FY 2017 RISP State Profiles

Maryland

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

4,329

290

145

2,233

1,240

361

660

0

9,258

99

4,329

290

175

2,216

1,378

356

664

0

9,408

00

4,329

290

176

2,285

1,393

385

599

0

9,457

01

1,924

150

190

2,323

1,406

388

552

0

6,933

02

2,217

1,337

294

2,703

1,854

442

859

0

9,706

03

2,128

1,139

428

2,918

2,105

460

499

0

9,677

04

2,316

1,492

265

2,685

1,940

390

455

0

9,543

05

2,139

1,509

251

2,819

1,663

313

392

0

9,086

06

1,960

1,582

215

2,834

1,742

297

365

0

8,995

07

2,369

1,728

216

3,518

1,326

259

336

878

10,630

08

2,390

1,700

214

3,545

1,380

257

279

1,345

11,110

09

2,270

1,725

215

3,584

1,514

271

129

1,583

11,291

10

2,228

1,747

216

3,544

1,629

247

144

1,536

11,291

11

2,149

1,777

212

3,571

1,620

259

142

1,625

11,355

12

2,215

2,014

208

3,660

1,757

236

54

1,813

11,957

13

2,215

2,195

213

5,936

1,853

219

277

0

12,908

14

2,198

2,368

210

5,891

1,950

240

185

6,870

13,042

15

2,215

2,542

212

3,716

2,035

246

131

13,429

24,526

16

1,728

2,677

213

3,753

2,107

206

122

11,353

22,159

17

1,728

3,847

210

3,786

2,232

180

92

9,308

21,230

* 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

1,851

0

3,246

1983

1,942

0

3,428

1984

2,034

28

3,610

1985

2,125

356

3,792

1986

2,216

464

3,974

1987

1,429

685

4,156

1988

1,402

716

4,238

1989

1,374

813

4,320

1990

1,227

858

4,402

1991

1,079

1,082

4,484

1992

954

1,972

5,438

1993

894

2,437

6,393

1994

822

2,787

7,347

1995

775

2,898

8,302

1996

652

3,306

9,256

1997

624

3,392

9,255

1998

593

3,353

9,258

1999

562

3,660

2,830

9,408

2000

525

4,959

3,349

9,457

2001

482

6,013

3,804

6,933

2002

502

6,768

5,147

9,706

2003

396

7,593

6,875

9,677

2004

391

8,753

7,666

9,543

2005

367

9,438

7,710

9,086

2006

365

9,971

8,403

8,995

2007

336

10,294

9,670

10,630

2008

279

10,831

10,741

11,110

2009

129

11,162

18,698

11,291

2010

153

11,202

2,770

42

2011

152

11,805

3,318

42

2012

54

12,489

4,065

42

2013

42

8,749

5,276

12,908

24,480

2014

143

10,970

5,660

13,042

24,902

2015

13,935

5,547

24,526

24,911

2016

14,424

5,441

22,159

24,912

2017

92

15,283

5,812

21,230

24,753

* 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)

$280,215

Waiver+ (all)

$65,646

Waiver+ 0 to 21 years family home

$22,064

Waiver+ 22+ years family home

$30,456

Waiver+ 0 to 21 years not family home

$31,546

Waiver+ 22+ years not family home

$66,453

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 Maryland

People with IDD living in “unknown” settings receive Community Coordination Services, Behavior Support Services (BSS), Residential, Individual Family Care (IFC), or self-directed supports. In FY 2017, there were an estimated 11,036 LTSS recipients in unknown settings. Starting in FY 2015, Maryland included people receiving case management services, which explains the increase in LTSS recipients, particularly in unknown setting types.

Maryland has three state-operated facilities with 16 or more people. One of those, the Secure Evaluation and Therapeutic Treatment Program (SETT Unit), was not described in this report. A description of Maryland’s facilities can be found online (https://dda.health.maryland.gov/Pages/Facilities.aspx).