in Medicaid Home and Community-Based Services Waivers. Type de document : texte imprimé Auteurs : Carli Friedman, Auteur ; Laura VanPuymbrouck, Auteur Année de publication : 2018 Article en page(s) : pp.1-21 Langues : Américain (ame) Mots-clés : Services de soins à domicile  Soins à domicile  économie  Etats-Unis  Déficience intellectuelle Résumé : OBJECTIVE. Medicaid Home and Community-Based Services (HCBS) 1915(c) waivers are the largest provider of long-term services and supports for people with intellectual and developmental disabilities (IDDs). In this study, we explored how HCBS IDD waivers projected providing occupational therapy services in Fiscal Year (FY) 2015. METHOD. Medicaid HCBS IDD waivers across the nation gathered from the Centers for Medicare and Medicaid Services were qualitatively and quantitatively analyzed to determine how they projected providing occupational therapy services in terms of service expenditures and utilization. RESULTS. In FY 2015, $14.13 million of spending was projected for occupational therapy services of 7,500 participants. However, there was large heterogeneity across states and services in terms of total projected spending, spending per participant, and reimbursement rates. CONCLUSION. Comparisons across states strengthen the profession's ability to assert the value of its services. These findings can help identify best practices and can advocate for the refinement of state occupational therapy programs. Permalink : ./index.php?lvl=notice_display&id=60753 [article] Occupational Therapy in Medicaid Home and Community-Based Services Waivers. [texte imprimé] / Carli Friedman, Auteur ; Laura VanPuymbrouck, Auteur . - 2018 . - pp.1-21. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 72/2 (March/April 2018) . - pp.1-21 Mots-clés : Services de soins à domicile  Soins à domicile  économie  Etats-Unis  Déficience intellectuelle Résumé : OBJECTIVE. Medicaid Home and Community-Based Services (HCBS) 1915(c) waivers are the largest provider of long-term services and supports for people with intellectual and developmental disabilities (IDDs). In this study, we explored how HCBS IDD waivers projected providing occupational therapy services in Fiscal Year (FY) 2015. METHOD. Medicaid HCBS IDD waivers across the nation gathered from the Centers for Medicare and Medicaid Services were qualitatively and quantitatively analyzed to determine how they projected providing occupational therapy services in terms of service expenditures and utilization. RESULTS. In FY 2015, $14.13 million of spending was projected for occupational therapy services of 7,500 participants. However, there was large heterogeneity across states and services in terms of total projected spending, spending per participant, and reimbursement rates. CONCLUSION. Comparisons across states strengthen the profession's ability to assert the value of its services. These findings can help identify best practices and can advocate for the refinement of state occupational therapy programs. Permalink : ./index.php?lvl=notice_display&id=60753

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