Five State Strategies to Expand Competitive Integrated Employment for Medicaid I/DD Populations

Manatt identifies best practices from high-performing states on increasing competitive integrated employment access for individuals with intellectual and developmental disabilities served through Medicaid HCBS programs. The brief covers strategies including early career planning, robust employment support services, cross-agency coordination, and rate structures that incentivize employment outcomes—all areas where Medicaid MCOs and state agencies play direct operational and policy roles. With fewer than 25% of people with I/DD currently in competitive integrated employment despite HCBS settings rule requirements, the strategies offer actionable guidance for state Medicaid programs and their managed LTSS contractors.

LTSS · Managed Care

This is outside commentary from Manatt Health, not part of Medicaid Monitor's independently scored news coverage.

More from Manatt Health