RISP State Profiles FY 2020

Ohio

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

3,273

10,620

3,792

305

2,463

5,573

27,208

1999

660

12,123

4,313

1,942

285

2,892

5,524

27,739

2000

0

12,726

4,175

698

2,772

5,483

28,269

2001

1,840

13,624

3,611

635

2,611

5,443

30,800

2002

0

12,691

4,272

693

2,555

6,959

30,449

2003

0

12,535

4,530

1,864

2,596

4,996

29,169

2004

0

12,796

3,605

891

2,606

4,890

27,457

2005

0

12,831

3,110

908

2,660

2,609

4,752

26,870

2006

-3,680

13,769

6,825

942

2,072

2,576

4,421

27,301

2007

1,007

17,602

10,602

630

2,589

2,517

4,409

39,356

2008

1,331

19,322

11,733

726

1,854

2,445

4,233

42,070

2009

842

16,574

11,607

751

2,348

2,525

3,981

39,095

2010

0

19,939

11,032

892

3,623

2,817

3,861

42,164

2011

525

57,257

13,205

2,000

2,693

2,733

4,543

82,956

2012

2,469

58,851

13,641

2,123

3,118

2,618

4,364

86,677

2013

4,776

69,358

14,837

2,309

2,643

2,660

4,116

100,699

2014

3,381

71,969

15,326

2,239

2,624

2,668

3,063

101,244

2015

2,529

73,518

15,651

2,312

2,624

2,614

3,856

103,130

2016

950

77,666

15,709

2,319

2,702

2,546

3,525

105,417

2017

641

79,382

15,899

2,433

2,819

2,487

3,153

106,814

2018

1,260

80,284

15,380

2,364

2,859

2,259

2,799

107,205

2019

1,492

79,213

16,063

2,339

2,841

2,272

2,703

106,923

2020

1,318

74,750

15,657

2,311

2,811

2,130

2,668

101,645

Medicaid Recipients by Funding Authority 1982 through 2020

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

1915 (i) or (k)

Other State Plan HCBS

1982

6,040

0

1983

6,477

0

1984

6,913

56

1985

7,350

62

1986

7,786

86

1987

7,535

100

1988

7,753

134

1989

7,971

240

1990

8,096

245

1991

8,220

246

1992

8,384

397

1993

8,222

1,120

1994

7,821

2,399

1995

7,781

2,593

1996

7,756

2,593

1997

7,615

2,646

1998

7,719

3,968

1999

7,663

5,325

2000

7,691

5,624

6,816

2001

7,638

5,661

9,486

2002

7,240

7,858

2003

7,121

10,093

2004

7,072

10,424

2005

6,959

11,736

2006

6,656

14,370

2007

6,667

16,362

2008

6,418

18,106

2009

6,136

24,312

2010

5,984

26,735

2011

7,125

29,227

2012

6,926

30,872

2013

6,678

32,853

31,630

2014

6,555

34,274

29,660

2015

6,367

35,245

30,526

2016

6,147

36,817

31,467

0

2017

5,814

39,180

31,770

0

2018

5,370

40,202

33,279

0

2019

5,171

40,849

22,811

0

2020

5,068

43,001

5,905

0

0

Average Annual Per Person Spending by Age, Setting and Medicaid Authority in FY 2020

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$144,943

Waiver+ (all)

$51,436

Waiver+ 22+ years

$56,553

Waiver+ 0 to 21 years

$21,910

Waiver+ 22+ years not family home

$86,481

Waiver+ 0 to 21 years not family home

$71,475

Waiver+ 22+ years family home

$29,471

Waiver+ 0 to 21 years family home

$15,858

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 2020 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 2020 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 2020

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 Ohio

People on the agency caseload but not receiving funded LTSS may be on the waitlist, in school, receiving early intervention, or other locally funded services. The waiting list includes people waiting for Medicaid Waiver-funded supports who are not already Medicaid Waiver or ICF/IID recipients. It includes some people living in non-family settings. State-funded expenditures do not include funds allocated through county boards, which provide many services through local dollars. Alternate data for Waiver and ICF/IID expenditures are from Mathematica (Murray et al, 2023). Alternate data for ICF/IID and nursing home residents are from AHCA (2020a, 2020b, & 2020c).