FY 2017 RISP State Profiles

Arizona

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

13,139

102

539

691

1,374

83

211

0

16,139

99

14,069

176

611

762

1,407

105

211

282

17,623

00

15,412

207

623

721

1,848

70

225

0

19,106

01

16,102

251

417

758

1,337

41

198

0

19,104

02

17,147

295

432

553

1,531

40

197

0

20,195

03

18,474

365

624

881

1,422

41

188

0

21,995

04

19,529

405

701

1,036

1,264

41

182

0

23,158

05

20,914

434

749

1,342

1,058

40

181

0

24,718

06

21,567

480

980

869

1,602

42

176

3

25,719

07

23,716

449

978

1,001

1,470

40

173

0

27,827

08

25,123

465

971

1,315

1,190

40

169

0

29,273

09

26,101

477

905

1,446

1,083

36

164

0

30,212

10

26,185

454

1,166

1,408

1,086

0

153

77

30,529

11

27,121

445

1,157

1,399

1,066

0

147

68

31,403

12

27,983

439

1,281

1,447

1,143

0

117

163

32,573

13

28,198

456

1,543

1,494

1,182

25

141

110

33,149

14

29,369

282

1,462

1,575

1,242

25

134

100

34,189

15

31,151

265

1,397

1,626

1,090

33

122

102

35,786

16

32,706

267

1,497

1,543

1,336

33

123

100

37,605

17

34,451

265

1,543

1,624

1,378

33

126

0

39,420

* 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

0

0

1,733

1983

0

0

1,830

1984

0

0

1,927

1985

0

0

2,025

1986

0

0

2,122

1987

0

0

2,219

1988

35

0

2,312

1989

69

0

2,406

1990

107

0

2,499

1991

145

3,794

2,592

1992

214

4,832

3,917

1993

298

6,071

5,242

1994

339

6,773

6,566

1995

200

7,117

7,891

1996

193

7,727

9,216

1997

214

8,508

108

15,930

1998

215

9,248

108

16,139

1999

219

10,180

134

17,623

2000

173

11,259

19,106

2001

165

12,317

89

19,104

2002

207

13,471

107

20,195

2003

202

14,494

105

21,995

2004

195

15,659

73

23,158

2005

193

16,724

173

24,718

2006

190

17,845

28

25,719

2007

185

19,066

45

27,827

2008

209

20,154

80

29,273

2009

200

21,811

67

30,212

2010

185

22,755

29

30,529

2011

178

23,692

32

31,403

2012

148

24,617

79

32,573

2013

0

25,896

414

33,149

33,079

2014

0

27,071

238

34,189

33,933

2015

28,418

184

35,786

35,685

2016

29,580

211

37,605

37,433

2017

139

30,982

161

39,420

40,137

* 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)

139 ICF/IID residents reported as a part of 1115 Waiver+

Waiver+ (all)

$31,711

Waiver+ 0 to 21 years family home

$17,123

Waiver+ 22+ years family home

$25,638

Waiver+ 0 to 21 years not family home

$22,064

Waiver+ 22+ years not family home

$207,771

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 Arizona

In FY 2016, Arizona changed the way they reported the number of people in family home versus other settings by age (21 and under and 22 and over), so numbers may differ than in the past (See Table 2.7). Arizona manages ICF/IID settings within their 1115 Managed Care Demonstration Waiver and reports ICF/IID and waiver group settings together.