Specialized medical equipment for people with intellectual and developmental disabilities allocated in Home and Community Based Services

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES Journal of Policy and Practice in Intellectual Disabilities Pub Date : 2024-09-17 DOI:10.1111/jppi.12525

Carli Friedman

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Abstract

Specialized medical equipment, includes both durable medical equipment—nondisposable, reusable medical equipment—and nondurable medical equipment—disposable, often one time use medical supplies. The aim of this study was to examine if, and how, states allocated specialized medical equipment for people with IDD in their Medicaid HCBS programs. To do so, we examined Medicaid HCBS 1915(c) waivers for people with IDD from across the United States. We found 55 waivers (51.40%) from 27 states (60.00%) provided 71 specialized medical equipment services to people with IDD. HCBS waivers projected spending $61 million on specialized medical equipment for 33 305 people with IDD. The average annual spending per person was $2433. In addition to helping promote community living and integration, for some people with IDD, specialized medical equipment can be life sustaining; as such, it is critical that unmet needs for specialized medical equipment not go unaddressed.

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分配给家庭和社区服务中的智力和发育障碍人士的专用医疗设备

专用医疗设备包括耐用医疗设备（非一次性、可重复使用的医疗设备）和非耐用医疗设备（一次性、通常只使用一次的医疗用品）。本研究旨在考察各州是否以及如何在其医疗补助 HCBS 计划中为 IDD 患者分配专用医疗设备。为此，我们研究了全美各州为 IDD 患者提供的医疗补助 HCBS 1915(c) 特例。我们发现，来自 27 个州（60.00%）的 55 个减免计划（51.40%）为 IDD 患者提供了 71 项专业医疗设备服务。HCBS 减免计划预计将为 33 305 名 IDD 患者花费 6 100 万美元购买专业医疗设备。每人每年的平均支出为 2433 美元。除了帮助促进社区生活和融合之外，对于一些 IDD 患者来说，专业医疗设备还可以维持他们的生命；因此，至关重要的是，未得到满足的专业医疗设备需求不能得不到解决。

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Journal of Policy and Practice in Intellectual Disabilities Multiple-

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4.10

自引率

5.90%

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