FY 2017 RISP State Profiles

Alaska

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

141

136

140

43

68

7

0

99

178

150

171

59

75

8

0

2,127

2,768

00

3,737

365

425

285

145

25

0

0

4,982

01

3,700

300

152

270

144

0

0

0

4,566

02

3,700

365

195

276

104

0

0

0

4,640

03

3,700

350

225

277

198

0

0

0

4,750

04

3,700

238

244

254

106

0

0

0

4,542

05

3,700

224

172

239

201

0

0

0

4,536

06

3,700

292

172

189

181

63

0

0

4,597

07

3,500

293

200

178

109

11

0

2

4,293

08

79

427

201

171

104

10

0

69

1,061

09

195

72

155

586

224

5

11

9

1,257

10

231

399

209

234

106

5

11

148

1,343

11

375

486

258

315

142

0

0

0

1,576

12

292

473

218

300

128

0

0

309

1,720

13

332

205

165

200

150

50

15

762

1,879

14

332

411

203

400

128

0

0

474

1,948

15

282

687

198

400

150

58

0

275

2,050

16

277

705

170

450

150

54

0

294

2,100

17

287

* Unknown setting type or size reported in FY 2017 and gaps in all other years

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

118

0

248

1983

113

0

264

1984

109

0

281

1985

104

0

297

1986

99

0

314

1987

107

0

330

1988

102

0

342

1989

97

0

355

1990

94

0

367

1991

91

0

379

1992

86

0

498

1993

85

0

617

1994

78

32

737

1995

68

127

856

1996

59

190

318

975

1997

10

353

337

837

1998

0

424

337

553

1999

0

466

735

2,768

2000

0

665

958

4,982

2001

0

844

1,000

4,566

2002

0

884

1,239

4,640

2003

0

931

1,400

4,750

2004

0

973

917

4,542

2005

0

1,003

1,400

4,536

2006

0

1,008

1,400

4,597

2007

0

1,011

943

4,293

2008

0

1,061

618

1,061

2009

0

1,248

981

1,257

2010

0

1,343

662

1,343

2011

0

1,486

604

1,576

2012

17

1,703

461

1,720

2013

14

1,865

613

1,879

2,477

2014

6

1,942

679

1,948

2,714

2015

6

2,044

743

2,050

2,793

2016

7

2,093

537

2,100

2,636

2017

7

2,093

527

2,100

2,636

* 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)

$390,883

Waiver+ (all)

$84,213

Waiver+ 0 to 21 years

$42,765

Waiver+ 22+ years

$100,909

All seven ICF/IID recipients are out of state. Waiver+ by age in family home or not family home spending per person not available.

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 Alaska

All ICF/IID recipients from Alaska live in other states.