RISP State Profiles FY 2019

Tennessee

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

3,064

1,388

227

447

1,154

1,225

7,505

1999

0

3,950

1,557

247

400

1,154

1,119

8,427

2000

0

3,575

1,670

246

335

1,127

1,047

8,000

2001

26

3,409

1,866

235

344

1,100

992

7,935

2002

0

3,409

1,679

229

556

1,099

936

7,908

2003

0

3,367

1,865

217

733

964

881

8,027

2004

0

3,290

2,172

218

644

925

830

8,079

2005

0

3,363

2,420

240

680

892

806

8,401

2006

0

3,901

2,718

286

636

879

763

9,183

2007

15

3,702

2,907

312

567

827

699

9,029

2008

19

3,668

3,079

306

571

781

656

9,080

2009

0

3,655

3,189

301

537

763

565

9,010

2010

682

3,288

3,347

317

619

649

528

9,401

2011

82

2,874

3,273

323

797

745

849

8,930

2012

97

2,928

3,647

338

694

733

351

8,788

2013

0

2,788

3,807

336

868

656

253

8,708

2014

15

2,737

3,982

344

826

668

226

8,798

2015

0

7,082

4,077

376

819

732

196

13,282

2016

0

7,329

4,173

435

849

641

131

13,558

2017

0

7,292

4,084

462

913

634

73

13,458

2018

0

6,991

3,986

476

931

600

76

13,060

2019

3,860

625

5,693

516

70

10,764

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

2,377

0

1983

2,386

0

1984

2,394

0

1985

2,403

0

1986

2,411

0

1987

2,198

213

1988

2,187

351

1989

2,175

474

1990

2,278

581

1991

2,380

579

1992

2,399

704

1993

2,328

587

1994

2,350

964

1995

2,219

1,399

1996

2,028

3,021

659

1997

1,900

3,293

1998

1,709

3,823

1999

1,603

4,315

2000

1,511

4,311

910

2001

1,456

4,537

2,351

2002

1,460

4,340

2003

1,398

4,430

2004

1,332

4,516

1,442

2005

1,330

4,836

1,491

2006

1,287

6,962

1,503

2007

1,223

7,244

1,170

2008

1,180

7,467

1,572

2009

1,089

7,548

856

2010

1,088

7,580

1,158

2011

1,640

7,624

1,685

2012

1,108

7,680

1,654

2013

1,007

7,695

7,165

2014

999

7,799

6,494

2015

1,020

7,878

6,277

2016

937

8,090

5,769

0

2017

997

8,137

0

2018

1,032

7,835

0

0

2019

948

10,556

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$198,247

Waiver+ (all)

$72,748

Waiver+ 22+ years

$78,894

Waiver+ 0 to 21 years

$24,237

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 Tennessee

The caseload does not include 2,337 people ages 0-21 years and 2,141 people 22 years or older who get state funded LTSS. Tennessee stopped accepting applications its 1915(c) Waiver on June 30, 2016 and no longer maintains a waiting list for 1915(c) Waiver-funded services. People on the referral list for services under the 1115 Waiver have not been screened for eligibility.