FY 2017 RISP State Profiles

Tennessee

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

3,064

1,388

227

66

381

1,154

1,225

0

7,505

99

3,950

1,557

247

0

400

1,154

1,119

0

8,427

00

3,575

1,670

246

28

307

1,127

1,047

0

8,000

01

3,409

1,866

235

37

307

1,100

992

26

7,935

02

3,409

1,679

229

248

308

1,099

936

0

7,908

03

3,367

1,865

217

373

360

964

881

0

8,027

04

3,290

2,172

218

269

375

925

830

0

8,079

05

3,363

2,420

240

309

371

892

806

0

8,401

06

3,901

2,718

286

281

355

879

763

0

9,183

07

3,702

2,907

312

230

337

827

699

15

9,029

08

3,668

3,079

306

216

355

781

656

19

9,080

09

3,655

3,189

301

223

314

763

565

0

9,010

10

3,288

3,347

317

242

377

649

528

682

9,401

11

2,874

3,273

323

264

533

745

849

82

8,930

12

2,928

3,647

338

233

461

733

351

97

8,788

13

2,788

3,807

336

259

609

656

253

0

8,708

14

2,737

3,982

344

220

606

668

226

15

8,798

15

7,082

4,077

376

239

580

732

196

0

13,282

16

7,329

4,173

435

235

614

641

131

0

13,558

17

7,292

4,084

462

266

647

634

73

0

13,458

* 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

2,377

0

3,528

1983

2,386

0

3,581

1984

2,394

0

3,634

1985

2,403

0

3,688

1986

2,411

0

3,741

1987

2,198

213

3,794

1988

2,187

351

3,941

1989

2,175

474

4,089

1990

2,278

581

4,236

1991

2,380

579

4,383

1992

2,399

704

4,877

1993

2,328

587

5,371

1994

2,350

964

5,864

1995

2,219

1,399

6,358

1996

2,028

3,021

659

6,852

1997

1,900

3,293

7,200

1998

1,709

3,823

7,505

1999

1,603

4,315

8,427

2000

1,511

4,311

910

8,000

2001

1,456

4,537

2,351

7,935

2002

1,460

4,340

7,908

2003

1,398

4,430

8,027

2004

1,332

4,516

1,442

8,079

2005

1,330

4,836

1,491

8,401

2006

1,287

6,962

1,503

9,183

2007

1,223

7,244

1,170

9,029

2008

1,180

7,467

1,572

9,080

2009

1,089

7,548

856

9,010

2010

1,088

7,580

1,158

9,401

2011

1,640

7,624

1,685

8,930

2012

1,108

7,680

1,654

8,788

2013

1,007

7,695

7,165

8,708

20,624

2014

999

7,799

6,494

8,798

20,341

2015

1,020

7,878

6,277

13,282

21,799

2016

937

8,090

5,769

13,558

25,159

2017

1,051

8,137

13,458

20,102

* 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)

$193,434

Waiver+ (all)

$83,824

Waiver+ 0 to 21 years family home

$28,851

Waiver+ 22+ years family home

$30,410

Waiver+ 0 to 21 years not family home

$101,701

Waiver+ 22+ years not family home

$110,933

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 Tennessee

Tennessee stopped accepting applications its 1915(c) Waiver on June 30, 2016 and no longer maintains a waiting list for 1915(c) Waiver funded services. People on the referral list for services under the 1115 Waiver have not been screened for eligibility.