FY 2017 RISP State Profiles

Georgia

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

634

95

1,558

0

1,732

0

5,429

99

7,164

1,630

459

626

418

0

1,687

0

11,984

00

6,186

1,640

462

630

419

0

1,645

0

10,982

01

6,174

2,309

610

858

444

0

1,589

0

11,984

02

2,818

1,824

464

651

392

0

1,475

2,041

9,665

03

4,138

1,923

489

701

416

0

1,441

1,235

10,343

04

5,664

2,009

327

834

486

0

1,350

0

10,670

05

4,123

2,228

363

1,004

598

0

1,300

179

9,795

06

4,832

2,036

373

1,445

863

0

1,085

0

10,634

07

6,014

2,673

435

1,156

710

0

1,034

0

12,022

08

11,263

2,478

557

1,655

963

0

1,070

0

17,986

09

7,443

1,559

871

1,714

968

0

849

0

13,404

10

5,344

3,276

1,240

1,131

1,116

0

670

254

13,031

11

6,829

1,761

1,092

1,475

1,238

0

477

132

13,004

12

5,495

1,366

1,044

2,031

31

1

300

1,653

11,921

13

2,925

1,257

1,186

1,805

990

11

293

194

8,661

14

3,080

1,148

1,215

1,845

996

11

249

0

8,544

15

3,105

1,156

1,235

1,912

987

11

245

47

8,697

16

3,274

1,145

1,203

1,769

1,068

11

240

284

8,994

17

3,274

1,145

1,203

1,769

1,068

11

109

8,854

* 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

2,491

0

3,557

1983

2,364

0

3,788

1984

2,237

0

4,019

1985

2,109

0

4,249

1986

1,982

0

4,480

1987

1,913

0

4,711

1988

1,929

0

4,511

1989

1,944

25

4,311

1990

1,943

160

4,111

1991

1,942

353

3,911

1992

1,935

359

1993

1,933

359

1994

1,897

556

1995

1,880

848

1996

2,019

1,619

1,644

1997

1,770

2,332

1,900

1998

1,732

2,400

1,900

5,429

1999

1,468

2,847

1,750

11,984

2000

1,645

2,468

2,004

10,982

2001

1,589

4,051

1,953

11,984

2002

1,475

8,190

1,746

9,665

2003

1,441

8,902

2,064

10,343

2004

1,350

8,484

4,892

10,670

2005

1,128

8,475

1,441

9,795

2006

1,085

8,617

1,858

10,634

2007

1,034

9,194

861

12,022

2008

984

11,296

6,392

17,986

2009

761

11,433

1,626

13,404

2010

670

11,631

1,640

13,031

2011

549

11,797

2,904

13,004

2012

300

11,621

2,735

11,921

2013

248

8,068

7,074

8,661

8,308

2014

249

8,295

7,337

8,544

15,632

2015

291

8,506

8,070

8,697

16,576

2016

284

8,579

8,070

8,994

17,389

2017

275

* 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)

Partial Data

Waiver+ (all)

$41,554

Waiver+ 0 to 21 years

$26,334

Waiver+ 22+ years

$42,719

Waiver by age in family home or not family home spending per person 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 Georgia

For FY 2017, the Gracewood and Augusta Campuses of the East Central Regional Hospital submitted a combined PRF survey (see Section 4 of the report). While AHCA (2018a) report ed one nonstate ICF/IID with 121 residents in FY 2017, the state agreed to use ACHA data for ICF/IID in FY 2016 and FY 2017. The FY 2016 ICF/IID residents was reported as zero in the RISP report, but AHCA data indicates 284 residents.