FY 2017 RISP State Profiles

Year	Family	Own Home	Foster/Host	1-3 Group	4-6 Group	7-15 Group	16+ Group	Unknown*	LTSS Recipients
98	501	313	45	74	280	91	128	0	1,432
99	582	342	63	96	227	87	120	0	1,517
00	510	292	69	87	263	67	106	0	1,394
01	652	60	59	334	304	75	103	0	1,587
02	588	52	89	214	339	104	106	121	1,613
03	712	138	104	84	354	130	95	0	1,617
04	707	130	107	120	401	111	103	0	1,679
05	748	102	142	107	393	125	120	188	1,925
06	827	112	157	118	435	138	128	206	2,121
07	733	181	209	158	675	96	94	26	2,172
08	704	195	209	161	716	97	82	0	2,164
09	910	181	94	227	645	42	82	0	2,181
10	933	253	84	276	495	87	83	0	2,211
11	948	264	59	329	449	103	82	0	2,234
12	744	216	63	438	598	91	79	33	2,262
13	932	202	110					881	2,125
14	885	155	67					1,045	2,152
15	1,002	390	65					721	2,178
16	1,092	428	58					709	2,287
17	1,144	456	50					643	2,362

* Unknown setting type or size reported in FY 2017 and gaps in all other years

Year	Medicaid ICF/IID Residents	Medicaid Waiver+ Recipients	Waiting for Medicaid Waivers*	LTSS Recipients	Caseload *
1982	0	0		629
1983	0	0		643
1984	0	0		656
1985	0	0		670
1986	0	0		683
1987	0	0		697
1988	0	0		696
1989	0	0		695
1990	30	0		693
1991	60	125		692
1992	90	318		800
1993	90	459		908
1994	156	565		1,015
1995	147	719		1,123
1996	145	864	160	1,231
1997	139	916	0	1,218
1998	128	1,054	0	1,432
1999	120	1,112	0	1,517
2000	106	1,226	0	1,394
2001	103	1,354	0	1,587
2002	106	1,507	5	1,613
2003	95	1,522	22	1,617
2004	93	1,576	16	1,679
2005	88	1,837	0	1,925
2006	89	2,032	0	2,121
2007	93	2,079	21	2,172
2008	82	2,082	55	2,164
2009		2,099	115	2,181
2010	83	2,128	120	2,211
2011	82	2,152	169	2,234
2012	79	2,150	387	2,262
2013	90	2,035	587	2,125	2,035
2014		2,073	513	2,152	2,102
2015	70	2,110	317	2,178	2,110
2016	67	2,360	182	2,287	2,222
2017	73	2,401	182	2,362	2,474

* Caseload of the State ID/DD Agency, Waiting while living in the home of a family member

Medicaid Authority	Cost/Person
ICF/IID (all)	$282,612
Waiver+ (all)	$38,701
Waiver+ 0 to 21 years	$13,270
Waiver+ 22+ years	$50,969

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 Wyoming

None