Overview and implications of medicaid managed care for people with devopmental disabilities

T. A. Kastner, K. K. Walsh, T. Criscione

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations


The inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients in such plans was reviewed. Managed care was defined and the processes by which managed care organizations deliver services were explained. Escalating costs and utilization were discussed as the primary reason for the shift to managed care. The use of Medicaid Section 1115 waivers by states to include Medicaid recipients was explored. The relation between acute health care and long- term care, and the utilization patterns in each, were briefly described. Finally, elements of managed care that are particularly important to people with developmental disabilities, such as care coordination, maintenance of quality, and individual and family support, were discussed.

Original languageEnglish (US)
Pages (from-to)257-269
Number of pages13
JournalMental retardation
Issue number4
StatePublished - Aug 20 1997

ASJC Scopus subject areas

  • Education
  • Rehabilitation
  • Health Professions(all)


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