RISP State Profiles FY 2019

Montana

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

1,670

512

189

196

488

133

3,188

1999

17

2,015

466

204

285

488

130

3,605

2000

0

2,386

100

207

488

488

130

4,022

2001

0

2,390

100

207

736

488

121

4,042

2002

0

2,450

102

211

742

488

119

4,112

2003

0

2,330

441

189

435

459

108

3,962

2004

0

2,190

568

179

457

429

93

3,916

2005

0

2,068

586

181

512

398

79

3,824

2006

13

2,208

570

206

528

375

72

3,972

2007

0

2,275

634

210

553

397

67

4,136

2008

0

2,386

621

221

742

402

67

4,282

2009

0

2,418

621

221

585

402

64

4,311

2010

55

2,400

650

240

580

400

0

4,345

2011

12

2,400

750

210

400

450

53

4,275

2012

80

800

100

42

1,311

415

55

2,803

2013

663

750

100

45

510

632

53

2,753

2014

663

670

150

43

541

632

51

2,750

2015

500

710

100

50

713

725

55

2,853

2016

395

1,014

143

47

632

300

42

2,573

2017

928

1,014

143

47

0

12

0

2,144

2018

1,840

46

434

433

0

2,753

2019

1,831

46

449

387

0

2,713

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

290

21

1983

284

44

1984

278

69

1985

272

78

1986

266

192

1987

253

210

1988

252

286

1989

250

274

1990

224

276

1991

197

355

1992

170

444

1993

165

504

1994

171

546

1995

165

646

1996

165

807

536

1997

148

891

260

1998

141

931

260

1999

138

929

274

2000

130

1,206

200

2001

121

1,235

486

2002

119

1,452

497

2003

108

1,685

544

2004

93

1,917

563

2005

79

2,023

560

2006

72

2,058

642

2007

54

2,242

618

2008

55

2,268

490

2009

52

2,273

598

2010

2,330

691

2011

53

2,720

586

2012

55

2,668

635

2013

67

2,686

676

2014

51

2,699

705

2015

55

2,798

953

2016

40

2,533

1,233

2017

12

2,796

1,233

0

2018

1

2,740

0

2019

0

2,656

0

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

Medicaid Authority

Average Spending Per Person

Waiver+ (all)

$45,853

Waiver+ 22+ years

$49,281

Waiver+ 0 to 21 years

$21,441

Waiver+ 22+ years not family home

$58,582

Waiver+ 0 to 21 years not family home

$68,007

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 Montana

New data availability for the Part C program allowed for more accurate reporting on youth on the caseload but not receiving LTSS in FY 2019. People reported in nonstate-operated “other” settings includes people in supported living and assisted living. Decreases in waiver expenditures for people ages birth to 21 years were due to the Autism waiver being phased out. Montana’s last state-operated ICF/IID closed in FY 2018.