FY 2017 RISP State Profiles

Nebraska

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

214

826

157

386

639

287

646

0

3,155

99

225

820

156

579

618

228

641

130

3,397

00

233

841

168

767

681

309

639

0

3,638

01

220

812

161

767

681

309

619

0

3,569

02

245

850

173

767

681

309

633

0

3,658

03

195

840

189

733

658

130

608

33

3,386

04

187

706

216

833

576

172

599

0

3,667

05

210

779

244

933

494

213

607

44

3,524

06

348

777

274

1,158

405

131

593

154

3,840

07

427

749

327

994

586

102

573

128

3,886

08

471

764

415

831

615

100

501

402

4,099

09

491

952

384

671

519

69

418

408

3,912

10

904

1,132

404

1,025

519

79

402

260

4,476

11

1,165

1,428

558

1,027

532

69

405

193

5,218

12

1,130

1,322

574

904

622

113

380

336

5,396

13

1,347

1,330

708

1,198

412

100

345

2

5,477

14

1,302

1,385

730

883

468

172

333

19

5,324

15

1,426

1,373

705

1,130

223

191

331

27

5,433

16

1,928

1,220

741

875

384

163

338

1

5,684

17

2,148

1,177

845

727

421

140

308

0

5,766

* 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

980

0

1,722

1983

950

0

1,811

1984

921

0

1,899

1985

891

0

1,988

1986

861

0

2,076

1987

808

0

2,165

1988

782

553

2,230

1989

756

540

2,295

1990

738

658

2,359

1991

719

683

2,424

1992

739

710

2,419

1993

721

991

2,414

1994

694

1,257

2,408

1995

678

1,169

2,403

1996

650

1,834

843

2,398

1997

643

2,010

1,219

2,777

1998

655

2,124

1,219

3,155

1999

650

2,252

705

3,397

2000

648

2,307

651

3,638

2001

628

2,398

519

3,569

2002

642

2,419

578

3,658

2003

617

2,769

709

3,386

2004

608

2,983

1,260

3,667

2005

616

2,908

1,227

3,524

2006

602

3,238

1,445

3,840

2007

582

3,304

1,582

3,886

2008

510

3,589

1,914

4,099

2009

184

3,728

2,059

3,912

2010

412

4,000

1,639

4,476

2011

438

4,229

1,863

5,218

2012

433

4,531

1,875

5,396

2013

391

4,687

1,775

5,477

8,537

2014

392

4,836

1,811

5,324

8,431

2015

394

4,656

1,838

5,433

8,592

2016

393

4,686

2,149

5,684

7,979

2017

374

4,592

1,766

5,766

7,238

* 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)

$166,001

Waiver+ (all)

$63,397

Waiver+ 0 to 21 years family home

$23,046

Waiver+ 22+ years family home

$27,428

Waiver+ 0 to 21 years not family home

$90,253

Waiver+ 22+ years not family home

$77,716

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 Nebraska

Beatrice State Development Center campus houses four separately licensed ICF/IID buildings. From FY 2011 to FY 2016, each building was reported as a separate facility.