Medicaid affects all of us: children and adults with disabilities, as we age, as our family ages, and when the unexpected happens. United Cerebral Palsy’s annual report, The Case for Inclusion, ranks all 50 states and the District of Columbia (DC) on outcomes for Americans with intellectual and developmental disabilities (ID/DD).

This year’s report shows that:

  • All states have room for some improvement, but some have consistently remained at the bottom of the rankings since 2007;
  • Waiting lists for residential and community services remain high, demonstrating the unmet need of people with disabilities and their families;
  • Just 8 states, down from 10 last year, have at least one-third (33 percent) of individuals with ID/DD working in competitive employment— showing significant opportunity for improvement in employing people with disabilities;
  • 14 states report successfully placing at least 60 percent of individuals in vocational rehabilitation in jobs. Only California met the standard on all three success measures this year.

UCP made several major enhancements to last year’s report in response to feedback from UCP affiliates, policymakers and advocates asking for more person-centered measures to showcase if and how individuals are faring as an active part of their community. In this year’s report, we continue to build on examinations of the following issues related to inclusion:

Graphic showing the list below

  • Are individuals still isolated at their non-institutional home?  Are they lonely?  Do they have meaningful relationships and friends?
  • Are individuals stuck in their residence, or do they regularly go out into the community and have an active and social presence in their neighborhoods?
  • Are individuals getting healthier since good health is key to a high quality of life?



You can use this interactive website to:

Compare state & national data
View state scorecards to determine individual state performance
Advocate for areas needing improvement & promote key achievements
Learn more about the highest-ranking states and how they achieved their successes
Access past reports

Support The Case For Inclusion by making a donation to UCP