RISP State Profiles FY 2019

Virginia

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

1,516

655

256

1,140

450

2,952

6,969

1999

0

1,516

655

256

1,140

450

2,952

6,969

2000

0

2,896

1,463

430

1,320

464

2,768

9,342

2001

101

2,064

1,348

355

1,502

479

2,583

8,431

2002

980

5,090

1,157

410

1,682

493

2,399

12,210

2003

377

3,157

1,132

464

1,863

507

2,215

9,714

2004

3,845

1,364

788

2,043

521

2,030

10,402

2005

6,067

1,735

351

2,224

536

1,846

12,556

2006

0

7,826

1,517

752

2,405

550

1,661

14,711

2007

0

9,584

1,569

739

2,585

564

1,477

16,518

2008

0

9,594

1,569

739

2,585

564

1,420

16,471

2009

0

9,663

1,436

564

2,324

378

2,709

17,074

2010

0

1,071

1,656

578

2,333

411

2,646

8,695

2011

0

1,844

1,692

726

2,339

587

2,629

9,817

2012

3,330

1,445

1,235

801

2,538

594

1,080

11,023

2013

11

1,445

209

1,285

3,000

1,060

963

7,973

2014

3,247

216

1,373

3,347

1,097

813

10,069

2015

0

3,252

252

1,491

3,705

1,010

654

10,364

2016

2

3,871

230

3,734

3,848

990

534

13,209

2017

0

3,871

1,171

3,733

3,798

880

471

13,393

2018

7,385

4,296

807

2,176

0

0

271

14,935

2019

0

6,047

1,041

1,750

5,081

735

190

14,844

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

3,616

0

1983

3,504

0

1984

3,393

0

1985

3,281

0

1986

3,169

0

1987

3,018

0

1988

2,926

0

1989

2,834

0

1990

2,758

0

1991

2,682

326

1992

2,743

537

1993

2,669

537

1994

2,466

715

1995

2,356

1,126

1996

2,357

1,453

1997

2,225

1,764

2,897

1998

2,109

3,138

2,897

1999

2,025

3,579

924

2000

1,868

4,635

1,316

2001

1,899

5,043

1,375

2002

1,885

5,491

1,876

2003

1,834

5,737

2,921

2004

1,837

5,892

1,631

2005

1,805

6,759

2,028

2006

1,742

6,991

2007

1,684

7,523

2008

1,627

8,106

5,076

2009

1,606

8,662

4,306

2010

1,531

8,866

4,395

2011

1,431

9,198

4,152

2012

1,326

9,754

4,649

2013

10,282

6,672

2014

992

11,096

8,576

2015

782

12,422

10,339

2016

470

17,176

10,877

2017

658

12,511

11,691

0

2018

693

13,100

12,774

0

2019

616

14,343

13,080

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$303,184

Waiver+ (all)

$68,191

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 Virginia

Data on nonstate Medicaid Waiver-funded settings and Waiver expenditures are from a Kaiser Family Foundation Report (O’Malley Watts et al., 2020). The Southwest Virginia Training Center and Central Virginia Training Center closed in February, 2019.