FY 2017 RISP State Profiles

South Carolina

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

7,491

628

125

709

508

1,093

1,370

0

11,924

99

11,496

625

117

669

753

1,084

1,228

0

15,972

00

12,258

641

123

607

997

1,028

1,193

0

16,847

01

12,634

624

118

642

1,152

1,012

1,134

0

17,316

02

14,172

617

144

545

1,260

900

1,066

0

18,704

03

14,320

607

134

543

1,310

992

1,034

0

18,940

04

12,571

593

135

546

1,353

965

963

0

17,126

05

13,306

569

141

517

1,436

910

933

0

17,812

06

12,443

591

146

483

1,544

889

893

0

16,989

07

12,711

630

145

459

1,719

871

971

0

17,506

08

12,635

660

144

441

1,878

885

841

996

18,480

09

12,559

662

142

368

2,017

886

810

16,853

10

12,483

668

139

368

1,998

897

767

17,075

11

12,407

676

147

298

2,064

893

763

823

18,071

12

12,427

668

160

328

2,057

890

745

206

17,481

13

12,361

159

335

2,107

891

721

662

17,236

14

12,735

663

164

361

2,104

865

701

0

17,593

15

13,437

664

172

370

2,179

867

673

1

18,363

16

14,457

690

172

421

2,216

855

666

2

19,479

17

15,685

704

168

404

2,316

850

657

0

20,784

* 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

2,665

0

3,713

1983

2,774

0

3,743

1984

2,883

0

3,772

1985

2,991

0

3,802

1986

3,100

0

3,831

1987

3,300

0

3,861

1988

3,266

0

3,944

1989

3,231

0

4,026

1990

3,228

0

4,109

1991

3,224

0

4,191

1992

3,261

471

5,352

1993

3,232

586

6,513

1994

3,111

966

7,673

1995

2,917

1,475

8,834

1996

2,740

2,074

1,339

9,995

1997

2,555

3,412

1,492

12,009

1998

2,439

3,701

1,492

11,924

1999

2,254

4,073

1,532

15,972

2000

2,176

4,370

1,513

16,847

2001

2,077

4,346

1,531

17,316

2002

1,992

4,410

420

18,704

2003

1,930

4,471

1,728

18,940

2004

1,820

5,041

1,789

17,126

2005

1,712

4,774

1,768

17,812

2006

1,610

4,895

1,941

16,989

2007

1,615

5,186

1,923

17,506

2008

1,477

5,652

1,954

18,480

2009

1,445

5,768

2,022

16,853

2010

1,396

7,719

335

17,075

2011

1,359

7,670

302

18,071

2012

1,313

8,394

295

17,481

2013

1,261

8,527

9,050

17,236

31,474

2014

1,206

8,646

6,903

17,593

32,399

2015

1,184

9,591

6,150

18,363

34,373

2016

1,165

10,288

4,426

19,479

35,983

2017

1,158

10,929

6,094

20,784

38,453

* 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)

$120,913

Waiver+ (all)

$30,175

Waiver+ 0 to 21 years family home

$30,175

Waiver+ 22+ years family home

$30,175

Waiver+ 0 to 21 years not family home

$30,175

Waiver+ 22+ years not family home

$30,175

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 South Carolina

The Pee Dee Regional & Thad E. Saleeby Centers submitted one joint RISP Public Residential Facility Survey for FY 2015-2017 (See Table 4.23), but they are on two campuses so they are counted separately elsewhere in the report.