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
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% |
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.