Home & Community-Based Services by State
About This Measure
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) 2015. 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 or developmental disabilities, physical disabilities, and/or mental illness.
The data in the graph 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 state estimates that were collected by the study’s researchers. Researchers requested state estimates of expenditures for the most common LTSS program authorities, but not less common authorities. In addition, not all states provided data in every year.
The red dashed line represents the median, or middle of all values.
Stem plot with a median of 51% and the states and values:
|Dist. of Col.||54%|
Notes: California and North Carolina are not included because much of their FFY 2015 LTSS was delivered through managed care. Detailed information about HCBS and institutional spending within managed care was not available.