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Long-Term Services and Supports Expenditures on Home & Community-Based Services

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DOMAIN: What are Annual Expenditures for Medicaid & CHIP?

These data show expenditures on Home & Community-Based Services (HCBS) as a percent of total Medicaid long-term services and supports (LTSS) spending by state for federal fiscal year (FFY) 2019. These data show the overall expenditures for HCBS as a percent of total Medicaid LTSS.

Medicaid covers LTSS through a range of programs and settings. Through HCBS, people receive care in their own homes and communities instead of institutional settings. These programs serve many populations, including older adults and people with intellectual, developmental, or physical disabilities, or mental illness.

Expenditures on HCBS as a Percent of Total Medicaid LTSS Expenditures

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Expenditures on Home & Community based Services or HCBS as a Percent of Total Medicaid Long Term Services and Supports or LTSS Expenditures:  US Map showing which states fall into which range of percentages and which states whose data was not available

Expenditures on Home & Community based Services or HCBS as a Percent of Total Medicaid Long Term Services and Supports or LTSS Expenditures: US Map showing which states fall into which range of percentages and which states whose data was not available:

State Category
Alabama 33.4-47.3%
Alaska 54.8-63.2%
Arizona 63.3-83.3%
Arkansas 33.4-47.3%
California Not available
Colorado 63.3-83.3%
Connecticut 47.4-54.7%
Delaware Not available
Distict of Columbia 54.8-63.2%
Florida 33.4-47.3%
Georgia 47.4-54.7%
Hawaii 47.4-54.7%
Idaho 54.8-63.2%
Illinois Not available
Indiana 33.4-47.3%
Iowa 47.4-54.7%
Kansas 63.3-83.3%
Kentucky 33.4-47.3%
Louisiana 33.4-47.3%
Maine 63.3-83.3%
Maryland 54.8-63.2%
Massachusetts 63.3-83.3%
Michigan 33.4-47.3%
Minnesota 63.3-83.3%
Mississippi 33.4-47.3%
Missouri 54.8-63.2%
Montana 54.8-63.2%
Nebraska 54.8-63.2%
Nevada 54.8-63.2%
New Hampshire 33.4-47.3%
New Jersey 47.4-54.7%
New Mexico 63.3-83.3%
New York 54.8-63.2%
North Carolina 54.8-63.2%
North Dakota 33.4-47.3%
Ohio 54.8-63.2%
Oklahoma 33.4-47.3%
Oregon 63.3-83.3%
Pennsylvania 63.3-83.3%
Rhode Island 47.4-54.7%
South Carolina 47.4-54.7%
South Dakota 47.4-54.7%
Tennessee 47.4-54.7%
Texas 54.8-63.2%
Utah 47.4-54.7%
Vermont 63.3-83.3%
Virginia Not available
Washington 63.3-83.3%
West Virginia 33.4-47.3%
Wisconsin 63.3-83.3%
Wyoming 47.4-54.7%
These data show expenditures on home & community-based services as a percent of total Medicaid long-term services and supports spending by state.

Source: Medicaid Long Term Services and Supports Annual Expenditures Report: Federal Fiscal Year 2019

Notes: These data should be interpreted with caution, as there are a number of data limitations. For example, data from states using managed care arrangements to provide LTSS (called MLTSS) include estimates that were collected from states by the study’s researchers. Researchers requested state estimates of expenditures for the most common LTSS program authorities, but not less common authorities.

Data for California, Delaware, Illinois, and Virginia were not included because much of their FFY 2019 LTSS was delivered through managed care. Detailed information about HCBS and institutional spending within managed care was not available.