Research Article  |   January 2018
Occupational Therapy in Medicaid Home and Community-Based Services Waivers
Author Affiliations
  • Carli Friedman, PhD, is Director of Technical Assistance and Data Analysis, CQL | The Council on Quality and Leadership, Towson, MD; cfriedman@thecouncil.org
  • Laura VanPuymbrouck, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, Rush University, Chicago, IL
Article Information
Advocacy / Pediatric Evaluation and Intervention / Professional Issues / Research Articles
Research Article   |   January 2018
Occupational Therapy in Medicaid Home and Community-Based Services Waivers
American Journal of Occupational Therapy, January 2018, Vol. 72, 7202205120p1-7202205120p9. doi:10.5014/ajot.2018.024273
American Journal of Occupational Therapy, January 2018, Vol. 72, 7202205120p1-7202205120p9. doi:10.5014/ajot.2018.024273
Abstract

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.