Advancing Value & Quality in Medicaid Service Delivery for Individuals with Intellectual & Developmental Disabilities

Based upon its yearlong examination of alternative payment models, or APMs, ANCOR established 14 payment reform principles to guide the development and assessment of new and emerging APMs for Medicaid I/DD services. It also established 13 recommendations for current and future APMs for I/DD services. ANCOR proposes that the recommendations, principles, and policy analysis included in this report support state
efforts in moving toward APMs for I/DD services.

These recommendations are designed to promote innovation in service delivery while avoiding disruption or placing individuals or their family members at risk. ANCOR’s recommendations address the need for advances in measuring quality and outcomes for LTSS services, the desire to foster greater integration of services, and the need to support person-centered planning and individual choice. They also advocate for stakeholder engagement in developing new models, and strong, diverse governance structures in overseeing them.