RISP State Profiles FY 2019

District Of Columbia

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

0

0

84

871

23

0

978

1999

64

0

0

84

871

23

0

1,042

2000

0

0

0

70

605

340

0

1,105

2001

26

0

0

70

553

362

0

1,011

2002

0

450

21

56

735

298

48

1,608

2003

35

514

21

47

708

369

0

1,694

2004

38

584

15

48

696

361

0

1,742

2005

0

540

22

82

933

118

0

1,695

2006

0

585

29

44

836

297

0

1,791

2007

50

614

35

68

981

196

0

1,944

2008

57

675

46

49

1,070

151

0

2,031

2009

0

615

30

54

1,108

88

0

1,895

2010

0

510

28

72

1,174

52

0

1,855

2011

0

673

21

75

1,224

21

0

2,014

2012

27

715

19

81

1,278

0

0

2,099

2013

0

727

18

104

1,256

0

15

2,120

2014

0

798

15

88

1,276

9

0

2,186

2015

0

799

13

83

1,275

7

17

2,194

2016

0

848

11

83

1,305

1

0

2,248

2017

0

893

15

85

1,335

0

0

2,328

2018

0

859

8

93

1,379

0

0

2,339

2019

0

876

8

92

1,369

0

0

2,345

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

436

0

1983

475

0

1984

514

0

1985

552

0

1986

591

0

1987

666

0

1988

654

0

1989

641

0

1990

834

0

1991

1,027

0

1992

761

0

1993

804

0

1994

722

0

1995

754

0

1996

754

0

87

1997

754

0

0

1998

754

0

0

1999

754

0

0

2000

840

67

2001

787

224

2002

734

225

2003

749

226

2004

746

466

2005

767

609

0

2006

677

890

0

2007

640

1,090

1

2008

533

1,203

0

2009

443

1,338

0

2010

409

1,446

0

2011

373

1,442

0

2012

363

1,479

0

2013

352

1,577

0

2014

341

1,595

0

2015

329

1,574

0

2016

323

1,670

0

0

2017

319

1,796

0

0

2018

309

2,027

0

0

2019

308

2,037

0

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$290,140

Waiver+ (all)

$125,071

Waiver+ 22+ years

$125,854

Waiver+ 0 to 21 years

$76,002

Waiver+ 22+ years not family home

$180,709

Waiver+ 0 to 21 years not family home

$148,983

Waiver+ 22+ years family home

$56,346

Waiver+ 0 to 21 years family home

$24,026

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 District Of Columbia

More people aged out of schools and enrolled onto waivers in FY 2019. DC reported two people under age 22 as enrolled ICF/IIDs, but they did not receive services in FY 2019.