RISP State Profiles FY 2019

Vermont

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

761

149

741

117

0

0

1,768

1999

103

773

183

747

111

0

0

1,917

2000

0

1,003

147

813

103

0

0

2,066

2001

0

963

145

811

106

0

0

2,025

2002

0

1,096

166

875

99

0

0

2,236

2003

0

1,179

165

909

99

0

0

2,352

2004

0

1,258

185

952

111

0

0

2,506

2005

0

1,285

184

979

115

0

0

2,563

2006

0

1,354

188

1,048

123

0

0

2,713

2007

1

1,433

193

1,083

128

0

0

2,838

2008

0

1,527

215

1,143

121

0

0

3,006

2009

-2

1,604

234

1,196

124

0

0

3,156

2010

-47

1,681

236

1,237

131

0

0

3,238

2011

-64

1,758

241

1,270

127

0

0

3,332

2012

0

1,835

248

1,300

137

0

0

3,520

2013

607

1,900

283

1,307

148

0

0

4,245

2014

616

1,915

321

1,330

141

0

0

4,327

2015

430

2,124

359

1,352

143

0

0

4,408

2016

425

2,195

376

1,340

150

0

0

4,486

2017

231

2,237

546

1,360

150

0

0

4,524

2018

253

2,292

543

1,376

148

0

0

4,612

2019

219

2,295

527

1,410

142

0

0

4,593

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

385

0

1983

354

11

1984

323

74

1985

292

116

1986

261

234

1987

238

196

1988

237

248

1989

236

280

1990

225

323

1991

214

485

1992

146

413

1993

79

598

1994

42

722

1995

41

913

1996

15

1,107

23

1997

12

1,372

8

1998

12

1,485

8

1999

12

1,540

12

2000

12

1,684

7

2001

12

1,796

0

2002

12

1,844

0

2003

6

1,896

0

2004

6

1,957

0

2005

6

2,003

0

2006

6

2,102

0

2007

6

2,200

0

2008

6

2,270

0

2009

6

2,372

0

2010

6

2,460

0

2011

6

2,539

0

2012

6

2,649

0

2013

6

2,770

0

2014

6

2,833

0

2015

6

2,917

0

0

2016

6

3,010

0

0

2017

6

3,070

0

0

2018

6

3,166

0

0

2019

6

3,188

0

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$188,701

Waiver+ (all)

$68,357

Waiver+ 22+ years

$68,716

Waiver+ 0 to 21 years

$65,116

Waiver+ 22+ years not family home

$75,350

Waiver+ 0 to 21 years not family home

$83,189

Waiver+ 22+ years family home

$47,654

Waiver+ 0 to 21 years family home

$48,535

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 Vermont

People receiving state-funded, non-Medicaid LTSS represent an unduplicated count of people getting Flexible Family Funding, Family Managed Respite, Bridge Program, and TCM. Waiver recipients are reported based on how many received services on June 30, 2019 rather than the full FY.