FY 2017 RISP State Profiles

Kentucky

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

8,838

81

338

639

34

258

1,169

0

11,357

99

4,235

156

363

673

34

274

1,164

2,235

9,134

00

4,236

167

368

691

41

274

1,133

0

6,910

01

4,947

211

392

675

12

204

863

0

7,304

02

5,157

226

476

1,677

83

204

852

0

8,675

03

5,013

353

857

1,795

80

204

824

0

9,126

04

4,814

361

505

1,869

25

92

795

0

8,461

05

1,073

770

512

1,850

44

114

703

0

5,066

06

1,735

1,048

470

1,924

43

95

679

2

5,996

07

2,378

983

420

1,704

242

100

635

0

6,462

08

2,406

466

630

2,151

36

112

499

27

6,327

09

1,904

352

753

2,066

69

233

601

23

6,001

10

1,506

297

644

2,281

0

0

591

791

6,110

11

1,701

1,343

812

2,352

84

0

338

2,721

9,351

12

1,135

261

761

2,372

103

0

279

6,420

11,331

13

1,127

294

915

2,547

131

7,396

12,409

14

327

1,069

2,721

159

24

456

10,692

15,448

15

1,249

3,001

295

23

398

10,336

15,302

16

1,387

2,485

192

24

278

10,829

15,195

17

1,590

2,717

180

23

399

12,905

17,814

* Unknown setting type or size reported in FY 2017 and gaps own home and family home

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

1,250

0

1,860

1983

1,238

0

1,814

1984

1,227

475

1,768

1985

1,215

516

1,721

1986

1,203

516

1,675

1987

1,187

609

1,629

1988

1,183

652

1,757

1989

1,179

728

1,885

1990

1,185

743

2,013

1991

1,191

762

2,141

1992

1,200

819

2,759

1993

1,053

855

3,377

1994

1,133

887

3,995

1995

1,201

879

4,613

1996

1,157

924

5,231

1997

1,180

1,040

1,160

12,548

1998

1,177

1,035

1,160

11,357

1999

1,172

1,039

1,450

9,134

2000

1,120

1,279

1,279

6,910

2001

887

1,542

1,600

7,304

2002

876

1,807

2,100

8,675

2003

848

2,033

2,367

9,126

2004

793

2,432

2,431

8,461

2005

727

2,654

288

5,066

2006

656

2,768

283

5,996

2007

637

3,033

234

6,462

2008

524

3,231

293

6,327

2009

623

5,073

363

6,001

2010

615

5,495

295

42

2011

353

8,998

163

42

2012

285

11,046

802

11,331

2013

42

12,015

42

2014

42

15,000

1,974

42

2015

42

14,867

1,964

42

2016

42

14,768

2,276

42

14,768

2017

422

17,392

2,229

17,814

17,392

* 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)

$348,892

Waiver+ (all)

$37,718

Waiver+ 0 to 21 years

$27,211

Waiver+ 22+ years

$46,374

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 Kentucky

The number of group home (Type II) and Host/Family Foster Care (Type III) residences was imputed based on the total number of providers, assuming residences were at or near capacity. In FY 2017, an estimated 12,905 Waiver recipients lived in family homes or homes of their own but Kentucky could not report the number in family homes versus own home settings.