FY 2017 RISP State Profiles

Texas

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

491

1,726

4,279

853

7,856

3,293

18,498

99

2,501

1,821

903

2,501

4,840

796

7,688

0

21,050

00

1,798

2,282

1,053

1,400

5,865

582

7,961

0

20,941

01

1,920

2,260

1,435

1,493

5,837

585

7,831

693

20,561

02

3,032

2,813

1,637

1,355

6,358

559

7,320

0

23,074

03

3,504

2,665

1,939

1,209

6,256

713

6,926

0

23,212

04

2,608

2,673

2,809

1,428

6,505

679

6,855

0

23,557

05

3,277

2,396

3,158

1,646

6,507

689

6,568

10

24,251

06

3,895

2,593

4,150

1,865

6,311

682

6,415

25,615

07

4,505

2,790

5,141

2,083

6,430

668

6,256

27,767

08

5,026

3,056

6,133

2,302

6,552

625

6,041

29,586

09

4,947

3,118

7,124

2,521

6,865

617

5,690

30,587

10

5,080

2,819

8,116

5,598

4,420

567

5,057

636

32,291

11

5,551

2,519

9,107

6,315

4,472

559

4,585

32,495

12

9,238

2,220

10,099

6,732

4,541

555

4,361

2,851

40,596

13

9,645

4,316

11,090

219

12,138

551

4,047

0

42,006

14

10,397

2,936

10,637

437

11,449

553

3,738

926

41,073

15

10,944

3,648

12,094

656

11,495

533

3,521

0

42,891

16

11,436

3,894

13,070

3,832

8,530

502

3,368

0

44,632

17

11,571

3,821

13,624

4,027

8,743

473

3,249

13

46,172

* 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

13,959

0

15,763

1983

13,482

0

15,192

1984

13,004

0

14,621

1985

12,527

0

14,050

1986

12,049

70

13,479

1987

12,211

70

12,908

1988

12,146

412

12,791

1989

12,081

417

12,674

1990

11,426

485

12,557

1991

10,771

973

12,440

1992

11,187

968

13,305

1993

12,143

968

14,171

1994

13,742

1,564

15,036

1995

12,772

2,728

15,902

1996

13,224

3,658

16,767

1997

12,985

4,753

172

17,633

1998

12,832

5,666

172

18,498

1999

12,942

6,058

21,050

2000

13,453

6,406

4,199

20,941

2001

13,257

7,304

5,723

20,561

2002

12,684

7,873

3,206

23,074

2003

12,406

8,471

4,224

23,212

2004

12,300

11,247

6,353

23,557

2005

11,924

12,317

24,251

2006

11,616

13,999

25,615

2007

11,447

16,301

27,767

2008

11,177

18,409

29,586

2009

10,792

19,795

30,587

2010

10,044

22,247

32,291

2011

9,626

24,935

32,495

2012

9,467

29,193

40,596

2013

9,025

29,939

42,006

2014

9,626

31,447

41,073

2015

8,193

34,623

42,891

2016

7,886

36,671

44,632

2017

8,590

37,582

46,172

* Caseload of the State ID/DD Agency not available, 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)

$129,581

Waiver+ (all)

$40,324

Waiver+ 0 to 21 years family home

$29,526

Waiver+ 22+ years family home

$33,732

Waiver+ 0 to 21 years not family home

$37,192

Waiver+ 22+ years not family home

$41,679

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 Texas

The Texas fiscal year ends on August 31 (rather than June 30). Nursing home data were from AHCA (2018c).