RISP State Profiles FY 2020

Kentucky

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

8,838

81

338

673

258

1,169

11,357

1999

2,235

4,235

156

363

707

274

1,164

9,134

2000

0

4,236

167

368

732

274

1,133

6,910

2001

0

4,947

211

392

687

204

863

7,304

2002

0

5,157

226

476

1,760

204

852

8,675

2003

0

5,013

353

857

1,875

204

824

9,126

2004

0

4,814

361

505

1,894

92

795

8,461

2005

0

1,073

770

512

1,894

114

703

5,066

2006

2

1,735

1,048

470

1,967

95

679

5,996

2007

0

2,378

983

420

1,946

100

635

6,462

2008

27

2,406

466

630

2,187

112

499

6,327

2009

23

1,904

352

753

2,135

233

601

6,001

2010

791

1,506

297

644

2,281

0

591

6,110

2011

2,721

1,701

1,343

812

2,436

0

338

9,351

2012

6,420

1,135

261

761

2,475

0

279

11,331

2013

7,396

1,127

294

915

2,678

12,409

2014

10,692

327

1,069

2,880

24

456

15,448

2015

10,336

1,249

3,296

23

398

15,302

2016

10,829

1,387

2,677

24

278

15,195

2017

12,905

1,590

2,897

23

399

17,814

2018

10,664

1,844

2,841

176

533

16,058

2019

0

10,722

2,203

2,832

21

362

15,809

2020

10,407

2,442

2,468

24

341

15,682

Medicaid Recipients by Funding Authority 1982 through 2020

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

1915 (i) or (k)

Other State Plan HCBS

1982

1,250

0

1983

1,238

0

1984

1,227

475

1985

1,215

516

1986

1,203

516

1987

1,187

609

1988

1,183

652

1989

1,179

728

1990

1,185

743

1991

1,191

762

1992

1,200

819

1993

1,053

855

1994

1,133

887

1995

1,201

879

1996

1,157

924

1997

1,180

1,040

1,160

1998

1,177

1,035

1,160

1999

1,172

1,039

1,450

2000

1,120

1,279

1,279

2001

887

1,542

1,600

2002

876

1,807

2,100

2003

848

2,033

2,367

2004

793

2,432

2,431

2005

727

2,654

288

2006

656

2,768

283

2007

637

3,033

234

2008

524

3,231

293

2009

623

5,073

363

2010

615

5,495

295

2011

353

8,998

163

2012

285

11,046

802

2013

12,015

2014

15,000

1,974

2015

14,867

1,964

0

2016

14,768

2,276

0

2017

422

17,392

2,229

0

2018

735

15,134

0

2019

407

14,951

9,760

0

2020

382

15,101

10,071

0

0

Average Annual Per Person Spending by Age, Setting and Medicaid Authority in FY 2020

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$386,644

Waiver+ (all)

$48,128

Waiver+ 22+ years

$55,015

Waiver+ 0 to 21 years

$36,320

Waiver+ 22+ years not family home

$80,767

Waiver+ 0 to 21 years not family home

$60,696

Waiver+ 22+ years family home

$35,239

Waiver+ 0 to 21 years family home

$35,951

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 2020 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 2020 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 2020

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 Kentucky

All data are reported for the full fiscal year rather than June 30. As a result, people who lived in more than one setting type during the fiscal year are counted in duplicate. People reported in unknown settings could live on their own or with family members because Kentucky’s data system does not distinguish between residence types for people not receiving residential services. The state reports the total number of providers for Type II (Group Home) and Type III (Host/Family Foster Home); the number of settings by size was imputed based on the total number of recipients living in settings of each size. ICF/IID recipients by age includes only people in nonstate ICF/IID. Alternate data for Waiver and ICF/IID expenditures are from Mathematica (Murray et al, 2023). Alternate data for ICF/IID and nursing home residents are from AHCA (2020a, 2020b, & 2020c).