RISP State Profiles FY 2019

Michigan

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

1,760

1,196

6,469

0

283

1999

1,760

1,196

6,469

0

283

2000

1,760

1,196

6,469

0

269

2001

0

7,268

1,726

1,163

7,484

0

212

17,853

2002

0

7,268

1,726

1,163

7,484

0

173

17,814

2003

0

7,268

1,726

1,163

7,484

0

173

17,814

2004

0

17,055

5,970

1,333

12,142

0

129

36,629

2005

0

12,811

2,612

1,203

10,729

0

190

27,545

2006

3,170

15,738

3,974

1,073

12,352

0

175

36,482

2007

1,987

15,210

4,619

942

10,688

0

151

33,597

2008

5,358

17,263

5,342

812

5,085

1,412

666

35,938

2009

0

17,552

6,065

682

6,263

1,533

529

32,624

2010

17

19,431

6,319

564

8,549

1,904

737

37,521

2011

10,487

23,078

399

389

6,605

1,507

595

43,060

2012

17,970

25,772

3,406

399

47,546

2013

872

25,775

6,412

409

4,126

640

341

38,575

2014

7,602

19,879

6,194

376

2,065

290

194

36,600

2015

8,634

25,780

6,980

474

2,651

387

209

45,115

2016

44,784

44,784

2017

0

0

0

2018

9,651

29,603

10,077

464

0

0

0

49,795

2019

457

29,603

10,077

464

7,169

1,531

494

49,795

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

4,002

0

1983

3,830

0

1984

3,658

0

1985

3,486

0

1986

3,314

2

1987

3,683

3

1988

3,321

580

1989

2,959

1,292

1990

2,905

1,658

1991

2,850

2,122

1992

3,180

2,741

1993

3,342

2,885

1994

3,366

3,367

1995

3,375

3,842

1996

3,185

5,207

1997

2,899

6,199

1998

2,830

5,708

1999

272

8,024

2000

269

8,287

2001

212

8,550

2002

173

8,550

0

2003

173

8,688

2004

129

8,256

2005

190

8,601

0

2006

127

8,283

0

2007

151

8,089

0

2008

81

7,987

45

2009

0

8,535

45

2010

0

8,593

2011

0

39,838

2012

0

39,838

2013

0

36,600

2014

0

36,600

2015

0

45,115

0

2016

0

2017

0

2018

0

49,589

0

2019

0

49,589

0

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

Medicaid Authority

Average Spending Per Person

Waiver+ (all)

$39,991

Waiver+ 22+ years

$44,265

Waiver+ 0 to 21 years

$32,052

Waiver+ 22+ years not family home

$58,846

Waiver+ 0 to 21 years not family home

$40,222

Waiver+ 22+ years family home

$24,745

Waiver+ 0 to 21 years family home

$30,975

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 Michigan

Michigan began reporting the number of 1915(b/c) waiver recipients in FY 2011 accounting for the jump in waiver recipients for that year. Nursing home data are from AHCA (2019c). People who received state-funded non-Medicaid LTSS received Medicaid-covered services during a period of non-coverage, such as spenddown.