RISP State Profiles FY 2020

Maryland

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

4,329

290

145

3,473

361

660

9,258

1999

0

4,329

290

175

3,594

356

664

9,408

2000

0

4,329

290

176

3,678

385

599

9,457

2001

0

1,924

150

190

3,729

388

552

6,933

2002

0

2,217

1,337

294

4,557

442

859

9,706

2003

0

2,128

1,139

428

5,023

460

499

9,677

2004

0

2,316

1,492

265

4,625

390

455

9,543

2005

0

2,139

1,509

251

4,482

313

392

9,086

2006

0

1,960

1,582

215

4,576

297

365

8,995

2007

878

2,369

1,728

216

4,844

259

336

10,630

2008

1,345

2,390

1,700

214

4,925

257

279

11,110

2009

1,583

2,270

1,725

215

5,098

271

129

11,291

2010

1,536

2,228

1,747

216

5,173

247

144

11,291

2011

1,625

2,149

1,777

212

5,191

259

142

11,355

2012

1,813

2,215

2,014

208

5,417

236

54

11,957

2013

0

2,215

2,195

213

7,789

219

277

12,908

2014

0

2,198

2,368

210

7,841

240

185

13,042

2015

13,429

2,215

2,542

212

5,751

246

131

24,526

2016

11,353

1,728

2,677

213

5,860

206

122

22,159

2017

9,483

1,728

5,909

189

92

17,401

2018

9,582

6,059

186

95

15,922

2019

9,910

6,141

141

93

16,285

2020

9,888

6,206

112

93

16,299

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

1,851

0

1983

1,942

0

1984

2,034

28

1985

2,125

356

1986

2,216

464

1987

1,429

685

1988

1,402

716

1989

1,374

813

1990

1,227

858

1991

1,079

1,082

1992

954

1,972

1993

894

2,437

1994

822

2,787

1995

775

2,898

1996

652

3,306

1997

624

3,392

1998

593

3,353

1999

562

3,660

2,830

2000

525

4,959

3,349

2001

482

6,013

3,804

2002

502

6,768

5,147

2003

396

7,593

6,875

2004

391

8,753

7,666

2005

367

9,438

7,710

2006

365

9,971

8,403

2007

336

10,294

9,670

2008

279

10,831

10,741

2009

129

11,162

18,698

2010

153

11,202

2,770

2011

152

11,805

3,318

2012

54

12,489

4,065

2013

8,749

5,276

2014

143

10,970

5,660

2015

13,935

5,547

2016

14,424

5,441

2017

92

15,283

5,812

2018

95

15,004

5,656

4,760

2019

93

15,474

5,303

2020

93

15,693

5,664

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$167,651

Waiver+ (all)

$68,030

Waiver+ 22+ years

$68,716

Waiver+ 0 to 21 years

$37,257

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 Maryland

The number of LTSS recipients reported FY 2015-2017 included people receiving only service coordination. People reported in unknown settings includes people living in their own or family homes as Maryland’s data system does not distinguish between these groups. People in “non-state other” settings receive Community Coordination Services, Behavior Support Services (BSS), Residential, Individual Family Care (IFC), or self-directed supports. Before 2010, Maryland’s reported number of people on the waitlist included those deferring services until later and those already receiving waiver services. Since 2010, their reported waitlist only includes those waiting for waiver services and not receiving other waiver services. The number of people served in FY 2020 increased because people receiving services through the state’s 1915(i) and (k) programs were included and because Maryland added Community and Family Supports programs for people with IDD. Maryland has three state-run facilities with sixteen or more people. One of those, the Secure Evaluation and Therapeutic Treatment Program (SETT Unit), was not described in this report. A description of Maryland’s facilities can be found online (https://dda.health.maryland.gov/Pages/Facilities.aspx). 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).