FY 2017 RISP State Profiles

Montana

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

1,670

512

189

0

196

488

133

0

3,188

99

2,015

466

204

89

196

488

130

17

3,605

00

2,386

100

207

262

226

488

130

0

4,022

01

2,390

100

207

484

252

488

121

0

4,042

02

2,450

102

211

486

256

488

119

0

4,112

03

2,330

441

189

203

232

459

108

0

3,962

04

2,190

568

179

208

249

429

93

0

3,916

05

2,068

586

181

226

286

398

79

0

3,824

06

2,208

570

206

201

327

375

72

13

3,972

07

2,275

634

210

191

362

397

67

0

4,136

08

2,386

621

221

371

371

402

67

0

4,282

09

2,418

621

221

214

371

402

64

0

4,311

10

2,400

650

240

200

380

400

0

55

4,345

11

2,400

750

210

200

200

450

53

12

4,275

12

800

100

42

650

661

415

55

80

2,803

13

750

100

45

6

504

632

53

663

2,753

14

670

150

43

5

536

632

51

663

2,750

15

710

100

50

5

708

725

55

500

2,853

16

1,014

143

47

5

627

300

42

395

2,573

17

1,014

143

47

0

1,606

2,810

* 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

290

21

781

1983

284

44

858

1984

278

69

935

1985

272

78

1,013

1986

266

192

1,090

1987

253

210

1,167

1988

252

286

1,265

1989

250

274

1,364

1990

224

276

1,462

1991

197

355

1,560

1992

170

444

1,879

1993

165

504

2,198

1994

171

546

2,517

1995

165

646

2,836

1996

165

807

536

3,155

1997

148

891

260

3,270

1998

141

931

260

3,188

1999

138

929

274

3,605

2000

130

1,206

200

4,022

2001

121

1,235

486

4,042

2002

119

1,452

497

4,112

2003

108

1,685

544

3,962

2004

93

1,917

563

3,916

2005

79

2,023

560

3,824

2006

72

2,058

642

3,972

2007

54

2,242

618

4,136

2008

55

2,268

490

4,282

2009

52

2,273

598

4,311

2010

2,330

691

4,345

2011

53

2,720

586

4,275

2012

55

2,668

635

2,803

2013

67

2,686

676

2,753

2014

51

2,699

705

2,750

2,699

2015

55

2,798

953

2,853

3,195

2016

40

2,533

1,233

2,573

3,514

2017

14

2,796

2,810

2,796

* 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)

$411,355

Waiver+ (all)

$41,004

Waiver+ 0 to 21 years

$23,582

Waiver+ 22+ years

$44,249

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 Montana

Since FY 2015, children ages 1-3 receiving Part C and/or Social Services Block Brant (Title XX) funding have been counted in the IDD agency caseload Since FY 2016, it has not been possible to differentiate between nonstate group homes with 1 to 3 people from group homes with 4 to 6 people. People 16 years or older served by the state IDD agency are entitled to Medicaid State Plan-funded Case Management services.