FY 2018 RISP State Profiles

Idaho

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

5,190

715

686

40

177

469

381

0

7,658

1999

5,916

825

772

39

186

487

382

133

8,740

2000

6,713

931

1,009

41

211

481

436

0

9,822

2001

7,172

919

1,137

37

229

495

324

0

10,313

2002

8,288

988

918

57

198

535

227

0

11,211

2003

7,989

928

990

36

205

509

244

0

10,901

2004

8,971

1,359

1,083

40

180

466

230

41

12,370

2005

8,992

1,228

1,215

38

205

507

280

0

12,465

2006

10,816

1,248

1,290

38

200

491

421

0

14,504

2007

11,280

1,227

1,512

25

190

524

478

0

15,236

2008

12,080

1,321

1,594

0

169

507

483

0

16,154

2009

12,791

1,437

1,729

23

196

515

473

0

17,164

2010

12,791

1,437

1,729

23

196

515

461

0

17,152

2011

2012

1,182

942

1,694

0

2

147

139

489

4,595

2013

1,182

1,286

627

4

11

142

132

438

3,822

2014

614

0

5

125

134

3,006

3,884

2015

1,483

575

0

5

125

119

5,797

8,104

2016

1,554

1,206

559

0

1

121

117

4,656

8,214

2017

1,610

1,206

546

0

257

4,375

8,568

2018

552

0

7,775

8,327

* 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

482

0

860

1983

479

0

947

1984

476

18

1,034

1985

472

51

1,120

1986

469

25

1,207

1987

461

55

1,294

1988

491

201

1,337

1989

520

270

1,380

1990

528

346

1,423

1991

535

165

1,466

1992

519

225

2,385

1993

494

174

3,304

1994

527

333

4,223

1995

540

362

5,142

1996

538

415

100

6,061

1997

579

434

100

7,063

1998

560

441

100

7,658

1999

577

509

100

8,740

2000

592

801

0

9,822

2001

584

1,031

0

10,313

2002

576

1,139

0

11,211

2003

577

1,302

0

10,901

2004

571

1,501

0

12,370

2005

559

1,702

0

12,465

2006

542

1,813

0

14,504

2007

543

2,015

0

15,236

2008

535

2,233

0

16,154

2009

535

2,484

0

17,164

2010

524

2,933

0

17,152

2011

528

2,933

0

2012

485

2,660

0

4,595

2013

487

5,100

0

3,822

5,100

2014

469

6,598

0

3,884

6,599

2015

488

7,616

0

8,104

7,393

2016

488

7,726

0

8,214

7,753

2017

455

8,113

0

8,568

8,113

2018

93

8,234

0

8,327

8,234

Average Spending Per Person by Medicaid Authority in Fiscal Year 2018

Medicaid Authority

Average Spending Per Person

Waiver+ 22+ years

$49,693

Waiver+ 0 to 21 years

$13,536

Waiver+ (all)

$30,837

ICF/IID (all)

$90,063

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 Idaho

The total number of people on the state IDD caseload for FY 2018 did not include people living in an ICF/IID. Settings are reported by license or certification size. Some settings were not operating at capacity, or had no residents at all on June 30, 2018. The significant decrease in expenditures for children on the Medicaid waiver is the result of several factors. First, in FY 2018, DDA terminated the Children’s waiver and “redesign”, and implemented the Children’s DD enhancement program, putting all intervention services into the state plan rather than waiver. This means that children no longer have to meet ICF/ID level of care to qualify for intervention services. Additionally, many schools have implemented intervention plans and programs and a significant number of children aged out of children’s services and into adult services in FY 2018. The significant increase in expenditures for adults on the Medicaid waiver is in part explained by the increase in children aging into adult services, but was also driven by a settlement agreement that permits adults on the Waiver to utilize the greatest annual DD budget they have been given since 2011 for services while DDA works to determine a court-approved budget allocation process for DD services. ICF/IID expenditures are reported only for a subtotal of all recipients.