Table 13C: Medicaid-Only HCBS Participants Assessing the Health and Welfare of the HCBS Population Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005aSelect for:Table 13A: National HCBS Population.Table 13B: Dually Eligible 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 IndicatorNo Medically Needy ProgramMore Restrictive Eligibility CriteriaLess Restrictive Eligibility CriteriaNursing Home Level of Care Eligibility Criteria for HCBSPercentage of State LTC Funds Spent on HCBSHighMidLow>Median≤MedianShort-Term Complications of Diabetes697487337934388364385567Asthma or Chronic Obstructive Pulmonary Disease4,0203,1432,9713,0703,0032,8482,9223,696Congestive Heart Failure3,1032,9602,7593,1422,8282,8492,4783,563Composite: Potentially Preventable Infection5,9705,3224,1995,8815,0554,4854,3035,905 Bacterial Pneumonia3,7053,2282,8053,4493,0893,0052,8823,494 Urinary Tract Infection2,2652,0941,3942,4321,9671,4801,4202,411Infection Due to Device or Implant1,0989885781,0198977426501,088Dehydration1,6431,4377991,5481,3647839051,617Composite: ACSC Chronic Conditions10,7709,1968,11710,3858,4658,0647,90210,707Composite: ACSC Acute Conditions5,4224,5813,7205,0214,4274,0253,8265,144Composite: ACSC Overall16,19013,77711,83715,40612,89012,08911,72815,849Pressure Ulcer3,0313,0011,4163,0732,9141,2111,5913,369Injurious Falls12277359089255582Notes: 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.Return to ContentsReturn to Document Current as of December 2012 Internet Citation: Table 13C: Medicaid-Only HCBS Participants: 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/hcbsfindtab13c.html