Table 17B: Dually Eligible HCBS Participants

Assessing the Health and Welfare of the HCBS Population

Table 17: Outcome Indicators by State Prevalence of Chronic Conditions, 2005a

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Table 17B: Dually Eligible HCBS Participants

Outcome IndicatorPrevalence of
Prevalence of
Asthma in Adults
Prevalence of
Cardiovascular Disease
Prevalence of
High Blood Pressure
Prevalence of
Serious Mental Illness
Short-Term Complications of Diabetes266181231231266209224248296202
Asthma or Chronic Obstructive Pulmonary Disease4,8972,9344,8693,5665,2093,3774,1573,9244,9303,726
Congestive Heart Failure6,9904,3536,2875,6487,3454,9896,0215,6227,0915,383
Composite: Potentially Preventable Infection10,2477,48110,3458,28011,4247,6369,1219,07511,0548,236
    Bacterial Pneumonia6,1114,7626,3585,0186,7804,7775,4875,7216,5865,091
    Urinary Tract Infection4,1362,7193,9863,2624,6432,8593,6343,3544,4673,145
Infection Due to Device or Implant833596787700853660735736860680
Composite: ACSC Chronic Conditions15,2939,52214,25312,02215,80211,08313,09512,48415,39611,838
Composite: ACSC Acute Conditions9,4686,8139,3717,70810,5307,0058,3148,52210,4087,479
Composite: ACSC Overall24,76016,33423,62219,72926,33018,08621,40821,00525,80319,316
Pressure Ulcer4,5832,9374,3033,6384,7743,3534,0983,4404,7273,530
Injurious Falls397350396366462324384363466342
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ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness.

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 17B: Dually Eligible HCBS Participants: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.