Measuring Quality Using Experience Surveys: An Assessment of the Texas Medicaid Waiver Programs for People with Disabilities
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Purpose: The purpose of this research is to assess the five Medicaid waiver programs operated by the Department of Aging and Disability Services for adults with physical and intellectual disabilities. This research identifies areas for program improvement by obtaining experience information directly from people who receive services. Recommendations based on the findings are also developed. Methodology: Structured interviews were conducted from May through August 2005 with random samples of people 18 years of age or older receiving services in the Home and Community-based Services (HCS), Texas Home Living (TxHmL), Deaf-Blind with Multiple Disabilities (DB-MD), the Community Living Assistance and Support Services (CLASS), or Consolidated Waiver Program (CWP). A proportional sampling methodology was used for each program based on the number of people receiving services in each county. The questionnaire utilized in this research effort was developed by the Human Services Research Institute (HSRI) in cooperation with the National Association of State Directors of Developmental Disability Services (NASDDDS) and known as the National Core Indicators (NCI) Consumer Survey. Results: Generally, people in all programs participate to some degree in community activities. Most do not feel lonely and the majority receive annual physical exams. Improvements need to be made in all programs in the areas of Self-Advocacy and Choice and Control.