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"Between 2009 and 2011, state and federal spending on Medicaid waiver home- and community-based services (HCBS) for people with intellectual and developmental disabilities (I/DD) increased by 10.7%, from .1 billion in 2009 to .8 billion in 2011. During the same period, the number of people receiving services increased by 9.5%, from 572,493 in 2009 to 627,270 in 2011. Also during the same period, total state and federal spending for long-term services and supports (LTSS) for people with I/DD increased by 6.4%, from .2 billion in 2009 to .6 billion in 2011. In each year, Medicaid paid for more than three-quarters of LTSS spending for people with I/DD..."
