FY 2017 RISP State Profiles

Michigan

RISP

Figures

IDD Agency Long Term Supports and Services Recipients by Residence Type

Year

Family

Own Home

Foster/Host

7-15 Group

16+ Group

Unknown*

LTSS Recipients

98

1,760

1,196

6,469

0

283

99

1,760

1,196

6,469

0

283

00

1,760

1,196

6,469

0

269

01

7,268

1,726

1,163

7,484

0

212

0

17,853

02

7,268

1,726

1,163

7,484

0

173

0

17,814

03

7,268

1,726

1,163

7,484

0

173

0

17,814

04

17,055

5,970

1,333

12,142

0

129

0

36,629

05

12,811

2,612

1,203

10,729

0

190

0

27,545

06

15,738

3,974

1,073

12,352

0

175

3,170

36,482

07

15,210

4,619

942

10,688

0

151

1,987

33,597

08

17,263

5,342

812

5,085

1,412

666

5,358

35,938

09

17,552

6,065

682

6,263

1,533

529

0

32,624

10

19,431

6,319

564

8,549

1,904

737

17

37,521

11

23,078

399

389

6,605

1,507

595

10,487

43,060

12

25,772

3,406

399

17,970

47,546

13

25,775

6,412

409

4,126

640

341

872

38,575

14

19,879

6,194

376

2,065

290

194

7,602

36,600

15

25,780

6,980

474

2,651

387

209

8,634

45,115

16

44,784

44,784

17

42

42

42

42

42

* 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

4,002

0

11,102

1983

3,830

0

10,449

1984

3,658

0

9,797

1985

3,486

0

9,144

1986

3,314

2

8,492

1987

3,683

3

7,839

1988

3,321

580

8,011

1989

2,959

1,292

8,183

1990

2,905

1,658

8,354

1991

2,850

2,122

8,526

1992

3,180

2,741

1993

3,342

2,885

1994

3,366

3,367

1995

3,375

3,842

1996

3,185

5,207

1997

2,899

6,199

1998

2,830

5,708

1999

272

8,024

2000

269

8,287

2001

212

8,550

17,853

2002

173

8,550

0

17,814

2003

173

8,688

17,814

2004

129

8,256

39,183

2005

190

8,601

0

27,545

2006

127

8,283

0

36,482

2007

151

8,089

0

33,597

2008

81

7,987

45

35,938

2009

0

8,535

45

32,624

2010

0

8,593

37,521

2011

0

39,838

43,060

2012

0

39,838

47,546

2013

0

36,600

38,575

2014

0

36,600

36,600

2015

0

45,115

0

45,115

45,115

2016

0

44,784

2017

0

42

* 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)

Not applicable

Waiver+ (all)

$31,866

Waiver+ 0 to 21 years

$19,431

Waiver+ 22+ years

$36,634

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 Michigan

Michigan began reporting the number of 1915(b/c) waiver recipients in FY 2011 accounting for the jump in waiver recipients for that year.