RISP State Profiles FY 2019

New Hampshire

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

5,613

324

879

441

59

25

7,341

1999

0

3,736

341

946

328

325

25

5,701

2000

0

165

359

952

397

0

24

1,897

2001

0

172

362

963

397

0

24

1,918

2002

0

168

407

917

402

28

25

1,947

2003

0

192

403

931

376

32

25

1,959

2004

0

383

404

987

353

48

25

2,200

2005

0

424

334

1,016

361

22

25

2,182

2006

20

434

344

1,016

365

27

5

2,211

2007

0

484

351

1,019

349

31

25

2,259

2008

0

551

484

926

351

19

25

2,356

2009

0

612

400

1,086

262

22

25

2,407

2010

506

434

1,139

379

22

25

2,511

2011

657

446

1,030

359

22

25

2,545

2012

924

478

933

289

12

25

2,749

2013

0

849

485

1,194

376

18

25

2,947

2014

0

902

488

1,204

349

18

25

2,986

2015

0

1,047

470

1,106

384

10

25

3,042

2016

3,017

25

3,042

2017

NaN

0

0

23

2018

6,436

6

0

20

6,462

2019

0

1,179

408

1,984

1,713

35

25

5,344

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

339

0

1983

329

0

1984

319

303

1985

309

409

1986

299

504

1987

204

541

1988

181

634

1989

158

762

1990

125

822

1991

91

955

1992

81

1,059

1993

74

1,032

1994

73

1,303

1995

72

1,570

1996

22

1,906

97

1997

23

2,063

234

1998

25

2,262

234

1999

25

2,276

208

2000

24

2,475

84

2001

24

2,750

94

2002

25

2,779

165

2003

25

2,835

173

2004

25

3,053

107

2005

25

3,154

119

2006

25

3,205

173

2007

25

3,339

268

2008

25

3,580

35

2009

25

4,108

208

2010

25

4,052

19

2011

25

4,467

24

2012

25

4,519

49

2013

25

4,179

242

2014

25

4,834

79

2015

25

5,235

79

2016

25

0

2017

23

2018

20

6,442

0

2019

25

7,127

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$165,124

Waiver+ (all)

$38,458

Waiver+ 22+ years

$51,722

Waiver+ 0 to 21 years

$8,595

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 New Hampshire

Some data on nonstate-operated settings and expenditures are taken from New Hampshire’s FY 2020 survey as their data system made several key improvements between completing the 2019 and 2020 surveys. Nursing home data are from AHCA (2019c).