As a result of a 1997 change in federal law, this on-going 5-year study evaluated the effects of elimination of some prior regulations on the employment choices of 854 Wyoming adults in the Medicaid Home and Community-Based Service Waiver program. The study examined who worked, who wanted to work, the average hours worked, the average percentage…

Cost of services to South Dakota individuals with developmental disabilities in state institutions and private community agencies was related to provider agency characteristics, funding source, and client characteristics. State-owned institutions were the most costly, and community services funded by state funds were least costly.…

The changes in what people with developmental disabilities wanted and got for living and daytime settings in South Dakota and Wyoming during 1988 were compared to what they wanted and received in 2000. Although the percentage of people in their desired setting rose, there were substantial changes in the types of settings recommended over the…

A database was assembled from data collected on all people served by the Developmental Disabilities divisions of Nebraska, South Dakota, and Wyoming, including state institutions and state-funded programs (n=5,928). Information included provider expenditures associated with each individual, allocations made by individual reimbursement rates,…

This report investigated the financial expenditures of states for services for individuals with developmental disabilities and examined the factors that influenced the level of expenditure. Eight multiple-regression models are presented which explain 70 to 88 percent of the variation in states' total expenditures. In addition to the obvious…