RISP State Profiles FY 2019

Florida

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

16,994

2,508

0

2,985

1,305

3,822

27,614

1999

1,245

17,774

2,708

0

3,097

1,346

3,661

29,831

2000

0

19,417

3,127

0

3,488

1,359

4,662

32,047

2001

0

22,066

3,266

0

3,883

1,292

3,648

34,155

2002

0

24,259

3,505

0

4,266

1,315

3,601

36,946

2003

0

27,240

3,770

0

5,198

1,752

3,558

41,518

2004

0

29,566

3,887

0

4,558

1,270

3,406

42,687

2005

0

31,173

4,012

0

4,751

1,286

3,347

44,569

2006

0

33,803

4,173

0

4,987

1,258

3,236

47,457

2007

0

35,439

4,385

0

5,288

1,209

3,185

49,506

2008

0

36,139

5,020

0

5,665

1,186

3,125

51,135

2009

0

36,253

5,214

32

5,837

1,187

3,101

51,624

2010

400

36,218

5,326

65

6,063

1,233

2,925

52,230

2011

183

36,650

5,521

97

6,255

1,232

2,930

52,868

2012

96

37,082

5,883

129

7,039

1,642

2,764

53,934

2013

167

37,424

5,872

323

6,732

1,606

2,876

55,000

2014

76

37,323

5,742

308

6,891

1,647

2,919

54,906

2015

64

38,377

5,743

284

5,884

1,811

2,651

54,814

2016

956

38,917

5,742

260

6,682

1,291

2,853

56,701

2017

956

38,917

5,742

260

6,682

1,291

2,817

54,485

2018

1,021

40,916

5,957

301

7,429

1,658

2,446

59,728

2019

2,228

41,242

5,880

301

8,174

1,659

2,269

61,753

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

2,128

0

1983

2,407

0

1984

2,686

7,003

1985

2,964

7,003

1986

3,243

1,003

1987

3,180

2,631

1988

3,180

2,631

1989

3,180

2,542

1990

3,184

2,615

1991

3,187

2,631

1992

3,118

2,637

1993

3,207

6,009

1994

3,407

6,430

1995

3,530

7,988

1996

3,442

10,000

1,951

1997

3,476

11,399

716

1998

3,379

12,728

716

1999

3,391

13,809

662

2000

3,440

21,126

618

2001

3,310

24,910

2002

3,338

25,921

2003

3,307

24,301

2004

3,362

24,079

15,278

2005

3,370

26,003

3,100

2006

3,268

31,324

3,790

2007

3,205

31,425

4,250

2008

3,129

30,939

4,683

2009

3,100

29,807

3,780

2010

2,919

29,998

3,835

2011

2,926

29,661

4,075

2012

2,786

29,353

4,311

2013

2,857

28,849

22,432

2014

2,788

30,281

21,165

2015

2,742

32,277

21,331

0

2016

2,714

32,830

20,486

0

2017

2,770

33,812

20,723

0

2018

2,636

34,556

21,470

0

2019

2,568

34,728

21,631

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$122,811

Waiver+ (all)

$35,475

Waiver+ 22+ years

$38,124

Waiver+ 0 to 21 years

$18,547

Waiver+ 22+ years not family home

$53,985

Waiver+ 0 to 21 years not family home

$40,289

Waiver+ 22+ years family home

$24,810

Waiver+ 0 to 21 years family home

$9,389

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 Florida

FY 2019 saw a significant increase in people under age 22 living outside of family homes receiving waiver services, as well as their associated expenditures. Many of these people received crisis supports, so their numbers fluctuate year-to-year. The number of people 22 years and older receiving waiver services in family homes increased, as did their expenditures, due to program growth, rate increases, and as a result of Florida’s minimum wage increasing. People listed as living in “other” nonstate-operated settings include those in mental health group homes, and hospitals. People listed as living in “other” state-operated settings were in prisons and/or jails.