RISP State Profiles FY 2019

Mississippi

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

402

130

0

337

441

2,051

3,361

1999

0

640

104

0

344

502

2,074

3,664

2000

124

157

93

0

307

617

2,039

3,337

2001

0

1,538

275

0

334

646

2,021

4,814

2002

0

1,433

224

0

348

650

2,018

4,673

2003

0

1,904

323

21

472

666

2,056

5,442

2004

0

2,119

187

2

531

705

2,037

5,581

2005

0

1,378

127

0

560

718

2,036

4,819

2006

0

1,599

120

0

570

688

2,021

4,998

2007

0

1,731

153

0

547

708

1,988

5,127

2008

0

1,666

87

0

502

714

2,025

4,994

2009

0

1,686

80

0

729

710

2,048

5,065

2010

834

1,693

60

0

170

66

2,036

4,859

2011

1,076

1,011

60

0

164

66

2,093

4,470

2012

1,161

1,087

15

0

94

66

2,173

4,596

2013

244

1,291

26

0

412

605

1,944

4,522

2014

905

1,496

26

0

471

605

1,139

4,642

2015

0

1,700

26

0

940

717

1,778

5,161

2016

733

1,755

45

0

823

646

1,005

5,007

2017

0

2,382

78

0

889

543

1,621

4,830

2018

0

2,512

174

0

819

515

1,585

5,605

2019

0

2,551

179

0

1,064

503

1,712

6,009

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

1,614

0

1983

1,604

0

1984

1,593

0

1985

1,583

0

1986

1,572

0

1987

1,678

0

1988

1,633

0

1989

1,588

0

1990

1,704

0

1991

1,820

0

1992

1,825

0

1993

2,038

0

1994

2,077

0

1995

2,059

0

1996

2,126

65

1997

2,256

231

1998

2,351

413

1999

2,432

550

2000

2,487

850

2001

2,519

1,720

2002

2,534

1,673

2003

2,612

1,908

2004

2,640

2,030

2005

2,655

1,940

2006

2,630

1,838

2007

2,601

1,978

2008

2,623

1,975

2009

2,644

1,974

2010

2,605

1,888

2011

2,661

1,809

2012

2,765

1,831

2013

2,514

2,008

2014

2,433

2,209

2015

2,432

2,296

1,828

2016

1,614

2,493

1,441

2017

1,486

2,690

1,437

660

2018

2,125

2,638

1,794

903

2019

2,253

2,715

2,095

850

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$106,600

State Plan HCBS

$10,957

Waiver+ (all)

$44,525

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 Mississippi

The number of waiver recipients living in group homes was estimated for FY 2019. The reported number of people receiving waiver supports while living in their own homes includes some people living in group homes due to how Mississippi organizes their data. In 2018, MS stopped providing state-operated services other than case management funded by Medicaid 1915(c) and 1915(i) funding authorities. To ensure Conflict-Free Case Management, people previously receiving state-operated IDD Waiver-funded residential services were transferred to Certified Private Providers except for those living in one state-operated facility. Four of the five large state-operated ICF/IID facilities also provide IDD Waiver Support Coordination (case management) and 1915(i) Targeted Case Management. Setting counts are estimates as Mississippi’s data counted setting size based on licensed capacity, not number of residents living there. The total number of LTSS recipients living with a family member increased as more people began using supports funded by the Medicaid 1915(j) funding authority. People receiving services in family homes were estimated. For 2018 and 2019, Mississippi only provided ICF/IID expenditure data on state-operated ICF/IIDs (the only ICF/IIDs under the DD agency’s supervision). Nursing home data and nonstate ICF/IID data are from AHCA (2019c).