FY 2017 RISP State Profiles

West Virginia

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

875

203

549

187

287

411

0

0

2,512

99

875

203

549

187

287

428

0

0

2,529

00

875

203

549

187

287

428

0

0

2,529

01

1,260

232

340

360

286

413

59

0

2,950

02

1,887

440

328

32

161

557

81

0

3,486

03

1,935

747

329

45

169

535

59

0

3,819

04

2,301

723

388

128

170

555

59

0

4,324

05

2,343

737

335

128

170

555

59

0

4,327

06

2,414

730

309

197

171

498

47

0

4,366

07

2,488

753

312

215

171

500

47

0

4,486

08

2,714

753

258

218

171

500

47

0

4,661

09

2,714

753

258

218

171

500

47

0

4,661

10

2,846

753

165

218

171

500

47

0

4,700

11

2,920

766

161

218

173

514

0

268

5,019

12

2,994

779

156

1,165

179

383

0

5,338

13

3,027

792

105

1,248

284

39

0

5,495

14

3,051

805

103

1,016

310

810

0

0

6,095

15

3,051

818

103

1,016

222

425

0

0

5,635

16

2,077

831

214

2,021

5,143

17

3,438

857

214

14

637

0

0

0

5,160

* 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

176

0

1,031

1983

198

0

1,043

1984

221

22

1,055

1985

243

55

1,067

1986

265

55

1,079

1987

417

124

1,091

1988

590

124

1,125

1989

762

224

1,160

1990

721

316

1,194

1991

680

413

1,228

1992

699

513

1,501

1993

640

637

1,774

1994

640

803

2,048

1995

598

1,121

2,321

1996

588

1,337

2,594

1997

574

1,441

270

2,692

1998

454

1,679

270

2,512

1999

444

1,851

344

2,529

2000

444

1,945

218

2,529

2001

514

2,396

2,950

2002

515

2,796

3,486

2003

515

3,139

481

3,819

2004

515

3,596

119

4,324

2005

515

3,648

210

4,327

2006

477

3,736

82

4,366

2007

477

3,852

376

4,486

2008

477

3,891

137

4,661

2009

477

4,334

154

4,661

2010

477

4,412

409

4,700

2011

4,425

525

5,019

2012

562

4,447

646

5,338

2013

565

4,492

832

5,495

4,524

2014

553

5,079

977

6,095

4,524

2015

5,079

977

5,635

4,524

2016

509

4,634

1,274

5,143

2017

508

5,160

* 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)

Data not available

Waiver+ (all)

Data not available

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 West Virginia

Nursing home data were from AHCA (2018c).