FY 2018 RISP State Profiles

Hawaii

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

1,373

97

772

0

213

7

24

144

2,630

1999

1,419

98

807

3

209

7

11

523

3,077

2000

1,465

103

767

569

606

0

13

0

3,523

2001

1,500

112

777

6

255

7

10

158

2,825

2002

1,653

131

742

29

192

7

10

0

2,764

2003

1,926

155

768

3

165

0

0

8

3,025

2004

1,981

152

726

3

155

8

0

0

3,025

2005

2,108

150

740

3

164

8

0

0

3,173

2006

2,193

168

747

3

150

8

0

0

3,269

2007

2,167

179

786

3

145

8

0

0

3,288

2008

2,183

155

768

3

166

15

0

0

3,290

2009

2,124

149

779

3

166

17

0

0

3,238

2010

1,584

48

554

3

163

8

0

214

2,574

2011

2,166

125

652

0

154

7

0

0

3,184

2012

2,202

123

669

0

155

7

0

53

3,281

2013

2,202

123

669

0

155

7

0

0

3,228

2014

2,078

180

448

0

169

0

0

168

3,113

2015

2,241

78

486

0

272

7

0

0

3,153

2016

1,811

72

452

0

324

7

0

94

2,829

2017

2,108

77

358

0

348

7

0

0

2,898

2018

2,172

92

543

0

368

37

0

0

3,212

* 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

387

0

857

1983

353

0

854

1984

318

10

851

1985

284

24

847

1986

249

44

844

1987

296

56

841

1988

271

78

906

1989

246

70

971

1990

316

123

1,036

1991

386

189

1,101

1992

154

452

1,373

1993

117

450

1,645

1994

142

513

1,917

1995

132

491

2,189

1996

127

517

776

2,461

1997

122

560

0

2,421

1998

120

759

0

2,630

1999

95

975

0

3,077

2000

96

1,089

0

3,523

2001

96

1,335

0

2,825

2002

94

1,560

0

2,764

2003

73

1,772

0

3,025

2004

70

1,987

0

3,025

2005

88

2,040

0

3,173

2006

79

2,363

0

3,269

2007

78

2,481

0

3,288

2008

86

2,531

0

3,290

2009

91

2,586

0

3,238

2010

79

2,495

0

2,574

2011

87

2,617

0

3,184

2012

79

2,544

0

3,281

2013

79

2,544

0

3,228

3,281

2014

70

2,661

0

3,113

3,295

2015

76

2,652

0

3,153

3,308

2016

76

2,753

0

2,829

3,322

2017

79

2,367

0

2,898

2,850

2018

73

2,832

0

3,212

3,318

Average Spending Per Person by Medicaid Authority in Fiscal Year 2018

Medicaid Authority

Average Spending Per Person

Waiver+ 22+ years not family home

$63,744

Waiver+ 0 to 21 years not family home

$89,093

Waiver+ 22+ years family home

$43,057

Waiver+ 0 to 21 years family home

$21,568

Waiver+ (all)

$43,021

ICF/IID (all)

$114,023

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 Hawaii

Hawaii implemented a new data system in FY 2018, which resulted in some shifts in reporting due to more accurate data. Some Waiver participants were active in the Waiver system but did not have a billed service in FY 2018, which is why there are more participants reported in expenditures than total Waiver participants in the system.