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Attendant Care and Habilitation Hourly Data Ages 0-17

In February 2025, DDD hosted public forums that addressed the growth the program has experienced in recent years. Many factors have contributed to the growth. Every contributing factor mentioned in the presentation remains applicable. However, as more data has become available, service utilization for the under age 18 population has taken on an outsized proportion as a growth factor. As part of the Division’s 5-Year Strategic Plan, specific to Objective 2 in the Maintain Trust and Confidence focus area, the Division is posting the following data specific to the Utilization of Attendant Care and Habilitation services for members under age 18.

Change in Utilization

The following charts demonstrate the significant growth the Division has seen for Attendant Care (ATC) and Habilitation Hourly (HAH) for the under age 18 population, using the fiscal year before the pandemic and the two most recent fiscal years as a comparison.

Change in ATC Utilization for DDD Members (ALTCS) Under 18 (in June each FY)
Category FY2019 FY2024 FY2025
Overall # of Members 17,450 21,092 23,871
# of Members w/ ATC authorization 1,300 7,762 11,786
% of Members w/ ATC authorization 7.4% 36.8% 49.3%
# of Units authorized 1,016,557 6,508,618 12,681,028
Average Annual Units per member 781 838 1,075
Change in HAH Utilization for DDD Members (ALTCS) Under 18 (in June each FY)
Category FY2019 FY2024 FY2025
Overall # of Members 17,450 21,092 23,871
# of Members w/ HAH authorization 6,507 11,540 14,831
% of Members w/ HAH authorization 37.3% 54.7% 62.1%
# of Units authorized 2,791,876 6,590,625 10,150,057
Average Annual Units per member 429 571 684

While DDD has been tracking these significant increases in recent years, the most drastic increase has occurred in the last 12 months. Spending on these two services for the under age 18 population increased from $77 million in Fiscal Year (FY) 2019 to $380 million in FY2024. It has since further increased to $613 million in FY2025.  Additional comparison data by age group is included in the table below.

Attendant Care (ATC) Spend by Age
Age FY2019 FY2024 FY2025
0-2 $288,309 $3,071,377 $7,335,245
3-5 $1,530,755 $29,862,374 $65,006,521
6-9 $3,626,364 $51,962,121 $100,304,244
10-12 $3,788,444 $34,195,07 $58,568,774
13-15 $4,723,189 $34,911,521 $53,634,891
16-17 $3,115,322 $22,681,116 $33,164,635
TOTAL $17,072,383 $176,683,584 $318,014,310
Number of Members Authorized for Attendant Care (ATC)
Age FY2019 FY2024 FY2025
0-2 15 129 234
3-5 106 1,440 2,358
6-9 280 2,415 3,995
10-12 326 1,516 2,205
13-15 339 1,415 1,851
16-17 234 847 1,143
TOTAL 1,300 7,762 11,786
Habilitation Hourly (HAH) Spend by Age
Age FY2019 FY2024 FY2025
0-2 $5,540 $339,068 $688,306
3-5 $3,417,297 $29,973,045 $49,751,735
6-9 $16,743,571 $64,430,987 $100,414,239
10-12 $15,218,829 $44,409,877 $61,128,040
13-15 $15,659,066 $40,090,837 $52,104,177
16-17 $9,124,588 $24,180,465 $30,918,667
TOTAL $60,168,891 $203,424,279 $295,005,164
Number of Members Authorized for Habilitation (HAH)
Age FY2019 FY2024 FY2025
0-2 1 22 23
3-5 445 1,744 2,513
6-9 1.839 3,645 5,034
10-12 1,632 2,476 3,045
13-15 1,621 2,281 2,659
16-17 969 1,372 1,557
TOTAL 6,507 11,540 14,831
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