RISP State Profiles FY 2019

Washington

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

246

2,868

2,520

1,971

186

351

1,404

9,546

1999

1,812

3,253

3,295

2,025

176

385

1,275

12,221

2000

0

7,030

3,488

2,465

309

260

1,344

14,896

2001

0

9,910

3,471

2,866

281

336

1,141

18,005

2002

0

9,098

3,578

3,144

278

304

1,124

17,526

2003

0

9,656

3,352

3,069

276

266

1,057

17,676

2004

0

10,265

3,744

213

1,292

272

1,123

16,909

2005

0

12,994

3,724

214

1,753

307

1,201

20,193

2006

0

14,361

3,688

162

1,815

259

1,159

21,444

2007

0

13,725

3,641

157

1,881

194

1,215

20,813

2008

0

13,461

3,759

136

1,999

178

1,159

20,692

2009

0

13,961

3,732

120

2,057

157

1,102

21,129

2010

342

14,442

3,727

129

1,993

169

830

21,632

2011

1,261

13,471

3,646

119

1,944

170

823

21,434

2012

948

11,148

6,370

96

1,723

196

755

21,236

2013

0

10,075

6,307

891

2,123

284

1,092

20,772

2014

0

11,495

3,701

828

2,323

120

1,129

19,596

2015

0

12,385

3,951

877

2,172

229

941

20,555

2016

10

13,532

6,089

203

294

27

700

20,855

2017

176

15,956

5,647

202

1,826

157

695

24,659

2018

1,202

15,026

13,024

633

2,798

1,468

717

34,868

2019

1,238

44,499

13,212

992

2,812

1,589

673

65,015

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

2,464

0

1983

2,497

0

1984

2,530

844

1985

2,562

998

1986

2,595

905

1987

2,539

886

1988

2,472

946

1989

2,405

1,084

1990

2,178

1,250

1991

1,951

1,736

1992

1,695

1,918

1993

1,650

1,711

1994

1,302

3,068

1995

1,284

3,361

1996

1,187

4,666

125

1997

1,126

6,643

1998

1,081

7,125

1999

1,280

8,165

0

2000

948

8,984

2001

904

9,413

2002

880

9,900

2003

839

10,165

2004

812

9,625

2005

796

9,461

2006

779

9,475

2007

767

9,317

2008

760

9,205

2009

760

10,831

2010

724

11,341

2011

690

11,644

2012

629

11,898

2013

862

12,197

1,081

2014

789

12,483

1,270

2015

766

12,892

1,033

2016

751

15,586

671

2017

738

16,900

0

16,298

2018

669

17,671

14,448

14,964

2019

653

18,891

13,476

15,753

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$294,376

State Plan HCBS

$22,434

Waiver+ (all)

$32,765

Waiver+ 22+ years

$42,673

Waiver+ 0 to 21 years

$5,146

Waiver+ 22+ years not family home

$73,876

Waiver+ 0 to 21 years not family home

$48,514

Waiver+ 22+ years family home

$7,917

Waiver+ 0 to 21 years family home

$1,803

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 Washington

The number of people with IDD in Own Home settings varies from year to year because data were not available for all funding authorities each year. Washington implemented Medicaid Community First Choice State Plan Services in FY 2016. Personal care services previously funded through a Medicaid Waiver are now funded through the Community First Choice State Plan option. Medicaid State Plan expenditures increased, and Medicaid Waiver expenditures decreased when the change was made. Expenditure data were provided for 428 of 653 ICF/IID recipients.