Top Ten

1. Arizona

2. New Hampshire

3. Oregon

4. Vermont

5. California

6. Washington

7. Michigan

8. New York

9. Connecticut

10. Massachusetts

Facts about the Best Performing States

  1. Top Performers are both big and small states in population – "big" population states include California (#1 biggest), Michigan (#8), and New York (#3) and "small" population states include New Hampshire (#42) and Vermont (#49).
  2. Top Performers are both rich and poorer states in terms of median family income – "rich" states include New Hampshire (#2 richest), Connecticut (#3) and Massachusetts (#5), and less affluent states include Arizona (#31) and Michigan (#32).
  3. Top Performers are high tax and low tax burden states – "high tax burden" states include California (#4), Connecticut (#3), Massachusetts (#8), and New York (#1), and "low tax burden" states include Arizona (#40), New Hampshire (#44), and Washington (#28).
  4. Top Performers are big and low spending per person, served through the Home and Community Based Services – "big spender" states are Connecticut (#4) and New York (#5), and "low spender" states are California (#50), Arizona (#48) and Washington (#37).

An Analysis of Medicaid Outcomes for Americans with Intellectual & Developmental Disabilities

United Cerebral Palsy (UCP) releases The Case for Inclusion each year, tracking the progress of community living standards for Americans living with intellectual and developmental disabilities (ID/DD). The report examines data and outcomes for all 50 states and the District of Columbia (DC), ranking each on a set of key indicators, including how people with disabilities live and participate in their communities, if they are satisfied with their lives, and how easily the services and supports they need are accessed. By taking these factors into account, UCP is able to develop a comprehensive analysis of each state's progress or failures in providing critical services to individuals living with disabilities.

The findings for 2013 reveal that: 1) All states have room for some improvement, but some have consistently remained at the bottom of the rankings; 2) Despite economic strains, many states have made real improvements in the quality of services being provided; 3) There is still work to be done in ensuring that people with ID/DD can enjoy the same freedoms and quality of life as all Americans.

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