FY 2017 RISP State Profiles

North Dakota

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

292

991

50

0

204

478

254

159

2,428

99

295

1,018

45

0

206

453

252

186

2,455

00

393

966

38

0

201

495

267

201

2,561

01

397

995

36

0

176

523

262

223

2,612

02

424

1,017

31

0

177

533

264

194

2,640

03

523

1,029

29

0

176

512

271

272

2,812

04

533

1,022

27

0

198

515

200

2,473

05

569

1,070

27

0

192

536

194

0

2,588

06

585

1,100

26

0

208

500

185

0

2,604

07

666

1,083

29

0

214

501

179

0

2,672

08

715

1,093

29

0

219

501

168

0

2,725

09

773

1,160

27

0

225

495

155

0

2,835

10

907

1,267

27

0

251

487

145

0

3,084

11

921

1,235

27

0

241

505

146

0

3,075

12

1,225

1,126

20

0

241

520

124

100

3,356

13

1,159

1,159

23

0

258

486

117

0

3,202

14

1,037

1,241

24

0

268

469

116

0

3,155

15

1,031

1,262

24

3

287

437

109

0

3,153

16

1,252

1,276

18

3

319

409

106

0

3,383

17

1,268

1,293

16

9

332

198

99

204

3,419

* 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

219

0

1,234

1983

384

0

1,464

1984

549

68

1,694

1985

713

439

1,923

1986

878

463

2,153

1987

888

724

2,383

1988

816

824

2,247

1989

743

1,063

2,111

1990

689

1,055

1,974

1991

634

1,163

1,838

1992

476

1,334

1,890

1993

618

1,362

1,942

1994

551

1,509

1,994

1995

561

1,637

2,046

1996

624

1,770

0

2,098

1997

609

1,792

0

2,140

1998

609

1,819

0

2,428

1999

580

1,875

0

2,455

2000

625

1,936

0

2,561

2001

622

1,990

0

2,612

2002

629

2,011

0

2,640

2003

625

2,187

0

2,812

2004

607

2,668

0

3,275

2005

610

3,077

0

2,588

2006

592

3,297

2,604

2007

593

3,535

2,672

2008

585

3,657

2,725

2009

584

3,805

0

2,835

2010

579

3,856

0

3,084

2011

576

3,897

0

3,075

2012

559

4,059

0

3,356

2013

539

4,000

0

3,202

4,175

2014

545

4,277

0

3,155

5,062

2015

463

4,613

0

3,153

4,970

2016

464

4,776

0

3,383

7,204

2017

470

4,956

0

3,419

5,922

* 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)

$166,015

Waiver+ (all)

$40,329

Waiver+ 0 to 21 years family home

Data not available

Waiver+ 22+ years family home

Data not available

Waiver+ 0 to 21 years not family home

Data not available

Waiver+ 22+ years not family home

Data not available

FY 2017 expenditures and 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 North Dakota

Medicaid Waiver recipients receiving day and employment services but not in-home or residential services are include in the count of Waiver recipients, but their living arrangements are not reported.