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Reports & Evaluations

Long Term Services and Supports Annual Expenditures

The most recent Medicaid LTSS expenditure reports document the decades-long growth in HCBS, which now are a majority of LTSS expenditures. These reports include Medicaid expenditures for all LTSS, including institutional services and HCBS, by service category and state. The data comes primarily from CMS-64 reports.

Recent reports:

Special Reports:

Medicaid Section 1915(c) Waiver Program Data Based on the CMS 372 Report

This report summarizes data about section 1915(c) waiver programs submitted by states on the CMS 372 report. The CMS 372 identifies the number of people who received HCBS waiver program services, and Medicaid expenditures. Because the data source is different, the expenditures reported here are not exactly the same as those reported in the CMS-64 reports. State and national data are included.

Recent reports:

Long-Term Services and Supports Beneficiaries

The most recent Medicaid LTSS user brief updates previous reports estimating the number of people who receive Medicaid LTSS. The latest brief documents the number of individuals in each state who received Medicaid-funded LTSS based on the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). The TAF are a comprehensive national dataset on beneficiary enrollment and service use for Medicaid and the Children’s Health Insurance Program (CHIP). State and national data are included.

Recent reports:

Previous Medicaid LTSS beneficiaries reports document the number of individuals in each state who received Medicaid-funded LTSS based on the Medicaid Analytic eXtract (MAX), TAF’s predecessor. These reports include data for three age groups: children, adults age 22 through 64, and older adults. With some exceptions, state and national data are included.

Previous reports:

Improving the Balance: The Evolution of Long Term Services and Supports, FY 1981-2014

This historical expenditures report and corresponding state-by-state data tables document three decades of Medicaid Long Term Services and Supports (LTSS) systems transformation from primarily institutional services to the present, where home and community-based services (HCBS) are a majority of LTSS spending. These reports include Medicaid expenditures for all LTSS, including institutional services and HCBS, by service category and state. The data comes primarily from the Centers for Medicare & Medicaid Services (CMS)-64 reports.

Medicaid Expenditures for Section 1915(c) Waiver Programs

This report, a companion to the LTSS expenditures report, highlights the subset of LTSS spending that comes specifically from 1915(c) HCBS waivers. Like the LTSS expenditures report, this report is based on the CMS-64 and therefore includes expenditures only. State and national data are included. CMS no longer produces a standalone report on Medicaid expenditures for section 1915(c) waiver programs. The most recent expenditure data on section 1915(c) waiver programs is available within the LTSS Expenditure Report 2017 and 2018. Additional information on section 1915(c) waiver programs is also available in the reports under “Medicaid Section 1915(c) Waiver Program Data Based on the CMS 372 Report” below.

Recent reports: