Long Term Services and Supports Users and Expenditures
These publications present findings on Medicaid long-term services and supports (LTSS) users and expenditures, including LTSS rebalancing trends and patterns in users and expenditures for different home and community-based services (HCBS) and institutional care, nationally and across states.
2023
- Trends in Users and Expenditures for Home and Community-Based Services as a Share of Total Medicaid Long-Term Services and Supports Users and Expenditures, 2023
- Medicaid Long-Term Services and Supports Users and Expenditures by Service Category, 2023
- Characteristics of People Using Medicaid Long-Term Services and Supports, 2023
- Analysis of Data Quality in the Transformed Medicaid Statistical Information System Analytic Files for Identifying Medicaid Home and Community-Based Services and Institutional Long-Term Services and Supports, 2023
- Methodology for Identifying Medicaid Long-Term Services and Supports Expenditures and Users, 2023
- Data Tables, 2023
- Data Notes for Medicaid TAF Long-Term Services and Supports Annual Expenditures and Users, 2023 (forthcoming)
2022
- Trends in Users and Expenditures for Home and Community-Based Services as a Share of Total Medicaid LTSS Users and Expenditures, 2022
- Medicaid Long-Term Services and Supports Users and Expenditures by Service Category, 2022
- Medicaid Long-Term Services and Supports Users and Expenditures Among People Ages 0 to 20, 2022
- Methodology for Identifying Medicaid Long-Term Services and Supports Expenditures and Users, 2022
- Data Notes for Medicaid TAF Long-Term Services and Supports Annual Expenditures and Users, 2022
- Data Tables, 2022
2019-2021
- 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
- Medicaid Long-Term Services and Supports Use and Expenditures by Service Category, 2019–2021
- Characteristics of People Using Medicaid Long-Term Services and Supports, 2021
- Methodology for Identifying Medicaid Long-Term Services and Supports Expenditures and Users, 2019–2021
- Data Notes for Medicaid TAF Long-Term Services and Supports Annual Expenditures and Users, 2019-2021
- Data Tables, 2019-2021
Historical Publications
Long Term Services and Supports Annual 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.
- LTSS Expenditure Report 2020
- LTSS Expenditure Report 2019
- LTSS Expenditure Report 2017 and 2018
- LTSS Expenditure Report 2012 and 2016
Special Reports:
- Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016
- Improving the Balance: the Evolution of LTSS Expenditures
- Data Tables
Long-Term Services and Supports Beneficiaries
These reports include counts of the number of people who receive Medicaid LTSS.
- CY 2019 LTSS User Brief based on Transformed Statistical Information System Analytic Files (TAF)
- Reports based on the Medicaid Analytic eXtract (MAX):
Section 1915(c) Waiver Program Information
These reports summarize information about section 1915(c) waiver programs, including the number of people who received HCBS waiver program services and Medicaid expenditures.
Reports based on CMS 372 data:
- 2018-2019 Section 1915c Expenditure and Beneficiary Report
- 2017-2018 Section 1915c Expenditure and Beneficiary Report
- 2015-2017 Section 1915c Expenditure and Beneficiary Report
- Reports for 2009-2010 through 2014-2015
Reports based on CMS-64 data (standalone reports for FY2011 through FY2016)