Assessing the Health and Welfare of the HCBS Population
Table 13G: HCBS Population Age 65+
Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a</4>
- 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 13F: HCBS Population Ages 18-64 Without I/DD or SMI.
|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||150||158||109||177||152||77||114||169|
|Asthma or Chronic Obstructive Pulmonary Disease||6,648||5,474||3,596||5,270||5,576||3,280||4,002||6,249|
|Congestive Heart Failure||9,587||9,531||6,045||9,070||9,568||5,569||6,504||10,408|
|Composite: Potentially Preventable Infection||14,434||13,125||8,228||13,974||13,096||8,011||9,475||13,962|
|Urinary Tract Infection||5,376||5,290||3,165||5,910||5,160||2,936||3,576||5,630|
|Infection Due to Device or Implant||608||599||407||590||603||396||432||651|
|Composite: ACSC Chronic Conditions||19,478||18,495||12,326||17,796||18,594||10,894||13,266||20,272|
|Composite: ACSC Acute Conditions||13,786||12,476||7,767||12,667||12,688||7,427||8,999||13,250|
|Composite: ACSC Overall||33,261||30,970||20,092||30,462||31,280||18,320||22,265||33,519|
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.