Show simple item record

dc.contributor.authorWalker, Melissa A.
dc.identifier.citationWalker, M. A. (2014), Payment and Delivery of Case Management for Individuals With Intellectual and Developmental Disabilities. Journal of Policy and Practice in Intellectual Disabilities, 11 (4): 268–278en_US
dc.descriptionClick on the DOI link to access the article (may not be free).en_US
dc.description.abstractIn the United States, Medicaid is the primary source of funding for many services on which individuals with intellectual and developmental disabilities depend. Case management, one such service, links individuals with intellectual and developmental disabilities to community-based speech and language therapy, adaptive technology, medical care, and other support services. Case management can facilitate navigation in a complex system of care. State and federal concerns about the rising cost of Medicaid and case management have led to changes in payment methodologies. This analysis of one state's case management expenditure during 2007 and 2008 found payment changes were associated with a decrease in the average annual cost per person. Comparing these two years, the largest decrease in cost was found among children and youth, those individuals with less severe disabilities, and persons from ethnic/racial minorities. As such changes could delay early intervention, over time, they could have a negative effect on both cost and outcomes. While this is a case study of a single service in a large urban area of one state, the results may apply to other health and human services and to other locales where fee-for-service arrangements are used.en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.relation.ispartofseriesJournal of Policy and Practice in Intellectual Disabilities;v.11:no.4
dc.subjectCase managementen_US
dc.subjectDevelopmental disabilityen_US
dc.subjectIntellectual disabilityen_US
dc.subjectMedicaid fee-for-serviceen_US
dc.titlePayment and delivery of case management for individuals with intellectual and developmental disabilitiesen_US
dc.rights.holderCopyright © 1999-2015 John Wiley & Sons, Inc. All Rights Reserved.

Files in this item


There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record