RISP State Profiles FY 2019

Delaware

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

1,041

25

170

307

8

271

1,822

1999

0

1,173

24

145

332

0

264

1,938

2000

0

1,209

19

154

377

0

253

2,012

2001

0

1,251

19

162

404

0

274

2,110

2002

0

1,325

26

173

460

0

241

2,225

2003

0

1,415

23

193

488

0

218

2,337

2004

0

1,582

22

204

512

0

194

2,514

2005

0

1,691

25

206

547

0

172

2,641

2006

0

1,779

9

175

634

0

154

2,751

2007

0

1,930

8

174

701

0

141

2,954

2008

0

2,062

16

162

704

0

138

3,082

2009

0

2,053

24

157

727

0

120

3,081

2010

15

2,149

27

145

711

0

118

3,165

2011

0

2,289

26

134

725

11

123

3,307

2012

0

2,428

20

132

742

23

135

3,480

2013

0

2,610

18

135

968

0

127

3,858

2014

0

2,798

18

126

1,003

0

125

4,070

2015

0

3,014

18

135

1,073

0

120

4,360

2016

0

3,273

111

945

0

118

4,447

2017

11

3,413

55

100

992

0

118

4,689

2018

0

3,413

55

100

966

0

120

4,654

2019

0

3,765

51

99

999

0

119

5,033

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

513

0

1983

499

0

1984

484

0

1985

470

50

1986

455

78

1987

439

81

1988

441

144

1989

442

100

1990

432

196

1991

421

245

1992

325

290

1993

370

290

1994

356

310

1995

313

356

1996

300

352

479

1997

292

379

1998

285

382

1999

264

455

2000

253

481

145

2001

274

518

69

2002

241

547

19

2003

218

614

13

2004

194

688

6

2005

172

732

7

2006

154

744

249

2007

141

788

235

2008

138

817

180

2009

120

831

169

2010

118

842

174

2011

828

79

2012

135

855

17

2013

56

989

0

2014

56

989

0

2015

120

1,041

0

2016

100

1,077

0

2017

118

1,031

0

2018

120

1,211

0

450

2019

119

1,645

0

557

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$274,808

State Plan HCBS

$1,850

Waiver+ (all)

$94,096

Waiver+ 22+ years

$95,835

Waiver+ 0 to 21 years

$53,141

Waiver+ 22+ years not family home

$128,740

Waiver+ 0 to 21 years not family home

$118,076

Waiver+ 22+ years family home

$22,653

Waiver+ 0 to 21 years family home

$14,489

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 Delaware

In FY 2019 Delaware began providing targeted case management to waiver recipients not living in family homes. Some services previously funded only by the state are now covered under the HCBS Lifespan Waiver (which includes family support services).