Intermediate Care Facilities for Persons with Mental Retardation (ICFs/MR) (cont.)

The city is responsible for all referrals to ICFs/MR and for providing oversight.

Funding for ICFs/MR encouraged states to invest in the transformation of state institutions into ICFs/MR.

The HCB Waiver encouraged states to invest in community based services and supports.

By the end of the 1980s, the impact of the Waiver began to accumulate nationwide.

Almost 44,000 people were participating in waiver programs, while over 144,000 were residents of ICFs/MR.

By 1995, there were more people participating in waiver programs (over 166,000) than resident in ICFs/MR (134,384).

Individual working in a restaurant
Photo courtesy Ann Marsden