RISP State Profiles FY 2019

Wyoming

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

501

313

45

354

91

128

1,432

1999

0

582

342

63

323

87

120

1,517

2000

0

510

292

69

350

67

106

1,394

2001

0

652

60

59

638

75

103

1,587

2002

121

588

52

89

553

104

106

1,613

2003

0

712

138

104

438

130

95

1,617

2004

0

707

130

107

521

111

103

1,679

2005

188

748

102

142

500

125

120

1,925

2006

206

827

112

157

553

138

128

2,121

2007

26

733

181

209

833

96

94

2,172

2008

0

704

195

209

877

97

82

2,164

2009

0

910

181

94

872

42

82

2,181

2010

0

933

253

84

771

87

83

2,211

2011

0

948

264

59

778

103

82

2,234

2012

33

744

216

63

1,036

91

79

2,262

2013

881

932

202

110

2,125

2014

1,045

885

155

67

2,152

2015

721

1,002

390

65

2,178

2016

709

1,092

428

58

2,287

2017

643

1,144

456

50

0

0

69

2,362

2018

679

1,120

476

52

0

0

67

2,394

2019

648

1,114

496

40

0

0

63

2,361

Medicaid Recipients by Funding Authority 1982 through 2019

Year

ICF/IID Residents

Waiver+ Recipients

Waiting for Medicaid Waivers

State Plan HCBS

1982

0

0

1983

0

0

1984

0

0

1985

0

0

1986

0

0

1987

0

0

1988

0

0

1989

0

0

1990

30

0

1991

60

125

1992

90

318

1993

90

459

1994

156

565

1995

147

719

1996

145

864

160

1997

139

916

0

1998

128

1,054

0

1999

120

1,112

0

2000

106

1,226

0

2001

103

1,354

0

2002

106

1,507

5

2003

95

1,522

22

2004

93

1,576

16

2005

88

1,837

0

2006

89

2,032

0

2007

93

2,079

21

2008

82

2,082

55

2009

2,099

115

2010

83

2,128

120

2011

82

2,152

169

0

2012

79

2,150

387

0

2013

90

2,035

587

0

2014

2,073

513

0

2015

70

2,110

317

0

2016

67

2,360

182

0

2017

62

2,401

182

0

2018

59

2,394

259

0

2019

52

2,356

395

0

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

Medicaid Authority

Average Spending Per Person

ICF/IID (all)

$264,012

Waiver+ (all)

$46,838

Waiver+ 22+ years

$57,788

Waiver+ 0 to 21 years

$19,108

Waiver+ 22+ years not family home

$57,790

Waiver+ 0 to 21 years not family home

$19,118

Waiver+ 22+ years family home

$57,783

Waiver+ 0 to 21 years family home

$19,107

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 Wyoming

Nonstate “Other” settings include an educational cooperative that provides both day and residential services to children with IDD ages 5 to 21 years. Nursing home data are from AHCA (2019c). In FY 2019, the waiver reimbursement increased as a result of rate rebasing. State-funded, non-Medicaid LTSS fluctuate greatly from year to year depending on requests for funding and availability of the funding. This year, requests were higher therefore expenditures were higher.