RISP State Profiles FY 2019

Indiana

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

1,249

2,400

495

1,036

2,762

2,057

9,999

1999

0

0

3,315

494

1,043

2,754

2,167

9,773

2000

0

1,358

1,447

490

1,037

2,754

1,632

8,718

2001

1,793

2,471

517

1,004

2,749

1,542

10,076

2002

0

2,256

2,256

782

949

2,677

1,355

10,275

2003

0

4,587

4,586

782

949

2,677

1,103

14,684

2004

0

4,815

4,815

543

978

2,652

880

14,683

2005

2,733

4,103

4,795

286

3,254

0

736

15,907

2006

0

3,391

4,775

29

5,870

2,436

670

17,171

2007

0

3,643

3,300

16

4,572

2,436

470

14,437

2008

0

4,592

3,900

283

3,465

2,576

464

15,280

2009

0

6,046

4,073

267

1,849

2,617

451

15,303

2010

5,881

4,404

248

2,151

2,525

396

2011

7,592

4,086

243

1,661

2,454

333

16,369

2012

1,602

6,888

3,932

207

1,657

2,447

290

17,023

2013

1,497

7,850

3,778

204

1,522

2,554

272

17,677

2014

515

10,682

5,492

206

1,605

2,339

163

21,002

2015

0

12,756

5,936

221

1,456

2,454

46

22,869

2016

1,080

14,175

6,180

234

1,443

2,390

45

25,547

2017

0

17,035

6,449

253

1,403

2,387

50

27,577

2018

0

19,297

2,514

300

5,746

2,369

50

30,276

2019

0

21,361

1,757

325

6,611

2,300

50

32,404

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

2,798

0

1983

3,189

0

1984

3,579

0

1985

3,970

0

1986

4,360

0

1987

4,690

0

1988

5,101

0

1989

5,512

0

1990

5,780

0

1991

6,048

0

1992

6,234

0

1993

6,213

447

1994

6,224

529

1995

6,176

594

1996

5,986

816

2,067

1997

5,938

1,067

1998

5,855

1,405

1999

5,964

1,554

2000

5,423

2,081

2001

5,295

2,646

2,800

2002

4,981

3,802

6,000

2003

4,729

7,983

7,000

2004

4,447

9,307

5,629

2005

3,931

9,285

2006

4,207

9,431

15,068

2007

4,012

9,976

13,896

2008

4,099

10,247

17,919

2009

4,129

10,961

17,382

2010

4,042

11,246

17,142

2011

3,886

12,283

2012

3,839

12,786

2013

3,760

13,917

5,109

2014

3,595

17,407

3,533

2015

3,319

18,950

2,579

0

2016

3,249

22,298

1,934

0

2017

3,179

25,099

1,573

0

2018

3,159

27,117

1,868

0

2019

3,081

29,323

1,666

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$88,169

Waiver+ (all)

$23,534

Waiver+ 22+ years

$34,297

Waiver+ 0 to 21 years

$7,714

Waiver+ 22+ years not family home

$53,604

Waiver+ 0 to 21 years not family home

$27,569

Waiver+ 22+ years family home

$19,025

Waiver+ 0 to 21 years family home

$7,279

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 Indiana

People on the IDD caseload but not receiving funded LTSS were incorrectly reported in FY 2017-2018. This was corrected for FY 2019 to show that there were no people in this category. Indiana did not track group home or own home setting details prior to 2019. Numbers reported for 2019 are estimates. Waiver enrollment increased in 2019.