FY 2017 RISP State Profiles

New Hampshire

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

5,613

324

879

359

82

59

25

0

7,341

99

3,736

341

946

283

45

325

25

0

5,701

00

165

359

952

332

65

0

24

0

1,897

01

172

362

963

332

65

0

24

0

1,918

02

168

407

917

346

56

28

25

0

1,947

03

192

403

931

312

64

32

25

0

1,959

04

383

404

987

290

63

48

25

0

2,200

05

424

334

1,016

283

78

22

25

0

2,182

06

434

344

1,016

287

78

27

5

20

2,211

07

484

351

1,019

278

71

31

25

0

2,259

08

551

484

926

275

76

19

25

0

2,356

09

612

400

1,086

180

82

22

25

0

2,407

10

506

434

1,139

310

69

22

25

42

2,511

11

657

446

1,030

290

69

22

25

42

2,545

12

924

478

933

227

62

12

25

42

2,749

13

849

485

1,194

296

80

18

25

0

2,947

14

902

488

1,204

265

84

18

25

0

2,986

15

1,047

470

1,106

288

96

10

25

0

3,042

16

25

3,017

3,042

17

42

42

42

42

42

42

* 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

339

0

944

1983

329

0

974

1984

319

303

1,004

1985

309

409

1,034

1986

299

504

1,064

1987

204

541

1,094

1988

181

634

1,147

1989

158

762

1,199

1990

125

822

1,252

1991

91

955

1,304

1992

81

1,059

2,397

1993

74

1,032

3,490

1994

73

1,303

4,582

1995

72

1,570

5,675

1996

22

1,906

97

6,768

1997

23

2,063

234

7,522

1998

25

2,262

234

7,341

1999

25

2,276

208

5,701

2000

24

2,475

84

1,897

2001

24

2,750

94

1,918

2002

25

2,779

165

1,947

2003

25

2,835

173

1,959

2004

25

3,053

107

2,200

2005

25

3,154

119

2,182

2006

25

3,205

173

2,211

2007

25

3,339

268

2,259

2008

25

3,580

35

2,356

2009

25

4,108

208

2,407

2010

25

4,052

19

2,511

2011

25

4,467

24

2,545

2012

25

4,519

49

2,749

2013

25

4,179

242

2,947

4,415

2014

25

4,834

79

2,986

4,913

2015

25

5,235

79

3,042

5,235

2016

25

3,042

2017

23

42

* 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)

$88,793

Waiver+ (all)

$44,495

Waiver+ 0 to 21 years

$9,696

Waiver+ 22+ years

$55,699

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 New Hampshire

New Hampshire was unable to furnish data for the FY 2017 RISP report. FY 2017 data on people with IDD in nursing homes and ICF/IID facilities came from AHCA (2018a) reports.