Cost Comparison Report - hhs.texas.gov
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Cost Comparison Report As Required by the 2018-19 General Appropriations Act, Senate Bill 1, 85 th Legislature, Regular Session, 2017 (Article II, Health and Human Services Commission, Rider 5) Health and Human Services Commission August 2018
Transcript of Cost Comparison Report - hhs.texas.gov
Cost Comparison ReportGeneral Appropriations Act,
Health and Human Services
The 2018-19 General Appropriations Act, S.B. 1, 85th Legislature, Regular Session, 2017
(Article II, Health and Human Services Commission, Rider 5), directs the Health and Human
Services Commission (HHSC) to prepare a report analyzing the costs of state and federally
funded residential and non-residential services for persons with intellectual disabilities and
related conditions for which it is the Medicaid operating agency.
Institutional services are delivered at state-operated and non-state-operated intermediate care
facilities (ICF) for individuals with an intellectual disability (IID) or related conditions. ICF/IID
services include residential services, habilitation services, medical services, skills training and
adjunctive therapy services.
Non-institutional services are provided by two 1915(c) Medicaid waiver programs: Home and
Community-based Services (HCS) and Texas Home Living (TxHmL). HCS and TxHmL services
include adaptive aids, case management, counseling and therapies (audiology, speech/language
pathology, occupational therapy, physical therapy, dietary services, social work and psychology),
minor home modifications, dental treatment, nursing, residential assistance, respite, day
habilitation and supported employment. The HCS service array also includes residential services
provided in three- and four-bed group homes.
Medicaid reimbursed acute care services, such as hospitalization and doctor visits, provided to
consumers in non-state operated ICFs/IID, HCS, and TxHmL are paid by the Texas Health and
Human Services Commission (HHSC). For the state supported living centers (SSLCs), these
costs are covered in the per diem reimbursement rate.
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2. Background Information
This report includes an analysis of the total average monthly Medicaid costs for persons served
in each of the following settings:
1. SSLCs
2. ICFs/IID other than SSLCs 3. HCS residential 4. HCS non-residential
5. TxHmL
The cost data includes all Medicaid expenditures, both programmatic and acute care for these
populations, as well as the distribution of each population by level of need (LON). The costs for
SSLCs include SWICAP (State Wide Indirect Cost Allocation Plan), DICAP (Department Indirect
Cost Allocation Plan), maintenance and construction costs, employee benefit costs and other
federally allowable administrative, medical and overhead costs. The data in this report covers
the time period of fiscal year 2017 (September 1, 2016 through August 31, 2017).
This report shows monthly Medicaid costs per consumer for the five different settings identified
above. Where the State is the service provider (SSLCs), these costs are not intended to be used
for the purpose of determining the incremental impact of increasing or reducing the number of
consumers in that setting. As a service provider, the SSLCs have certain operating costs that will
not be impacted with a small increase or decrease in the number of consumers served. When
the change in numbers of consumers is significant enough to impact these operating costs, they
will be changed in different degrees depending on how many consumers are admitted or
discharged and the number of facilities involved.
Where the State is paying providers for services, such as ICFs/IID other than SSLCs and the
HCS/TxHmL waivers, the annual costs per consumer lend themselves more readily to
determining the incremental budget impact of changing caseloads.
4
LEVELS OF NEED
Five levels of need (LON) have been developed to ensure that consumers’ individual needs are
met. The consumer’s LON is based on his/her score on the Inventory for Client and Agency
Planning (ICAP). In the ICF/IID program, a consumer’s LON may be adjusted upward to account
for special medical or behavioral conditions. An adjustment may be made for an HCS consumer
to account for behavioral conditions.
Intermittent (LON 1)
This individual does not need 24-hour care, demonstrates very independent living skills, with
no significant maladaptive behavior noted. Staff intervention is typically reminders with some
guidance required.
Limited (LON 5)
The skill level of a person at a Limited LON ranges from fairly independent to some personal
care reminders/guidance needed. Behavior intervention or hands-on personal care assistance
may be required. Individuals may have psychiatric disorders, which may be fairly well-
controlled with medication. Staff intervention ranges from reminders to 24-hour guidance and
support.
Extensive (LON 8)
The skill level of a person at an Extensive LON ranges from no self-help skills (due to physical
limitations) to demonstrating some basic self-help skills. Staff intervention includes personal
care assistance utilizing hands-on techniques and/or implementation of behavioral
interventions.
