Data Specifics Required by HEA 1102 February 23, 2018 Boonville, IN - - PowerPoint PPT Presentation

Data Specifics Required by HEA 1102

February 23, 2018 Boonville, IN 1

Definitions and Terms

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The Community Integration and Habilitation (CIH) Waiver is a needs based waiver requiring that specified criteria be met in order to be eligible for this

• waiver. This waiver has numerous residential options available to individuals

in addition to behavioral, day and therapy supports. This waiver was implemented in 2013 and replaced the Autism and Developmental Disabilities (DD) waivers. The Family Supports Waiver (FSW) has a spending cap of $17,300 per member per year. This waiver includes behavioral, day, some residential and therapy supports. This waiver has a waiting list. This wavier began as the Supports Service Waiver in 2001 and in 2013 was changed to the FSW. Supported Group Living (SGL), also know as group homes, is a residential

• ption and alternative to waiver placements for eligible individuals with

intellectual/developmental disabilities needing services.

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Services Provided - Waivers

• Case Management (received by all)
• Adult Day Services
• Behavioral Support Services
• Community Based Habilitation – Individual

(CHIO) and Group (CHG)

• Community Transition
• Electronic Monitoring
• Environmental Modifications
• Facility Based Habilitation – Individual (FHIO)

and Group (FHG)

• Family and Caregiver Training
• Music Therapy
• Prevocational Services
• Recreational Therapy
• Residential Habilitation and Support (CIH

Only) (provided either under a daily or hourly rate)

• Respite
• Extended Services
• Transportation
• Workplace Assistance
• Participant Assistance and Care (FSW Only)
• Structured Family Caregiving (CIH Only)

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How Many Individuals Receive Services in Indiana*

* House Enrolled Act No. 1102 – Sec. 4 (b) (1) (A) 5

Source: Milliman Quarterly Financial Review

Total Waiver Recipients by Waiver Type Over Time

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Total Waiver Recipients by Waiver Over Time

Source: Milliman Quarterly Financial Review Based on Paid Claims

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Source: DDRS Insite Data System – Based on enrollment Based on Enrollment

5,000 10,000 15,000 20,000 25,000 0-3 4-5 6-17 18-22 23-40 41-65 65+ Total CIH 1 68 739 3,522 4,009 803 9,142 FSW 131 260 5,047 2,706 4,174 1,480 94 13,892 Grand Total 131 261 5,115 3,445 7,696 5,489 897 23,034

Age Range by Waiver

CIH FSW Grand Total

Waiver Type by Age

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Age by Group Home

500 1000 1500 2000 2500 3000 3500 14-18 18-21 22-40 41-65 66+ Grand Total

13 258 1025 1459 379 3134

SGL Type Number Average Age Youngest Oldest Adult 2,939 46.32 17 93 Child 33 17.68 14 21 Small Residence for Adults with Extensive Medical Needs 81 50.17 19 78 Extensive Support Needs (ESN) 81 31.25 18 63 3,134 36.35 14 93

Source: DDRS DART Data System

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Group Homes by County

Source: DDRS DART Data System

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Source: Milliman Quarterly Financial Review

Percent of Total IDD Population in County that Receives Waiver and Group Home Services

• Max. % with Waiver & Group Home

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Where Individuals Live

Living Alone, 1,893 Living with Family, 17,313 Living in Structured Family Care Home, 211 Shared Living, 5,418 Foster Home (child), 57 Supported Group Living, 3,134

WHERE INDIVIDUALS LIVE - BY NUMBER

Living Alone 7% Living with Family 62% Living in Structured Family Care Home 1% Shared Living 19% Foster Home (child) 0% Supported Group Living 11%

WHERE INDIVIDUALS LIVE - BY PERCENTAGE

N = 28,026

Source: DDRS Insite Data System

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Where Individuals Live by Waiver

Living Alone, 1,194 Living with Family, 2,473 Living in Structured Family Care Home, 211 Shared Living, 5,357

Where Individuals Live - CIHW

Living Alone, 699 Living with Family, 14,840 Shared Living, 61

Where Individuals Live - FSW

Source: DDRS Insite Data System

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Waiting list for Services* Where Individuals are Waiting for Services**

* House Enrolled Act No. 1102 – Sec. 4 (b) (1) (C) **House Enrolled Act No. 1102 – Sec. 4 (b) (1) (E) 16

