RISP State Profiles FY 2019

Arkansas

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

0

932

0

61

866

1,749

3,608

1999

0

951

0

97

879

1,759

3,686

2000

0

0

1,126

0

106

873

1,751

3,856

2001

0

647

340

465

118

882

1,720

4,172

2002

0

754

409

565

222

788

1,632

4,370

2003

0

1,031

416

232

248

813

1,569

4,309

2004

0

1,150

595

325

148

858

1,597

4,673

2005

0

1,567

534

436

245

835

1,580

5,197

2006

0

1,767

896

360

79

544

1,462

5,108

2007

0

1,515

643

444

141

1,089

1,649

5,481

2008

0

1,476

650

483

217

804

1,420

5,050

2009

0

1,737

622

552

133

935

1,621

5,600

2010

0

2,023

641

574

166

865

1,604

5,873

2011

2,014

653

587

170

867

1,505

5,772

2012

597

1,994

642

560

164

867

1,504

6,328

2013

14

2,044

633

568

168

936

1,461

5,824

2014

31

2,054

639

570

171

940

1,427

5,832

2015

5

1,973

616

542

164

932

1,450

5,682

2016

17

1,973

639

575

162

925

1,444

5,735

2017

0

1,973

639

575

162

925

1,444

5,718

2018

0

1,973

639

575

162

925

1,454

5,728

2019

0

1,973

639

575

162

925

1,454

5,728

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

1,420

0

1983

1,408

0

1984

1,396

0

1985

1,384

0

1986

1,372

0

1987

1,453

0

1988

1,447

0

1989

1,441

0

1990

1,503

91

1991

1,565

196

1992

1,737

415

1993

1,724

453

1994

1,743

429

1995

1,563

469

1996

1,572

472

1997

1,558

496

1998

1,749

646

1999

1,764

1,647

2000

1,766

2,084

600

2001

1,749

2,423

2002

1,684

2,494

2003

1,600

2,644

2004

1,588

2,960

362

2005

1,586

3,329

2006

1,575

3,356

772

2007

1,616

3,342

1,616

2008

1,601

3,360

870

2009

1,598

3,744

874

2010

1,571

3,987

1,522

2011

1,468

3,957

2,012

2012

1,467

4,037

2,180

2013

1,202

4,147

2,580

1,454

2014

1,455

4,160

2,959

1,424

2015

1,166

4,122

2,838

0

2016

1,160

4,135

3,161

0

2017

1,425

4,138

2,802

0

2018

1,435

4,365

2,802

0

2019

1,435

4,737

3,305

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$108,704

Waiver+ (all)

$38,208

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 Arkansas

Nursing home data are from AHCA (2019c). Some data on waiver recipients, ICF/IIDs, and waitlist are from Arkansas’s Department of Human Services 2019 Annual Statistical Report (Gillespie, 2019).