FY 2017 RISP State Profiles

Rhode Island

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

1,999

99

67

113

554

310

0

0

3,338

99

609

530

66

262

775

187

25

504

2,958

00

693

577

57

296

774

180

0

0

2,577

01

700

607

65

326

768

170

0

0

2,636

02

745

658

72

334

716

159

22

8

2,714

03

714

670

63

288

776

173

22

124

2,830

04

704

751

63

315

807

124

68

41

2,873

05

696

757

65

331

817

177

23

165

3,031

06

740

619

63

272

885

154

22

358

3,113

07

839

681

84

292

887

162

23

199

3,167

08

875

696

100

251

969

182

23

161

3,257

09

895

742

136

287

937

114

21

181

3,313

10

879

680

166

204

786

120

25

472

3,316

11

3,337

3,337

12

1,380

676

183

126

799

152

21

21

3,358

13

1,760

466

229

324

957

210

42

42

4,000

14

1,472

474

247

312

913

206

0

25

3,649

15

1,502

488

267

251

873

253

25

0

3,666

16

1,476

480

312

245

877

188

25

3

3,603

17

1,560

510

346

259

842

153

26

0

3,696

* 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

881

0

1,012

1983

888

0

1,044

1984

894

11

1,076

1985

901

25

1,109

1986

907

117

1,141

1987

1,093

136

1,173

1988

1,025

250

1,222

1989

956

449

1,270

1990

861

277

1,319

1991

766

793

1,367

1992

602

993

1,696

1993

457

1,192

2,026

1994

353

1,333

2,355

1995

304

1,304

2,685

1996

225

1,914

100

3,014

1997

21

2,178

0

3,502

1998

0

2,296

0

3,338

1999

43

2,393

2,958

2000

18

2,471

0

2,577

2001

18

2,567

0

2,636

2002

40

2,674

0

2,714

2003

40

2,790

0

2,830

2004

39

2,834

0

2,873

2005

40

2,991

0

3,031

2006

40

3,073

0

3,113

2007

41

3,126

0

3,167

2008

40

3,217

0

3,257

2009

38

3,275

0

3,313

2010

41

3,275

0

3,316

2011

41

3,275

0

3,337

2012

42

3,316

0

3,358

2013

42

3,429

0

4,000

3,641

2014

42

3,541

0

3,649

3,648

2015

42

3,654

362

3,666

4,016

2016

42

3,638

0

3,603

4,089

2017

8

4,354

0

3,696

4,354

* 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)

$338,446

Waiver+ (all)

$48,044

Waiver+ 0 to 21 years family home

$14,744

Waiver+ 22+ years family home

$20,903

Waiver+ 0 to 21 years not family home

$56,045

Waiver+ 22+ years not family home

$63,308

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 Rhode Island

State reported 5 children on the caseload, but 215 children on the caseload getting no services, and 60 children getting waiver-funded services.