FY 2017 RISP State Profiles

Oklahoma

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

2,075

1,062

272

0

536

240

2,635

0

6,820

99

2,325

1,282

360

0

589

265

1,875

0

6,696

00

1,783

1,560

363

6

568

222

1,678

0

6,180

01

3,352

1,834

385

10

577

221

1,767

0

8,146

02

3,753

1,934

436

13

534

322

2,044

0

9,036

03

3,848

1,973

512

15

635

216

2,032

0

9,231

04

4,257

2,000

440

21

775

329

1,351

0

9,173

05

1,958

2,300

542

21

802

326

1,270

2,502

9,721

06

2,570

1,508

443

0

760

331

1,216

1,798

8,626

07

2,744

1,559

444

0

786

356

1,225

2,138

9,252

08

2,725

1,594

441

0

750

397

1,046

81

7,034

09

2,640

1,585

441

0

773

461

1,144

0

7,044

10

2,516

1,636

429

0

740

461

1,091

0

6,876

11

2,429

1,651

421

0

613

153

1,052

663

6,982

12

2,363

1,667

407

0

752

574

1,009

315

7,087

13

2,383

1,732

399

0

623

151

1,074

476

6,837

14

2,460

1,898

376

0

668

139

885

380

6,806

15

1,969

2,414

350

0

818

598

966

43

7,158

16

1,895

2,451

325

0

788

481

882

0

6,822

17

1,895

2,451

325

0

788

481

882

0

7,011

* 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

1,803

0

3,012

1983

2,103

0

3,176

1984

2,402

0

3,340

1985

2,702

0

3,503

1986

3,001

36

3,667

1987

3,242

70

3,831

1988

3,151

178

4,087

1989

3,060

500

4,343

1990

2,988

621

4,599

1991

2,916

844

4,855

1992

2,776

949

4,932

1993

2,415

1,287

5,009

1994

2,268

1,693

5,085

1995

2,290

1,955

5,162

1996

2,275

2,260

1,500

5,239

1997

2,292

2,497

2,500

5,202

1998

2,705

2,586

2,500

6,820

1999

1,982

2,795

2,700

6,696

2000

1,801

2,983

2,482

6,180

2001

1,907

3,605

8,146

2002

2,243

4,100

9,036

2003

2,269

4,253

9,231

2004

1,717

4,220

9,173

2005

1,656

4,418

3,853

9,721

2006

1,588

5,043

2,860

8,626

2007

1,630

5,308

3,314

9,252

2008

1,486

5,548

4,060

7,034

2009

1,616

5,248

4,885

7,044

2010

1,535

5,157

5,737

6,876

2011

1,542

5,286

6,248

6,982

2012

1,549

5,223

6,808

7,087

2013

1,560

5,236

7,044

6,837

14,347

2014

1,570

5,463

6,980

6,806

14,550

2015

1,581

5,577

6,943

7,158

13,809

2016

5,625

7,050

6,822

14,279

2017

1,386

5,625

7,050

7,011

14,279

* 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)

Data not provided

Waiver+ (all)

$55,226

Waiver+ 0 to 21 years

$25,609

Waiver+ 22+ years

$59,727

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 Oklahoma

Oklahoma has four Medicaid Waivers. For two waivers, total annual expenditures are capped at a rate similar to that paid for services in a nonstate institution. The other two comprehensive Waivers serve only people with high needs and have higher annual expenditure caps.