RISP State Profiles FY 2019

Alaska

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

141

136

140

111

7

0

1999

2,127

178

150

171

134

8

0

2,768

2000

0

3,737

365

425

430

25

0

4,982

2001

0

3,700

300

152

414

0

0

4,566

2002

0

3,700

365

195

380

0

0

4,640

2003

0

3,700

350

225

475

0

0

4,750

2004

0

3,700

238

244

360

0

0

4,542

2005

0

3,700

224

172

440

0

0

4,536

2006

0

3,700

292

172

370

63

0

4,597

2007

2

3,500

293

200

287

11

0

4,293

2008

69

79

427

201

275

10

0

1,061

2009

9

195

72

155

810

5

11

1,257

2010

148

231

399

209

340

5

11

1,343

2011

0

375

486

258

457

0

0

1,576

2012

309

292

473

218

428

0

0

1,720

2013

762

332

205

165

350

50

15

1,879

2014

474

332

411

203

528

0

0

1,948

2015

275

282

687

198

550

58

0

2,050

2016

294

277

705

170

600

54

0

2,100

2017

287

277

705

170

600

54

0

2,093

2018

418

271

575

108

607

47

0

2,026

2019

1,158

643

546

83

0

0

0

2,430

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

118

0

1983

113

0

1984

109

0

1985

104

0

1986

99

0

1987

107

0

1988

102

0

1989

97

0

1990

94

0

1991

91

0

1992

86

0

1993

85

0

1994

78

32

1995

68

127

1996

59

190

318

1997

10

353

337

1998

0

424

337

1999

0

466

735

2000

0

665

958

2001

0

844

1,000

2002

0

884

1,239

2003

0

931

1,400

2004

0

973

917

2005

0

1,003

1,400

2006

0

1,008

1,400

2007

0

1,011

943

2008

0

1,061

618

2009

0

1,248

981

2010

0

1,343

662

2011

0

1,486

604

2012

17

1,703

461

2013

14

1,865

613

2014

6

1,942

679

2015

6

2,044

743

0

2016

7

2,093

537

0

2017

0

2,093

527

0

2018

0

2,167

904

0

2019

0

2,430

652

162

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$214,423

State Plan HCBS

$66,327

Waiver+ (all)

$74,871

Waiver+ 22+ years not family home

$93,191

Waiver+ 0 to 21 years family home

$33,458

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 Alaska

Alaska’s Group Home settings are licensed to provide services to people with IDD, mental health support needs, and seniors and do not exclusively serve HCBS recipients. Alaska does not operate ICF/IIDs, but 14 people from Alaska lived in ICF/IIDs in other states. Waiver recipients and expenditures by age assume that people ages 21 and younger lived with a family member and that people ages 22 years or older lived in other settings. Alaska’s Community First Choice 1915(k) program began on October 1, 2018.