Skip to main content

Council on Quality and Leadership Releases Study on Supported Employment Services in Medicaid Home and Community-Based Services Waivers

May 31, 2017

The Council on Quality and Leadership, an organization dedicated to measuring the quality of community life for people with disabilities, released the results of a study that examined how Medicaid-funded Home and Community-Based Services waivers provided supported employment services in Fiscal Year 2014. The study looked at 110 HCBS waivers from 45 states. They analyzed them to determine the extent of supported employment services provided to people with I/DD.

The study found that only 14 percent of people with I/DD received supported employment services in FY 2014, while four times as many people with I/DD received day services. This was the case even though three-quarters of the 110 HCBS waivers offered supported employment services, such as employment assistance, career planning, job placement, job coaching, accommodations, and ongoing support. CMS spent approximately $813 million on supported employment services, which was only three percent of CMS’ total spending in FY 2014. The Council on Quality and Leadership concluded its article by noting the connection between employment services and compliance with the Supreme Court ruling in Olmstead v. L.C. (1999) and the Americans with Disabilities Act (ADA).

For more information, read the Council on Quality and Leadership’s article on its study.