RISP State Profiles FY 2019

Alabama

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

96

1,133

236

0

1,208

951

823

4,447

1999

1,528

109

262

147

1,020

798

705

4,569

2000

1,851

66

27

101

1,228

795

665

4,733

2001

1,915

140

170

151

1,212

797

579

4,964

2002

0

2,270

264

187

1,213

887

468

5,289

2003

0

3,200

209

237

1,399

927

337

6,309

2004

0

3,280

210

237

1,622

897

199

6,445

2005

0

3,441

222

247

1,601

897

214

6,622

2006

0

3,572

208

256

1,666

930

205

6,837

2007

0

3,140

209

228

1,894

823

206

6,500

2008

0

3,497

205

231

2,044

826

198

7,001

2009

0

3,118

246

223

2,001

865

214

6,667

2010

0

3,659

213

220

2,203

907

173

7,375

2011

0

3,474

193

196

2,255

911

123

7,152

2012

552

2,193

131

166

2,637

816

0

6,495

2013

399

2,324

110

205

2,514

709

0

6,261

2014

0

2,512

132

210

2,334

644

0

5,832

2015

1,444

480

96

175

2,502

742

0

5,439

2016

0

2,131

55

111

2,517

788

0

5,602

2017

1,543

480

55

111

2,708

757

0

5,654

2018

0

2,640

55

0

2,655

790

0

6,140

2019

0

2,640

40

0

2,792

572

0

6,044

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

1,470

0

1983

1,444

808

1984

1,417

1,564

1985

1,391

1,524

1986

1,364

1,568

1987

1,364

1,570

1988

1,345

1,730

1989

1,326

1,830

1990

1,307

1,839

1991

1,288

2,021

1992

1,304

2,184

1993

1,266

2,184

1994

1,145

2,900

1995

972

2,949

1996

825

3,415

1,171

1997

745

3,713

1,043

1998

734

3,713

1,043

1999

678

3,891

608

2000

633

4,100

214

2001

569

4,395

2002

472

4,764

2003

363

4,444

2004

225

4,952

2005

240

4,979

807

2006

235

5,164

509

2007

244

5,230

504

2008

236

5,670

436

2009

233

5,460

1,159

2010

214

5,625

2,372

2011

164

5,575

2,550

2012

41

5,604

2,901

2013

14

6,247

2,975

2014

14

5,807

3,186

0

2015

14

5,425

3,432

0

2016

22

5,580

3,324

0

2017

22

5,622

2,451

0

2018

25

3,895

2,281

0

2019

15

6,044

2,100

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$94,962

Waiver+ (all)

$58,028

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 Alabama