RISP State Profiles FY 2019

Wisconsin

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

1,529

6,547

3,912

2,271

761

884

3,029

18,933

1999

841

5,630

4,911

2,408

814

814

2,899

18,317

2000

0

5,633

5,062

2,578

780

807

2,840

17,700

2001

1,817

6,314

4,859

2,798

817

845

2,696

20,144

2002

0

5,657

4,527

2,693

853

882

2,551

17,163

2003

0

5,638

5,344

3,216

956

985

2,286

18,425

2004

0

5,678

5,254

3,303

986

1,027

2,041

18,289

2005

0

5,677

2,152

3,390

1,016

1,083

1,755

15,073

2006

3,467

5,689

2,230

2,341

2,939

2,728

1,310

20,704

2007

6,824

5,897

1,857

3,155

2,248

1,128

20,389

2008

193

7,958

2,607

1,372

3,370

1,768

946

18,214

2009

1,085

8,038

2,796

1,728

2,869

2,065

798

19,379

2010

0

7,663

5,823

1,280

2,858

2,040

722

20,386

2011

0

7,663

5,823

1,280

2,858

2,040

722

20,386

2012

128

11,524

4,307

4,972

2,465

28

867

24,291

2013

6

13,904

5,444

5,367

2,596

31

846

28,194

2014

140

21,393

5,320

5,735

2,561

22

769

35,939

2015

1,684

23,994

5,841

6,102

2,662

13

689

40,985

2016

25,399

6,147

6,276

2,750

679

2017

16

26,701

6,512

6,718

3,283

8

914

44,152

2018

19

29,539

7,017

6,842

3,612

8

386

47,423

2019

3,768

31,172

7,387

7,030

0

13

370

49,740

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

3,548

0

1983

3,581

0

1984

3,614

20

1985

3,647

56

1986

3,680

124

1987

3,378

190

1988

3,994

598

1989

4,609

913

1990

4,368

1,302

1991

4,126

1,643

1992

4,110

1,812

1993

3,887

2,017

1994

3,749

2,315

1995

3,519

3,382

1996

3,382

5,063

2,560

1997

3,187

6,558

2,255

1998

3,056

7,273

2,255

1999

2,899

8,375

2000

2,865

9,547

2,250

2001

2,748

10,686

2,415

2002

2,580

9,474

2003

2,315

10,615

2004

2,082

11,163

2005

1,822

12,987

2006

1,346

13,938

2007

1,059

12,504

2008

946

17,268

3,632

2009

847

17,424

4,057

2010

769

19,617

4,783

2011

769

19,617

4,783

2012

895

23,396

924

2013

877

27,317

2,252

0

2014

791

27,838

2,169

0

2015

702

29,895

1,890

0

2016

687

31,460

2,046

0

2017

922

33,060

322

2018

394

35,779

861

0

2019

383

39,064

572

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$297,421

Waiver+ (all)

$38,085

Waiver+ 22+ years

$44,121

Waiver+ 0 to 21 years

$9,610

Waiver+ 0 to 21 years not family home

$41,812

Waiver+ 0 to 21 years family home

$8,980

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 Wisconsin

Setting size information was not available for LTSS recipients living in their own home or in a non-state other setting. Until FY 2014, Wisconsin reported only Waiver recipients living in own home, family home and nonstate “Other” settings. Since then, all LTSS recipients living in nonstate settings (including group homes and host or foster family homes) have been reported. Some children with IDD in state-operated settings receive Medicaid State Plan funded services who are not on the DD agency caseload are included as LTSS recipients. Large state-operated IDD facilities in Wisconsin include Central Wisconsin Center in Madison and Southern Wisconsin Center in Union Grove. Though Northern Wisconsin Center was converted into a short-term stay facility in 2005, some residents may stay more than 90 days.