RISP State Profiles FY 2019

Hawaii

Long Term Supports and Services Recipients with IDD by Residence Type and Year

Year

Size/Type Unknown

Family Home

Own Home

Host/Foster Family

Group 1-6

Group 7-15

Group 16+

LTSS Recipients

1998

144

1,373

97

772

213

7

24

2,630

1999

523

1,419

98

807

212

7

11

3,077

2000

0

1,465

103

767

1,175

0

13

3,523

2001

158

1,500

112

777

261

7

10

2,825

2002

0

1,653

131

742

221

7

10

2,764

2003

8

1,926

155

768

168

0

0

3,025

2004

0

1,981

152

726

158

8

0

3,025

2005

0

2,108

150

740

167

8

0

3,173

2006

0

2,193

168

747

153

8

0

3,269

2007

0

2,167

179

786

148

8

0

3,288

2008

0

2,183

155

768

169

15

0

3,290

2009

0

2,124

149

779

169

17

0

3,238

2010

214

1,584

48

554

166

8

0

2,574

2011

0

2,166

125

652

154

7

0

3,184

2012

53

2,202

123

669

155

7

0

3,281

2013

0

2,202

123

669

155

7

0

3,228

2014

168

2,078

180

448

169

0

0

3,113

2015

0

2,241

78

486

272

7

0

3,153

2016

94

1,811

72

452

324

7

0

2,829

2017

0

2,108

77

358

348

7

0

2,898

2018

0

2,172

92

543

368

37

0

3,212

2019

0

2,558

71

468

371

8

0

3,476

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

387

0

1983

353

0

1984

318

10

1985

284

24

1986

249

44

1987

296

56

1988

271

78

1989

246

70

1990

316

123

1991

386

189

1992

154

452

1993

117

450

1994

142

513

1995

132

491

1996

127

517

776

1997

122

560

0

1998

120

759

0

1999

95

975

0

2000

96

1,089

0

2001

96

1,335

0

2002

94

1,560

0

2003

73

1,772

0

2004

70

1,987

0

2005

88

2,040

0

2006

79

2,363

0

2007

78

2,481

0

2008

86

2,531

0

2009

91

2,586

0

2010

79

2,495

0

2011

87

2,617

0

2012

79

2,544

0

2013

79

2,544

0

2014

70

2,661

0

2015

76

2,652

0

2016

76

2,753

0

0

2017

79

2,367

0

0

2018

73

2,832

0

0

2019

62

2,945

0

0

Average Annual Per Person Spending by Age, Setting and Medicaid Authority in FY 2019

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$132,320

Waiver+ (all)

$49,227

Waiver+ 22+ years

$55,305

Waiver+ 0 to 21 years

$23,566

Waiver+ 22+ years not family home

$71,250

Waiver+ 0 to 21 years not family home

$26,325

Waiver+ 22+ years family home

$43,778

Waiver+ 0 to 21 years family home

$21,927

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

RISP

FY 2019 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 2019 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 2019

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 Hawaii

The method for including people in their own homes changed in FY 2019, which accounts for changes in this living setting. This method will continue to be used going forward. It is not possible at this time, however, to report on the number of people in their own homes as of June 30th; instead, annual counts are reported. DDD does not track group home setting size. Based on available data, all group homes are reported as having 4–6-person capacity. Cost calculations methods also changed, which explains changes in waiver spending. Non-Medicaid state funds are provided through the Long-Term Adult Supports and Resources (LASR) program.