FY 2017 RISP State Profiles

Washington

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

2,868

2,520

1,971

6

180

351

1,404

246

9,546

99

3,253

3,295

2,025

0

176

385

1,275

1,812

12,221

00

7,030

3,488

2,465

178

131

260

1,344

0

14,896

01

9,910

3,471

2,866

123

158

336

1,141

0

18,005

02

9,098

3,578

3,144

31

247

304

1,124

0

17,526

03

9,656

3,352

3,069

31

245

266

1,057

0

17,676

04

10,265

3,744

213

355

937

272

1,123

0

16,909

05

12,994

3,724

214

42

1,711

307

1,201

0

20,193

06

14,361

3,688

162

34

1,781

259

1,159

0

21,444

07

13,725

3,641

157

38

1,843

194

1,215

0

20,813

08

13,461

3,759

136

122

1,877

178

1,159

0

20,692

09

13,961

3,732

120

93

1,964

157

1,102

0

21,129

10

14,442

3,727

129

58

1,935

169

830

342

21,632

11

13,471

3,646

119

39

1,905

170

823

1,261

21,434

12

11,148

6,370

96

30

1,693

196

755

948

21,236

13

10,075

6,307

891

257

1,866

284

1,092

0

20,772

14

11,495

3,701

828

1,586

737

120

1,129

0

19,596

15

12,385

3,951

877

948

1,224

229

941

0

20,555

16

13,532

6,089

203

5

289

27

700

10

20,855

17

15,956

5,647

202

14

1,812

144

695

176

24,659

* 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 State Plan HCBS

Medicaid Waiver+ Recipients

Waiting for Medicaid Waivers*

LTSS Recipients

Caseload *

1982

2,464

0

3,734

1983

2,497

0

4,097

1984

2,530

844

4,460

1985

2,562

998

4,823

1986

2,595

905

5,186

1987

2,539

886

5,549

1988

2,472

946

5,791

1989

2,405

1,084

6,034

1990

2,178

1,250

6,276

1991

1,951

1,736

6,518

1992

1,695

1,918

6,888

1993

1,650

1,711

7,258

1994

1,302

3,068

7,628

1995

1,284

3,361

7,998

1996

1,187

4,666

125

8,368

1997

1,126

6,643

9,783

1998

1,081

7,125

9,546

1999

1,280

8,165

0

12,221

2000

948

8,984

14,896

2001

904

9,413

18,005

2002

880

9,900

17,526

2003

839

10,165

17,676

2004

812

9,625

16,909

2005

796

9,461

20,193

2006

779

9,475

21,444

2007

767

9,317

20,813

2008

760

9,205

20,692

2009

760

10,831

21,129

2010

724

11,341

21,632

2011

690

11,644

21,434

2012

629

11,898

21,236

2013

862

6,162

12,197

1,081

20,772

39,937

2014

789

5,738

12,483

1,270

19,596

40,809

2015

766

5,873

12,892

1,033

20,555

42,374

2016

751

12,679

15,586

671

20,855

44,594

2017

750

16,298

16,900

0

24,659

47,027

* 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)

$256,200

State Plan HCBS

$81,242

Waiver+ (all)

$3,316

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 Washington

Washington implemented Medicaid Community First Choice State Plan Services in FY 2016. Personal care services previously funded through a Medicaid Waiver are now funded through the Community First Choice State Plan option. Medicaid State Plan expenditures increased and Medicaid Waiver expenditures decreased when the change was made. The number of people with IDD in Own Home settings varies from year to year because in some years, data were not available for all funding authorities.