Telehealth Service Delivery in Medicaid Home- and Community-Based Services for People with Intellectual and Developmental Disabilities.

IF 2.5 Q1 REHABILITATION International Journal of Telerehabilitation Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI:10.5195/ijt.2022.6478
Carli Friedman
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Abstract

Medicaid Home- and Community-Based Services (HCBS) 1915(c) waivers are the largest funding mechanism for Long-Term Supports and Services (LTSS) for people with intellectual and developmental disabilities (IDD) in the United States. This study's aim was to examine telehealth service provision in Medicaid HCBS waivers for people with IDD. We analyzed fiscal year 2021 Medicaid HCBS waivers for people with IDD and emergency Appendix K authorizations (2020-2022) to examine permanent and temporary use of telehealth, respectively. The overwhelming majority of waivers (98.1%) temporarily permitted the use of telehealth service delivery for people with IDD. However, only a fraction (27.6%) permanently included the use of telehealth for people with IDD. The most prevalent types of services that permitted telehealth service delivery were: employment, day, and prevocational services; clinical and therapeutic services; and in-home and residential supports. When developing and implementing telehealth, it is important to consider the needs of people with IDD.

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为智力和发育障碍人士提供的医疗补助家庭和社区服务中的远程医疗服务。
医疗补助家庭和社区服务 (HCBS) 1915(c) 减免计划是美国为智力和发育障碍 (IDD) 患者提供长期支持和服务 (LTSS) 的最大资助机制。本研究的目的是调查医疗补助 HCBS 减免计划为 IDD 患者提供的远程医疗服务。我们分析了 2021 财年针对 IDD 患者的医疗补助 HCBS 减免计划和附录 K 紧急授权(2020-2022 年),以分别考察远程医疗的长期和临时使用情况。绝大多数豁免(98.1%)暂时允许为 IDD 患者提供远程医疗服务。然而,只有一小部分(27.6%)永久性地允许智障人士使用远程保健。允许提供远程保健服务的最普遍服务类型是:就业、日间和职前服务;临床和治疗服务;以及居家和寄宿支持。在开发和实施远程保健时,必须考虑智障人士的需求。
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来源期刊
CiteScore
4.60
自引率
6.10%
发文量
14
审稿时长
10 weeks
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