This individual may have some basic self-help skills and demonstrates challenging behavior
requiring intervention. Consumers in this level of need may even require one-on-one
supervision or care for safety reasons, but not 16 hours a day.
Pervasive Plus (LON 9)
Individuals at this LON require one-on-one staff supervision within arm’s length of the
consumer during all waking hours due to their life-threatening behavior.
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DICAP Department Indirect Cost Allocation Plan
HCS Home and Community-based Services
HHSC Health and Human Services Commission
ICAP Inventory for Client and Agency Planning
ICF Intermediate Care Facilities
LON Level of Need
SWICAP State Wide Indirect Cost Allocation Plan
TxHmL Texas Home Living
Administrative/Overhead Costs 7,686.41
Long-Term Care Costs - Average 4,375.73
Acute Care Cost - Average 339.01
Total non-State Operated ICF-IID/RC Costs 4,714.74
Long-Term Care Costs - Average 5,244.16
Acute Care Cost - Average 764.97
Total HCS: Residential Costs 6,009.13
Long-Term Care Costs - Average 2,785.97
Acute Care Cost - Average 659.94
Total HCS: Non-Residential Costs 3,445.91
Long-Term Care Costs - Average 3,595.58
Acute Care Cost - Average 694.50
Total HCS: All Settings Costs 4,290.08
Long-Term Care Costs - Average 1,801.23
Acute Care Cost - Average 770.31
Total TxHmL Costs 2,571.54
Cost Analysis Report - 2017
Program: HCS Waiver: All Settings
Program: HCS Waiver: Non-Residential
Program: HCS Waiver: Residential
Program: State Operated ICF-IID/RC (State Supported Living Center [SSLC])
Small Medium Large Total
Pervasive Plus (LON 9) 17 0 4 21
Overall - Total 4,137 494 237 4,868
Small Medium Large Average
Pervasive Plus (LON 9) $11,914.38 N/A $11,541.99 $11,844.10
Overall Average $4,535.14 $3,470.41 $3,483.44 $4,375.73
Non-state Operated ICF/ID by Facility Size
Cost Analysis Report - 2017
Monthly Average Cost Per Individual:
Level of Need # % # % # % # % # % # %
% of Total 9.34% 27.28% 20.37% 28.09% 41.19% 30.45%
Limited (LON 5) 1,333 2,634 3,967 11,678 2,827 14,505
% of Total 43.75% 54.11% 50.14% 45.18% 49.62% 45.99%
Extensive (LON 8) 979 646 1,625 4,720 461 5,181
% of Total 32.17% 13.27% 20.54% 18.26% 8.09% 16.42%
Pervasive (LON 6) 439 239 678 2,039 63 2,102
% of Total 14.43% 4.91% 8.57% 7.89% 1.10% 6.66%
Pervasive Plus (LON 9) 9 21 30 150 - 150
% of Total 0.31% 0.43% 0.38% 0.58% 0.00% 0.48%
Total 3,044 100.00% 4,868 100.00% 7,912 100.00% 25,847 100.00% 5,698 100.00% 31,545 100.00%
Notes:
- Data for State Operated ICF-IID/RC includes clients in SSLC, Corpus Christi Bond Homes, and Texana Behavioral Treatment and Training Center
ICF-IID/RC
Fiscal Year 2017
Texas Home
Consumers
% of
Consumers
Ambulatory 1,743 59.92% 2 11.76% 4,015 81.19% 22,109 81.91% 5,612 86.82% 33,481 81.01%
Non-ambulatory 906 31.14% 6 35.29% 168 3.40% 2,193 8.12% 114 1.76% 3,387 8.20%
No IDD/RC
Assessment 260 8.94% 9 52.94% 762 15.41% 2,691 9.97% 738 11.42% 4,460 10.79%
Total
Ambulatory/
Non-ambulatory
2,909 100.00% 17 100.00% 4,945 100.00% 26,993 100.00% 6,464 100.00% 41,328 100.00%
Schizophrenia
or Bipolar 312 10.73% 2 11.76% 294 5.95% 1,683 6.23% 125 1.93% 2,416 5.85%
Note: Percentages are based on data from the IDD/RC assessment regarding diagnosis of schizophrenia or bipolar disorder as well as
ambulatory and non-ambulatory status for consumers in the above setting with a current valid IDD/RC assessment as of 08/31/2017
Review of Selected Physical and Mental Health Conditions
Data Reported as of August 31, 2017
SELECTED MENTAL HEALTH DIAGNOSES:
Comparison of Consumers with Selected Health Conditions and Mental Health Diagnosis by Setting
State -Operated
State Operated
ICF/IID: Bond Homes Texas Home Living
Residence Type LON Mean Number of People Std. Deviation Minimum Maximum
$3,379.96 2 $341.64 $3,138.38 $3,621.53
1 $2,049.77 174 $1,012.38 $42.10 $4,745.38
5 $2,515.58 341 $1,046.42 $10.85 $6,404.79
6 $4,368.15 60 $2,234.39 $294.84 $16,658.55
8 $3,636.11 124 $1,774.09 $260.34 $11,643.77
Total $2,759.20 701 $1,507.44 $10.85 $16,658.55
$4,689.56 3 $656.46 $4,022.90 $5,335.31
1 $4,243.82 74 $1,107.11 $254.27 $6,424.81
5 $4,621.97 215 $933.00 $307.42 $6,611.73
6 $5,714.45 21 $640.86 $3,868.74 $6,497.89
8 $5,159.34 68 $708.96 $1,250.79 $6,370.06
Total $4,705.18 381 $988.31 $254.27 $6,611.73
$4,165.72 5 $871.30 $3,138.38 $5,335.31
1 $2,704.45 248 $1,446.37 $42.10 $6,424.81
5 $3,330.10 556 $1,435.48 $10.85 $6,611.73
6 $4,717.19 81 $2,033.98 $294.84 $16,658.55
8 $4,175.59 192 $1,654.28 $260.34 $11,643.77
Total $3,444.43 1,082 $1,636.93 $10.85 $16,658.55
Notes
Residential is defined as 3 Bed Home and 4 Bed Home.
Payment is only counted in months during which HCS was authorized for the entire month. If an
authorization for HCS did not begin until the middle of the month, HCS Dollars Paid are not included for that
month. Payments were included for the first twelve months of participation or the duration if it was less than
twelve months.
Average Dollars Paid by Month for Home and Community-based Waiver Services for People who Came off the
Interest List in FY2017
Non-Residential
Residential
Total
People were identified as having come off the interest list if they had a closed date in CSIL and as having
enrolled in the Home and Community-based Services Waiver (HCS) if they began HCS services after the CSIL
closed date. Non-Residential is defined as Foster/Companion Care and Own Home/Family Home.
Residence Type LON Mean Number of People Std. Deviation Minimum Maximum
1 $4,512.84 2 $1,204.94 $3,660.81 $5,364.86
5 $4,462.74 7 $1,395.64 $2,061.56 $6,042.89
6 $4,628.92 7 $886.16 $3,548.96 $5,837.09
8 $4,306.62 1 $4,306.62 $4,306.62
Total $4,527.88 17 $1,060.69 $2,061.56 $6,042.89
$4,712.29 3 $992.29 $3,712.34 $5,696.74
1 $6,091.56 15 $367.89 $5,312.18 $6,658.97
5 $5,687.05 40 $778.99 $1,615.96 $6,258.68
6 $5,563.11 17 $1,163.05 $1,597.97 $6,491.19
8 $6,021.85 13 $284.90 $5,371.93 $6,624.16
9 $10,619.21 1 $10,619.21 $10,619.21
Total $5,803.02 89 $955.25 $1,597.97 $10,619.21
$4,712.29 3 $992.29 $3,712.34 $5,696.74
1 $5,905.82 17 $695.75 $3,660.81 $6,658.97
5 $5,504.71 47 $981.16 $1,615.96 $6,258.68
6 $5,290.64 24 $1,154.99 $1,597.97 $6,491.19
8 $5,899.33 14 $533.92 $4,306.62 $6,624.16
9 $10,619.21 1 $10,619.21 $10,619.21
Total $5,598.51 106 $1,075.75 $1,597.97 $10,619.21
Notes
Residential is defined as 3 Bed Home and 4 Bed Home.
Payment is only counted in months during which HCS was authorized for the entire month. If an authorization
for HCS did not begin until the middle of the month, HCS Dollars Paid are not included for that month.
Average Dollars Paid by Month for Home and Community-based Waiver Services for People who Transitioned from
State Supported Living Centers in FY2017
Non-Residential
Residential
Total
People were identified as having transitioned from a State Supported Living Center (SSLC) to the Home and
Non-Residential is defined as Foster/Companion Care and Own Home/Family Home.
Rider 5 Report v.1
Health and Human Services
The 2018-19 General Appropriations Act, S.B. 1, 85th Legislature, Regular Session, 2017
(Article II, Health and Human Services Commission, Rider 5), directs the Health and Human
Services Commission (HHSC) to prepare a report analyzing the costs of state and federally
funded residential and non-residential services for persons with intellectual disabilities and
related conditions for which it is the Medicaid operating agency.
Institutional services are delivered at state-operated and non-state-operated intermediate care
facilities (ICF) for individuals with an intellectual disability (IID) or related conditions. ICF/IID
services include residential services, habilitation services, medical services, skills training and
adjunctive therapy services.
Non-institutional services are provided by two 1915(c) Medicaid waiver programs: Home and
Community-based Services (HCS) and Texas Home Living (TxHmL). HCS and TxHmL services
include adaptive aids, case management, counseling and therapies (audiology, speech/language
pathology, occupational therapy, physical therapy, dietary services, social work and psychology),
minor home modifications, dental treatment, nursing, residential assistance, respite, day
habilitation and supported employment. The HCS service array also includes residential services
provided in three- and four-bed group homes.
Medicaid reimbursed acute care services, such as hospitalization and doctor visits, provided to
consumers in non-state operated ICFs/IID, HCS, and TxHmL are paid by the Texas Health and
Human Services Commission (HHSC). For the state supported living centers (SSLCs), these
costs are covered in the per diem reimbursement rate.
3
2. Background Information
This report includes an analysis of the total average monthly Medicaid costs for persons served
in each of the following settings:
1. SSLCs
2. ICFs/IID other than SSLCs 3. HCS residential 4. HCS non-residential
5. TxHmL
The cost data includes all Medicaid expenditures, both programmatic and acute care for these
populations, as well as the distribution of each population by level of need (LON). The costs for
SSLCs include SWICAP (State Wide Indirect Cost Allocation Plan), DICAP (Department Indirect
Cost Allocation Plan), maintenance and construction costs, employee benefit costs and other
federally allowable administrative, medical and overhead costs. The data in this report covers
the time period of fiscal year 2017 (September 1, 2016 through August 31, 2017).
This report shows monthly Medicaid costs per consumer for the five different settings identified
above. Where the State is the service provider (SSLCs), these costs are not intended to be used
for the purpose of determining the incremental impact of increasing or reducing the number of
consumers in that setting. As a service provider, the SSLCs have certain operating costs that will
not be impacted with a small increase or decrease in the number of consumers served. When
the change in numbers of consumers is significant enough to impact these operating costs, they
will be changed in different degrees depending on how many consumers are admitted or
discharged and the number of facilities involved.
Where the State is paying providers for services, such as ICFs/IID other than SSLCs and the
HCS/TxHmL waivers, the annual costs per consumer lend themselves more readily to
determining the incremental budget impact of changing caseloads.
4
LEVELS OF NEED
Five levels of need (LON) have been developed to ensure that consumers’ individual needs are
met. The consumer’s LON is based on his/her score on the Inventory for Client and Agency
Planning (ICAP). In the ICF/IID program, a consumer’s LON may be adjusted upward to account
for special medical or behavioral conditions. An adjustment may be made for an HCS consumer
to account for behavioral conditions.
Intermittent (LON 1)
This individual does not need 24-hour care, demonstrates very independent living skills, with
no significant maladaptive behavior noted. Staff intervention is typically reminders with some
guidance required.
Limited (LON 5)
The skill level of a person at a Limited LON ranges from fairly independent to some personal
care reminders/guidance needed. Behavior intervention or hands-on personal care assistance
may be required. Individuals may have psychiatric disorders, which may be fairly well-
controlled with medication. Staff intervention ranges from reminders to 24-hour guidance and
support.
Extensive (LON 8)
The skill level of a person at an Extensive LON ranges from no self-help skills (due to physical
limitations) to demonstrating some basic self-help skills. Staff intervention includes personal
care assistance utilizing hands-on techniques and/or implementation of behavioral
interventions.
This individual may have some basic self-help skills and demonstrates challenging behavior
requiring intervention. Consumers in this level of need may even require one-on-one
supervision or care for safety reasons, but not 16 hours a day.
