FY 2017 RISP State Profiles

South Dakota

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

279

639

49

373

100

657

228

10

2,335

99

286

576

34

426

141

637

195

179

2,474

00

551

600

24

435

157

650

196

0

2,613

01

853

674

18

483

198

656

201

3

3,086

02

813

626

13

497

226

609

238

0

3,022

03

822

655

11

488

191

697

186

6

3,056

04

732

622

10

544

279

589

208

4

2,988

05

761

597

7

539

333

586

185

3,008

06

739

579

5

571

352

582

178

3,006

07

726

587

8

623

384

515

174

2

3,019

08

807

539

7

627

386

559

166

3,091

09

944

525

5

653

403

559

162

3,251

10

1,033

527

5

766

473

416

144

3,364

11

1,123

541

5

707

436

561

204

3,577

12

1,161

557

4

747

404

585

199

3,822

13

1,656

569

4

744

406

649

191

0

4,219

14

1,738

555

1

754

431

647

190

4,316

15

1,988

536

2

702

507

623

190

4,548

16

2,050

536

1

698

466

661

192

0

4,604

17

2,050

536

1

698

466

661

192

0

4,604

* 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

721

0

1,215

1983

707

382

1,284

1984

692

457

1,353

1985

678

523

1,423

1986

663

498

1,492

1987

650

596

1,561

1988

621

610

1,589

1989

591

683

1,617

1990

570

721

1,644

1991

549

788

1,672

1992

552

852

1,748

1993

504

923

1,824

1994

502

1,004

1,900

1995

440

1,157

1,976

1996

349

1,295

2,052

1997

328

1,457

2,102

1998

263

1,619

2,335

1999

230

1,971

2,474

2000

231

1,991

12

2,613

2001

200

2,168

3,086

2002

189

2,295

3,022

2003

170

2,359

3,056

2004

176

2,413

2,988

2005

169

2,467

3,008

2006

162

2,522

3,006

2007

158

2,609

3,019

2008

150

2,733

3,091

2009

146

2,901

3,251

2010

144

3,018

3,364

2011

204

3,294

3,577

2012

199

3,215

3,822

2013

191

3,362

0

4,219

4,219

2014

190

3,433

0

4,316

4,316

2015

187

3,592

0

4,548

4,550

2016

192

3,625

0

4,604

4,604

2017

192

3,625

0

4,604

4,604

* 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)

$162,490

Waiver+ (all)

$31,991

Waiver+ 0 to 21 years family home

Data not available

Waiver+ 22+ years family home

Data not available

Waiver+ 0 to 21 years not family home

Data not available

Waiver+ 22+ years not family home

Data 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 South Dakota

None.