Medicaid and Persons with Disabilities

Download Publication (pdf)

March 2012

MACPAC’s recommendations in this March 2012 report chapter are based on a review of Medicaid eligibility, population characteristics, benefits, spending, and approaches to quality measurement for persons with disabilities. According to MACPAC’s analysis, people with disabilities accounted for only 15 percent of the Medicaid population in 2008, but 42 percent of total Medicaid spending due to their substantial, complex health needs and spending for both acute care and long-term services and supports.

The Commission recommends acceleration of targeted, efficient, and innovative approaches to providing high-quality care for persons with disabilities, especially those with Medicaid-only coverage, and updating and improving quality measurement for persons with disabilities to support program innovation in the fee-for-service delivery system and managed care. Read more about Medicaid coverage of people with disabilities and MACPAC’s recommendations to improve it.

Publication Type: Reports to Congress

From: March 2012 Report to the Congress on Medicaid and CHIP

Tags: 1915(c) home and community-based services waivers, benefits, children, children with special health care needs, developmentally disabled, dually eligible beneficiaries, eligibility, encounter data, functional status, health homes, home and community-based services (HCBS), intellectually disabled, medically needy, people with disabilities, people with mental illness, quality, quality measures, special income limit, spending, Supplemental Security Income, survey data