ODP FY Data Report. Office of Developmental Programs Data Report

Transcription

1 Office of Developmental Programs Data Report

2 Contents Introduction... 3 Enrollment in Intellectual Disability and Autism Programs... 3 Enrollment by Specific Program... 4 Enrollment in Intellectual Disability (ID) Programs... 5 Enrollment in Autism Programs... 6 Enrollment by Age... 7 Individuals Self-Directing Services... 8 Employment Services... 8 Residential Services... 9 Enrollment in Targeted Services Management Prioritization of Urgency of Need for Services (PUNS)... 1 Consolidated and P/FDS Expenditure by Administrative Entity Adult Autism Expenditure by Residential County Intellectual Disability Allocation by County in Enrollment by Residential County Total Individuals with Intellectual Disability Served with Block Grant Funds by County Common Abbreviations

3 Introduction The Office of Developmental Programs (ODP) has created this statistical report so that individuals, families, advocates, providers, government officials, and taxpayers can see and measure how many individuals ODP serves, what services are provided, where the individuals live, and what the costs are. Information about ODP's autism services are listed separately from intellectual and developmental disabilities in some cases within this report. Because the Adult Autism (AAW) and Adult Community Autism Program (ACAP) are administered directly by the Bureau of Autism Services, and not by the county systems, the information about the programs is tracked and measured through different processes. Facts and figures are an important but limited view of the service system. We can measure growth in the program, what types of services are prioritized, and how we are investing in people. In addition to this statistical report, ODP has pledged to publish an annual report based on the performance measures developed by ODP s Information Sharing and Advisory Committee (ISAC). For transparency, graphs note the source of information. Some data represents the counts on June 3, which is the final date of the Pennsylvania state fiscal year (FY or SFY). At the end of the report you ll find a guide to commonly used abbreviations. Nancy Thaler, Deputy Secretary 6, Individuals Enrolled in Intellectual Disability (ID) and Autism Programs During the State Fiscal Year 54,38 54,162 54,75 55,338 55,977 5, 4, 3, 2, 1, Source: Home and Community Services Information System (HCSIS). Unduplicated count during the state fiscal year, which runs July 1 through June 3. (Data through 1/31/218) 3

4 Enrollment by Program Number of Individuals Enrolled per Program During the State Fiscal Year State Fiscal Year Base Only Consolidated Person/Family Directed Support Private Intermediate Care Facility for Individuals with Intellectual Disabilities Supports Coordination Services Only State Centers Adult Community Autism Program Adult Autism ,533 13,952 7,366 2, , ,965 14,211 7,523 2, , ,663 14,257 7,493 2, , ,97 14,362 7,781 2, , ,279 15,28 9,687 2, , ,429 15,455 1,344 2, , ,25 15,961 1,979 2,529 7,419 1, ,368 16,15 11,28 2,512 9,337 1, ,786 16,39 11,2 2,432 9,36 1, ,719 16,758 11,863 2,327 9,67 1, ,787 17,251 12,586 2,263 9,83 1, ,273 17,594 13,39 2,219 9, ,779 18,85 13,648 2,155 1, ,143 18,266 13,722 2,7 1, Source: HCSIS and Provider Reimbursement and Operations Management Information System (PROMISe). This shows unduplicated enrollees by funding source. Note: The number of individuals served over the course of the fiscal year is larger than the count in the chart below, which shows enrollment on a single day because some individuals may be enrolled in a program for only part of the year. (Data as of 2/21/218) Number of Individuals Enrolled per Program on the Last Day of the Fiscal Year State Fiscal Year Base Only Consolidated Person/Family Directed Support Private Intermediate Care Facility for Individuals with Intellectual Disabilities Supports Coordination Services Only State Centers Adult Community Autism Program Adult Autism ,864 13,449 6,861 2, , ,773 13,631 6,994 2, , ,821 13,749 7,24 2, , ,711 13,86 7,322 2, , ,158 14,492 8,792 2, , ,67 14,945 9,563 2, , ,385 15,435 1,92 2,422 5,911 1, ,932 15,588 1,46 2,45 7,243 1, ,781 15,727 1,428 2,32 7,498 1, ,892 16,195 1,924 2,186 7,399 1, ,149 16,617 11,547 2,156 7, ,775 16,993 12,11 2,15 7, ,22 17,466 12,585 2,25 7, ,636 17,575 12,869 1,956 8, Source: HCSIS and Maintain, Prepare, and Produce Executive Reports (MAPPER). Unduplicated count on the last day of each state fiscal year. Consumer counts are unduplicated within each program, but consumers may receive services in more than one program. (Data as of 2/21/218) 4

