RISP State Profiles FY 2019

Colorado

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

2,005

4,272

574

0

780

483

169

8,283

1999

1,262

6,298

593

0

764

440

152

9,509

2000

0

6,540

712

0

2,904

456

122

10,734

2001

2,467

6,282

765

0

733

433

109

10,789

2002

0

6,333

801

0

3,183

510

95

10,922

2003

2,763

6,683

802

692

473

99

11,512

2004

2,053

6,185

822

696

498

97

10,351

2005

3,114

5,628

865

0

679

499

105

10,890

2006

2,910

6,352

884

0

707

461

115

11,429

2007

2,870

5,703

817

0

694

452

104

10,640

2008

2,506

6,313

778

0

657

543

105

10,902

2009

2,319

7,173

823

787

689

506

103

12,400

2010

7,017

729

2,492

2,390

0

67

11,878

2011

157

5,638

613

2,402

2,156

0

0

10,966

2012

526

5,807

1,020

2,204

2,139

0

161

11,857

2013

20

2,580

3,884

2,460

1,955

166

168

11,233

2014

3,954

3,210

2,605

2,190

154

99

12,211

2015

0

4,483

4,799

2,710

2,199

126

29

14,346

2016

0

2,785

4,867

2,874

2,375

161

49

13,111

2017

0

3,219

5,120

3,009

2,243

180

46

13,817

2018

0

8,730

3,180

2,260

126

50

14,346

2019

0

8,380

1,596

3,314

2,919

143

53

16,405

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

2,017

0

1983

1,842

0

1984

1,666

600

1985

1,491

920

1986

1,315

1,280

1987

1,149

1,389

1988

1,132

1,621

1989

1,115

1,679

1990

1,021

1,841

1991

927

1,993

1992

754

2,204

1993

737

2,407

1994

420

2,684

1995

307

3,316

1996

245

3,976

2,318

1997

229

4,276

1,924

1998

185

4,928

1,924

1999

168

6,043

2,413

2000

138

6,330

2,692

2001

125

6,444

358

2002

111

6,516

587

2003

115

6,779

671

2004

113

6,730

704

2005

122

6,775

940

2006

135

6,850

1,176

2007

125

7,148

1,212

2008

128

7,275

1,390

2009

115

7,883

1,135

2010

212

8,177

1,562

2011

177

8,001

1,650

2012

343

8,147

1,794

2013

352

7,903

3,712

2014

175

8,569

3,712

2015

174

9,932

3,314

0

2016

167

10,846

3,199

0

2017

173

12,184

3,052

0

2018

172

12,657

3,212

0

2019

168

13,233

2,895

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$242,789

Waiver+ (all)

$40,487

Waiver+ 22+ years

$47,312

Waiver+ 0 to 21 years

$18,848

Waiver+ 22+ years not family home

$70,930

Waiver+ 0 to 21 years not family home

$59,300

Waiver+ 22+ years family home

$12,072

Waiver+ 0 to 21 years family home

$10,750

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 Colorado

People in nonstate “other” settings receive Individual Residence Services in settings of three or fewer people but not in host or foster family homes. People receiving Supported Living Services (SLS) may live in their own homes or with family members. Since FY 2018, SLS recipients have been reported together in the family home category. In FY 2017, the last year for which separate data were available, 39% of the combined SLS recipients lived with a family member and 61% lived in their own home. Colorado’s two state-operated ICF/IID facilities (Grand Junction Regional Center and Wheat Ridge Regional Center) operate units both on a campus and in the community.