Rural Health Transformation Program: What Healthcare Reform Means for Access, Coverage, and Disability in Rural America

Rural Health Transformation Program: What Healthcare Reform Means for Access, Coverage, and Disability in Rural America   Across rural America, healthcare reform is no longer theoretical. It’s happening in real time. The Rural Health Transformation Program (RHTP) is driving billions of dollars into rural health systems, with the goal of improving access, expanding coverage, and strengthening healthcare providers across rural
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The Health Risk Screening Tool (HRST®): Changing Outcomes for People with IDD by Detecting Risks Earlier

The Health Risk Screening Tool (HRST®): Changing Outcomes for People with IDD by Detecting Risks Earlier   Providers supporting people with intellectual and developmental disabilities (IDD) know that health issues rarely appear overnight. In many cases, subtle changes in behavior, energy, mobility, appetite, or routine may signal an emerging medical concern. These changes can be early indicators of illness or
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Prevention Saves Lives and Dollars: The Cost-Saving Power of HRST

Prevention Saves Lives and Dollars: The Cost-Saving Power of HRST   A Smarter Investment in Healthcare   Healthcare costs continue to rise, and for organizations supporting people with intellectual and developmental disabilities (IDD), finding ways to deliver excellent care while protecting resources is a constant challenge. The Ohio Department of Developmental Disabilities (OH DODD)’s evaluation of the Health Risk Screening
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Health & Safety Training That Meets the Real Risks Facing People with IDD

Intellectability Academy: Health & Safety Training That Meets the Real Risks Facing People with IDD   Health and safety for people with intellectual and developmental disabilities (IDD) is rarely about a single crisis moment. More often, it is shaped by everyday decisions — how meals are prepared, how pain is noticed or missed, how equipment is maintained, how medications accumulate
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The Rural Health Transformation Program: The Imperative Role of State Developmental Disability Agencies

The Rural Health Transformation Program: The Imperative Role of State Developmental Disability Agencies Across the country, states are receiving new federal funding through the Rural Health Transformation Program (RHTP), an initiative designed to strengthen health care access and outcomes in rural and underserved communities. With award amounts now announced, states are moving quickly to design and implement their plans. For
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Case Study: Discovery Living Strengthens Staff Preparedness with Fatal Five Fundamentals Training

Case Study: Discovery Living Strengthens Staff Preparedness with Fatal Five Fundamentals Training   Executive Summary   After implementing IntellectAbility’s Fatal Five Fundamentals training program, Discovery Living Inc., an Iowa provider supporting 150 people with intellectual and developmental disabilities (IDD), achieved significant improvements in health outcomes, staff preparedness, and operational efficiency. A one-year outcome analysis found a 37% reduction in emergency
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What Is Virtual Person-Centered Thinking Training (vPCTT)? A Practical Guide for Providers and Support Professionals

What Is Virtual Person-Centered Thinking Training (vPCTT)? A Practical Guide for Providers and Support Professionals   In today’s healthcare and human services landscape, being person-centered is no longer optional. Person centeredness is a foundational approach that empowers individuals to maintain control over their own lives by focusing on their preferences, strengths, and personal goals, regardless of disabilities or life circumstances.
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Improving Healthcare for People with IDD: IntellectAbility Launches New Quality Improvement Program Recognized by ABMS

Improving Healthcare for People with IDD: IntellectAbility Launches New Quality Improvement Program Recognized by ABMS   People with intellectual and developmental disabilities (IDD) experience some of the highest rates of preventable health complications and premature death in the U.S., often due to gaps in healthcare training, limited provider confidence, and a lack of person-centered approaches in clinical settings. Intellectual disability
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Tara Wants a Boyfriend: Supporting Choice, Independence, and Safe Relationships for People with Intellectual and Developmental Disabilities

Tara Wants a Boyfriend: Supporting Choice, Independence, and Safe Relationships for People with Intellectual and Developmental Disabilities   For people with intellectual and developmental disabilities (IDD), the desire for connection, intimacy, and meaningful relationships is no different than it is for anyone else. Yet for decades, systems of support have treated these desires as risks to be controlled rather than
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Case Study: Discovery Living Strengthens Staff Preparedness with Fatal Five Fundamentals Training

Case Study: Discovery Living Strengthens Staff Preparedness with Fatal Five Fundamentals Training   Executive Summary   After implementing IntellectAbility’s Fatal Five Fundamentals training program, Discovery Living Inc., an Iowa provider supporting 150 people with intellectual and developmental disabilities (IDD), achieved significant improvements in health outcomes, staff preparedness, and operational efficiency. A one-year outcome analysis found a 37% reduction in emergency
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The #IDDinRHTP Social Advocacy Kit Is Here: Download, Share, Lead

