RISP State Profiles FY 2019

Louisiana

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

4,615

782

88

2,035

842

2,966

11,328

1999

1,414

1,350

118

91

2,095

779

2,753

8,600

2000

236

1,894

1,391

108

2,096

779

2,745

9,249

2001

0

3,964

1,443

71

2,071

795

2,687

11,031

2002

0

3,876

1,567

67

2,071

795

2,673

11,049

2003

0

4,120

1,637

59

1,991

936

2,709

11,452

2004

0

6,284

990

56

2,041

971

2,508

12,850

2005

0

6,512

1,891

53

2,063

1,030

2,470

14,019

2006

0

6,091

1,955

62

2,071

1,204

2,364

13,747

2007

0

8,108

1,880

46

2,064

1,324

1,999

15,421

2008

0

10,262

2,053

55

1,944

1,275

1,906

17,495

2009

0

13,263

2,226

55

1,887

1,348

1,816

20,595

2010

13,894

2,340

54

2,861

322

1,631

2011

14,776

2,400

0

3,230

115

1,443

21,988

2012

15,946

2,468

0

3,035

172

1,388

2013

137

14,938

2,420

1,728

1,675

1,401

22,299

2014

11,755

13,462

2,408

1,372

28,997

2015

12,835

13,870

2,408

1,291

30,404

2016

1

13,526

2,413

1,395

17,335

2017

12,085

0

1,882

1,666

1,091

16,724

2018

9,586

2,264

10

1,645

1,963

1,052

16,520

2019

10,582

2,265

9

1,513

1,949

1,028

17,346

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

4,849

0

1983

5,031

2,006

1984

5,212

2,046

1985

5,394

2,087

1986

5,575

0

1987

6,016

0

1988

6,042

0

1989

6,067

0

1990

6,009

0

1991

5,951

56

1992

5,645

939

1993

4,678

1,134

1994

6,029

1,543

1995

6,044

1,926

1996

6,102

2,100

2,254

1997

6,014

2,048

1998

5,843

2,407

1999

5,627

2,973

491

2000

5,620

3,629

530

2001

5,553

4,008

477

2002

5,539

4,232

2003

5,577

4,809

2004

5,442

5,199

2005

5,460

5,324

2006

5,603

5,484

2007

5,320

6,915

2008

5,059

6,834

2009

4,988

7,616

2010

4,838

8,232

2011

4,812

8,797

2012

4,604

9,957

2013

4,941

11,663

10,756

2014

4,825

11,539

12,906

2015

5,247

12,042

13,085

2016

4,956

12,379

14,289

0

2017

4,639

12,085

15,259

0

2018

4,653

12,540

0

2019

4,490

12,856

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)

$78,386

Waiver+ (all)

$39,561

Waiver+ 22+ years

$45,684

Waiver+ 0 to 21 years

$16,294

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 Louisiana

People do not receive state-funded IDD services when they are in nursing homes. Louisiana had three state-operated facilities serving 16 or more people with ICF/IID licenses: Pinecrest Supports and Services Center (Pineville), Central Louisiana Supports and Services Center (Alexandria; previously known as the Louisiana Special Education and Transition Center), and East Louisiana State Mental Hospital (Jackson; a psychiatric facility with 3 ICF/IID-certified units).