5 Enrollment in ID Programs Number of Individuals Enrolled per ID Program During the State Fiscal Year 2, 18, 16, 14, 12, 1, 8, 6, 4, 2, 18,85 18,266 17,251 17,594 16,719 16,758 15,787 15,273 14,779 14,143 13,39 12,586 11,863 13,648 13,722 Base Consolidated Person/Family Directed Support Source: HCSIS. Counts of people served are unduplicated by program, but individuals may receive services in more than one program. Note: The number of service participants declines as enrollment in the Medicaid waivers increases because support coordination is included in the waiver. (Data as of 2/21/218) Number of Individuals Enrolled per ID Program on the Last Day of the State Fiscal Year 2, 18, 16, 14, 12, 1, 8, 6, 4, 2, 13,892 13,149 12,775 12,22 11,636 16,195 16,617 16,993 17,466 17,575 12,585 12,869 11,547 12,11 1,924 Base Consolidated Person/Family Directed Support Source: HCSIS. Counts of people served are unduplicated by program, but individuals may receive services in more than one program. Note: The number of service participants declines as enrollment in the Medicaid waivers increases because support coordination is included in the waiver. (Data as of 2/21/218) 5

6 Number of Adults Enrolled per Autism Program During the Fiscal Year Adult Community Autism Program Adult Autism Source: HCSIS. Counts of people served are unduplicated by program. (Data as of 2/21/218) Number of Adults Enrolled per Autism Program on the Last Day of the Fiscal Year Adult Community Autism Program Adult Autism Source: HCSIS. Counts of people served are unduplicated by program. (Data as of 2/21/218) 6

7 Enrollment by Age Source: HCSIS Enrollment and age groups are as of the last day of the state fiscal year. ID programs include: Consolidated, P/FDS, Base, and SC Services only. (Data as of 2/21/218) Adult Autism Enrollment by Age Group Ages Ages Ages 65+ Total ACAP Autism Total ACAP Autism Total ACAP Autism Total ACAP Autism Total ACAP Autism Total Source: HCSIS Enrollment and age groups are as of the last day of the fiscal year. (Data as of 2/21/218) 7

8 Expenditures Individuals Expenditures Individuals ODP FY Data Report $1,, $9,, $8,, $7,, $6,, $5,, $4,, $3,, $2,, $1,, $ 3,737 $51,685,75 Individuals Self-Directing Services ODP/ID Financial Management Services (FMS) 4,215 $62,12,328 4,54 4,546 $71,239,852 $78,562,411 4,863 $89,82,28 SFY SFY SFY SFY SFY , 4,5 4, 3,5 3, 2,5 2, 1,5 1, 5 Source: PROMISe paid claims. Financial Management Services includes Participant Directed Services (PDS) and FMS Vendor Services (FMS). Both PDS and FMS include Agency with Choice and Vendor/Fiscal/Employer Agent models. (Data as of 2/21/218) ID and Autism Community-Based Employment Services $5,, $4,, 5,54 5,237 5,171 $35,87,752 $36,776,485 5,298 $39,8,583 5,591 $42,66,476 6, 5, $3,, $29,22,258 4, 3, $2,, 2, $1,, 1, $ SFY SFY SFY SFY SFY Source: PROMISe paid claims. Expenditure and consumer counts are during the reporting state fiscal year. Community-Based Employment Services includes Supported Employment and Transitional Work Services. Job Finding and Job Assessment as separate services are also included for Adult Autism. (Data as of 2/21/218) 8

