RISP State Profiles FY 2019

Nevada

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

2

1,121

453

64

137

27

169

1,973

1999

45

1,336

460

51

126

54

165

2,237

2000

0

1,447

707

47

120

39

140

2,500

2001

0

1,684

831

45

117

15

136

2,828

2002

0

1,768

941

27

122

15

131

3,004

2003

0

1,927

976

24

122

15

108

3,172

2004

1

2,182

1,269

24

120

15

100

3,711

2005

200

2,418

1,093

39

90

0

107

3,947

2006

59

2,515

1,090

76

36

0

94

3,870

2007

41

2,595

1,232

77

34

0

84

4,063

2008

54

3,120

1,412

86

36

0

69

4,777

2009

58

3,440

1,305

81

35

0

65

4,984

2010

2

3,621

1,348

70

34

0

107

5,182

2011

0

3,658

1,509

105

7

0

144

5,438

2012

95

3,826

1,530

75

14

6

152

5,716

2013

0

3,879

1,597

71

9

0

170

5,762

2014

0

4,122

1,635

80

0

0

174

6,046

2015

0

4,371

1,662

85

0

0

181

6,332

2016

0

4,595

1,642

125

0

0

192

6,580

2017

0

4,745

1,621

193

25

0

206

6,790

2018

0

4,852

1,841

170

27

0

159

7,049

2019

0

5,020

1,815

203

43

0

86

7,167

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

175

0

1983

177

34

1984

178

80

1985

180

90

1986

181

108

1987

188

129

1988

187

117

1989

185

136

1990

199

133

1991

212

135

1992

146

136

1993

208

186

1994

205

172

1995

214

278

1996

232

361

115

1997

275

374

164

1998

286

392

164

1999

295

800

274

2000

252

795

188

2001

246

1,090

198

2002

242

1,083

175

2003

219

1,040

246

2004

209

1,294

299

2005

197

1,326

407

2006

130

1,373

325

2007

118

1,372

481

2008

105

1,591

541

2009

100

1,567

352

2010

101

1,628

109

2011

103

1,656

136

2012

104

1,652

188

2013

100

1,719

620

2014

100

1,877

739

2015

98

1,941

712

2016

91

2,033

752

0

2017

91

2,152

745

0

2018

84

2,219

466

0

2019

82

2,314

82

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$182,214

Waiver+ (all)

$54,017

Waiver+ 22+ years

$53,496

Waiver+ 0 to 21 years

$60,843

Waiver+ 22+ years not family home

$72,217

Waiver+ 0 to 21 years not family home

$76,463

Waiver+ 22+ years family home

$16,215

Waiver+ 0 to 21 years family home

$15,471

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 Nevada

The non-state “other” category includes assisted living, correctional, emergency housing, hospital, rehabilitative training center, and transitional housing settings as well as people experiencing homelessness.