RISP State Profiles FY 2019

South Carolina

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

7,491

628

125

1,217

1,093

1,370

11,924

1999

0

11,496

625

117

1,422

1,084

1,228

15,972

2000

0

12,258

641

123

1,604

1,028

1,193

16,847

2001

0

12,634

624

118

1,794

1,012

1,134

17,316

2002

0

14,172

617

144

1,805

900

1,066

18,704

2003

0

14,320

607

134

1,853

992

1,034

18,940

2004

0

12,571

593

135

1,899

965

963

17,126

2005

0

13,306

569

141

1,953

910

933

17,812

2006

0

12,443

591

146

2,027

889

893

16,989

2007

0

12,711

630

145

2,178

871

971

17,506

2008

996

12,635

660

144

2,319

885

841

18,480

2009

12,559

662

142

2,385

886

810

16,853

2010

12,483

668

139

2,366

897

767

17,075

2011

823

12,407

676

147

2,362

893

763

18,071

2012

206

12,427

668

160

2,385

890

745

17,481

2013

662

12,361

159

2,442

891

721

17,236

2014

0

12,735

663

164

2,465

865

701

17,593

2015

1

13,437

664

172

2,549

867

673

18,363

2016

2

14,457

690

172

2,637

855

666

19,479

2017

0

15,685

704

168

2,720

850

657

20,784

2018

0

16,062

696

179

2,698

836

672

21,143

2019

0

17,833

688

187

2,739

824

673

22,944

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

2,665

0

1983

2,774

0

1984

2,883

0

1985

2,991

0

1986

3,100

0

1987

3,300

0

1988

3,266

0

1989

3,231

0

1990

3,228

0

1991

3,224

0

1992

3,261

471

1993

3,232

586

1994

3,111

966

1995

2,917

1,475

1996

2,740

2,074

1,339

1997

2,555

3,412

1,492

1998

2,439

3,701

1,492

1999

2,254

4,073

1,532

2000

2,176

4,370

1,513

2001

2,077

4,346

1,531

2002

1,992

4,410

420

2003

1,930

4,471

1,728

2004

1,820

5,041

1,789

2005

1,712

4,774

1,768

2006

1,610

4,895

1,941

2007

1,615

5,186

1,923

2008

1,477

5,652

1,954

2009

1,445

5,768

2,022

2010

1,396

7,719

335

2011

1,359

7,670

302

2012

1,313

8,394

295

2013

1,261

8,527

9,050

2014

1,206

8,646

6,903

2015

1,184

9,591

6,150

2016

1,165

10,288

4,426

2017

1,158

10,929

6,094

2018

1,171

10,759

8,986

2019

1,153

10,884

15,340

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$129,762

Waiver+ (all)

$38,964

Waiver+ 22+ years

$38,950

Waiver+ 0 to 21 years

$39,018

Waiver+ 22+ years not family home

$39,018

Waiver+ 0 to 21 years not family home

$39,018

Waiver+ 22+ years family home

$39,018

Waiver+ 0 to 21 years family home

$39,018

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 South Carolina

Own home settings could only be reported by the number of contracts held. There is no way to determine through the data the number of people served through each contract. Nursing home data are from AHCA (2019c).