Number on FSW Waiting List by Region

200 400 600 800 1000 1200 1400

District 1 - Northwest Indiana District 2 - North Central Indiana District 3 - Northeast Indiana District 4 - Eastern Indiana District 5 - Central Indiana District 6 - Eastern Indiana District 7 - Southwest Indiana District 8 - Southeastern Indiana Total 85 85 224 224 159 159 103 103 478 478 143 143 114 114 75 75 1381 1381

Source: DDRS DART Data System

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FSW Waiting List by Age Range

0-3 12% 3-5 15% 5-14 36% 14-18 15% 18-21 8% 21-55 12% 55 + 2%

Source: DDRS DART Data System

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* House Enrolled Act No. 1102 – Sec. 4 (b) (1) (B)

Nature of Available Services*

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ICF/ID Total, $268,281,597, 28% Family Supports Total, $104,521,550, 11% CIH Waiver Total, $586,424,243, 61% ICF/ID Total Family Supports Total CIH Waiver Total

Source: Milliman Quarterly Financial Review

BDDS Spend by Funding Stream – SFY 2016

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ICF/ID Total, $268,281,597 Family Supports Total, $104,521,550 CIH Waiver Total, $586,424,243 State Plan Services Total, $165,223,674

Source: Milliman Quarterly Financial Review

Total Spend Individuals Served by BDDS SFY - 2016

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Source: Milliman Quarterly Financial Review

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Source: Milliman Quarterly Financial Review

Cost per Individual by Waiver Type Over Time

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Source: Milliman Quarterly Financial Review

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Source: Milliman Quarterly Financial Review

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$0.00 $100,000,000.00 $200,000,000.00 $300,000,000.00 $400,000,000.00 $500,000,000.00 $600,000,000.00 $700,000,000.00 $800,000,000.00 $900,000,000.00 $1,000,000,000.00

SFY2004 SFY2005 SFY2006 SFY2007 SFY2008 SFY2009 SFY2010 SFY2011 SFY2012 SFY2013 SFY2014 SFY2015 SFY2016 SFY2017

Total Expenditures Total State Share

SFY2004 SFY2005 SFY2006 SFY2007 SFY2008 SFY2009 SFY2010 SFY2011 SFY2012 SFY2013 SFY2014 SFY2015 SFY2016 SFY2017 State Share % 34.80% 37.35% 37.13% 37.33% 37.33% 29.12% 24.65% 33.48% 33.04% 32.84% 33.08% 33.48% 33.40% 33.26% Source: Milliman Quarterly Financial Review

Total Expenditures and State Share Over 10 Years Waiver and State Plan Services

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Source: BDDS INsite Database

1,000 2,000 3,000 4,000 5,000 6,000 7,000

RHS Hourly Behavior Managem ent Transport ation (all levels) Communi ty Habilitatio n Individual Behavior Managem ent 10 RHS Daily (all levels) Wellness Facility Habilitatio n Group (all ratios) Pre- Vocationa l (all ratios) Communi ty Habilitatio n Group (all ratios) Music Therapy Facility Habilitatio n Individual Respite CIH - Number Receiving Service 6,887 5,750 5,480 4,823 4,521 4,516 4,429 3,307 2,333 1,768 1,321 1,205 1,148 Percentage of all CIH 75.37% 62.93% 59.98% 52.79% 49.48% 49.43% 48.47% 36.19% 25.53% 19.35% 14.46% 13.19% 12.56%

CIH - Number Receiving Service Percentage of all CIH

Top Services Utilized – CIHW - SFY 2016

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Source: BDDS INsite Database

RHS = Residential Habilitation Services

500 1,000 1,500 2,000 2,500 3,000 3,500 4,000

Participant Assistance and Care Behavior Management Respite Behavior Management 10 Facility Habilitation Group (all ratios) Transportatio n (all levels) Music Therapy Pre- Vocational (all ratios) Community Habilitation Individual Community Habilitation Group (all ratios) Facility Habilitation Individual FSW - Number Receiving Service 3,547 3,384 3,363 2,485 2,252 2,222 2,192 1,811 1,626 1,568 851 Percentage of all FSW 25.53% 24.36% 24.21% 17.89% 16.21% 15.99% 15.78% 13.04% 11.70% 11.29% 6.13%

FSW - Number Receiving Service Percentage of all FSW

Top Services Utilized – FSW SFY 2016

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Source: Milliman Quarterly Financial Review

Day Services include Community and Facility Habilitation, Pre-Vocational and Extended Services Therapies include Music and Recreational Therapy