9 Paid Claims individuals Paid Claims individuals ODP FY Data Report Residential Services $2,,, $1,8,, $1,6,, $1,4,, $1,2,, $1,,, $8,, $6,, $4,, $2,, ID and Autism Licensed and Unlicensed Residential Services 13,751 13,917 13,452 $1,532,755,545 $1,311,526,993 $1,36,195,277 $1,412,388,934 16, 14,267 14,464 14, $1,618,763,68 12, 1, 8, 6, 4, 2, $ SFY12-13 SFY13-14 SFY14-15 SFY15-16 SFY16-17 Source: PROMISe paid claims. This chart includes Consolidated, P/FDS, Base, and Adult Autism waivers. (Data as of 2/21/218) Private Intermediate Care Facilities/ID Consumers and Paid Claims $4,, $35,, $3,, 2,327 2,263 2,219 2,155 $3,981,957 $32,888,96 $36,353,872 $318,397,623 2,7 $38,275,339 2,5 2, $25,, 1,5 $2,, $15,, 1, $1,, 5 $5,, $ SFY12-13 SFY13-14 SFY14-15 SFY15-16 SFY16-17 Source: PROMISe paid claims. Expenditure and individuals counts are during the state fiscal year. (Data as of 2/21/218) 9

10 Individuals Expenditures individuals ODP FY Data Report Targeted Services Management $25,, 19,916 19,6 18,56 18,65 17,9 2, $2,, $19,39,43.86 $18,92,368. $17,929,41.1 $17,181,419.9 $17,522, , $15,, 1, $1,, $5,, 5, $ SFY12-13 SFY13-14 SFY14-15 SFY15-16 SFY16-17 Enrollment in TSM declines as individuals enroll and receive support coordination in the Medicaid waivers. Source: PROMISe paid claims. Expenditures and individuals served are during each state fiscal year. (Data as of 2/21/218) Prioritization of Urgency of Need for Services (PUNS) 8, 7, 6, 5, 4, 4,37 6,57 4,36 5,983 5,686 5,44 5,351 4,916 4,694 4,497 4,185 3,718 3,598 3,517 3,33 3, 2, 1, Checks are Emergency Solids are Critical Stripes are Planning Source: HCSIS unduplicated count on last day of the state fiscal year. (Data as of 2/21/218) 1

