RISP State Profiles FY 2019

South Dakota

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

10

279

639

49

473

657

228

2,335

1999

179

286

576

34

567

637

195

2,474

2000

0

551

600

24

592

650

196

2,613

2001

3

853

674

18

681

656

201

3,086

2002

0

813

626

13

723

609

238

3,022

2003

6

822

655

11

679

697

186

3,056

2004

4

732

622

10

823

589

208

2,988

2005

761

597

7

872

586

185

3,008

2006

739

579

5

923

582

178

3,006

2007

2

726

587

8

1,007

515

174

3,019

2008

807

539

7

1,013

559

166

3,091

2009

944

525

5

1,056

559

162

3,251

2010

1,033

527

5

1,239

416

144

3,364

2011

1,123

541

5

1,143

561

204

3,577

2012

1,161

557

4

1,151

585

199

3,822

2013

0

1,656

569

4

1,150

649

191

4,219

2014

1,738

555

1

1,185

647

190

4,316

2015

1,988

536

2

1,209

623

190

4,548

2016

0

2,050

536

1

1,164

661

192

4,604

2017

0

2,050

536

1

1,164

661

192

4,604

2018

0

1,452

536

1

1,164

661

176

3,990

2019

0

0

0

181

114

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

721

0

1983

707

382

1984

692

457

1985

678

523

1986

663

498

1987

650

596

1988

621

610

1989

591

683

1990

570

721

1991

549

788

1992

552

852

1993

504

923

1994

502

1,004

1995

440

1,157

1996

349

1,295

1997

328

1,457

1998

263

1,619

1999

230

1,971

2000

231

1,991

12

2001

200

2,168

2002

189

2,295

2003

170

2,359

2004

176

2,413

2005

169

2,467

2006

162

2,522

2007

158

2,609

2008

150

2,733

2009

146

2,901

2010

144

3,018

2011

204

3,294

2012

199

3,215

2013

191

3,362

0

2014

190

3,433

0

2015

187

3,592

0

2016

192

3,625

0

0

2017

192

3,625

0

0

2018

176

3,625

0

0

2019

181

Average Annual Per Person Spending by Age, Setting and Medicaid Authority in FY 2019

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$175,193

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 2019 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 2019 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 2019

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 South Dakota

South Dakota did not furnish data for the FY 2019 survey. ICF/IID data are from AHCA (2019a). Some waiver data are from Mathematica (Murray, 2021).