FY 2017 RISP State Profiles

Ohio

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

10,620

3,792

305

2,463

5,573

3,273

27,208

99

12,123

4,313

1,942

0

285

2,892

5,524

660

27,739

00

12,726

4,175

698

2,772

5,483

0

28,269

01

13,624

3,611

635

2,611

5,443

1,840

30,800

02

12,691

4,272

693

2,555

6,959

0

30,449

03

12,535

4,530

1,864

2,596

4,996

0

29,169

04

12,796

3,605

891

2,606

4,890

0

27,457

05

12,831

3,110

908

435

2,225

2,609

4,752

0

26,870

06

13,769

6,825

942

388

1,684

2,576

4,421

-3,680

27,301

07

17,602

10,602

630

406

2,183

2,517

4,409

1,007

39,356

08

19,322

11,733

726

347

1,507

2,445

4,233

1,331

42,070

09

16,574

11,607

751

440

1,908

2,525

3,981

842

39,095

10

19,939

11,032

892

598

3,025

2,817

3,861

0

42,164

11

57,257

13,205

2,000

405

2,288

2,733

4,543

525

82,956

12

58,851

13,641

2,123

873

2,245

2,618

4,364

2,469

86,677

13

69,358

14,837

2,309

392

2,251

2,660

4,116

4,776

100,699

14

71,969

15,326

2,239

390

2,234

2,668

3,063

3,381

101,244

15

73,518

15,651

2,312

386

2,238

2,614

3,856

2,529

103,130

16

77,666

15,709

2,319

372

2,330

2,546

3,525

950

105,417

17

79,382

15,899

2,433

364

2,455

2,487

3,153

0

106,814

* 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

6,040

0

10,872

1983

6,477

0

10,957

1984

6,913

56

11,042

1985

7,350

62

11,128

1986

7,786

86

11,213

1987

7,535

100

11,298

1988

7,753

134

11,875

1989

7,971

240

12,453

1990

8,096

245

13,030

1991

8,220

246

13,607

1992

8,384

397

16,268

1993

8,222

1,120

18,929

1994

7,821

2,399

21,590

1995

7,781

2,593

24,251

1996

7,756

2,593

26,912

1997

7,615

2,646

21,502

1998

7,719

3,968

27,208

1999

7,663

5,325

27,739

2000

7,691

5,624

6,816

28,269

2001

7,638

5,661

9,486

30,800

2002

7,240

7,858

30,449

2003

7,121

10,093

29,169

2004

7,072

10,424

27,457

2005

6,959

11,736

26,870

2006

6,656

14,370

27,301

2007

6,667

16,362

39,356

2008

6,418

18,106

42,070

2009

6,136

24,312

39,095

2010

5,984

26,735

42,164

2011

7,125

29,227

82,956

2012

6,926

30,872

86,677

2013

6,678

32,853

31,630

100,699

100,699

2014

6,555

34,274

29,660

101,244

101,240

2015

6,367

35,245

30,526

103,130

103,063

2016

6,147

36,817

31,467

105,417

105,417

2017

5,814

39,180

31,770

106,814

106,814

* 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)

$123,211

Waiver+ (all)

$41,737

Waiver+ 0 to 21 years family home

$14,038

Waiver+ 22+ years family home

$24,270

Waiver+ 0 to 21 years not family home

$53,699

Waiver+ 22+ years not family home

$66,991

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 Ohio

The waiting list included people waiting for Medicaid Waiver-funded supports who were not already Medicaid Waiver or ICF/IID recipients. It included some people living in non-family settings.