The #IDDinRHTP Social Advocacy Kit Is Here: Download, Share, Lead   Rural Health Transformation is happening right now. Across the country, states are developing plans under the $50 billion Rural Health Transformation Program (RHTP), a landmark federal initiative authorized by Congress and grounded in law and legal frameworks. These plans will shape rural healthcare systems through 2031 and beyond —
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What Is the Rural Health Transformation Program (RHTP)? A Clear Explainer for States and Stakeholders

What Is the Rural Health Transformation Program (RHTP)? A Clear Explainer for States and Stakeholders   The Rural Health Transformation Program (RHTP) is a major federal initiative designed to strengthen healthcare systems across rural America. The RHT program seeks to improve access to care, enhance health outcomes, and ensure the sustainability of rural health and human services infrastructure. With $50
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Why #IDDinRHTP Matters: Ensuring People with IDD Are Part of the Rural Health Transformation Program

Why #IDDinRHTP Matters: Ensuring People with IDD Are Part of the Rural Health Transformation Program   The Rural Health Transformation Program (RHTP) is historic. Authorized by the One Big Beautiful Bill Act under specific sections of public law, and administered by the Centers for Medicare & Medicaid Services (CMS) through a federal cooperative agreement, this $50 billion federal investment is
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Why IDD Professional Training Matters in Ongoing Education Services

Why IDD Professional Training Matters in Ongoing Education Services   March is Disability Awareness Month—a time to reflect not only on the rights, dignity, and inclusion of people with intellectual and developmental disabilities (IDD), but also on the systems and professionals responsible for supporting them every day. While awareness campaigns often focus on policy, advocacy, and visibility, one critical factor
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Rural Health Transformation: A New Opportunity to Improve Health for People with IDD

Rural Health Transformation: A New Opportunity to Improve Health for People with IDD Across the country, states are receiving new federal funding through the Rural Health Transformation Program, an initiative designed to improve health care access and outcomes in rural and underserved communities. With state award amounts now announced, decisions about how these funds will be used are moving quickly.
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IDD Perspectives: Reproductive Health for Women with IDD: Breaking Barriers to Preventive Healthcare

IDD Perspectives: Reproductive Health for Women with IDD: Breaking Barriers to Preventive Healthcare   For too long, reproductive and preventive healthcare for women with intellectual and developmental disabilities (IDD) has been overlooked, misunderstood, or delayed until a crisis occurs. In the IDD Perspectives webinar, Reproductive Health for Women with IDD, a panel of experts addressed this gap and outlined practical,
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Illinois QIDP Continuing Education Opportunities: Approved Online Courses for 2026

Illinois QIDP Continuing Education Opportunities: Approved Online Courses for 2026   For Qualified Intellectual Disabilities Professionals (QIDPs) in Illinois, continuing education is required to maintain compliance—and a valuable opportunity to strengthen practice, as it helps QIDPs advance their knowledge and skills in the field. Each year, Illinois QIDPs must complete approved continuing education (CE) credits by June 30 to continue
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A New Era for Person-Centered Thinking Training: Bringing the Full TLC Experience Online

A New Era for Person-Centered Thinking Training: Bringing the Full TLC Experience Online For decades, person-centered thinking (PCT) training has been a cornerstone of high-quality services and supports for people with intellectual and developmental disabilities (IDD) and older adults. Rooted in values of dignity, choice, autonomy, and community inclusion, PCT is not a “nice-to-have”—it is foundational to ethical, effective support
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Why Person-Centered Thinking Matters in 2026

Why Person-Centered Thinking Matters in 2026 In a field shaped by shifting regulations, workforce shortages, evolving clinical knowledge, and growing pressure to do more with less, it can be tempting to treat person-centered thinking as a philosophy we have already mastered. It appears in mission statements. It shows up in policies and audits. It is referenced in service plans and
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Announcing a New IntellectAbility Academy Course: Trauma-Informed Support for People with IDD

Announcing a New IntellectAbility Academy Course: Trauma-Informed Support for People with IDD   Supporting people with intellectual and developmental disabilities (IDD) requires more than understanding diagnoses or following support plans. It requires recognizing the lived experiences that shape behavior, identity, and relationships—especially experiences of trauma. That is why the IntellectAbility Academy is introducing a new self-paced training designed specifically for
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Person-Centered Thinking in Practice: Supporting Choice, Autonomy, and Dignity of Risk in IDD Services

Person-Centered Thinking in Practice: Supporting Choice, Autonomy, and Dignity of Risk in IDD Services Person-centered thinking has become a familiar phrase across disability services, yet many organizations still struggle to translate it into everyday practice. While most providers agree that people with intellectual and developmental disabilities (IDD) deserve autonomy, meaningful relationships, and full participation in community life, uncertainty often arises
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Avoiding Preventable Death in People with IDD Using the HRST: A Review of the Latest Mortality Research

