FY 2018 RISP State Profiles

Year	Family	Own Home	Foster/Host	1-3 Group	4-6 Group	7-15 Group	16+ Group	Unknown*	LTSS Recipients
1998	6,547	3,912	2,271	0	761	884	3,029	1,529	18,933
1999	5,630	4,911	2,408	0	814	814	2,899	841	18,317
2000	5,633	5,062	2,578	0	780	807	2,840	0	17,700
2001	6,314	4,859	2,798		817	845	2,696	1,817	20,144
2002	5,657	4,527	2,693	0	853	882	2,551	0	17,163
2003	5,638	5,344	3,216	0	956	985	2,286	0	18,425
2004	5,678	5,254	3,303	0	986	1,027	2,041	0	18,289
2005	5,677	2,152	3,390	0	1,016	1,083	1,755	0	15,073
2006	5,689	2,230	2,341	0	2,939	2,728	1,310	3,467	20,704
2007	6,824	5,897	1,857	0	3,155	2,248	1,128		20,389
2008	7,958	2,607	1,372	0	3,370	1,768	946	193	18,214
2009	8,038	2,796	1,728	0	2,869	2,065	798	1,085	19,379
2010	7,663	5,823	1,280	0	2,858	2,040	722	0	20,386
2011	7,663	5,823	1,280	0	2,858	2,040	722	0	20,386
2012	11,524	4,307	4,972	0	2,465	28	867	128	24,291
2013	13,904	5,444	5,367	0	2,596	31	846	6	28,194
2014	21,393	5,320	5,735	0	2,561	22	769	140	35,939
2015	23,994	5,841	6,102	0	2,662	13	689	1,684	40,985
2016	25,399	6,147	6,276	0	2,750		679
2017	26,701	6,512	6,718	0	3,283	8	914	0	44,152
2018	29,539	7,017	6,842	0	3,612	8	386	19	47,423

* Setting type or size not reported

Year	Medicaid ICF/IID Residents	Medicaid Waiver+ Recipients	Waiting for Medicaid Waivers	LTSS Recipients	Caseload
1982	3,548	0		5,685
1983	3,581	0		6,092
1984	3,614	20		6,498
1985	3,647	56		6,905
1986	3,680	124		7,311
1987	3,378	190		7,718
1988	3,994	598		8,345
1989	4,609	913		8,971
1990	4,368	1,302		9,598
1991	4,126	1,643		10,224
1992	4,110	1,812		14,253
1993	3,887	2,017		18,282
1994	3,749	2,315		22,311
1995	3,519	3,382		26,340
1996	3,382	5,063	2,560	30,369
1997	3,187	6,558	2,255	20,052
1998	3,056	7,273	2,255	18,933
1999	2,899	8,375		18,317
2000	2,865	9,547	2,250	17,700
2001	2,748	10,686	2,415	20,144
2002	2,580	9,474		17,163
2003	2,315	10,615		18,425
2004	2,082	11,163		18,289
2005	1,822	12,987		15,073
2006	1,346	13,938		20,704
2007	1,059	12,504		20,389
2008	946	17,268	3,632	18,214
2009	847	17,424	4,057	19,379
2010	769	19,617	4,783	20,386
2011	769	19,617	4,783	20,386
2012	895	23,396	924	24,291
2013	877	27,317	2,252	28,194	30,765
2014	791	27,838	2,169	35,939	31,297
2015	702	29,895	1,890	40,985	33,590
2016	687	31,460	2,046		34,992
2017	923	33,060		44,152	36,202
2018	1,092	35,779	861	47,423	47,976

Medicaid Authority	Average Spending Per Person
Waiver+ 0 to 21 years not family home	$51,270
Waiver+ 0 to 21 years family home	$8,954
Waiver+ (all)	$37,401
ICF/IID (all)	$134,594

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 Wisconsin

Setting size information was not available for LTSS recipients living in their own home or in a non-state other setting. Until FY 2014, Wisconsin reported only Waiver recipients living in own home, family home and nonstate other settings. Since then, all LTSS recipients in those settings have been reported. A number of children are reported in state-operated settings who are listed as having IDD and receive LTSS through the state plan, but these individuals are not directly served by the DD agency. Not including them, however, would create a skew in the data that would not be reflective of the actual service experience in the state. Large state-operated IDD facilities in Wisconsin include Central Wisconsin Center in Madison and Southern Wisconsin Center in Union Grove. Though Northern Wisconsin Center was converted into a short-term stay facility in 2005, some residents may stay more than 90 days.