This movement of services away from provider-owned or -controlled group homes to living arrangements in which the individual owns or rents his or her own home is motivated by two major forces in the IDD field of services. The first is the philosophy of self-determination advocates for individuals and their families to have control over their lives—and this includes housing.
The second force is the changing policy of Medicaid, which has recently published community-based settings that require individuals who receive Medicaid-funded Home and Community Based Services to be given services in settings which do not isolate the individual from the larger community. Although group homes will continue to exist under these rules, they encourage the movement toward supported living arrangements where the person receiving services rents or owns the home.
If service provider-owned or -controlled group homes are not viable housing options for the future, what are the affordable and accessible housing options for people with IDD? This is the problem that MIH proposes to address.