FY 2017 RISP State Profiles

Wisconsin

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

6,547

3,912

2,271

0

761

884

3,029

1,529

18,933

99

5,630

4,911

2,408

0

814

814

2,899

841

18,317

00

5,633

5,062

2,578

0

780

807

2,840

0

17,700

01

6,314

4,859

2,798

817

845

2,696

1,817

20,144

02

5,657

4,527

2,693

0

853

882

2,551

0

17,163

03

5,638

5,344

3,216

0

956

985

2,286

0

18,425

04

5,678

5,254

3,303

0

986

1,027

2,041

0

18,289

05

5,677

2,152

3,390

0

1,016

1,083

1,755

0

15,073

06

5,689

2,230

2,341

0

2,939

2,728

1,310

3,467

20,704

07

6,824

5,897

1,857

0

3,155

2,248

1,128

20,389

08

7,958

2,607

1,372

0

3,370

1,768

946

193

18,214

09

8,038

2,796

1,728

0

2,869

2,065

798

1,085

19,379

10

7,663

5,823

1,280

0

2,858

2,040

722

0

20,386

11

7,663

5,823

1,280

0

2,858

2,040

722

0

20,386

12

11,524

4,307

4,972

0

2,465

28

867

128

24,291

13

13,904

5,444

5,367

0

2,596

31

846

6

28,194

14

21,393

5,320

5,735

0

2,561

22

769

140

35,939

15

23,994

5,841

6,102

0

2,662

13

689

1,684

40,985

16

25,399

6,147

6,276

0

2,750

42

679

42

42

17

26,701

6,512

6,718

0

3,283

8

914

0

44,152

* 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

3,548

0

5,685

1983

3,581

0

6,092

1984

3,614

20

6,498

1985

3,647

56

6,905

1986

3,680

124

7,311

1987

3,378

190

7,718

1988

3,994

598

8,345

1989

4,609

913

8,971

1990

4,368

1,302

9,598

1991

4,126

1,643

10,224

1992

4,110

1,812

14,253

1993

3,887

2,017

18,282

1994

3,749

2,315

22,311

1995

3,519

3,382

26,340

1996

3,382

5,063

2,560

30,369

1997

3,187

6,558

2,255

20,052

1998

3,056

7,273

2,255

18,933

1999

2,899

8,375

18,317

2000

2,865

9,547

2,250

17,700

2001

2,748

10,686

2,415

20,144

2002

2,580

9,474

17,163

2003

2,315

10,615

18,425

2004

2,082

11,163

18,289

2005

1,822

12,987

15,073

2006

1,346

13,938

20,704

2007

1,059

12,504

20,389

2008

946

17,268

3,632

18,214

2009

847

17,424

4,057

19,379

2010

769

19,617

4,783

20,386

2011

769

19,617

4,783

20,386

2012

895

23,396

924

24,291

2013

877

27,317

2,252

28,194

30,765

2014

791

27,838

2,169

35,939

31,297

2015

702

29,895

1,890

40,985

33,590

2016

687

31,460

2,046

42

34,992

2017

923

33,060

44,152

36,202

* 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)

$195,060

Waiver+ (all)

$35,545

Waiver+ 0 to 21 years family home

$13,766

Waiver+ 22+ years family home

$40,019

Waiver by age in family home or not family home spending per person 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 Wisconsin

Setting size information was not available for LTSS recipients living in their own home or in a non-state other setting. Until FY 2014, Wisconsin reported only Waiver recipients living in own home, family home and nonstate other settings. Since then all LTSS recipients in those settings have been reported.

Large state-operated IDD facilities in WI include Central Wisconsin Center in Madison and Southern Wisconsin Center in Union Grove. Though Northern Wisconsin Center was converted into a short-term stay facility in 2005, some residents may stay more than 90 days.