Q3 2026 findings
Quarterly findings across all HCBS provider types. Aggregate values publish once at least five providers have submitted included responses for a period, per the published methodology.
How to read these findings
The four-quadrant framework
Quarterly findings are organized around four quadrants of system stress. Roman numerals below label each quadrant — they refer to the framework, not to calendar quarters.
Provider stability
Closures, downsizing, intake freezes, county or service-line exits.
Workforce stress
Vacancy, turnover, overtime, wage levels, agency staffing reliance.
Access pressure
Waitlists, declined referrals, high-acuity refusal, reduced service hours.
Crisis spillover
ER, hospitalization, law enforcement, placement disruption, crisis stabilization.
Access pressure (III) indicators are collected in the survey and reported in the regional stress composite below.
Are providers shrinking, closing doors, or pulling out?
Each quarter we ask providers which of six concrete actions they took in the last 90 days. We group them into three plain questions: are they losing capacity, have they stopped taking new people, and have they pulled out of places or services? Numbers are the share of reporting providers — not counts of homes or people.
- Closed a home or location15.4%
- Took beds offline15.4%
- Downsized a service line0%
- Paused new admissions / intake30.8%
- Exited a county0%
- Exited a service category entirely7.7%
A provider can take more than one action, so groups don't add to 100%. Full agency closures are counted separately above.
By service line
Share of providers in each category reporting any of the six actions.
DSP vacancy — five quarter trend
Median across reporting providers, all service lines. The July 2026 rate cuts took effect July 1, 2026 (start of Q3).
Counties where providers reduced service hours
Number of Idaho counties served by at least one provider that reduced authorized service hours for some or most participants this quarter.
Events attributed to service gaps
Service-gap-attributed events across the reporting period. These represent costs that have shifted from HCBS to higher-cost or non-Medicaid settings.
Stress indicator by IDHW region
Composite of all four quadrants, all service lines. Regions with fewer than three reporting providers fold up to neighbors.
Intervention thresholds
Per the Potentia framework, deterioration is normalized one step at a time without defined trigger points. Each indicator below has a published threshold at which the coalition considers system stress to have crossed from elevated into emergency.
Looking for the other track?
ResHab Pulse — monthly findings
The monthly pulse is a separate, faster-cadence dataset covering residential habilitation and supported living only. It is reported and aggregated independently of the quarterly survey.
View ResHab Pulse findings →A note on this data
These figures reflect self-selected providers who chose to participate. The sample is not statistically representative of all Idaho HCBS providers. Trends across reporting periods are more meaningful than absolute values. See methodology for details on collection, suppression, and limitations.
Last updated 11/11/2026, 10:20:30 AM