Assessing the Health and Welfare of the HCBS Population
Table 13B: Dually Eligible HCBS Participants
Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a
- Table 13A: National HCBS Population.
- Table 13C: Medicaid-Only HCBS Participants.
- Table 13D: I/DD Subpopulation.
- Table 13E: SMI Subpopulation.
- Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI.
- Table 13G: HCBS Population Age 65+.
|Outcome Indicator||No Medically Needy Program||More Restrictive Eligibility Criteria||Less Restrictive Eligibility Criteria||Nursing Home Level of Care Eligibility Criteria for HCBS||Percentage of State LTC Funds Spent on HCBS|
|Short-Term Complications of Diabetes||279||265||177||407||233||158||203||272|
|Asthma or Chronic Obstructive Pulmonary Disease||5,334||4,324||3,261||4,552||4,259||3,156||3,574||4,841|
|Congestive Heart Failure||6,786||6,610||4,812||6,648||6,377||4,821||5,103||7,074|
|Composite: Potentially Preventable Infection||11,104||10,143||7,164||10,514||9,962||7,357||8,053||10,649|
|Urinary Tract Infection||4,227||4,114||2,697||4,434||3,942||2,726||3,028||4,318|
|Infection Due to Device or Implant||873||807||600||902||785||618||661||844|
|Composite: ACSC Chronic Conditions||15,269||14,041||10,715||14,679||13,644||10,260||11,421||15,100|
|Composite: ACSC Acute Conditions||10,364||9,276||6,559||9,357||9,284||6,680||7,431||9,753|
|Composite: ACSC Overall||25,630||23,315||17,273||24,034||22,926||16,939||18,851||24,850|
ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; LTC = long-term care.
a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and persons in the States of Arizona, Maine, Washington, and Wisconsin.
Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare denominator file.
Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.
HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix.
Median is defined as the value at which half of States are below and half of States are above.
Source for Outcome Indicators: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.
Sources for column heading data are described in the Appendix.