Assessing the Health and Welfare of the HCBS Population
Table 13D: I/DD Subpopulation
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 13C: Medicaid-Only HCBS Participants.
- 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||178||168||128||269||129||158||152||159|
|Asthma or Chronic Obstructive Pulmonary Disease||767||752||674||989||670||669||762||686|
|Congestive Heart Failure||779||643||603||912||579||660||667||643|
|Composite: Potentially Preventable Infection||4,473||4,669||4,105||5,070||4,293||4,104||4,346||4,496|
|Urinary Tract Infection||1,502||1,634||1,244||1,938||1,422||1,341||1,349||1,582|
|Infection Due to Device or Implant||376||304||271||341||312||321||301||311|
|Composite: ACSC Chronic Conditions||2,331||2,113||1,943||2,920||1,870||2,067||2,151||2,032|
|Composite: ACSC Acute Conditions||3,585||3,496||3,165||3,777||3,285||3,281||3,329||3,456|
|Composite: ACSC Overall||5,916||5,609||5,108||6,697||5,155||5,348||5,480||5,488|
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.