Category: SCII State Profiles
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SCII 2026: Complete 50-State Rankings and Results
The complete 2026 State Community Integration Index rankings for all 50 states, sorted by score. Includes tier classification, national rank, judicial posture modifier, and links to individual state profiles.
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SCII 2026 State Profile: Wyoming
Wyoming scores 50 out of 100 on the State Community Integration Index, placing it in Tier 3 Lagging — the least populous state faces geographic isolation as its defining integration barrier, with a small but persistent DD waitlist, continued subminimum wage use, and community capacity unable to meet need across…
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SCII 2026 State Profile: Wisconsin
Wisconsin scores 63 out of 100 on the State Community Integration Index, placing it in Tier 2 Progressing — driven by its Family Care managed LTSS system and FORWARD employment program, but held back by continued subminimum wage use and a significant nursing facility census.
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SCII 2026 State Profile: West Virginia
West Virginia scores 39/100 (Tier 4, Critical) in the 2026 SCII: the state with the highest disability prevalence rate in the nation at nearly 20%, the most opioid-related acquired disability burden of any state, a DD waiver waitlist that has grown for years, and a Medicaid HCBS spending ratio among…
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SCII 2026 State Profile: Virginia
Virginia scores 66/100 (Tier 2, Progressing) in the 2026 SCII: a comprehensive Olmstead settlement with the DOJ on developmental disability services, a Community Integration Act with real enforcement, and a subminimum wage phase-out path — constrained by a DD waiver waitlist that has grown despite the settlement and housing costs…
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SCII 2026 State Profile: Utah
Utah scores 57/100 (Tier 3, Lagging) in the 2026 SCII: an Employment First framework with genuine legislative backing, a robust Medicaid waiver for acquired brain injury, and a state where the absence of a state SSI supplement and a DD waiver waitlist exceeding 3,000 individuals constrain community integration outcomes.
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SCII 2026 State Profile: South Dakota
South Dakota scores 47/100 (Tier 3, Lagging) in the 2026 SCII: a state that resisted Medicaid expansion until 2023, where the Human Services Center continues to operate as the state’s primary psychiatric inpatient facility without adequate community step-down alternatives, and where Native American disability rights on tribal lands remain a…
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SCII 2026 State Profile: South Carolina
South Carolina scores 38/100 (Tier 4, Critical) in the 2026 SCII: a Medicaid system that has consistently ranked among the lowest in HCBS spending ratios nationally, a DD waiver waitlist exceeding 5,000 individuals, and no subminimum wage elimination legislation in a state where sheltered workshop employment remains the norm.
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SCII 2026 State Profile: Rhode Island
Rhode Island scores 70/100 (Tier 2, Progressing) in the 2026 SCII: a 2014 DOJ consent decree that produced the country’s most watched experiment in competitive integrated employment for people with developmental disabilities, paired with subminimum wage elimination and a First Circuit that has supported integration mandate enforcement.
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SCII 2026 State Profile: Oklahoma
Oklahoma scores 42/100 (Tier 3, Lagging) in the 2026 SCII: a Medicaid expansion that did not take effect until 2021, a DD waiver waitlist exceeding 6,000 individuals, and one of the highest rates of per-capita psychiatric incarceration in the country.