FY 2017 RISP State Profiles

Louisiana

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

4,615

782

88

0

2,035

842

2,966

0

11,328

99

1,350

118

91

0

2,095

779

2,753

1,414

8,600

00

1,894

1,391

108

0

2,096

779

2,745

236

9,249

01

3,964

1,443

71

0

2,071

795

2,687

0

11,031

02

3,876

1,567

67

0

2,071

795

2,673

0

11,049

03

4,120

1,637

59

0

1,991

936

2,709

0

11,452

04

6,284

990

56

24

2,017

971

2,508

0

12,850

05

6,512

1,891

53

37

2,026

1,030

2,470

0

14,019

06

6,091

1,955

62

36

2,035

1,204

2,364

0

13,747

07

8,108

1,880

46

61

2,003

1,324

1,999

0

15,421

08

10,262

2,053

55

66

1,878

1,275

1,906

0

17,495

09

13,263

2,226

55

123

1,764

1,348

1,816

0

20,595

10

13,894

2,340

54

0

2,861

322

1,631

42

42

11

14,776

2,400

0

0

3,230

115

1,443

42

21,988

12

15,946

2,468

0

0

3,035

172

1,388

42

42

13

14,938

2,420

0

1,728

1,675

1,401

137

22,299

14

13,462

2,408

1,372

11,755

28,997

15

13,870

2,408

1,291

12,835

30,404

16

13,526

2,413

1,395

1

17,335

17

13,526

2,413

0

16,528

* 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

4,849

0

5,055

1983

5,031

2,006

5,172

1984

5,212

2,046

5,289

1985

5,394

2,087

5,407

1986

5,575

0

5,524

1987

6,016

0

5,641

1988

6,042

0

6,197

1989

6,067

0

6,753

1990

6,009

0

7,308

1991

5,951

56

7,864

1992

5,645

939

8,406

1993

4,678

1,134

8,948

1994

6,029

1,543

9,490

1995

6,044

1,926

10,032

1996

6,102

2,100

2,254

10,574

1997

6,014

2,048

10,486

1998

5,843

2,407

11,328

1999

5,627

2,973

491

8,600

2000

5,620

3,629

530

9,249

2001

5,553

4,008

477

11,031

2002

5,539

4,232

11,049

2003

5,577

4,809

11,452

2004

5,442

5,199

12,850

2005

5,460

5,324

14,019

2006

5,603

5,484

13,747

2007

5,320

6,915

15,421

2008

5,059

6,834

17,495

2009

4,988

7,616

20,595

2010

4,838

8,232

42

2011

4,812

8,797

21,988

2012

4,604

9,957

42

2013

4,941

11,663

10,756

22,299

2014

4,825

11,539

12,906

28,997

44,902

2015

5,247

12,042

13,085

30,404

48,305

2016

4,956

12,379

14,289

17,335

50,071

2017

4,443

12,085

15,259

16,528

38,832

* 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)

$77,513

Waiver+ (all)

$37,819

Waiver+ 0 to 21 years

$18,227

Waiver+ 22+ years

$44,045

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 Louisiana

Louisiana had three state-operated facilities serving 16 or more people with ICF/IID licenses: Pinecrest Supports and Services Center (Pineville), Central Louisiana Supports and Services Center (Alexandria) previously known as the Louisiana Special Education and Transition Center, and East Louisiana State Mental Hospital (a psychiatric facility with 3 ICF/IID certified units). In FY 2017 Louisiana served an estimated 12,085 people in nonstate own home or family home settings combined, however the number by setting type could not be estimated.