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Home & Community Based Services

Home and community based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own homes or communities rather than institutions or other isolated settings. These programs serve a variety of targeted groups, such as older adults, people with intellectual or developmental disabilities, physical disabilities, or mental health and substance use disorders.

86.2 percent of long term-services and support (LTSS) users received HCBS in 2021

63.2 percent of LTSS expenditures were for HCBS in 2021

 
Source: Trends in the Use of and Spending for Home and Community-Based Services as a Share of Total LTSS Use and Spending in Medicaid, 2019–2021