FY 2017 RISP State Profiles

Florida

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

16,994

2,508

0

142

2,843

1,305

3,822

0

27,614

99

17,774

2,708

0

131

2,966

1,346

3,661

1,245

29,831

00

19,417

3,127

0

179

3,309

1,359

4,662

0

32,047

01

22,066

3,266

0

154

3,729

1,292

3,648

0

34,155

02

24,259

3,505

0

185

4,081

1,315

3,601

0

36,946

03

27,240

3,770

0

230

4,968

1,752

3,558

0

41,518

04

29,566

3,887

0

233

4,325

1,270

3,406

0

42,687

05

31,173

4,012

0

236

4,515

1,286

3,347

0

44,569

06

33,803

4,173

0

247

4,740

1,258

3,236

0

47,457

07

35,439

4,385

0

268

5,020

1,209

3,185

0

49,506

08

36,139

5,020

0

294

5,371

1,186

3,125

0

51,135

09

36,253

5,214

32

348

5,489

1,187

3,101

0

51,624

10

36,218

5,326

65

359

5,704

1,233

2,925

400

52,230

11

36,650

5,521

97

337

5,918

1,232

2,930

183

52,868

12

37,082

5,883

129

696

6,343

1,642

2,764

96

53,934

13

37,424

5,872

323

534

6,198

1,606

2,876

167

55,000

14

37,323

5,742

308

516

6,375

1,647

2,919

76

54,906

15

38,377

5,743

284

442

5,442

1,811

2,651

64

54,814

16

38,917

5,742

260

135

6,547

1,291

2,853

956

56,701

17

38,917

5,742

260

135

6,547

1,291

2,817

956

56,665

* 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

2,128

0

8,060

1983

2,407

0

8,088

1984

2,686

7,003

8,116

1985

2,964

7,003

8,143

1986

3,243

1,003

8,171

1987

3,180

2,631

8,199

1988

3,180

2,631

8,364

1989

3,180

2,542

8,529

1990

3,184

2,615

8,694

1991

3,187

2,631

8,859

1992

3,118

2,637

12,282

1993

3,207

6,009

15,705

1994

3,407

6,430

19,127

1995

3,530

7,988

22,550

1996

3,442

10,000

1,951

25,973

1997

3,476

11,399

716

27,119

1998

3,379

12,728

716

27,614

1999

3,391

13,809

662

29,831

2000

3,440

21,126

618

32,047

2001

3,310

24,910

34,155

2002

3,338

25,921

36,946

2003

3,307

24,301

41,518

2004

3,362

24,079

15,278

42,687

2005

3,370

26,003

3,100

44,569

2006

3,268

31,324

3,790

47,457

2007

3,205

31,425

4,250

49,506

2008

3,129

30,939

4,683

51,135

2009

3,100

29,807

3,780

51,624

2010

2,919

29,998

3,835

52,230

2011

2,926

29,661

4,075

52,868

2012

2,786

29,353

4,311

53,934

2013

2,857

28,849

22,432

55,000

55,442

2014

2,788

30,281

21,165

54,906

57,112

2015

2,742

32,277

21,331

54,814

57,112

2016

2,714

32,830

20,486

56,701

57,317

2017

33,812

20,723

56,665

58,725

* 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)

$122,811

Waiver+ (all)

$29,706

Waiver+ 0 to 21 years family home

$7,016

Waiver+ 22+ years family home

$17,617

Waiver+ 0 to 21 years not family home

$53,499

Waiver+ 22+ years not family home

$48,150

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 Florida

FY 2018 data was used for ICF/IID by age and expenditures.