Avoiding Preventable Death in People with IDD Using the HRST: A Review of the Latest Mortality Research  For people with intellectual and developmental disabilities (IDD), health is never solely about lab values or medication lists. It is about whether someone can continue attending their day program, seeing friends, spending time with family, and doing what they enjoy. It is also
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Unlocking Support: A First-of-Its-Kind Free Course on Substance Use Disorder and IDD

Unlocking Support: A First-of-Its-Kind Free Course on Substance Use Disorder and IDD For years, supporters, clinicians, families, and service systems have struggled with a gap no one could ignore: a lack of training that speaks directly to how substance-use disorders (SUD) affect people with intellectual and developmental disabilities (IDD). Compared to the general population, people with IDD have lower rates
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IDD Perspectives: Top Challenges in Supporting People with Dual Diagnosis – Insights from Dr. Craig Escudé and Dr. Ben Margolis

IDD Perspectives: Top Challenges in Supporting People with Dual Diagnosis – Insights from Dr. Craig Escudé and Dr. Ben Margolis   When people talk about mental health, they often imagine traditional therapy appointments, psychiatric evaluations, or the challenges faced by the general population. But for people with intellectual and developmental disabilities (IDD)—including both developmental disability and intellectual disability—who also experience
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Supporting People with IDD During the Holidays: Finding Joy, Comfort, and Calm for DSPs

Supporting People with IDD During the Holidays: Finding Joy, Comfort, and Calm for DSPs The holiday season brings excitement, tradition, togetherness — and sometimes a little chaos. For many people with intellectual and developmental disabilities (IDD), including those with Down syndrome, autism, cerebral palsy, and other disabilities, this time of year can be full of joy but also full of
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Advocating for People with IDD: Why RHT and Rural Health Innovation Matters Now More Than Ever

Advocating for People with IDD: Why RHT and Rural Health Innovation Matters Now More Than Ever In the quiet corners of rural America, far from metropolitan health centers and bustling medical campuses, there are people with intellectual and developmental disabilities (IDD) whose voices too often go unheard, whose lives are shaped by gaps in care that others may not even
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Detecting Health Risks Early: How the HRST® Screening Service Saves Lives

Detecting Health Risks Early: How the HRST® Screening Service Saves Lives   For people with intellectual and developmental disabilities (IDD) and other complex support needs, small changes in health can quickly become life-threatening if overlooked. Intellectual and developmental disabilities are present from birth and can affect multiple body parts and the individual’s physical development. These disabilities impact adaptive behavior, life
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Understanding the Health Risk Screening Tool (HRST®): A Proven Way to Replace Risk with Health and Wellness 

Understanding the Health Risk Screening Tool (HRST®): A Proven Way to Replace Risk with Health and Wellness By Aliah Farley Every day, people with intellectual and developmental disabilities (IDD) face health risks that often go unnoticed until it’s too late. These health risks affect individuals with IDD, who may require specialized support and monitoring. Many intellectual and developmental disabilities are
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Top Reasons People Don’t “Act Right”: Understanding the Medical and Environmental Roots of Behavior in People with IDD

Top Reasons People Don’t “Act Right”: Understanding the Medical and Environmental Roots of Behavior in People with IDD When an individual with intellectual and developmental disabilities (IDD) begins to act differently — withdrawing, becoming irritable, losing interest in food or daily routines — supporters often describe it simply as, “They’re just not acting right.” But what does that really mean?
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Optimizing HCBS and Healthcare Spending for People with IDD in a Time of Medicaid Cuts: 10 Strategies for Better Outcomes and Smarter Spending

Optimizing HCBS and Healthcare Spending for People with IDD in a Time of Medicaid Cuts: 10 Strategies for Better Outcomes and Smarter Spending By Aliah Farley As states prepare for significant shifts in Medicaid funding, providers and policymakers are asking the same urgent question: How can we continue delivering high-quality services while managing tighter budgets? The current healthcare system for
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Supporting Aging People with IDD: Key Insights from Pam Merkle and Dr. Craig Escudé

Supporting Aging People with IDD: Key Insights from Pam Merkle and Dr. Craig Escudé By Aliah Farley As life expectancy increases, people with intellectual and developmental disabilities (IDD) are living longer than ever before. This presents both opportunities and challenges for service providers, families, and healthcare professionals. In a recent IDD Perspectives webinar, Pam Merkle, Executive Director of the Association
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10 Strategies to Optimize HCBS Spending and Improve Outcomes

