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Speaking out for People with
Intellectual and Developmental Disabilities

Toolkit for Legislators

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Intermediate Care Facility Homes Financially Benefit the Ohio Waiver System

Jan 23, 2015 | Toolkit for Legislators

Source: Disability Advocacy Alliance (Ohio), January 21, 2015 New research shows that Intermediate Care Facility (ICFs/IID) homes provide $65 Million in financial benefits to the Ohio Home and Community-Based Services (HCBS) Waiver system. Closing ICFs/IID to fund HCBS waiver expansion will not…

Families' Arguments Against Closure

Mar 18, 2011 | Toolkit for Legislators

November 17, 2006 The Toronto Star Families fighting to keep Ontario's remaining institutions open the concerns that follow. In the full article, each concern is more full explained. Click here for the full article: Increased mortality rates (see also, California Comparative Mortality Studies;…

Chamber of Commerce: Closure = Lost Revenue

Mar 4, 2011 | Toolkit for Legislators

On March 2, 2011, the Greater Topeka Chamber of Commerce testified against the closure of the Kansas Neurological Institute, a state operated ICF/MR, noting the human and fiscal impact of closure. Fiscal Impact "There are also the economic consequences to closing KNI. The Topeka Chamber…

Myth of a Medicaid Institutional Bias

Aug 6, 2009 | Toolkit for Legislators

The allegation of a Medicaid institutional bias for people with intellectual and developmental disabilities (I/DD) is simply not true. It is based on two false premises: (1) that all institutional services are mandatory and all home and community-based services (HCBS) are optional, and (2) that…

Successful Community Integration: The Community Resource Center Model

Aug 6, 2009 | Toolkit for Legislators

Community Resource Centers (CRCs) are specialty, out-patient clinics situated at existing residential facilities that provide desperately needed quality medical, dental, and other therapeutic services to citizens with mental retardation and developmental disabilities living in communities, who have…

Model State Legislation in Support of Residential Choice

Aug 6, 2009 | Toolkit for Legislators

Most states opt, as part of their Medicaid plan, to provide services to some people with intellectual and developmental disabilities (ID/DD) the option to receive services in Medicaid funded and certified Intermediate Care Facility for Persons with Mental Retardation (ICFs/MR). ICF/MR residents are…

Only Providing Community-Based Care May Not Save States Money

Aug 6, 2009 | Toolkit for Legislators

A 1993 peer-reviewed study of existing cost comparison literature on found that community settings for persons with developmental disabilities are not always less expensive than facilities, as some advocates claim. (Walsh, et al., "Cost Comparisons of Community and Institutional Residential…

Olmstead Does Not Support Deinstitutionalization

Aug 6, 2009 | Toolkit for Legislators

State officials and legislators often hear that Olmstead requires community placements. Such interpretation is not accurate. In actuality, the Supreme Court, in its landmark Olmstead v. L.C. ruling, embraced the need for a range of services to respond to the varied and unique needs of the entire…

Cost Comparison Study

May 4, 2009 | Toolkit for Legislators

A 2003 peer-reviewed study of existing cost comparison literature and related 2009 Update found that community settings for persons with developmental disabilities are not always less expensive than facilities, as some advocates claim. (Walsh, et al., "Cost Comparisons of Community and…

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