FY 2018 RISP State Profiles

Vermont

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

761

149

741

31

86

0

0

0

1,768

1999

773

183

747

33

78

0

0

103

1,917

2000

1,003

147

813

30

73

0

0

0

2,066

2001

963

145

811

43

63

0

0

0

2,025

2002

1,096

166

875

39

60

0

0

0

2,236

2003

1,179

165

909

33

66

0

0

0

2,352

2004

1,258

185

952

37

74

0

0

0

2,506

2005

1,285

184

979

42

73

0

0

0

2,563

2006

1,354

188

1,048

50

73

0

0

0

2,713

2007

1,433

193

1,083

122

6

0

0

1

2,838

2008

1,527

215

1,143

49

72

0

0

0

3,006

2009

1,604

234

1,196

51

73

0

0

-2

3,156

2010

1,681

236

1,237

56

75

0

0

-47

3,238

2011

1,758

241

1,270

49

78

0

0

-64

3,332

2012

1,835

248

1,300

47

90

0

0

0

3,520

2013

1,900

283

1,307

67

81

0

0

607

4,245

2014

1,915

321

1,330

56

85

0

0

616

4,327

2015

2,124

359

1,352

57

86

0

0

430

4,408

2016

2,195

376

1,340

66

84

0

0

425

4,486

2017

2,237

546

1,360

64

86

0

0

231

4,538

2018

2,292

543

1,376

63

85

0

0

253

4,612

* 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

385

0

798

1983

354

11

754

1984

323

74

710

1985

292

116

665

1986

261

234

621

1987

238

196

577

1988

237

248

599

1989

236

280

621

1990

225

323

642

1991

214

485

664

1992

146

413

822

1993

79

598

980

1994

42

722

1,138

1995

41

913

1,296

1996

15

1,107

23

1,454

1997

12

1,372

8

1,605

1998

12

1,485

8

1,768

1999

12

1,540

12

1,917

2000

12

1,684

7

2,066

2001

12

1,796

0

2,025

2002

12

1,844

0

2,236

2003

6

1,896

0

2,352

2004

6

1,957

0

2,506

2005

6

2,003

0

2,563

2006

6

2,102

0

2,713

2007

6

2,200

0

2,838

2008

6

2,270

0

3,006

2009

6

2,372

0

3,156

2010

6

2,460

0

3,238

2011

6

2,539

0

3,332

2012

6

2,649

0

3,520

2013

6

2,770

0

4,245

4,245

2014

6

2,833

0

4,327

4,327

2015

6

2,917

0

4,408

4,408

2016

6

3,010

0

4,486

4,486

2017

6

3,070

0

4,538

4,538

2018

6

3,166

0

4,612

4,612

Average Spending Per Person by Medicaid Authority in Fiscal Year 2018

Medicaid Authority

Average Spending Per Person

Waiver+ 22+ years not family home

$76,697

Waiver+ 0 to 21 years not family home

$89,559

Waiver+ 22+ years family home

$48,220

Waiver+ 0 to 21 years family home

$50,678

Waiver+ (all)

$67,643

ICF/IID (all)

$227,913

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 Vermont

The date of birth cut off was incorrect for FY 2015 - FY 2017. This caused an undercount for those three years, resulting in apparent increase in the number of children served and associated expenditures in FY 2018. Cost per person for people ages birth to 21 receiving state funded services increased in FY 2018 due to un-duplicating previously duplicated cases and no longer including “Employment Program Base” numbers, which lowered the overall recipient count. Vermont reported people receiving Medicaid State Plan funded HCBS but not 1915(i) or 1915(k) in the State Plan category.