Pervasive Plus (LON 9)
Individuals at this LON require one-on-one staff supervision within arm’s length of the
consumer during all waking hours due to their life-threatening behavior.
5
DICAP Department Indirect Cost Allocation Plan
HCS Home and Community-based Services
HHSC Health and Human Services Commission
ICAP Inventory for Client and Agency Planning
ICF Intermediate Care Facilities
LON Level of Need
SWICAP State Wide Indirect Cost Allocation Plan
TxHmL Texas Home Living
Administrative/Overhead Costs 7,686.41
Long-Term Care Costs - Average 4,375.73
Acute Care Cost - Average 339.01
Total non-State Operated ICF-IID/RC Costs 4,714.74
Long-Term Care Costs - Average 5,244.16
Acute Care Cost - Average 764.97
Total HCS: Residential Costs 6,009.13
Long-Term Care Costs - Average 2,785.97
Acute Care Cost - Average 659.94
Total HCS: Non-Residential Costs 3,445.91
Long-Term Care Costs - Average 3,595.58
Acute Care Cost - Average 694.50
Total HCS: All Settings Costs 4,290.08
Long-Term Care Costs - Average 1,801.23
Acute Care Cost - Average 770.31
Total TxHmL Costs 2,571.54
Cost Analysis Report - 2017
Program: HCS Waiver: All Settings
Program: HCS Waiver: Non-Residential
Program: HCS Waiver: Residential
Program: State Operated ICF-IID/RC (State Supported Living Center [SSLC])
Small Medium Large Total
Pervasive Plus (LON 9) 17 0 4 21
Overall - Total 4,137 494 237 4,868
Small Medium Large Average
Pervasive Plus (LON 9) $11,914.38 N/A $11,541.99 $11,844.10
Overall Average $4,535.14 $3,470.41 $3,483.44 $4,375.73
Non-state Operated ICF/ID by Facility Size
Cost Analysis Report - 2017
Monthly Average Cost Per Individual:
Level of Need # % # % # % # % # % # %
% of Total 9.34% 27.28% 20.37% 28.09% 41.19% 30.45%
Limited (LON 5) 1,333 2,634 3,967 11,678 2,827 14,505
% of Total 43.75% 54.11% 50.14% 45.18% 49.62% 45.99%
Extensive (LON 8) 979 646 1,625 4,720 461 5,181
% of Total 32.17% 13.27% 20.54% 18.26% 8.09% 16.42%
Pervasive (LON 6) 439 239 678 2,039 63 2,102
% of Total 14.43% 4.91% 8.57% 7.89% 1.10% 6.66%
Pervasive Plus (LON 9) 9 21 30 150 - 150
% of Total 0.31% 0.43% 0.38% 0.58% 0.00% 0.48%
Total 3,044 100.00% 4,868 100.00% 7,912 100.00% 25,847 100.00% 5,698 100.00% 31,545 100.00%
Notes:
- Data for State Operated ICF-IID/RC includes clients in SSLC, Corpus Christi Bond Homes, and Texana Behavioral Treatment and Training Center
ICF-IID/RC
Fiscal Year 2017
Texas Home
Consumers
% of
Consumers
Ambulatory 1,743 59.92% 2 11.76% 4,015 81.19% 22,109 81.91% 5,612 86.82% 33,481 81.01%
Non-ambulatory 906 31.14% 6 35.29% 168 3.40% 2,193 8.12% 114 1.76% 3,387 8.20%
No IDD/RC
Assessment 260 8.94% 9 52.94% 762 15.41% 2,691 9.97% 738 11.42% 4,460 10.79%
Total
Ambulatory/
Non-ambulatory
2,909 100.00% 17 100.00% 4,945 100.00% 26,993 100.00% 6,464 100.00% 41,328 100.00%
Schizophrenia
or Bipolar 312 10.73% 2 11.76% 294 5.95% 1,683 6.23% 125 1.93% 2,416 5.85%
Note: Percentages are based on data from the IDD/RC assessment regarding diagnosis of schizophrenia or bipolar disorder as well as
ambulatory and non-ambulatory status for consumers in the above setting with a current valid IDD/RC assessment as of 08/31/2017
Review of Selected Physical and Mental Health Conditions
Data Reported as of August 31, 2017
SELECTED MENTAL HEALTH DIAGNOSES:
Comparison of Consumers with Selected Health Conditions and Mental Health Diagnosis by Setting
