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2009 2008 2007 2006

2009 Nebraska Report

 Overall Ranking (among all 50 states and Washington, DC, 1=best): 44

Promoting Independence

Community-based Data Value Subrank (1=Best) US Average Source
Percent of Recipients with ID/DD on HCBS 85.0% 34 83.9% Research and Training Center on Community Living
Percent of ID/DD Expenditures on HCBS 67.7% 30 62.8% Research and Training Center on Community Living
Percent of ID/DD Expenditures on non-ICF-MR 75.0% 32 75.7% Coleman Institute

Individuals Served by Size of Residence Data Value Subrank (1=Best) US Average Source
Percent in own home, family home, family foster care (1-3 residents) and congregate care (1-3 residents) 66.4% 40 76.4% Research and Training Center on Community Living
Percent in community settings (1-6 residents) 82.0% 39 87.7% Research and Training Center on Community Living
Percent in Large Settings (16+ residents) 15.2% 46 6.3% Research and Training Center on Community Living

Large State Facilities Data Value Subrank (1=Best) US Average Source
Percent in Large State Facilities (16+ residents) 9.0% 48 4.0% Research and Training Center on Community Living
Number of Large State Facilities 1 10 169 Research and Training Center on Community Living
Residents at Large State Facilities 338 28 36,175 Research and Training Center on Community Living

Waivers that Can Promote Self-Determination Data Value Subrank (1=Best) US Source
Independence Plus Waiver 19 Centers for Medicare and Medicaid Services
Other Self-Directed - 1115 or 1915(c) Waiver for ID/DD 15 PAS Center
Money Follows the Person - Award or Apply Yes 28 Centers for Medicare and Medicaid Services


Quality and Safety

Quality Assurance Data Value Subrank (1=Best) US Source
Council on Quailty and Leadership participant 11 Council on Quality and Leadership
National Core Indicators (HSRI) participant 30 Human Services Research Institute
Noteworthy State QA Initiatives 13 Quality Mall

Safety Data Value Subrank (1=Best) US Average Source
Percent of all those served receiving protection from abuse services 2.4% 39 1.1% Coleman Institute


Keeping Families Together

Family Support Data Value Subrank (1=highest) US Source
Families Served 566 49 428,803 Coleman Institute
Total Spending $4,634,959 41 $2,305,149,428 Coleman Institute
Spending per Family $8,189 15 $5,376 Coleman Institute


Promoting Productivity

Medicaid Buy-In Data Value Subrank (1=highest) US Source
Enacted Yes 39 Centers for Medicare and Medicaid Services
Enrollment 142 25 79,140 Centers for Medicare and Medicaid Services

Supported or Competitive Employment Data Value Subrank (1=Best) US Source
Participants 1,018 29 110,539 Coleman Institute
Spending $7,625,561 24 $708,872,399 Coleman Institute
Percent of all Individuals Served in Competitive Employment 29% 15 21% Coleman Institute


Reaching Those in Need

Waiting Lists Data Value Subrank (1=Best) US Source
Waiting List for Residential Services 1,582 30 88,349 Research and Training Center on Community Living
Percent Growth in Residential Services Required to Meet Waiting List 48% 35 20% Research and Training Center on Community Living
Waiting List - ID/DD HCBS - Kaiser 0 1 224,147 Kaiser Family Foundation
Percent Growth in HCBS Services Required to Meet Waiting List 0% 1 46% Kaiser Family Foundation

Prevalence Data Value Subrank (1=highest) US Average Source
Percent of Children with Mental Disability 4.7% 40 5.1% US Census Bureau
Percent of Adults with Mental Disability 3.8% 45 4.8% US Census Bureau

Value Subrank (1=Best) US Average Source
Individuals with ID/DD served per 100k of population Data 214 38 304 Coleman Institute

Value Subrank (1=Best) US Average Source
Ratio of Prevalence to Individuals Served Data 5.6% 29 6.4% Calculated


Serving at a Reasonable Cost

ICF-MR Data Value Subrank (1=highest) US Source
Total Expenditures $66,940,338 29 $12,045,786,632 Research and Training Center on Community Living
Residents 592 31 97,486 Research and Training Center on Community Living
Cost per Resident $113,075 30 $123,565 Research and Training Center on Community Living

HCBS Data Value Subrank (1=Best) US Source
Total Expenditures $140,171,512 37 $20,293,873,572 Research and Training Center on Community Living
Residents 3,271 37 490,343 Research and Training Center on Community Living
Cost per Resident $42,853 25 $41,387 Research and Training Center on Community Living

Unmatched State ID/DD Funds Data Value Subrank (1=Best) US Source
Total Expenditures $61,087,283 38 $17,220,293,554 Coleman Institute
Percent of total ID/DD Spending 23% 40 35% Coleman Institute

Overall Spending Data Value Subrank (1=Best) US Average Source
ID/DD Spending per $1,000 personal income $4.29 28 $4.12 Coleman Institute
ID/DD Spending per capita $153 27 $166 Coleman Institute


DNF = Did not furnish.

Note: For more information on the actual source of the data presented, please see the printed report or sources.

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