Idaho HB 476


“Idaho Code 56-255 (3) (e) (ii) describes Medicaid services for people with developmental disabilities. The total amount of Medicaid developmental disability services a person can receive is limited by an individual budget amount, determined by a formula based on individual assessments. In 2011, H 260 added language to this Section which limited individual budget modifications to only those services needed to protect the health or safety of the person. One unintended consequence of this change was that it prohibited budget modifications that would allow the person to obtain or maintain employment. Medicaid can pay for Community Supported Employment (CSE) services or specialized training and support for a person with a developmental disability in a job setting. The effect of this limitation was to reduce the number of people getting on-the-job training and support, from 275 participants in 2010, to 182 participants in 2013. This bill would allow people with developmental disabilities to modify their individual budgets by adding Community Supported Employment services to their plan, when these services are needed to obtain or maintain employment.”

State Policies & Initiatives: 
  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: