Assessing the Health and Welfare of the HCBS Population Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005aTable 13F: HCBS Population Ages 18-64 Without I/DD or SMISelect for:Table 13A: National HCBS Population.Table 13B: Dually Eligible HCBS Participants.Table 13C: Medicaid-Only HCBS Participants.Table 13D: I/DD Subpopulation.Table 13E: SMI Subpopulation.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 Diabetes8676594811,192571476522801Asthma or Chronic Obstructive Pulmonary Disease6,0884,7554,4255,2684,7063,8684,2555,928Congestive Heart Failure5,4455,3724,6635,8425,1034,4054,3416,316Composite: Potentially Preventable Infection8,7527,6325,6957,4517,8335,7975,9208,912 Bacterial Pneumonia4,8994,1253,4954,1164,2483,5643,5434,804 Urinary Tract Infection3,8533,5072,1993,3353,5862,2332,3774,108Infection Due to Device or Implant2,0581,9871,3672,0931,8531,4071,4812,174Dehydration2,1702,0451,2762,0502,0161,2321,3762,363Composite: ACSC Chronic Conditions17,24915,26513,11817,49914,62912,00612,79118,023Composite: ACSC Acute Conditions7,8426,4624,9166,4116,7615,0535,1877,598Composite: ACSC Overall25,08821,72618,03323,91021,38817,05917,97725,619Pressure Ulcer6,1806,0293,2395,5376,1913,0673,6366,965Injurious Falls198133110142163103113176Notes: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: 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/hcbsfindtab13f.html