Assessing the Health and Welfare of the HCBS Population
Table 13C: Medicaid-Only HCBS Participants
Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a
- 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 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||697||487||337||934||388||364||385||567|
|Asthma or Chronic Obstructive Pulmonary Disease||4,020||3,143||2,971||3,070||3,003||2,848||2,922||3,696|
|Congestive Heart Failure||3,103||2,960||2,759||3,142||2,828||2,849||2,478||3,563|
|Composite: Potentially Preventable Infection||5,970||5,322||4,199||5,881||5,055||4,485||4,303||5,905|
|Urinary Tract Infection||2,265||2,094||1,394||2,432||1,967||1,480||1,420||2,411|
|Infection Due to Device or Implant||1,098||988||578||1,019||897||742||650||1,088|
|Composite: ACSC Chronic Conditions||10,770||9,196||8,117||10,385||8,465||8,064||7,902||10,707|
|Composite: ACSC Acute Conditions||5,422||4,581||3,720||5,021||4,427||4,025||3,826||5,144|
|Composite: ACSC Overall||16,190||13,777||11,837||15,406||12,890||12,089||11,728||15,849|
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.