Workforce Challenges & DDS Waiver Services Analysis
What Does it Cost To Serve People with Developmental Disabilities in Different Settings?
In both North Dakota and across the country, it costs less per person to serve someone with I/DD on a DD waiver than in an Intermediate Care Facility (ICF)
Waiver Cost Per Person (2018):
$39,693
ICF Cost Per Person (2018):
$175,049
State
ICF Spend as %
of Total IDD $
Waiver Spend as
% of Total IDD $
5,157 North Dakotans receiving LTSS from the State IDD Agency (2018)
North Dakota
29%
71%
United States
19%
81%
Waiver Cost Per Person (2018):
$47,835
ICF Cost Per Person (2018):
$137,560
1,308,659 Americans receiving LTSS from State IDD Agencies (2018)
*Citation: Residential Information Systems Project. (2021). Living Arrangements of LTSS Recipients by Fiscal
Year Over Time. University of Minnesota. https://risp.umn.edu/viz/living-arrangements/living-arrangements-of-ltss-
recipients-by-fiscal-year-over-time
*North Dakota's share of DD spending in institutions is significantly higher than
national figures, indicating there is an opportunity to invest in the home and
community-based settings supported by the DD Waiver.
See Appendix, Peer State Benchmarking, for more detailed analysis of ICF and
waiver spending.
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