Table 13G: HCBS Population Age 65+

Assessing the Health and Welfare of the HCBS Population

Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a</4>

Select for:

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 HCBS
Short-Term Complications of Diabetes15015810917715277114169
Asthma or Chronic Obstructive Pulmonary Disease6,6485,4743,5965,2705,5763,2804,0026,249
Congestive Heart Failure9,5879,5316,0459,0709,5685,5696,50410,408
Composite: Potentially Preventable Infection14,43413,1258,22813,97413,0968,0119,47513,962
    Bacterial Pneumonia9,0587,8355,0648,0647,9365,0755,8998,331
    Urinary Tract Infection5,3765,2903,1655,9105,1602,9363,5765,630
Infection Due to Device or Implant608599407590603396432651
Composite: ACSC Chronic Conditions19,47818,49512,32617,79618,59410,89413,26620,272
Composite: ACSC Acute Conditions13,78612,4767,76712,66712,6887,4278,99913,250
Composite: ACSC Overall33,26130,97020,09230,46231,28018,32022,26533,519
Pressure Ulcer4,4974,6493,6965,0774,6322,8183,6475,097
Injurious Falls708596386463713390404719


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.

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Page last reviewed December 2012
Internet Citation: Table 13G: HCBS Population Age 65+: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.