10 Strategies to Optimize HCBS Spending and Improve Outcomes By Aliah Farley Medicaid-funded home- and community-based services (HCBS) are at a crossroads. Demand continues to grow as more people with intellectual and developmental disabilities (IDD), older adults, and people with physical disabilities seek support in their homes and communities. Yet funding is strained, costs keep rising, and the workforce is
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IDD Smarter Spending, Better Outcomes: How States Can Optimize HCBS with IntellectAbility

IDD Smarter Spending, Better Outcomes: How States Can Optimize HCBS with IntellectAbility By Aliah Farley Medicaid programs across the country face a familiar challenge: rising demand, finite budgets, and a system too often forced into crisis response. The question isn’t whether states can keep spending more, it’s whether they can spend smarter. That’s where home- and community-based services (HCBS) come
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Seven Trends to Look For in 2025 in Supporting Individuals With Intellectual and Developmental Disabilities (IDD)​

Seven Trends to Look For in 2025 in Supporting Individuals With Intellectual and Developmental Disabilities (IDD) Written by Craig Escudé, MD, FAAFP, FAADM Person-Centered Approaches at the Forefront The person-centered philosophy will continue to be central to IDD support. In 2025, expect an even greater emphasis on tailoring services to meet people’s unique needs, preferences, and goals. This approach prioritizes
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Bullying: How You Can Take Action To Identify, Address and Prevent This Destructive Behavior

Written by Lorene Reagan, RN, MS Published in the August 2023 edition of EP (Exceptional Parent) Magazine. Sign up for this newsletter for free! As we prepare to return to school, it is critical to ensure all children, including those with disabilities, are in an environment where they can learn, grow, and socialize without fear. This article describes bullying, its
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Health Risk Informed Telemedicine and How it Benefits People with IDD

What is Health Risk Informed Telemedicine and How Can it Benefit the People You Support By Lorene Reagan, Director of Public Relations, IntellectAbility Janet is a 50-year-old woman who has a history of urinary tract infections. It’s Saturday afternoon, and she’s complaining of pain with urination and refused to eat her lunch earlier in the day. The group home staff
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Bright, Well-Educated, Strong Work History, But Still Looking for Meaningful Employment

THREE BASIC CONSIDERATIONS FOR MAINTAINING A COMPETENT AND DIVERSE WORKFORCE   |   4 MIN READ By Lorene Reagan, RN, MS – Dir. of Public Relations, IntellectAbility In recognition of National Disability Employment Awareness Month, we interviewed Curtis Glover, who holds a Bachelor’s degree in Game Art and Development and is an accomplished graphic artist, public speaker, fundraiser, photographer, disability advocate, and
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Please, May I Have More Data?

By Lorene Reagan Director of Public Relations, IntellectAbility Rate-setting considerations for long-term services and supports for people with intellectual and developmental disabilities. Most actuaries working in the Medicaid space are well acquainted with the acute care rate-setting process. But many may not be familiar with rate setting for Medicaid long-term support and services (LTSS), Home and community-based services (HCBS) for
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Employing People with IDD as a Way to Help with the Hiring Crisis

Employing People with IDD as a Way to Help with the Hiring Crisis In this article, we explore successful strategies for recruiting and retaining people with IDD in the workforce and increasing diversity, equity, and inclusion in the workplace. According to a March 2022 report[1] from the Bureau of Labor Statistics, the employment–population ratio—the percentage of the population that is
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The National Council on Disability Health Equity Framework: Four Actionable Steps to Better Health for People with Disabilities

On February 14, 2022, the National Council on Disability (NCD) issued the Health Equity Framework. Within the framework is a call to action involving an "all-of-government approach to comprehensively address the health needs of the over 64 million people with disabilities in this country and in our territories...
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Making Friends Using Person-Centered Practices

By Patrick Lane One of the best things about being a person is having friends. Some of us have a lot and others have a few, but we all need friends. Yet so many of the people we support have lives marked with loneliness and isolation. Often anxiety, depression, overreactions, and even health risks are rooted in not having at
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Direct Support Professionals | Dynamic, Selfless, & Passionate

By Hilary Gaytan – Former DSP, QIDP   |   Business Development Rep. IntellectAbility I think you could argue that DSPs are some of the most talented people in the world. (And I say that not just because I used to be one!) What other career requires you to wear as many hats? At any given moment on a shift you may
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Protective Equipment and Persons with IDD

Although people might be getting a little weary of hearing about the COVID-19 pandemic, it is still a very real issue and we need to remain highly vigilant. That includes wearing protective equipment when appropriate. When should masks be worn and how do you safely put them on and off? The World Health Organization (WHO) offers simplistic and helpful demonstrations and explanations
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