RISP State Profiles FY 2019

West 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

875

203

549

474

411

0

2,512

1999

0

875

203

549

474

428

0

2,529

2000

0

875

203

549

474

428

0

2,529

2001

0

1,260

232

340

646

413

59

2,950

2002

0

1,887

440

328

193

557

81

3,486

2003

0

1,935

747

329

214

535

59

3,819

2004

0

2,301

723

388

298

555

59

4,324

2005

0

2,343

737

335

298

555

59

4,327

2006

0

2,414

730

309

368

498

47

4,366

2007

0

2,488

753

312

386

500

47

4,486

2008

0

2,714

753

258

389

500

47

4,661

2009

0

2,714

753

258

389

500

47

4,661

2010

0

2,846

753

165

389

500

47

4,700

2011

268

2,920

766

161

391

514

0

5,019

2012

2,994

779

156

1,344

383

0

5,338

2013

0

3,027

792

105

1,248

284

39

5,495

2014

0

3,051

805

103

1,326

810

0

6,095

2015

0

3,051

818

103

1,238

425

0

5,635

2016

2,021

2,077

831

214

5,143

2017

0

3,438

857

214

651

0

0

5,160

2018

0

2,218

857

214

1,436

425

0

5,150

2019

0

3,205

857

190

1,456

400

0

6,108

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

176

0

1983

198

0

1984

221

22

1985

243

55

1986

265

55

1987

417

124

1988

590

124

1989

762

224

1990

721

316

1991

680

413

1992

699

513

1993

640

637

1994

640

803

1995

598

1,121

1996

588

1,337

1997

574

1,441

270

1998

454

1,679

270

1999

444

1,851

344

2000

444

1,945

218

2001

514

2,396

2002

515

2,796

2003

515

3,139

481

2004

515

3,596

119

2005

515

3,648

210

2006

477

3,736

82

2007

477

3,852

376

2008

477

3,891

137

2009

477

4,334

154

2010

477

4,412

409

2011

495

4,425

525

2012

562

4,447

646

2013

565

4,492

832

0

2014

553

5,079

977

0

2015

509

5,079

977

0

2016

509

4,634

1,274

0

2017

514

4,514

1,274

0

2018

517

4,634

1,229

0

2019

492

5,616

1,032

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$139,630

Waiver+ (all)

$53,265

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 West Virginia

ICF/IID and nursing home data are from AHCA (2019a; 2019c).