Home & Community Based Services


In 2014, 52% of all Medicaid long term care spending was on the home & community based services. Medicaid Long Term Care Total spending was $151.8 Billion composed of HCBS services of $80.6 billion, other services the remaining $71.2 Billion. Source: 2014 LTSS Expenditure Report.


Home and community-based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses.

Policy and Program Topics

State Medicaid & CHIP Profiles