FY 2017 RISP State Profiles

Oregon

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

968

654

679

1,753

4,054

99

3,138

717

809

244

1,620

390

269

0

7,187

00

3,188

805

1,278

292

1,858

509

221

0

8,151

01

3,937

809

1,615

306

1,947

479

289

0

9,382

02

3,253

805

1,719

315

1,940

449

130

0

8,611

03

3,901

710

1,745

251

1,908

429

130

0

9,074

04

4,097

691

1,820

232

1,870

424

125

0

9,259

05

3,648

697

1,967

182

1,924

434

143

-180

8,815

06

4,762

699

2,044

181

1,978

409

91

0

10,164

07

5,423

743

2,186

218

2,120

406

94

0

11,190

08

6,382

705

2,309

230

2,113

331

83

0

12,153

09

8,079

744

2,125

234

2,149

338

74

0

13,743

10

8,589

764

2,655

300

1,607

191

626

138

14,870

11

9,822

722

2,848

430

1,720

188

349

138

16,217

12

10,479

764

3,273

546

1,910

218

27

303

17,520

13

10,483

757

3,272

765

2,259

231

36

0

17,803

14

11,448

780

3,401

900

2,216

195

38

0

18,978

15

12,551

807

3,494

1,053

2,230

161

24

0

20,320

16

12,836

807

3,227

1,275

2,130

174

47

0

20,496

17

17,687

709

3,292

1,208

1,759

118

24

2

24,799

* 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 State Plan HCBS

Medicaid Waiver+ Recipients

Waiting for Medicaid Waivers*

LTSS Recipients

Caseload *

1982

1,918

1,360

2,480

1983

1,833

1,886

2,612

1984

1,748

1,992

2,745

1985

1,662

973

2,877

1986

1,577

572

3,010

1987

1,284

832

3,142

1988

1,163

968

3,301

1989

1,042

1,218

3,460

1990

906

1,282

3,619

1991

770

2,177

3,778

1992

668

1,458

3,942

1993

468

2,023

4,107

1994

417

2,136

4,271

1995

442

2,500

4,436

1996

429

2,523

3,505

4,600

1997

373

2,586

2,250

4,629

1998

350

3,704

2,250

4,054

1999

173

5,500

2,277

7,187

2000

60

5,824

2,732

8,151

2001

64

7,225

3,117

9,382

2002

51

8,017

1,200

8,611

2003

50

7,214

3,155

9,074

2004

50

8,280

3,156

9,259

2005

43

8,863

1,570

8,815

2006

41

9,416

3,075

10,164

2007

41

10,287

3,616

11,190

2008

32

10,879

3,260

12,153

2009

22

10,884

3,399

13,743

2010

22

12,495

3,219

14,870

2011

0

13,228

0

16,217

2012

0

14,865

0

17,520

2013

0

777

17,735

0

17,803

22,074

2014

0

667

16,922

0

18,978

23,212

2015

0

17,868

6,932

0

20,320

24,701

2016

0

19,967

12,548

0

20,496

25,612

2017

0

20,577

21,200

0

24,799

26,726

* 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)

Not applicable

State Plan HCBS

$47,857

Waiver+ (all)

$4,253

Waiver+ 0 to 21 years family home

$1,781

Waiver+ 22+ years family home

$4,850

Waiver+ 0 to 21 years not family home

$2,594

Waiver+ 22+ years not family home

$6,229

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 Oregon

Oregon began offering home and community based services through the Medicaid State Plan 1915(k) funding authority in FY 2015. Total Medicaid Waiver recipients and expenditures declined as recipients moved from Waiver to State Plan 1915(k) funding. Changes to improve the accuracy of reporting resulted an increase in the number of 1915(c) recipients and expenditures reported in FY 2017.