Independent Case Management, Inc. (ICM) is a not-for-profit organization that provides home and community-based supports to individuals with intellectual and developmental disabilities (IDD) throughout the state of Arkansas. Created in 1988, ICM began as a pilot project in partnership with the State of Arkansas to implement a 1915c Medicaid home and community-based supports waiver for people with IDD. Today, ICM supports over 280 people with IDD and has approximately 600 employees. The majority of funding stems from Medicaid services that ICM provides to people with IDD within their homes and communities. Other state-wide services include therapies for children with autism, an innovative community center in Little Rock, foster care, and employment supports for people with IDD. To support pre-employment skill readiness, ICM owns and operates three retail stores in Little Rock and a fried pie manufacturing business in Prescott. The main administrative office is located in Little Rock, Arkansas.