RISP State Profiles FY 2019

Nebraska

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

214

826

157

1,025

287

646

3,155

1999

130

225

820

156

1,197

228

641

3,397

2000

0

233

841

168

1,448

309

639

3,638

2001

0

220

812

161

1,448

309

619

3,569

2002

0

245

850

173

1,448

309

633

3,658

2003

33

195

840

189

1,391

130

608

3,386

2004

0

187

706

216

1,409

172

599

3,667

2005

44

210

779

244

1,427

213

607

3,524

2006

154

348

777

274

1,563

131

593

3,840

2007

128

427

749

327

1,580

102

573

3,886

2008

402

471

764

415

1,446

100

501

4,099

2009

408

491

952

384

1,190

69

418

3,912

2010

260

904

1,132

404

1,544

79

402

4,476

2011

193

1,165

1,428

558

1,559

69

405

5,218

2012

336

1,130

1,322

574

1,526

113

380

5,396

2013

2

1,347

1,330

708

1,610

100

345

5,477

2014

19

1,302

1,385

730

1,351

172

333

5,324

2015

27

1,426

1,373

705

1,353

191

331

5,433

2016

1

1,928

1,220

741

1,259

163

338

5,684

2017

0

2,148

1,177

845

1,148

140

308

5,766

2018

0

2,148

1,177

845

1,148

140

308

5,766

2019

2,395

1,237

1,080

120

304

5,136

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

980

0

1983

950

0

1984

921

0

1985

891

0

1986

861

0

1987

808

0

1988

782

553

1989

756

540

1990

738

658

1991

719

683

1992

739

710

1993

721

991

1994

694

1,257

1995

678

1,169

1996

650

1,834

843

1997

643

2,010

1,219

1998

655

2,124

1,219

1999

650

2,252

705

2000

648

2,307

651

2001

628

2,398

519

2002

642

2,419

578

2003

617

2,769

709

2004

608

2,983

1,260

2005

616

2,908

1,227

2006

602

3,238

1,445

2007

582

3,304

1,582

2008

510

3,589

1,914

2009

184

3,728

2,059

2010

412

4,000

1,639

2011

438

4,229

1,863

2012

433

4,531

1,875

2013

391

4,687

1,775

2014

392

4,836

1,811

2015

394

4,656

1,838

2016

393

4,686

2,149

0

2017

348

4,592

1,766

0

2018

348

4,666

1,184

0

2019

345

4,780

1,742

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$168,963

Waiver+ (all)

$68,801

Waiver+ 22+ years

$68,677

Waiver+ 0 to 21 years

$70,624

Waiver+ 22+ years not family home

$105,591

Waiver+ 0 to 21 years not family home

$110,745

Waiver+ 22+ years family home

$32,076

Waiver+ 0 to 21 years family home

$28,064

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 Nebraska

Nebraska is not able to distinguish people living in their own or family homes, so they are reported together as living in unknown settings. A significant factor that decreased the number of LTSS recipients living in family homes was a change in level of care eligibility requirements. In-home residential/adult companion services were replaced by supported family living, which became eligible for the day waiver and led to more people living with family to receive services. A policy change also allowed family members (not parents/guardians) to become DSPs, leading to more LTSS enrollees to live with family. Some people reported as living in unknown settings were living in family homes or their own homes but were not coded as such until after FY 2019. State-funded non-Medicaid LTSS in FY 2019 expenditures were supplemental funding given to waiver recipients. Beatrice State Development Center houses four separately licensed ICF/IID buildings on a campus. From FY 2011 to FY 2016, each building was reported as a separate facility.