FY 2018 RISP State Profiles

North Dakota

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

292

991

50

0

204

478

254

159

2,428

1999

295

1,018

45

0

206

453

252

186

2,455

2000

393

966

38

0

201

495

267

201

2,561

2001

397

995

36

0

176

523

262

223

2,612

2002

424

1,017

31

0

177

533

264

194

2,640

2003

523

1,029

29

0

176

512

271

272

2,812

2004

533

1,022

27

0

198

515

200

2,473

2005

569

1,070

27

0

192

536

194

0

2,588

2006

585

1,100

26

0

208

500

185

0

2,604

2007

666

1,083

29

0

214

501

179

0

2,672

2008

715

1,093

29

0

219

501

168

0

2,725

2009

773

1,160

27

0

225

495

155

0

2,835

2010

907

1,267

27

0

251

487

145

0

3,084

2011

921

1,235

27

0

241

505

146

0

3,075

2012

1,225

1,126

20

0

241

520

124

100

3,356

2013

1,159

1,159

23

0

258

486

117

0

3,202

2014

1,037

1,241

24

0

268

469

116

0

3,155

2015

1,031

1,262

24

3

287

437

109

0

3,153

2016

1,252

1,276

18

3

319

409

106

0

3,383

2017

1,268

1,293

16

9

332

198

99

204

3,419

2018

2,928

1,338

14

3

361

234

98

181

5,157

* 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

219

0

1,234

1983

384

0

1,464

1984

549

68

1,694

1985

713

439

1,923

1986

878

463

2,153

1987

888

724

2,383

1988

816

824

2,247

1989

743

1,063

2,111

1990

689

1,055

1,974

1991

634

1,163

1,838

1992

476

1,334

1,890

1993

618

1,362

1,942

1994

551

1,509

1,994

1995

561

1,637

2,046

1996

624

1,770

0

2,098

1997

609

1,792

0

2,140

1998

609

1,819

0

2,428

1999

580

1,875

0

2,455

2000

625

1,936

0

2,561

2001

622

1,990

0

2,612

2002

629

2,011

0

2,640

2003

625

2,187

0

2,812

2004

607

2,668

0

3,275

2005

610

3,077

0

2,588

2006

592

3,297

2,604

2007

593

3,535

2,672

2008

585

3,657

2,725

2009

584

3,805

0

2,835

2010

579

3,856

0

3,084

2011

576

3,897

0

3,075

2012

559

4,059

0

3,356

2013

539

4,000

0

3,202

4,175

2014

545

4,277

0

3,155

5,062

2015

463

4,613

0

3,153

4,970

2016

464

4,776

0

3,383

7,204

2017

470

4,956

0

3,419

5,922

2018

460

4,908

0

5,157

6,073

Average Spending Per Person by Medicaid Authority in Fiscal Year 2018

Medicaid Authority

Average Spending Per Person

Waiver+ (all)

$39,693

ICF/IID (all)

$175,049

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 North Dakota

In prior years, individuals receiving Infant Development were mistakenly excluded from counts of people in Family Home on the Medicaid Waiver. They are included this year. ICF/IID expenditures are only reported for recipients in non-state settings.