RISP State Profiles FY 2019

North Dakota

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

159

292

991

50

204

478

254

2,428

1999

186

295

1,018

45

206

453

252

2,455

2000

201

393

966

38

201

495

267

2,561

2001

223

397

995

36

176

523

262

2,612

2002

194

424

1,017

31

177

533

264

2,640

2003

272

523

1,029

29

176

512

271

2,812

2004

533

1,022

27

198

515

200

2,473

2005

0

569

1,070

27

192

536

194

2,588

2006

0

585

1,100

26

208

500

185

2,604

2007

0

666

1,083

29

214

501

179

2,672

2008

0

715

1,093

29

219

501

168

2,725

2009

0

773

1,160

27

225

495

155

2,835

2010

0

907

1,267

27

251

487

145

3,084

2011

0

921

1,235

27

241

505

146

3,075

2012

100

1,225

1,126

20

241

520

124

3,356

2013

0

1,159

1,159

23

258

486

117

3,202

2014

0

1,037

1,241

24

268

469

116

3,155

2015

0

1,031

1,262

24

290

437

109

3,153

2016

0

1,252

1,276

18

322

409

106

3,383

2017

0

1,268

1,293

16

341

402

99

3,419

2018

0

2,928

1,338

14

364

415

98

5,157

2019

0

3,288

1,379

12

367

417

101

5,564

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

219

0

1983

384

0

1984

549

68

1985

713

439

1986

878

463

1987

888

724

1988

816

824

1989

743

1,063

1990

689

1,055

1991

634

1,163

1992

476

1,334

1993

618

1,362

1994

551

1,509

1995

561

1,637

1996

624

1,770

0

1997

609

1,792

0

1998

609

1,819

0

1999

580

1,875

0

2000

625

1,936

0

2001

622

1,990

0

2002

629

2,011

0

2003

625

2,187

0

2004

607

2,668

0

2005

610

3,077

0

2006

592

3,297

2007

593

3,535

2008

585

3,657

2009

584

3,805

0

2010

579

3,856

0

2011

576

3,897

0

2012

559

4,059

0

2013

539

4,000

0

2014

545

4,277

0

2015

463

4,613

0

2016

464

4,776

0

0

2017

539

4,956

0

0

2018

528

4,908

0

0

2019

537

5,095

0

62

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$192,518

State Plan HCBS

$26,072

Waiver+ (all)

$41,719

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 North Dakota