How do living arrangements differ by age?

Bar chart comparing residence type for Medicaid Waiver and ICF/IID recipients who were children or adults. In 2021, 227,756 children 21 years or younger and 316406 adults 22 years or older received Medicaid Waiver-funded supports while living in the home of a family member. In additional 20490 children and 388919 adults get Medicaid Waiver-funded support while living in settings other than the home of a family member. Finally, 4271 children and 58820 adults lived in Intermediate Care Facilities for Individuals with Intellectual Disabilities.

Details

  • Nearly all children getting supports live with family.
  • Most adult Home and Community-Based Services (HCBS) recipients live in a setting other than the home of a family member such as their own home, a host or foster family home, or a group home.
  • Nearly all people living in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) are adults.

How does the number of people with IDD who live in state-run facilities of 16 or more people differ by state?

On June 30, 2022, 14,162 people lived in state-run IDD facilities serving 16 or more people.

By 2021, there were 14,896 people with IDD living in 103 state-run facilities in 33 states.

...

  • By June 2022, 19 states had closed all state-run IDD facilities serving 16 or more people.
  • An estimated 14,162 people lived in 102 facilities in the remaining states.
  • Three states housed more than 1,000 people with IDD in large state-run IDD facilities.
  • Eight states housed between 500 and 999 people in large state run IDD facilities.