FY 2017 RISP State Profiles

Delaware

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

1,041

25

170

134

173

8

271

0

1,822

99

1,173

24

145

123

209

0

264

0

1,938

00

1,209

19

154

160

217

0

253

0

2,012

01

1,251

19

162

155

249

0

274

0

2,110

02

1,325

26

173

171

289

0

241

0

2,225

03

1,415

23

193

196

292

0

218

0

2,337

04

1,582

22

204

199

313

0

194

0

2,514

05

1,691

25

206

207

340

0

172

0

2,641

06

1,779

9

175

243

391

0

154

0

2,751

07

1,930

8

174

293

408

0

141

0

2,954

08

2,062

16

162

268

436

0

138

0

3,082

09

2,053

24

157

288

439

0

120

0

3,081

10

2,149

27

145

252

459

0

118

15

3,165

11

2,289

26

134

266

459

11

123

0

3,307

12

2,428

20

132

276

466

23

135

0

3,480

13

2,610

18

135

443

525

0

127

0

3,858

14

2,798

18

126

439

564

0

125

0

4,070

15

3,014

18

135

684

389

0

120

0

4,360

16

3,273

111

553

392

0

118

0

4,447

17

3,413

100

584

408

0

118

11

4,652

* 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

513

0

764

1983

499

0

747

1984

484

0

730

1985

470

50

714

1986

455

78

697

1987

439

81

680

1988

441

144

685

1989

442

100

690

1990

432

196

694

1991

421

245

699

1992

325

290

859

1993

370

290

1,019

1994

356

310

1,179

1995

313

356

1,339

1996

300

352

479

1,499

1997

292

379

1,626

1998

285

382

1,822

1999

264

455

1,938

2000

253

481

145

2,012

2001

274

518

69

2,110

2002

241

547

19

2,225

2003

218

614

13

2,337

2004

194

688

6

2,514

2005

172

732

7

2,641

2006

154

744

249

2,751

2007

141

788

235

2,954

2008

138

817

180

3,082

2009

120

831

169

3,081

2010

118

842

174

3,165

2011

828

79

3,307

2012

135

855

17

3,480

2013

56

989

0

3,858

3,679

2014

56

989

0

4,070

3,936

2015

120

1,041

0

4,360

4,204

2016

100

1,077

0

4,447

4,489

2017

118

1,031

0

4,652

4,620

* 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)

$274,509

Waiver+ (all)

$131,117

Waiver+ 0 to 21 years family home

Not available

Waiver+ 22+ years family home

Not available

Waiver+ 0 to 21 years not family home

Not available

Waiver+ 22+ years not family home

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 Delaware

Beginning in FY 2013, people receiving Family Support Specialist services were counted as living in the home of a family member. In FY 2017, waiver recipients living in settings other than the home of a family member were not counted. In FY 2017, Delaware revised its reporting for waiver recipients by setting type.