RISP State Profiles FY 2019

Texas

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

3,293

491

6,005

853

7,856

18,498

1999

0

2,501

1,821

903

7,341

796

7,688

21,050

2000

0

1,798

2,282

1,053

7,265

582

7,961

20,941

2001

693

1,920

2,260

1,435

7,330

585

7,831

20,561

2002

0

3,032

2,813

1,637

7,713

559

7,320

23,074

2003

0

3,504

2,665

1,939

7,465

713

6,926

23,212

2004

0

2,608

2,673

2,809

7,933

679

6,855

23,557

2005

10

3,277

2,396

3,158

8,153

689

6,568

24,251

2006

3,895

2,593

4,150

8,176

682

6,415

25,615

2007

4,505

2,790

5,141

8,513

668

6,256

27,767

2008

5,026

3,056

6,133

8,854

625

6,041

29,586

2009

4,947

3,118

7,124

9,386

617

5,690

30,587

2010

636

5,080

2,819

8,116

10,018

567

5,057

32,291

2011

5,551

2,519

9,107

10,787

559

4,585

32,495

2012

2,851

9,238

2,220

10,099

11,273

555

4,361

40,596

2013

0

9,645

4,316

11,090

12,357

551

4,047

42,006

2014

926

10,397

2,936

10,637

11,886

553

3,738

41,073

2015

0

10,944

3,648

12,094

12,151

533

3,521

42,891

2016

0

11,436

3,894

13,070

12,362

502

3,368

44,632

2017

13

11,571

3,821

13,624

12,770

473

3,249

45,521

2018

1,182

11,287

3,623

13,698

12,788

469

3,199

46,246

2019

1,589

10,886

3,423

13,800

12,712

429

3,119

45,958

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

13,959

0

1983

13,482

0

1984

13,004

0

1985

12,527

0

1986

12,049

70

1987

12,211

70

1988

12,146

412

1989

12,081

417

1990

11,426

485

1991

10,771

973

1992

11,187

968

1993

12,143

968

1994

13,742

1,564

1995

12,772

2,728

1996

13,224

3,658

1997

12,985

4,753

172

1998

12,832

5,666

172

1999

12,942

6,058

2000

13,453

6,406

4,199

2001

13,257

7,304

5,723

2002

12,684

7,873

3,206

2003

12,406

8,471

4,224

2004

12,300

11,247

6,353

2005

11,924

12,317

2006

11,616

13,999

2007

11,447

16,301

2008

11,177

18,409

2009

10,792

19,795

2010

10,044

22,247

2011

9,626

24,935

2012

9,467

29,193

2013

9,025

29,939

2014

9,626

31,447

2015

8,193

34,623

2016

7,886

36,671

2017

7,939

37,582

819

2018

7,872

39,285

1,178

2019

7,522

39,046

1,589

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$122,868

State Plan HCBS

$10,919

Waiver+ (all)

$37,545

Waiver+ 22+ years

$38,097

Waiver+ 0 to 21 years

$34,857

Waiver+ 22+ years not family home

$39,694

Waiver+ 0 to 21 years not family home

$39,094

Waiver+ 22+ years family home

$35,330

Waiver+ 0 to 21 years family home

$32,241

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 Texas

Texas’s reported data is from August 31 rather than June 30 as that is the end of their state fiscal year. All ICF/IID settings in the 1-6 people size category are licensed for six people. Nursing home data are from AHCA (2019c).