RISP State Profiles FY 2019

Minnesota

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

6,309

2,517

1,085

5,899

1,344

1,256

18,410

1999

119

7,201

2,136

1,151

6,320

1,256

1,056

19,239

2000

0

8,088

2,310

1,175

6,499

1,225

770

20,067

2001

0

10,703

2,289

1,322

6,583

1,183

841

22,921

2002

0

12,132

2,600

1,437

6,893

1,113

1,023

25,198

2003

443

13,410

2,615

1,457

7,024

1,124

969

27,042

2004

684

14,331

1,984

1,486

7,541

867

893

27,786

2005

0

15,231

2,092

1,507

7,742

1,027

838

28,437

2006

810

13,092

2,153

1,007

9,162

1,027

915

28,166

2007

0

13,574

2,213

1,001

9,322

955

979

28,044

2008

0

13,093

2,020

1,301

8,952

569

415

26,350

2009

305

14,372

2,320

949

9,661

543

379

28,529

2010

387

14,678

2,418

922

9,509

589

372

28,875

2011

664

14,801

2,510

913

9,534

621

357

29,400

2012

7,274

10,332

1,384

1,041

9,307

490

402

30,230

2013

5,872

11,003

2,716

1,168

9,461

452

387

31,059

2014

56

11,009

2,638

953

15,780

436

379

31,251

2015

55

11,232

2,294

664

16,477

422

330

31,474

2016

0

32,146

2017

6,280

12,696

3,320

818

9,338

354

250

33,056

2018

6,224

13,475

3,471

873

9,287

323

250

34,161

2019

6,130

14,447

3,575

900

9,259

260

247

34,818

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

6,899

0

1983

6,887

0

1984

6,876

0

1985

6,864

239

1986

6,852

570

1987

6,339

1,423

1988

6,054

1,896

1989

5,769

2,068

1990

5,543

2,184

1991

5,316

2,551

1992

5,202

2,890

1993

5,072

3,408

1994

4,838

4,385

1995

4,455

4,740

1996

3,826

5,422

1,064

1997

3,604

6,097

936

1998

3,419

6,710

936

1999

3,101

7,102

1,045

2000

2,775

7,948

1,277

2001

2,828

14,470

1,468

2002

2,756

14,735

2003

2,667

14,754

2004

2,570

14,599

2005

2,471

14,468

3,855

2006

2,519

14,291

2,363

2007

2,513

14,593

2,525

2008

1,832

14,563

2,641

2009

1,747

14,832

2,853

2010

1,758

15,353

3,243

2011

1,775

21,938

3,522

2012

1,719

18,963

2,718

2013

1,726

18,066

3,630

2014

1,685

18,185

3,575

2015

1,591

18,316

3,564

2016

1,554

19,185

2,680

2017

1,287

21,792

80

5,870

2018

1,183

21,792

29

5,792

2019

1,018

23,130

26

5,569

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$79,686

State Plan HCBS

$13,553

Waiver+ (all)

$72,395

Waiver+ 22+ years

$80,891

Waiver+ 0 to 21 years

$47,867

Waiver+ 22+ years not family home

$94,412

Waiver+ 0 to 21 years not family home

$125,736

Waiver+ 22+ years family home

$50,761

Waiver+ 0 to 21 years family home

$39,168

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 Minnesota

Non-state “Other” settings include Customized Living (Assisted Living) and Board and Lodging. Most Customized Living arrangements are Medicaid waiver-funded. In Minnesota, waiver-funded group homes are typically limited to four or fewer people (with certain exceptions allowing for five people). Claims data do not distinguish between settings of 1-3 and 4-6 people. There may be a few people on the IDD waiver waitlist who are enrolled in an alternative waiver program and residing in a foster care setting. Minnesota offers HCBS under state plan authorities 1905(a) and 1915(g). RISP did not collect information on these funding authorities, so people receiving these services were counted as receiving 1915(i) and 1915(k) services in the FY 2019 survey.