Innovations in the structure and financing of services for individuals with intellectual and developmental disabilities (I/DD) have been slow to take hold in Medicaid programs across the country. Barriers such as budget reductions, litigation, and stakeholder opposition to change hamper states’ ability to focus on system redesign.

This brief describes the results of a survey of state I/DD directors regarding their current delivery systems and planned innovations for individuals with I/DD. The survey results can help inform state decision-makers as they move toward implementing innovative systems of care for I/DD populations.

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.