Assessing the Health and Welfare of the HCBS Population
Table 13E: SMI 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 13D: I/DD 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||621||615||359||916||463||430||443||605|
|Asthma or Chronic Obstructive Pulmonary Disease||5,994||5,285||4,259||4,724||4,897||4,975||4,530||5,703|
|Congestive Heart Failure||4,359||3,531||2,829||3,346||3,399||3,725||2,948||4,100|
|Composite: Potentially Preventable Infection||8,987||8,470||5,551||8,556||7,780||7,044||6,372||8,804|
|Urinary Tract Infection||3,289||3,208||1,792||3,481||2,801||2,447||2,137||3,364|
|Infection Due to Device or Implant||966||853||540||836||842||780||610||947|
|Composite: ACSC Chronic Conditions||14,034||12,144||10,125||11,950||11,303||11,964||10,491||13,486|
|Composite: ACSC Acute Conditions||8,624||8,018||5,363||7,891||7,540||6,797||6,136||8,352|
|Composite: ACSC Overall||22,658||20,161||15,487||19,836||18,844||18,762||16,626||21,838|
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.