FY 2017 RISP State Profiles

Alabama

RISP

Figures

IDD Agency Long Term Supports and Services Recipients by Residence Type

Year

Family

Own Home

Foster/Host

1-3 Group

4-6 Group

7-15 Group

16+ Group

Unknown*

LTSS Recipients

98

1,133

236

0

1,000

208

951

823

96

4,447

99

109

262

147

740

280

798

705

1,528

4,569

00

66

27

101

975

253

795

665

1,851

4,733

01

140

170

151

935

277

797

579

1,915

4,964

02

2,270

264

187

849

364

887

468

0

5,289

03

3,200

209

237

965

434

927

337

0

6,309

04

3,280

210

237

1,193

429

897

199

0

6,445

05

3,441

222

247

1,202

399

897

214

0

6,622

06

3,572

208

256

1,287

379

930

205

0

6,837

07

3,140

209

228

1,507

387

823

206

0

6,500

08

3,497

205

231

1,631

413

826

198

0

7,001

09

3,118

246

223

1,595

406

865

214

0

6,667

10

3,659

213

220

1,715

488

907

173

0

7,375

11

3,474

193

196

1,800

455

911

123

0

7,152

12

2,193

131

166

2,110

527

816

0

552

6,495

13

2,324

110

205

2,047

467

709

0

399

6,261

14

2,512

132

210

1,931

403

644

0

0

5,832

15

480

96

175

2,055

447

742

0

1,444

5,439

16

2,131

55

111

1,979

538

788

0

0

5,602

17

480

55

111

2,279

429

757

0

1,543

5,654

* Unknown setting type or size reported in FY 15 and FY 17 includes family home waiting for Waiver

LTSS and Medicaid Recipients and Waiting for Waivers* 1982-2017

Year

Medicaid ICF/IID Residents

Medicaid Waiver+ Recipients

Waiting for Medicaid Waivers*

LTSS Recipients

Caseload *

1982

1,470

0

1,943

1983

1,444

808

1,950

1984

1,417

1,564

1,956

1985

1,391

1,524

1,963

1986

1,364

1,568

1,969

1987

1,364

1,570

1,976

1988

1,345

1,730

2,017

1989

1,326

1,830

2,057

1990

1,307

1,839

2,098

1991

1,288

2,021

2,138

1992

1,304

2,184

2,499

1993

1,266

2,184

2,859

1994

1,145

2,900

3,220

1995

972

2,949

3,580

1996

825

3,415

1,171

3,941

1997

745

3,713

1,043

4,343

1998

734

3,713

1,043

4,447

1999

678

3,891

608

4,569

2000

633

4,100

214

4,733

2001

569

4,395

4,964

2002

472

4,764

5,289

2003

363

4,444

6,309

2004

225

4,952

6,445

2005

240

4,979

807

6,622

2006

235

5,164

509

6,837

2007

244

5,230

504

6,500

2008

236

5,670

436

7,001

2009

233

5,460

1,159

6,667

2010

214

5,625

2,372

7,375

2011

164

5,575

2,550

7,152

2012

41

5,604

2,901

6,495

2013

14

6,247

2,975

6,261

9,246

2014

14

5,807

3,186

5,832

9,018

2015

14

5,425

3,432

5,439

8,893

2016

22

5,580

3,324

5,602

8,904

2017

22

5,622

2,451

5,654

8,001

* Caseload of the State ID/DD Agency, Waiting while living in the home of a family member

Average Spending Per Person by Medicaid Authority in Fiscal Year 2017

Medicaid Authority

Cost/Person

ICF/IID (all)

$90,455

Waiver+ (all)

$67,620

Waiver+ 0 to 21 years family home

$16,948

Waiver+ 22+ years family home

$15,125

Waiver+ 0 to 21 years not family home

$141,547

Waiver+ 22+ years not family home

$70,573

Intellectual or Developmental Disabilities (IDD); LTSS: Long-Term Supports and Services ICF/IID: Intermediate Care Facilities for Individuals with Intellectual Disabililties Group: Number of people with IDD in a setting (ICF/IID, group home or other) Waiver+: Medicaid Authorities 1115, 1915 (a)(b)or (b/c), 1915(c)

For more see risp.umn.edu

Larson, S.A., Taylor, B., Pettingell, S., Sowers, M., & Bourne, M.L. (2020). In-home and residential long-term supports and services for persons with intellectual or developmental disabilities: Status and trends through 2017. Minneapolis: University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration.

This project is funded through a cooperative agreement from the Administration on Community Living, U.S. Department of Health and Human Services Grant #90DNPA0001-01.

FY 2017 Profile

Profiles show longitudinal changes in residential settings for LTSS recipients with IDD, state IDD agency caseloads, Medicaid Waiver waiting lists and Medicaid recipients by funding authority. They also show FY 2017 expenditures per person by funding authority, setting type, and age. Blank spaces or breaks in a trend line indicate years in which a data element was not collected or for which a state provided incomplete or no data. Large year-to-year changes often reflect changes in state data sources or methodology, the addition or termination of a funding authority, or inclusion of a narrower or broader set of recipients. The State Notes describe variations from the survey definitions, alternative data sources used, reasons for large year-to-year changes, and other factors affecting data interpretation. Additional national and state data can be viewed in the RISP project’s Chart Gallery at https://risp.umn.edu/viz. Survey questions and operational definitions can be found in the Publications section of the RISP website.

IDD Agency Long Term Supports and Services Recipients by Residence Type

The first chart shows the number of long-term supports and services (LTSS) recipients by residence type (family home, own home, host or foster family home, and group homes) by year. Group settings such as ICFs/IID or Medicaid Wavier-funded group homes are broken down according to the number of people with IDD sharing the home (1 to 3, 4 to 6, 7 to 15 or 16 or more).

Caseload, LTSS and Medicaid Recipients and Waiting for Waivers

The second chart shows changes over time in the number people served by state IDD agencies, the number of people with IDD receiving one or more LTSS in addition to case management, and the number of people with IDD waiting for Medicaid Waiver funded services while living with a family member or in their own home. The waiting list numbers do not include people who already live in a group home or another LTSS setting or who already receive some Medicaid Waiver funded supports. The chart also shows changes in the number of LTSS recipients whose services are funded under the Medicaid ICF/IID program, or under one of several Medicaid Waiver funding authorities (1115, 1915 (a)(b)or (b/c), 1915(c)).

Average Annual Medicaid Per Person Expenditures for FY 2017

The third chart shows average annual per person expenditures for people with IDD living in an ICF/IID, or who receive LTSS funded by specific Medicaid Waiver funding authorities (1115, 1915 (a)(b)or (b/c), 1915(c)). When available, for Medicaid Waiver recipients, annual per person expenditures are also broken down by recipient age as of June 30 (birth to 21 years or 22 years or older) and by living arrangement (family home or any other setting).

State Notes for Alabama

In FY 2015 and FY 2017, people waiting for, but not receiving LTSS were excluded from the count of people living in the home of a family member. For FY 2014 and FY 2016, those individuals were counted.