Individuals with intellectual and developmental disabilities (I/DD) have complex service needs that are met by a broad array of providers and settings. The shift from institutionally-based care to home- and community-based long-term care for people with I/DD requires that services be tailored to fit this more person-centered environment. New models of service delivery are needed that focus on more integrated systems that deliver better value to these high-need beneficiaries.

This brief offers a set of principles to guide innovative service delivery models, including recommended core structural elements. Examples of innovations provide guidance to states seeking new ways to support people with I/DD and their families.

This policy brief is a product of CHCS’ Innovations in Systems of Care for Individuals with Intellectual and Developmental Disabilities series, made possible through Schaller Anderson, an Aetna company. The series helps state and other policymakers identify and implement systems of care that improve outcomes for individuals with intellectual and developmental disabilities, their families, and their communities.