FY 2017 RISP State Profiles

Connecticut

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

6,968

771

526

736

2,053

383

1,070

0

12,507

99

7,205

823

527

726

2,088

430

995

0

12,794

00

6,612

1,363

503

622

2,197

452

988

0

12,737

01

6,854

924

481

656

2,250

459

927

461

13,012

02

7,161

887

570

1,092

2,297

496

883

0

13,386

03

7,224

857

566

1,067

2,334

924

862

0

13,834

04

7,495

1,274

565

920

2,458

454

853

0

14,019

05

7,546

859

542

742

2,685

472

839

0

13,685

06

7,491

1,182

412

720

2,745

457

816

0

13,823

07

7,566

1,405

408

1,047

2,576

421

794

0

14,217

08

7,688

1,631

399

1,105

2,570

388

760

0

14,541

09

7,758

1,675

501

746

2,652

370

723

334

14,759

10

7,896

1,450

409

1,033

2,376

222

712

723

14,821

11

7,983

1,415

413

1,017

2,183

213

656

670

14,884

12

3,730

1,414

401

1,223

2,212

231

639

0

10,024

13

3,890

1,319

390

1,373

2,486

325

570

0

10,692

14

4,077

1,254

388

1,444

2,458

335

535

0

10,839

15

2,181

1,236

376

1,563

2,488

294

486

988

9,934

16

4,444

1,450

370

1,570

2,527

260

448

0

11,387

17

4,555

1,455

376

1,660

2,804

236

390

0

11,476

* 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

1,598

0

4,553

1983

1,486

0

4,606

1984

1,374

0

4,660

1985

1,261

0

4,713

1986

1,149

0

4,767

1987

1,414

0

4,820

1988

1,875

644

4,949

1989

2,335

1,127

5,078

1990

1,943

1,555

5,206

1991

1,550

1,655

5,335

1992

1,378

1,693

6,696

1993

1,272

2,069

8,057

1994

1,276

2,361

9,419

1995

1,265

2,542

10,780

1996

1,298

2,999

1,261

12,141

1997

1,377

3,371

1,434

12,706

1998

1,382

3,380

1,434

12,507

1999

1,311

4,493

1,487

12,794

2000

1,276

5,076

1,405

12,737

2001

1,222

5,508

1,562

13,012

2002

1,192

5,972

1,665

13,386

2003

1,175

5,825

583

13,834

2004

1,173

6,356

645

14,019

2005

1,165

6,583

680

13,685

2006

1,199

7,232

725

13,823

2007

1,148

7,692

680

14,217

2008

1,116

7,905

560

14,541

2009

1,080

8,519

482

14,759

2010

1,047

8,640

531

14,821

2011

1,019

8,741

549

14,884

2012

984

8,638

612

10,024

2013

927

8,912

586

10,692

15,918

2014

886

8,966

531

10,839

16,274

2015

828

9,106

488

9,934

16,324

2016

786

9,941

3,649

11,387

16,724

2017

741

9,979

419

11,476

16,951

* 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)

$262,530

Waiver+ (all)

$93,111

Waiver+ 0 to 21 years family home

$56,102

Waiver+ 22+ years family home

$31,029

Waiver+ 0 to 21 years not family home

$81,792

Waiver+ 22+ years not family home

$135,476

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 Connecticut

The waiting list is not limited to people requesting Medicaid Waiver-funded supports. However most people on Connecticut’s waiting list eventually move to a Waiver-funded residential setting. Some people on the waiting list are not eligible for Targeted Case Management services. ICF/IID recipients and expenditures by age included only state-operated ICF/IID settings from FY 2013 through FY 2016.