FY 2017 RISP State Profiles

Minnesota

RISP

Figures

IDD Agency Long Term Supports and Services Recipients by Residence Type

Year

Family

Own Home

Foster/Host

1-6 Group

7-15 Group

16+ Group

Unknown*

LTSS Recipients

98

6,309

2,517

1,085

5,899

1,344

1,256

0

18,410

99

7,201

2,136

1,151

6,320

1,256

1,056

119

19,239

00

8,088

2,310

1,175

6,499

1,225

770

0

20,067

01

10,703

2,289

1,322

6,583

1,183

841

0

22,921

02

12,132

2,600

1,437

6,893

1,113

1,023

0

25,198

03

13,410

2,615

1,457

7,024

1,124

969

443

27,042

04

14,331

1,984

1,486

7,541

867

893

684

27,786

05

15,231

2,092

1,507

7,742

1,027

838

0

28,437

06

13,092

2,153

1,007

9,162

1,027

915

810

28,166

07

13,574

2,213

1,001

9,322

955

979

0

28,044

08

13,093

2,020

1,301

8,952

569

415

0

26,350

09

14,372

2,320

949

9,661

543

379

305

28,529

10

14,678

2,418

922

9,509

589

372

387

28,875

11

14,801

2,510

913

9,534

621

357

664

29,400

12

10,332

1,384

1,041

9,307

490

402

7,274

30,230

13

11,003

2,716

1,168

9,461

452

387

5,872

31,059

14

11,009

2,638

953

15,780

436

379

56

31,251

15

11,232

2,294

664

16,477

422

330

55

31,474

16

0

32,081

17

12,696

3,320

818

8,938

323

250

6,711

33,056

* Unknown setting type or size reporting started 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

6,899

0

7,069

1983

6,887

0

7,413

1984

6,876

0

7,757

1985

6,864

239

8,101

1986

6,852

570

8,445

1987

6,339

1,423

8,789

1988

6,054

1,896

9,069

1989

5,769

2,068

9,349

1990

5,543

2,184

9,629

1991

5,316

2,551

9,909

1992

5,202

2,890

11,149

1993

5,072

3,408

12,390

1994

4,838

4,385

13,630

1995

4,455

4,740

14,871

1996

3,826

5,422

1,064

16,111

1997

3,604

6,097

936

17,965

1998

3,419

6,710

936

18,410

1999

3,101

7,102

1,045

19,239

2000

2,775

7,948

1,277

20,067

2001

2,828

14,470

1,468

22,921

2002

2,756

14,735

25,198

2003

2,667

14,754

27,042

2004

2,570

14,599

27,786

2005

2,471

14,468

3,855

28,437

2006

2,519

14,291

2,363

28,166

2007

2,513

14,593

2,525

28,044

2008

1,832

14,563

2,641

26,350

2009

1,747

14,832

2,853

28,529

2010

1,758

15,353

3,243

28,875

2011

1,775

21,938

3,522

29,400

2012

1,719

18,963

2,718

30,230

2013

1,726

18,066

3,630

31,059

31,104

2014

1,685

18,185

3,575

31,251

31,295

2015

1,591

18,316

3,564

31,474

31,486

2016

1,554

19,185

2,680

32,081

32,111

2017

1,497

20,489

1,355

32,992

33,047

* 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)

$77,218

Waiver+ (all)

$69,743

Waiver+ 0 to 21 years family home

$36,007

Waiver+ 22+ years family home

$47,518

Waiver+ 0 to 21 years not family home

$109,133

Waiver+ 22+ years not family home

$88,445

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 Minnesota

Non-state other settings include Customized Living (Assisted Living) and Board and Lodging. July 1, 2014 marks the conversion of more than 3,000 corporate adult foster care homes to a community residential settings (CRS.) This included a portion of family foster care homes operating with shift staff that required reclassification as corporate adult foster care sites. In Minnesota, Waiver-funded group homes are typically limited to four or fewer people (with certain exceptions allowing for five people). Claims data do not distinguish between settings of 1-3 and 4-6 people.