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.
Page originally created December 2012