Only one state — Mississippi — ranks lower than Texas in providing Medicaid services and quality of life for individuals with disabilities, according to an annual report by United Cerebral Palsy/U.S. This report, The Case for Inclusion, tracks the progress of community living standards for Americans with intellectual and developmental disabilities (ID/DD).
The report shows that:
- Texas has 13 large facilities housing about 4,200 individuals at a cost of $166,502 per year. (Census has declined to under 4,000 individuals since the data was compiled.)
- 11 states and Washington D.C. have no institutions for people with ID/DD (Alaska, Hawaii, Maine, Michigan, Minnesota, New Hampshire, New Mexico, Oregon, Rhode Island, Vermont, West Virginia and D.C.). Another 12 states have only one institution each.
- 36 states serve 80% or more of people with ID/DD in community settings.
- 22 states provide home-like care to 80% or more of those receiving services.
Although the ranking is disappointing, Texas continues to make progress in reducing the number of persons in large facilities and is taking advantage of an Affordable Care Act opportunity to apply for a Balancing Incentive Program. Under this program, Texas would be required to meet a 50% target for community long-term services and supports by Oct. 1, 2015. According to federal data, Texas spent 46.9% on community long-term services and supports in the “base year.”