These data show expenditures on Home & Community-Based Services (HCBS) as a percent of total long-term services and supports (LTSS) spending by state for federal fiscal year (FFY) 2017.
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.
|Dist. of Columbia||53%-60%|
These data show expenditures on home & community-based services as a percent of total long-term services and supports spending by state.
Source: Medicaid Expenditures for LTSS in FY2017 (Forthcoming Report)
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 and Kansas were not included because much of their FFY 2017 LTSS was delivered through managed care. Detailed information about HCBS and institutional spending within managed care was not available.