11 Consolidated and P/FDS Expenditure by Administrative Entity Administrative Entity SFY SFY SFY SFY SFY Allegheny 246,258,94 264,33, ,916,86 36,577, ,489,48 Armstrong/Indiana 28,877,653 3,979,545 32,41,56 36,275,977 38,65,972 Beaver 27,921,98 29,399,7 31,863,146 4,246,455 43,23,231 Bedford/Somerset 15,39,91 16,869,895 18,49,458 2,172,496 22,837,1 Berks 51,214,269 52,645,321 56,13,452 63,4,155 71,488,251 Blair 26,984,768 29,849,64 32,989,422 35,525,2 36,24,291 Bradford/Sullivan 8,121,382 9,379,333 11,233,318 13,416,48 14,27,842 Bucks 64,978,717 7,683,535 75,582,959 81,667,326 86,95,981 Butler 17,859,81 19,61,34 21,568,961 23,739,88 26,38,122 Cambria 21,229,937 23,475,192 26,512,813 3,785,664 34,474,891 Cameron/Elk 5,543,647 6,72,697 5,95,126 6,561,64 6,687,7 Carbon/Monroe/Pike 32,464,961 35,831,328 38,151,871 43,246,998 46,433,735 Centre 13,837,583 15,313,769 16,249,971 16,97,634 18,155,944 Chester 53,579,49 58,617,786 64,925,696 73,385,996 81,433,913 Clarion 11,852,256 14,346,384 15,578,93 17,245,816 19,58,42 Clearfield/Jefferson 18,212,432 2,374,276 21,787,243 24,318,122 25,338,578 Columbia/Montour/Snyder/Union 21,273,479 23,828,895 24,132,6 26,118,158 27,443,628 Crawford 16,117,166 16,564,61 17,329,285 18,371,543 18,994,292 Cumberland/Perry 25,877,727 27,996,266 29,193,28 3,935,114 33,113,72 Dauphin 46,2,517 46,829,591 48,842,447 52,933,359 55,125,9 Delaware 82,296,871 86,872,99 9,62,91 1,252,812 16,497,15 Erie 63,248,71 66,911,867 7,787,156 76,156,215 79,46,483 Fayette 2,434,887 21,31,326 23,24,824 26,34,537 29,348,739 Forest/Warren 8,921,467 8,589,538 9,18,128 9,58,393 8,594,376 Franklin/Fulton 15,125,989 16,344,445 17,734,174 19,776,281 21,476,147 Greene 5,2,899 5,23,268 6,27,353 7,29,843 8,423,3 Huntingdon/Mifflin/Juniata 27,19,682 27,833,535 28,185,327 28,891,579 31,287,211 Lackawanna/Susquehanna 39,545,918 43,97,827 44,642,54 48,372,26 5,877,364 Lancaster 6,682,297 63,22,698 66,562,46 71,765,89 75,13,17 Lawrence 14,354,622 15,566,81 15,758,37 16,968,244 18,515,155 Lebanon 12,373,574 13,85,361 13,49,64 15,668,529 17,384,734 Lehigh 52,958,27 58,26,21 63,649,62 71,83,133 79,895,352 Luzerne/Wyoming 38,222,573 41,723,641 44,265,14 47,79,168 5,624,454 Lycoming/Clinton 24,78,245 23,15,323 23,893,74 26,785,92 27,646,317 McKean 6,489,69 6,855,357 7,493,114 8,233,285 8,854,91 Mercer 18,759,163 22,875,132 24,463,926 27,466,222 3,952,559 Montgomery 11,649,6 122,527, ,333, ,979, ,9,929 Northampton 39,449,58 43,572,355 46,69,973 5,97,222 53,995,929 Northumberland 2,787,117 21,333,571 23,144,46 25,98,951 25,131,633 Philadelphia 354,283, ,923, ,47, ,62,468 45,76,333 Potter 2,11,726 1,817,743 1,888,22 1,978,668 2,182,288 Schuylkill 21,2,123 22,438,25 24,355,559 27,384,981 29,899,831 Tioga 5,33,86 4,725,932 4,96,263 5,426,497 5,263,81 Venango 8,226,143 8,653,838 8,872,75 9,83,181 1,728,111 Washington 27,54,467 28,856,34 31,43,79 34,955,549 36,547,576 Wayne 6,619,933 7,111,376 7,789,153 8,16,5 8,294,49 Westmoreland 52,831,384 57,25,2 6,352,159 66,217,398 69,53,397 York/Adams 53,61,369 58,934,755 64,12,927 72,13,69 77,41,879 Data Not Available 199, , ,15-8,1,7 411,538 Total 1,945,96,39 2,89,941,38 2,219,9,44 2,428,23,97 2,598,275,69 Source: PROMISe paid claims (federal and state funding). (Data as of 2/21/218) 11

