06/07/2026
Protecting Care Choices: CMS Medicaid Caps & the Crisis Facing People with I/DD in Massachusetts
This presentation explains how a new federal CMS rule (CMS 2449 P) and decades of blocked admissions to Massachusetts’ last two ICF/IID facilities—Wrentham Developmental Center and Hogan Regional Center—are creating a dangerous care choice crisis for adults with severe and profound intellectual and developmental disabilities.
Massachusetts supports ~43,000 individuals with I/DD, but those with the most complex medical and behavioral needs are being left without any viable residential pathway. HCBS providers face destabilizing fiscal pressure, while the state quietly eliminates access to ICF/IID care through population starvation and administrative denials.
This video covers: • What HCBS and ICF/IID are • Why both pathways are required under federal Medicaid law • How CMS 2449 P threatens HCBS funding • Why Massachusetts’ ICF/IID pathway has collapsed • The human impact on families • What actions are needed before the July 21, 2026 CMS deadline
This presentation explains how a new federal CMS rule (CMS 2449 P) ...