FY 2017 RISP State Profiles

Missouri

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

4,871

2,199

100

214

684

1,258

1,773

3,009

14,108

99

4,871

2,245

97

271

771

1,196

1,641

3,441

14,533

00

8,582

2,270

85

263

778

1,231

1,749

0

14,958

01

11,092

2,343

85

250

791

1,171

1,678

0

17,410

02

11,603

2,350

76

266

808

1,212

1,565

0

17,880

03

9,171

2,252

62

282

1,059

1,200

1,489

122

15,637

04

6,440

2,457

54

297

847

1,152

1,425

110

12,782

05

7,644

2,391

41

492

330

1,224

1,351

0

13,964

06

7,463

2,542

30

343

990

1,205

1,233

84

13,890

07

7,412

2,728

30

361

1,006

1,182

1,214

620

14,553

08

7,294

2,824

23

352

1,140

1,131

1,195

1,072

15,031

09

7,397

2,886

19

488

1,015

1,048

991

64

13,908

10

6,199

3,230

19

307

1,240

976

766

151

12,888

11

7,273

3,497

19

292

1,153

1,200

704

184

14,322

12

8,089

3,984

20

293

1,120

1,108

623

1,632

16,869

13

8,955

4,131

208

355

1,197

1,126

575

31

16,578

14

9,599

4,170

375

351

1,112

1,072

546

0

17,225

15

10,136

4,363

397

330

1,033

1,080

469

0

17,808

16

10,922

4,558

414

364

1,086

940

420

0

18,704

17

11,278

4,748

460

356

977

901

400

0

19,120

* 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

1,878

0

5,981

1983

1,931

0

5,975

1984

1,983

0

5,969

1985

2,036

0

5,963

1986

2,088

0

5,957

1987

1,868

0

5,951

1988

1,863

0

5,931

1989

1,858

338

5,912

1990

1,933

989

5,892

1991

2,008

1,452

5,872

1992

1,751

2,241

6,879

1993

1,709

2,622

7,886

1994

1,709

3,057

8,893

1995

1,678

3,511

9,900

1996

1,643

5,685

694

10,907

1997

1,466

6,282

553

11,301

1998

1,501

7,238

553

14,108

1999

1,488

7,926

564

14,533

2000

1,371

8,238

574

14,958

2001

1,341

8,419

86

17,410

2002

1,398

8,143

94

17,880

2003

1,310

7,861

626

15,637

2004

1,286

8,219

12,782

2005

1,185

8,268

491

13,964

2006

1,054

8,183

442

13,890

2007

1,020

8,396

507

14,553

2008

965

8,729

469

15,031

2009

843

8,766

531

13,908

2010

731

9,105

206

12,888

2011

660

10,215

256

14,322

2012

590

11,041

200

16,869

2013

569

12,147

1,113

16,578

31,369

2014

506

12,242

898

17,225

32,219

2015

473

13,133

356

17,808

33,289

2016

436

13,722

262

18,704

34,802

2017

424

14,152

247

19,120

36,850

* 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)

$211,791

Waiver+ (all)

$62,827

Waiver+ 0 to 21 years family home

$11,291

Waiver+ 22+ years family home

$21,293

Waiver+ 0 to 21 years not family home

$114,518

Waiver+ 22+ years not family home

$103,394

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 Missouri

Waiting lists for Waiver funded supports in Missouri were eliminated in FY 2015. In FY 2017, all of the people reported to be waiting were actually moving through the assessment and provider selection process. State general revenue funds are appropriated for in-home supports and services to families through regional autism projects.