FY 2017 RISP State Profiles

Virginia

RISP

Figures

IDD Agency Long Term Supports and Services Recipients by Residence Type

2016 data used for FY 2017

Year

Family

Own Home

Foster/Host

1-3 Group

4-6 Group

7-15 Group

16+ Group

Unknown*

LTSS Recipients

98

1,516

655

256

270

870

450

2,952

0

6,969

99

1,516

655

256

270

870

450

2,952

0

6,969

00

2,896

1,463

430

378

942

464

2,768

0

9,342

01

2,064

1,348

355

487

1,015

479

2,583

101

8,431

02

5,090

1,157

410

595

1,087

493

2,399

980

12,210

03

3,157

1,132

464

703

1,160

507

2,215

377

9,714

04

3,845

1,364

788

811

1,232

521

2,030

10,402

05

6,067

1,735

351

920

1,304

536

1,846

12,556

06

7,826

1,517

752

1,028

1,377

550

1,661

0

14,711

07

9,584

1,569

739

1,136

1,449

564

1,477

0

16,518

08

9,594

1,569

739

1,136

1,449

564

1,420

0

16,471

09

9,663

1,436

564

1,080

1,244

378

2,709

0

17,074

10

1,071

1,656

578

1,093

1,240

411

2,646

0

8,695

11

1,844

1,692

726

1,099

1,240

587

2,629

0

9,817

12

1,445

1,235

801

372

2,166

594

1,080

3,330

11,023

13

1,445

209

1,285

477

2,523

1,060

963

11

7,973

14

3,247

216

1,373

523

2,824

1,097

813

10,069

15

3,252

252

1,491

677

3,028

1,010

654

0

10,364

16

3,871

230

3,734

748

3,100

990

534

2

13,209

17

3,871

230

3,734

748

3,100

990

534

13,209

* 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

3,616

0

4,220

1983

3,504

0

4,062

1984

3,393

0

3,905

1985

3,281

0

3,747

1986

3,169

0

3,590

1987

3,018

0

3,432

1988

2,926

0

3,395

1989

2,834

0

3,358

1990

2,758

0

3,321

1991

2,682

326

3,284

1992

2,743

537

3,389

1993

2,669

537

3,494

1994

2,466

715

3,600

1995

2,356

1,126

3,705

1996

2,357

1,453

3,810

1997

2,225

1,764

2,897

1998

2,109

3,138

2,897

6,969

1999

2,025

3,579

924

6,969

2000

1,868

4,635

1,316

9,342

2001

1,899

5,043

1,375

8,431

2002

1,885

5,491

1,876

12,210

2003

1,834

5,737

2,921

9,714

2004

1,837

5,892

1,631

10,402

2005

1,805

6,759

2,028

12,556

2006

1,742

6,991

14,711

2007

1,684

7,523

16,518

2008

1,627

8,106

5,076

16,471

2009

1,606

8,662

4,306

17,074

2010

1,531

8,866

4,395

8,695

2011

1,431

9,198

4,152

9,817

2012

1,326

9,754

4,649

11,023

2013

42

10,282

6,672

7,973

10,018

2014

992

11,096

8,576

10,069

18,054

2015

782

12,422

10,339

10,364

19,517

2016

470

17,176

10,877

13,209

21,906

2017

867

12,511

11,691

42

24,295

* 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)

$280,912

Waiver+ (all)

$65,658

Waiver+ 0 to 21 years family home

$29,680

Waiver+ 22+ years family home

$40,539

Waiver+ 0 to 21 years not family home

$60,355

Waiver+ 22+ years not family home

$89,567

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 Virginia

Virginia reported 17 new state-operated ICF/IID facilities serving 4 to 6 people and 13 new state-operated ICF/IID settings serving 7 to 15 people in FY 2017. FY 2016 data was used for Virginia for state and nonstate settings when the reported numbers did not align with the updated caseload number for FY 2017.