12 Adult Autism Expenditures by Residential County Residential County SFY SFY SFY SFY SFY Adams 314, , , , ,1 Allegheny 1,619,536 1,78,446 2,98,222 2,51,456 2,897,912 Beaver 54,25 73, , ,743 14,74 Bedford 27,636 Berks 338, ,41 1,29,117 1,328,792 1,382,736 Blair 12,145 42,61 69,72 53,73 Bradford 7,46 72,61 159, ,875 Bucks 86, , ,142 1,157,152 1,228,985 Butler 144, ,35 283, , ,735 Cambria 291,1 398, ,88 355, ,836 Carbon 18,346 19,71 83,318 73,764 86,841 Centre 74, , ,719 26, ,374 Chester 582,432 67,48 845, , ,947 Clarion 11,32 Clearfield 83, , , ,766 18,582 Clinton 55,853 55,213 67,73 71,18 75,778 Columbia 35,898 44,191 78,94 65, ,63 Crawford 78, , ,81 393, ,98 Cumberland 17, , , ,379 33,39 Dauphin 217, , ,15 361, ,15 Delaware 382, ,529 58,89 634,868 68,863 Elk 31,313 1,915 3,732 23,257 3,568 Erie 529,325 72,3 659, , ,689 Fayette 47,694 48,193 7,42 121, ,345 Franklin 31,283 41,982 63, ,21 296,37 Greene 3,212 13,916 4,948 56,763 65,23 Huntingdon 114,261 11,348 92,99 96,924 83,689 Indiana 33,75 31,34 34,977 53,2 42,28 Jefferson 35,354 39,587 69,295 86,877 84,132 Juniata 3, Lackawanna 177, ,45 422,56 513,26 77,191 Lancaster 214,472 39, ,56 687, ,57 Lawrence 12,313 3,96 48,624 71,736 69,56 Lebanon 215, ,94 72, ,9 699,283 Lehigh 541, ,11 1,93,396 1,338,264 1,659,796 Luzerne 275,71 338, ,198 31, ,977 Lycoming 78 1,788 McKean 37,558 37,337 3,556 28,464 35,4 Mercer 27,62 56,72 97,12 132,18 233,812 Mifflin 7,299 7,781 6,317 11,885 29,624 Monroe 115,637 56, , , ,731 Montgomery 67,491 91,599 1,62,543 2,6,184 2,919,861 Montour 14,716 73,417 88,428 82,239 94,812 Northampton 22,9 436, , ,847 95,818 Northumberland 14, , , , ,88 Perry 66,57 11, ,57 245,81 254,813 Philadelphia 1,129,461 1,68,437 1,886,599 1,864,88 2,336,812 Pike 2, Schuylkill 15,764 18,32 38, , ,721 Snyder 213, , , ,42 48,386 Somerset 58,799 15, , ,89 231,73 Tioga 2,446 31,551 34,678 7,114 Union 14,851 Venango 22,912 46,34 54,217 49,869 52,216 Warren 12,483 27,584 6,687 13,972 32,637 Washington 167, , ,13 258, ,378 Wayne 66,138 96,395 88,372 74,537 74,325 Westmoreland 155, ,32 288,39 276, ,5 Wyoming 1,94 7,667 22,82 21,283 York 521,691 61,558 1,72,99 1,272,918 1,58,371 Total 11,368,647 14,73,45 2,36,397 23,897,341 26,595,457 Source: PROMISe paid claims (federal and state funding). (Data as of 2/21/218) 12

