Community-based services for people with intellectual and developmental disabilities (I/DD) depend on a rate structure that reflects the true cost of delivering care. Rates influence provider capacity, workforce stability, and whether individuals can access services in a timely and consistent way. 

When rates are aligned with real costs, providers can sustain operations, invest in quality, and expand access. When they are not, system capacity becomes constrained, regardless of demand or available funding.

In this fact sheet, you’ll learn about:

• The opportunities and challenges of the rate structure for Medicaid waiver I/DD services in Illinois

• The key pillars and initiatives we support

• Why a more effective rate structure is critical and what it would result in