Table 1: Availability of Medicaid State Plan Home and Community-Based Services, by State, 2005

Assessing the Health and Welfare of the HCBS Population

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State Mandatory Home Health Services Optional Medicaid State Plan Services
Part-Time Nursing Registered Nurse Health Aide Services Supplies/ Appliances Home Health Therapies Private Duty Nursing Personal Care Services Targeted Case Management Hospice Care Transportation Adult Day Carea Residential Careb
Alabama X X X X       X X X    
Alaska X X X X X   X X X X    
Arizona X X X X X X X X X X    
Arkansas X X X X X X X X X X   X
California X X X X X   X X X X X c
Colorado X X X X X X   X X X    
Connecticut X X X X X     X   X    
Delaware X X X X X X X   X      
District of Columbia X X X X X X X X X X    
Florida X X X X X X X   X X   X
Georgia X X X X X X   X X X    
Hawaii X X X X X     X X X    
Idaho X X X X X   X X X X   X
Illinois X X X X X     X X X    
Indiana X X X X X X   X X X    
Iowa X X X X X     X X X    
Kansas X X X X X   X X X X    
Kentucky X X X X X     X X X   c
Louisiana X X X X X   X X X X   c
Maine X X X X X X X X X X   X
Maryland X X X X X X X X X X X  
Massachusetts X X X X X X X X X X X X
Michigan X X X X X   X X X X   X
Minnesota X X X X X X X X X X   X
Mississippi X X X X X     X X X    
Missouri X X X X X   X X X X   X
Montana X X X X X X X X X X    
Nebraska X X X X X X X X X X    
Nevada X X X X X X X X X X    
New Hampshire X X X X X X X X   X X  
New Jersey X X X X X   X X X X X  
New Mexico X X X X X   X X X X    
New York X X X X X X X X X X X X
North Carolina X X X X X X X X X X   X
North Dakota X X X X X X X X X X   c
Ohio X X X X X X   X X X   c
Oklahoma X X X X     X X       c
Oregon X X X X X X X X X X    
Pennsylvania X X X X X X X X X X    
Rhode Island X X X X X   X X X X    
South Carolina X X X X X     X X X   X
South Dakota X X X X X   X X X X    
Tennessee X X X X X X   X X X   c
Texas X X X X X   X   X X X  
Utah X X X X X X X X X X   X
Vermont X X X X X   X X X X   X
Virginia X X X X X     X X X   c
Washington X X X X X X X X X X X  
West Virginia X X X X X X X X X X    
Wisconsin X X X X X X X X X X   X
Wyoming X X X X X     X X X    
National 51 51 51 51 49 27 36 48 48 49 8 14
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Notes:

If State offers 1915(c) home and community-based services (HCBS) (i.e., all States except Arizona) and if any of the 1915(c) waiver plans fails to provide case management services, then the State must provide HCBS case management services as an optional targeted case management State plan service (HCBS Waiver Application Technical Instructions).

a Alteras T. Adult day health care services: serving the chronic health needs of frail elderly through cost-effective, non-institutional care. Lansing, MI: Health Management Associates; 2007.
b Mollica R, Johnson-Lamarche H, O'Keeffe J. State residential care and assisted living policy: 2004. (Prepared under Contract No. HHS-100-01-0025 for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation). Research Triangle Park, NC: Research Triangle Institute; 2005. Available at: http://aspe.hhs.gov/daltcp/reports/2005/04alcom.htm, Table 1-8.
c State not included in Mollica Table 1-8.

Source: Medicaid At-a-Glance 2005, Centers for Medicare & Medicaid Services (CMS), unless noted otherwise.

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Page last reviewed December 2012
Internet Citation: Table 1: Availability of Medicaid State Plan Home and Community-Based Services, by State, 2005: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab1.html