FY 2017 RISP State Profiles

Nevada

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

1,121

453

64

0

137

27

169

2

1,973

99

1,336

460

51

0

126

54

165

45

2,237

00

1,447

707

47

0

120

39

140

0

2,500

01

1,684

831

45

0

117

15

136

0

2,828

02

1,768

941

27

0

122

15

131

0

3,004

03

1,927

976

24

0

122

15

108

0

3,172

04

2,182

1,269

24

0

120

15

100

1

3,711

05

2,418

1,093

39

0

90

0

107

200

3,947

06

2,515

1,090

76

0

36

0

94

59

3,870

07

2,595

1,232

77

0

34

0

84

41

4,063

08

3,120

1,412

86

0

36

0

69

54

4,777

09

3,440

1,305

81

0

35

0

65

58

4,984

10

3,621

1,348

70

33

1

0

107

2

5,182

11

3,658

1,509

105

6

1

0

144

0

5,438

12

3,826

1,530

75

10

4

6

152

95

5,716

13

3,879

1,597

71

0

9

0

170

0

5,762

14

4,122

1,635

80

0

0

0

174

0

6,046

15

4,371

1,662

85

0

0

0

181

0

6,332

16

4,595

1,642

125

0

0

0

192

0

6,580

17

4,745

1,621

193

0

25

0

206

0

6,790

* 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

175

0

301

1983

177

34

327

1984

178

80

354

1985

180

90

380

1986

181

108

407

1987

188

129

433

1988

187

117

470

1989

185

136

507

1990

199

133

544

1991

212

135

581

1992

146

136

658

1993

208

186

734

1994

205

172

811

1995

214

278

887

1996

232

361

115

964

1997

275

374

164

1,667

1998

286

392

164

1,973

1999

295

800

274

2,237

2000

252

795

188

2,500

2001

246

1,090

198

2,828

2002

242

1,083

175

3,004

2003

219

1,040

246

3,172

2004

209

1,294

299

3,711

2005

197

1,326

407

3,947

2006

130

1,373

325

3,870

2007

118

1,372

481

4,063

2008

105

1,591

541

4,777

2009

100

1,567

352

4,984

2010

101

1,628

109

5,182

2011

103

1,656

136

5,438

2012

104

1,652

188

5,716

2013

100

1,719

620

5,762

5,744

2014

100

1,877

739

6,046

6,028

2015

98

1,941

712

6,332

6,332

2016

91

2,033

752

6,580

6,580

2017

91

2,152

745

6,790

6,790

* 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)

$204,693

Waiver+ (all)

$48,777

Waiver+ 0 to 21 years family home

$17,491

Waiver+ 22+ years family home

$15,274

Waiver+ 0 to 21 years not family home

$57,710

Waiver+ 22+ years not family home

$69,234

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 Nevada

The “nonstate other” category includes hospitals, correctional/ incarceration facilities, and similar facilities of 16 or more people. In FY 2017, 57 people on the IDD agency caseload lived in those settings.