$0 $20,000,000 $40,000,000 $60,000,000 $80,000,000 $100,000,000 $120,000,000

Adult Day Services Behavioral Support Services Case Management Day Services Respite Care Other Therapies Participant Assistance and Care Other Waiver Services Family Supports Total Series2 $584,355 $14,695,737 $17,027,820 $22,956,458 $18,375,494 $5,583,937 $20,860,838 $4,436,912 $104,521,550

FSW Spend – SFY 2016

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Source: Milliman Quarterly Financial Review

Day Services include Community and Facility Habilitation, Pre-Vocational and Extended Services Therapies include Music and Recreational Therapy

$0 $100,000,000 $200,000,000 $300,000,000 $400,000,000 $500,000,000 $600,000,000

Structured Family Caregiving Adult Day Services Behavioral Support Services Case Manageme nt Day Services Residential Habilitation and Support Respite Care Other Therapies Waiver Transporta tion Monitoring System Wellness Coordinati

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Other Waiver Services CIH Waiver Total Series2 $7,321,261 $1,455,015 $33,873,613 $12,569,044 $48,972,999 $450,328,67 $9,364,199 $4,544,442 $9,782,002 $1,044,371 $4,994,652 $2,173,975 $586,424,24

CIHW Spend – SFY 2016

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$0.00 $20,000,000.00 $40,000,000.00 $60,000,000.00 $80,000,000.00 $100,000,000.00 $120,000,000.00 $140,000,000.00 $160,000,000.00 $180,000,000.00

Inpatient Hospital Outpatient Hospital Physician Services DME and Medical Supplies Transportation Pharmacy Dental Services Home Health Services State Plan Services Total Series2 $9,987,826.37 $11,992,958.64 $11,352,713.62 $14,179,734.95 $6,306,759.43 $55,056,123.44 $4,560,225.12 $51,787,332.69 $165,223,674.26

Source: Milliman Quarterly Financial Review

State Plan Spend (BDDS) – SFY 2016

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Bureau of Developmental Disabilities Services Points of Entry

District 1

110 W. Ridge Road Gary, IN 46408 219-981-5313

District 2

100 W. South Street Suite 100 South Bend, IN 46601 574-232-1412

District 3

201 E. Rudisill Blvd. Suite 300 Fort Wayne, IN 46806 260-423-2571

District 4

30 N. 8th Street Terre Haute, IN 47801 812-232-3603

District 5

2620 Kessler Blvd. Suite 105 Indianapolis, IN 46220 317-205-0101

District 6

201 E. Charles Street Suite 130 Muncie, IN 47305 765-288-6516

District 7

700 E. Walnut Street Evansville, IN 47713 812-423-8449

District 8

1452 Vaxter Avenue Clarksville, IN 47129 812-283-1040

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More Data Online

State of the States Report:

• http://stateofthestates.educationsuperhighway.org/?postalCd=IN

National Core Indicators (NCI):

• https://www.nationalcoreindicators.org/upload/state-reports/2014-15_ACS_Indiana_Report.pdf
• https://www.nationalcoreindicators.org/upload/state-reports/2014-15_ACS_Indiana_Report.pdf
• https://www.nationalcoreindicators.org/upload/state-reports/Indiana_ACS_Report_2015-16.pdf

Staff Stability Survey:

• https://www.nationalcoreindicators.org/upload/core-indicators/2015_Staff_Stability_Survey_Report_V22.pdf
• https://www.nationalcoreindicators.org/upload/core-indicators/2016_Staff_Stability_Survey_Report_Final.pdf

Indiana Public Transit Report Calendar Year 2016

• https://www.in.gov/indot/files/2016%20INDOT%20Transit%20Annual%20Report.pdf

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National Core Indicators (NCI)

NCI is collaborative effort between the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI). The purpose is to support state agencies to gather a standard set of performance and outcome measures that can be used to track the state’s own performance over time, to compare results across the states, and to establish national

• benchmarks. Indiana participates in the Adult In-Person Survey (IPS).

The survey is conducted with individuals who are 18 years of age or

• lder and receive at least one paid waiver service through BDDS in

addition to case management. The process includes a collection of background information on the individual and a face-to-face survey with the individual/guardian.

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Staff Stability Survey

The Human Services Research Institute (HSRI) has developed a Staff Stability Survey, designed to collect information relating to volume, stability, compensation and benefits of Direct Support Professionals (DSPs) serving individuals (age 18 and over) with intellectual and developmental disabilities (IDDs). The goal is to help states benchmark their workforce data to those of other states so they can measure improvements made through policy or programmatic changes.

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Questions?

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