Reports & Evaluations

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 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.

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:

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.

Recent reports:

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

This report summarizes data about 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:

Medicaid Long-Term Services and Supports Report Beneficiaries

The most recent Medicaid LTSS beneficiaries report updates previous reports estimating the number of people who receive Medicaid LTSS. The report documents the number of individuals in each state who received Medicaid-funded LTSS based on the Medicaid Analytic eXtract (MAX). The MAX data source is a set of Medicaid administrative data files designed to facilitate Medicaid research. The most recent report includes data for three age groups: children, adults age 22 through 64, and older adults. With some exceptions, state and national data are included.

Recent reports: