FY 2018 RISP State Profiles

Delaware

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

1998

1,041

25

170

134

173

8

271

0

1,822

1999

1,173

24

145

123

209

0

264

0

1,938

2000

1,209

19

154

160

217

0

253

0

2,012

2001

1,251

19

162

155

249

0

274

0

2,110

2002

1,325

26

173

171

289

0

241

0

2,225

2003

1,415

23

193

196

292

0

218

0

2,337

2004

1,582

22

204

199

313

0

194

0

2,514

2005

1,691

25

206

207

340

0

172

0

2,641

2006

1,779

9

175

243

391

0

154

0

2,751

2007

1,930

8

174

293

408

0

141

0

2,954

2008

2,062

16

162

268

436

0

138

0

3,082

2009

2,053

24

157

288

439

0

120

0

3,081

2010

2,149

27

145

252

459

0

118

15

3,165

2011

2,289

26

134

266

459

11

123

0

3,307

2012

2,428

20

132

276

466

23

135

0

3,480

2013

2,610

18

135

443

525

0

127

0

3,858

2014

2,798

18

126

439

564

0

125

0

4,070

2015

3,014

18

135

684

389

0

120

0

4,360

2016

3,273

111

553

392

0

118

0

4,447

2017

3,413

100

584

408

0

118

11

4,652

2018

3,413

100

587

379

0

120

55

4,654

* Setting type or size not reported

Caseload, LTSS and Medicaid Recipients and Waiting for Waivers* 1982-2018

Year

Medicaid ICF/IID Residents

Medicaid Waiver+ Recipients

Waiting for Medicaid Waivers

LTSS Recipients

Caseload

1982

513

0

764

1983

499

0

747

1984

484

0

730

1985

470

50

714

1986

455

78

697

1987

439

81

680

1988

441

144

685

1989

442

100

690

1990

432

196

694

1991

421

245

699

1992

325

290

859

1993

370

290

1,019

1994

356

310

1,179

1995

313

356

1,339

1996

300

352

479

1,499

1997

292

379

1,626

1998

285

382

1,822

1999

264

455

1,938

2000

253

481

145

2,012

2001

274

518

69

2,110

2002

241

547

19

2,225

2003

218

614

13

2,337

2004

194

688

6

2,514

2005

172

732

7

2,641

2006

154

744

249

2,751

2007

141

788

235

2,954

2008

138

817

180

3,082

2009

120

831

169

3,081

2010

118

842

174

3,165

2011

828

79

3,307

2012

135

855

17

3,480

2013

56

989

0

3,858

3,679

2014

56

989

0

4,070

3,936

2015

120

1,041

0

4,360

4,204

2016

100

1,077

0

4,447

4,489

2017

118

1,031

0

4,652

4,620

2018

120

1,211

0

4,654

4,852

Average Spending Per Person by Medicaid Authority in Fiscal Year 2018

Medicaid Authority

Average Spending Per Person

Waiver+ 22+ years not family home

$129,156

Waiver+ 0 to 21 years not family home

$137,572

Waiver+ 22+ years family home

$5,035

Waiver+ 0 to 21 years family home

$31,163

Waiver+ (all)

$117,713

ICF/IID (all)

$276,453

Intellectual or Developmental Disabilities (IDD); LTSS: Long-Term Supports and Services; ICF/IID: Intermediate Care Facilities for Individuals with Intellectual Disabilities; 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

FY 2018 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 2018 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 Waiver-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 2018

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 Delaware

Beginning in FY 2013, people receiving Family Support Specialist services were counted as living in the home of a family member. For FY 2017, Waiver recipients living in settings other than the home of a family member were not counted. Also for FY 2017, Delaware revised its reporting for waiver recipients by setting type. For FY 2018, people with IDD participating in Delaware's 1115 demonstration were not counted.