Statistics are analyzed from 1990 to 1996 concerning the fading of Medicaid's bias toward institutionalization of individuals with mental retardation rather than use of Home and Community-Based (HCB) waivers for alternative community services and support. A major shift toward increased use of HCB waivers is noted and documented state by state. (PB)

This article summarizes data showing that 77.1 percent of residential service recipients with mental retardation/developmental disabilities are living nationally in settings of 15 or fewer residents. Graphs show proportions living in residences of various sizes in 1982 and 1999. A table lists, by individual state, the numbers and proportions of…

National and state data are presented on places of residence of recipients of Medicaid Home and Community Based (Waiver) Services, a program supporting long-term care for persons with developmental disabilities. The following types of residences are covered: agency home, foster home, own home, and family home. (SW)

Data are presented which show changes in the size of residential programs serving people with mental retardation/developmental disabilities. Trends from 1982 through 1992 are summarized and statistics are given for each state showing the average number of residents per setting and the percent of residents in settings with less than 16 or less than…