13 Intellectual Disability Allocation By County in Fiscal Year FISCAL YEAR PRIMARY ALLOCA- TION Allocated for Services Allocated for Admin Block grant counties are underlined Allegheny 6,53,871 5,597,658 Armstrong/Indiana 1,528, ,88 Beaver 2,131, ,66 Bedford/Somerset 1,122,85 719,796 Berks 2,725,36 763,862 Blair 386, ,37 Bradford/Sullivan 737,995 32,98 Bucks 6,986, ,676 Butler 1,337,612 1,426,56 Cambria 1,151,24 537,626 Cameron/Elk 537,725 27,942 Carbon/Monroe/Pike 1,525,15 1,445,82 Centre 924, ,174 Chester 3,179,287 2,18,764 Clarion 228,139 35,96 Clearfield/Jefferson 59,73 959,274 Columbia/Montour/Snyder/Union 1,94, ,986 Crawford 716, ,52 Cumberland/Perry 2,231,192 1,191,53 Dauphin 2,362,17 1,34,936 Delaware 7,28,396 1,746,692 Erie 3,24,74 79,42 Fayette 2,221, ,278 Forest/Warren 1,143,219 27,75 Franklin 528, ,348 Franklin/Fulton NonBG Funds 2,5 Fulton 51,91 43,86 Greene 336,217 12,8 Huntingdon/Mifflin/Juniata 288,869 68,824 Lackawanna 2,369,811 1,12,454 Lackawanna/Susquehanna 48, ,338 Lancaster 2,949,929 1,383,96 Lawrence 96, ,462 Lebanon 1,69,21 466,464 Lehigh 2,371,63 688,258 Allocated for Services Source: Approved County Allocations for FY by allocation type (administrative and services) Allocated for Admin Block grant counties are underlined Luzerne 3,463, ,718 Luzerne/Wyoming 36,839 49,938 Lycoming/Clinton 848,42 592,672 McKean 58, ,496 Mercer 2,65, ,136 Montgomery 8,597,244 1,474,354 Northampton 2,352, ,79 Northumberland 1,468,127 1,198,67 Philadelphia 17,73,812 14,953,546 Potter 396,865 95,248 Schuylkill 1,4, ,492 Tioga 623, ,696 Venango 1,149,25 429,276 Washington 829, ,856 Wayne 452, ,418 Westmoreland 1,967,3 2,281,24 York/Adams 3,495, ,858 TOTAL ALLOCATIONS 11,6,963 53,66,172 13

14 Adult Autism, Consolidated, and P/FDS s Enrolled Individuals During State Fiscal Year by Residential County Residential County Autism Consolidated P/FDS All Three ODP s Adams Allegheny 8 2,94 1,523 3,648 Armstrong Beaver Bedford Berks ,41 Blair Bradford Bucks ,32 Butler Cambria Cameron Carbon Centre Chester ,2 Clarion Clearfield Clinton Columbia Crawford Cumberland Dauphin Delaware ,434 Elk Erie ,124 Fayette Forest Franklin Fulton Greene Huntingdon Indiana Jefferson Juniata Lackawanna Residential County Autism Consolidated P/FDS All Three ODP s Lancaster ,33 Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe Montgomery 54 1, ,876 Montour Northampton Northumberland Perry Philadelphia 64 2,417 1,697 4,156 Pike Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga Union Venango Warren Washington Wayne Westmoreland Wyoming York Data Not Available 3 3 Statewide ,266 13,722 32,284 Source: HCSIS unduplicated count during the State Fiscal Year. (Data as of 2/21/218) 14

15 Total Individuals with Intellectual Disability Served with Block Grant Funds by County County Allegheny 2,184 2,246 2,228 2,32 Beaver Berks Blair Bucks Butler ,625 Cambria Centre Chester ,23 Crawford Dauphin Delaware Erie 1,415 1,546 2,295 2,226 Franklin Fulton Greene Lackawanna Lancaster Lehigh Luzerne McKean Montgomery ,1 687 Northampton Potter Schuylkill Tioga Venango Washington Wayne Westmoreland 1,627 1,596 1,565 1,613 TOTALS 15,798 16,343 16,737 2,9 Source: Human Services Block Grant FY Program Report 15

16 Common Abbreviations ACAP : Adult Community Autism Program BAS : Bureau of Autism Services HCSIS : Home and Community Services Information System ICF : Intermediate Care Facility ID : Intellectual Disability DHS : The Pennsylvania Department of Human Services ODP : The Department of Human Services Office of Developmental Programs P/FDS : Person/Family Directed Support PROMISe : Provider Reimbursement and Operations Management Information System PUNS : Prioritization of Urgency of Need for Services SC : Service Coordination TSM : Targeted Services Management 16