FY 2018 RISP State Profiles

Nevada

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

1,121

453

64

0

137

27

169

2

1,973

1999

1,336

460

51

0

126

54

165

45

2,237

2000

1,447

707

47

0

120

39

140

0

2,500

2001

1,684

831

45

0

117

15

136

0

2,828

2002

1,768

941

27

0

122

15

131

0

3,004

2003

1,927

976

24

0

122

15

108

0

3,172

2004

2,182

1,269

24

0

120

15

100

1

3,711

2005

2,418

1,093

39

0

90

0

107

200

3,947

2006

2,515

1,090

76

0

36

0

94

59

3,870

2007

2,595

1,232

77

0

34

0

84

41

4,063

2008

3,120

1,412

86

0

36

0

69

54

4,777

2009

3,440

1,305

81

0

35

0

65

58

4,984

2010

3,621

1,348

70

33

1

0

107

2

5,182

2011

3,658

1,509

105

6

1

0

144

0

5,438

2012

3,826

1,530

75

10

4

6

152

95

5,716

2013

3,879

1,597

71

0

9

0

170

0

5,762

2014

4,122

1,635

80

0

0

0

174

0

6,046

2015

4,371

1,662

85

0

0

0

181

0

6,332

2016

4,595

1,642

125

0

0

0

192

0

6,580

2017

4,745

1,621

193

0

25

0

206

0

6,790

2018

4,852

1,841

170

2

25

0

159

0

7,049

* 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

175

0

301

1983

177

34

327

1984

178

80

354

1985

180

90

380

1986

181

108

407

1987

188

129

433

1988

187

117

470

1989

185

136

507

1990

199

133

544

1991

212

135

581

1992

146

136

658

1993

208

186

734

1994

205

172

811

1995

214

278

887

1996

232

361

115

964

1997

275

374

164

1,667

1998

286

392

164

1,973

1999

295

800

274

2,237

2000

252

795

188

2,500

2001

246

1,090

198

2,828

2002

242

1,083

175

3,004

2003

219

1,040

246

3,172

2004

209

1,294

299

3,711

2005

197

1,326

407

3,947

2006

130

1,373

325

3,870

2007

118

1,372

481

4,063

2008

105

1,591

541

4,777

2009

100

1,567

352

4,984

2010

101

1,628

109

5,182

2011

103

1,656

136

5,438

2012

104

1,652

188

5,716

2013

100

1,719

620

5,762

5,744

2014

100

1,877

739

6,046

6,028

2015

98

1,941

712

6,332

6,332

2016

91

2,033

752

6,580

6,580

2017

91

2,152

745

6,790

6,790

2018

84

2,219

466

7,049

7,049

Average Spending Per Person by Medicaid Authority in Fiscal Year 2018

Medicaid Authority

Average Spending Per Person

Waiver+ 22+ years not family home

$66,666

Waiver+ 0 to 21 years not family home

$75,487

Waiver+ 22+ years family home

$16,130

Waiver+ 0 to 21 years family home

$25,528

Waiver+ (all)

$51,529

ICF/IID (all)

$190,067

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 Nevada

In FY 2018, 102 people on the IDD agency caseload lived in those settings. Additional waiver slots were made available in FY 2018 which decreased the number of people on the waitlist.