State -Operated
State Operated
ICF/IID: Bond Homes Texas Home Living
Residence Type LON Mean Number of People Std. Deviation Minimum Maximum
$3,379.96 2 $341.64 $3,138.38 $3,621.53
1 $2,049.77 174 $1,012.38 $42.10 $4,745.38
5 $2,515.58 341 $1,046.42 $10.85 $6,404.79
6 $4,368.15 60 $2,234.39 $294.84 $16,658.55
8 $3,636.11 124 $1,774.09 $260.34 $11,643.77
Total $2,759.20 701 $1,507.44 $10.85 $16,658.55
$4,689.56 3 $656.46 $4,022.90 $5,335.31
1 $4,243.82 74 $1,107.11 $254.27 $6,424.81
5 $4,621.97 215 $933.00 $307.42 $6,611.73
6 $5,714.45 21 $640.86 $3,868.74 $6,497.89
8 $5,159.34 68 $708.96 $1,250.79 $6,370.06
Total $4,705.18 381 $988.31 $254.27 $6,611.73
$4,165.72 5 $871.30 $3,138.38 $5,335.31
1 $2,704.45 248 $1,446.37 $42.10 $6,424.81
5 $3,330.10 556 $1,435.48 $10.85 $6,611.73
6 $4,717.19 81 $2,033.98 $294.84 $16,658.55
8 $4,175.59 192 $1,654.28 $260.34 $11,643.77
Total $3,444.43 1,082 $1,636.93 $10.85 $16,658.55
Notes
Residential is defined as 3 Bed Home and 4 Bed Home.
Payment is only counted in months during which HCS was authorized for the entire month. If an
authorization for HCS did not begin until the middle of the month, HCS Dollars Paid are not included for that
month. Payments were included for the first twelve months of participation or the duration if it was less than
twelve months.
Average Dollars Paid by Month for Home and Community-based Waiver Services for People who Came off the
Interest List in FY2017
Non-Residential
Residential
Total
People were identified as having come off the interest list if they had a closed date in CSIL and as having
enrolled in the Home and Community-based Services Waiver (HCS) if they began HCS services after the CSIL
closed date. Non-Residential is defined as Foster/Companion Care and Own Home/Family Home.
Residence Type LON Mean Number of People Std. Deviation Minimum Maximum
1 $4,512.84 2 $1,204.94 $3,660.81 $5,364.86
5 $4,462.74 7 $1,395.64 $2,061.56 $6,042.89
6 $4,628.92 7 $886.16 $3,548.96 $5,837.09
8 $4,306.62 1 $4,306.62 $4,306.62
Total $4,527.88 17 $1,060.69 $2,061.56 $6,042.89
$4,712.29 3 $992.29 $3,712.34 $5,696.74
1 $6,091.56 15 $367.89 $5,312.18 $6,658.97
5 $5,687.05 40 $778.99 $1,615.96 $6,258.68
6 $5,563.11 17 $1,163.05 $1,597.97 $6,491.19
8 $6,021.85 13 $284.90 $5,371.93 $6,624.16
9 $10,619.21 1 $10,619.21 $10,619.21
Total $5,803.02 89 $955.25 $1,597.97 $10,619.21
$4,712.29 3 $992.29 $3,712.34 $5,696.74
1 $5,905.82 17 $695.75 $3,660.81 $6,658.97
5 $5,504.71 47 $981.16 $1,615.96 $6,258.68
6 $5,290.64 24 $1,154.99 $1,597.97 $6,491.19
8 $5,899.33 14 $533.92 $4,306.62 $6,624.16
9 $10,619.21 1 $10,619.21 $10,619.21
Total $5,598.51 106 $1,075.75 $1,597.97 $10,619.21
Notes
Residential is defined as 3 Bed Home and 4 Bed Home.
Payment is only counted in months during which HCS was authorized for the entire month. If an authorization
for HCS did not begin until the middle of the month, HCS Dollars Paid are not included for that month.
Average Dollars Paid by Month for Home and Community-based Waiver Services for People who Transitioned from
State Supported Living Centers in FY2017
Non-Residential
Residential
Total
People were identified as having transitioned from a State Supported Living Center (SSLC) to the Home and
Non-Residential is defined as Foster/Companion Care and Own Home/Family Home.
Rider 5 Report v.1
