FY 2017 RISP State Profiles

Vermont

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

761

149

741

31

86

0

0

0

1,768

99

773

183

747

33

78

0

0

103

1,917

00

1,003

147

813

30

73

0

0

0

2,066

01

963

145

811

43

63

0

0

0

2,025

02

1,096

166

875

39

60

0

0

0

2,236

03

1,179

165

909

33

66

0

0

0

2,352

04

1,258

185

952

37

74

0

0

0

2,506

05

1,285

184

979

42

73

0

0

0

2,563

06

1,354

188

1,048

50

73

0

0

0

2,713

07

1,433

193

1,083

122

6

0

0

1

2,838

08

1,527

215

1,143

49

72

0

0

0

3,006

09

1,604

234

1,196

51

73

0

0

-2

3,156

10

1,681

236

1,237

56

75

0

0

-47

3,238

11

1,758

241

1,270

49

78

0

0

-64

3,332

12

1,835

248

1,300

47

90

0

0

0

3,520

13

1,900

283

1,307

67

81

0

0

607

4,245

14

1,915

321

1,330

56

85

0

0

616

4,327

15

2,124

359

1,352

57

86

0

0

430

4,408

16

2,195

376

1,340

66

84

0

0

425

4,486

17

2,237

546

1,360

64

86

0

14

0

4,538

* 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

385

0

798

1983

354

11

754

1984

323

74

710

1985

292

116

665

1986

261

234

621

1987

238

196

577

1988

237

248

599

1989

236

280

621

1990

225

323

642

1991

214

485

664

1992

146

413

822

1993

79

598

980

1994

42

722

1,138

1995

41

913

1,296

1996

15

1,107

23

1,454

1997

12

1,372

8

1,605

1998

12

1,485

8

1,768

1999

12

1,540

12

1,917

2000

12

1,684

7

2,066

2001

12

1,796

0

2,025

2002

12

1,844

0

2,236

2003

6

1,896

0

2,352

2004

6

1,957

0

2,506

2005

6

2,003

0

2,563

2006

6

2,102

0

2,713

2007

6

2,200

0

2,838

2008

6

2,270

0

3,006

2009

6

2,372

0

3,156

2010

6

2,460

0

3,238

2011

6

2,539

0

3,332

2012

6

2,649

0

3,520

2013

6

2,770

0

4,245

4,245

2014

6

2,833

0

4,327

4,327

2015

6

2,917

0

4,408

4,408

2016

6

3,010

0

4,486

4,486

2017

6

3,070

0

4,538

4,538

* 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)

$191,751

Waiver+ (all)

$64,509

Waiver+ 0 to 21 years family home

$48,774

Waiver+ 22+ years family home

$45,774

Waiver+ 0 to 21 years not family home

$83,970

Waiver+ 22+ years not family home

$73,201

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 Vermont

The number of people in own home settings increased in FY 2017 to include LTSS recipients who receive services other than in-home support (e.g., employment supports, clinical services). The number of Medicaid Waiver recipients ages 21 and younger was a slight undercount from FY 2015 to FY 2017 due to a glitch in the formula. The total caseload on the state profile for 2013 through 2017 was updated to include people in transition between settings or in crisis housing and to account for differences between data sources for various data elements on the survey. This change will be reflected throughout the report beginning in 2018.