Factor	ICF-MR	HCS
1. Eligibility	Medicaid, MR	Medicaid, MR
2. Funding	Medicaid Assigned to bed	Medicaid Assigned to consumer
3. Capacity	Six Bed Facility Large ICF-MR Facility	Three persons in a living arrangement Unbundled Based on need
4. Services	Bundled Services Based on need	Based on need
5. Provider	One provider (bundled)	One provider (bundled) Some consumer choice of sub-providers
6. Reimbursement	Per Diem Based on ICAP Level of Need	For actual services provided Based on ICAP Level of Need Must be less than 80% of overall ICF-MR cost
7. Staffing Pattern	Shift Staff Model 24 hour Model	Residential Support Foster/Companion Care Supervised Living
8. Provider Selection Issues	Bed must be available Provider may choose not to serve consumer	Zero reject if consumer does not cost out