FY 2017 RISP State Profiles

District of Columbia

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

0

0

84

15

856

23

0

0

978

99

0

0

84

15

856

23

0

64

1,042

00

0

0

70

4

601

340

0

0

1,105

01

0

0

70

8

545

362

0

26

1,011

02

450

21

56

168

567

298

48

0

1,608

03

514

21

47

168

540

369

0

35

1,694

04

584

15

48

159

537

361

0

38

1,742

05

540

22

82

213

720

118

0

0

1,695

06

585

29

44

242

594

297

0

0

1,791

07

614

35

68

385

596

196

0

50

1,944

08

675

46

49

524

546

151

0

57

2,031

09

615

30

54

604

504

88

0

0

1,895

10

510

28

72

687

487

52

0

0

1,855

11

673

21

75

730

494

21

0

0

2,014

12

715

19

81

789

489

0

0

27

2,099

13

727

18

104

785

471

0

15

0

2,120

14

798

15

88

811

465

9

0

0

2,186

15

799

13

83

842

433

7

17

0

2,194

16

848

11

83

878

427

1

0

0

2,248

17

893

15

85

893

442

0

0

0

2,328

* 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

436

0

886

1983

475

0

854

1984

514

0

823

1985

552

0

791

1986

591

0

760

1987

666

0

728

1988

654

0

818

1989

641

0

908

1990

834

0

997

1991

1,027

0

1,087

1992

761

0

1,085

1993

804

0

1,083

1994

722

0

1,081

1995

754

0

1,079

1996

754

0

87

1,077

1997

754

0

0

978

1998

754

0

0

978

1999

754

0

0

1,042

2000

840

67

1,105

2001

787

224

1,011

2002

734

225

1,608

2003

749

226

1,694

2004

746

466

1,742

2005

767

609

0

1,695

2006

677

890

0

1,791

2007

640

1,090

1

1,944

2008

533

1,203

0

2,031

2009

443

1,338

0

1,895

2010

409

1,446

0

1,855

2011

373

1,442

0

2,014

2012

363

1,479

0

2,099

2013

352

1,577

0

2,120

2,120

2014

341

1,595

0

2,186

2,197

2015

329

1,574

0

2,194

2,225

2016

323

1,670

0

2,248

2,275

2017

332

1,796

0

2,328

* 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)

$277,980

Waiver+ (all)

$121,862

Waiver+ 0 to 21 years family home

$29,405

Waiver+ 22+ years family home

$50,219

Waiver+ 0 to 21 years not family home

$75,493

Waiver+ 22+ years not family home

$163,550

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 District of Columbia

State-funded non-Medicaid expenditures cover non-waiver out of state residential facilities, certain adaptive equipment, and meals at day habilitation programs for adults who live with family members.