FY 2018 RISP State Profiles

Oregon

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

968

654

679

1,753

4,054

1999

3,138

717

809

244

1,620

390

269

0

7,187

2000

3,188

805

1,278

292

1,858

509

221

0

8,151

2001

3,937

809

1,615

306

1,947

479

289

0

9,382

2002

3,253

805

1,719

315

1,940

449

130

0

8,611

2003

3,901

710

1,745

251

1,908

429

130

0

9,074

2004

4,097

691

1,820

232

1,870

424

125

0

9,259

2005

3,648

697

1,967

182

1,924

434

143

-180

8,815

2006

4,762

699

2,044

181

1,978

409

91

0

10,164

2007

5,423

743

2,186

218

2,120

406

94

0

11,190

2008

6,382

705

2,309

230

2,113

331

83

0

12,153

2009

8,079

744

2,125

234

2,149

338

74

0

13,743

2010

8,589

764

2,655

300

1,607

191

626

138

14,870

2011

9,822

722

2,848

430

1,720

188

349

138

16,217

2012

10,479

764

3,273

546

1,910

218

27

303

17,520

2013

10,483

757

3,272

765

2,259

231

36

0

17,803

2014

11,448

780

3,401

900

2,216

195

38

0

18,978

2015

12,551

807

3,494

1,053

2,230

161

24

0

20,320

2016

12,836

807

3,227

1,275

2,130

174

47

0

20,496

2017

17,687

709

3,292

1,208

1,759

118

24

2

24,799

2018

14,153

708

3,304

1,292

1,698

97

25

2,863

24,140

* Setting type or size not reported

Caseload, LTSS and Medicaid Recipients and Waiting for Waivers* 1982-2018

Year

Medicaid ICF/IID Residents

Medicaid State Plan HCBS

Medicaid Waiver+ Recipients

Waiting for Medicaid Waivers

LTSS Recipients

Caseload

1982

1,918

1,360

2,480

1983

1,833

1,886

2,612

1984

1,748

1,992

2,745

1985

1,662

973

2,877

1986

1,577

572

3,010

1987

1,284

832

3,142

1988

1,163

968

3,301

1989

1,042

1,218

3,460

1990

906

1,282

3,619

1991

770

2,177

3,778

1992

668

1,458

3,942

1993

468

2,023

4,107

1994

417

2,136

4,271

1995

442

2,500

4,436

1996

429

2,523

3,505

4,600

1997

373

2,586

2,250

4,629

1998

350

3,704

2,250

4,054

1999

173

5,500

2,277

7,187

2000

60

5,824

2,732

8,151

2001

64

7,225

3,117

9,382

2002

51

8,017

1,200

8,611

2003

50

7,214

3,155

9,074

2004

50

8,280

3,156

9,259

2005

43

8,863

1,570

8,815

2006

41

9,416

3,075

10,164

2007

41

10,287

3,616

11,190

2008

32

10,879

3,260

12,153

2009

22

10,884

3,399

13,743

2010

22

12,495

3,219

14,870

2011

0

13,228

0

16,217

2012

0

14,865

0

17,520

2013

0

777

17,735

0

17,803

22,074

2014

0

667

16,922

0

18,978

23,212

2015

0

17,868

6,932

0

20,320

24,701

2016

0

19,967

12,548

0

20,496

25,612

2017

0

20,577

21,200

0

24,799

26,726

2018

0

21,390

24,140

0

24,140

26,726

Average Spending Per Person by Medicaid Authority in Fiscal Year 2018

Medicaid Authority

Average Spending Per Person

Waiver+ 22+ years not family home

$8,157

Waiver+ 0 to 21 years not family home

$5,428

Waiver+ 22+ years family home

$6,771

Waiver+ 0 to 21 years family home

$3,392

Waiver+ (all)

$5,932

State Plan HCBS

$44,723

ICF/IID (all)

Not applicable

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 Oregon

Oregon began offering HCBS through the Medicaid State Plan 1915(k) funding authority in FY 2015. Total Medicaid Waiver recipients and expenditures declined shortly thereafter as recipients moved from Waiver to State Plan 1915(k) funding. However, FY 2018 was the first full year that case management was funded based on an individual’s Medicaid eligibility rather than a procedure code entered by field staff. This, along with regular caseload growth, greatly increased the number of individuals receiving a Waivered service, as case management remains a service offered on the Waiver.