Table 17C: Medicaid-Only 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 17C: Medicaid-Only 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 Diabetes545332465448593378479390636379
Asthma or Chronic Obstructive Pulmonary Disease3,8362,3874,2062,6363,7092,9463,3962,7533,3693,174
Congestive Heart Failure3,3182,3212,9092,8823,1572,7463,0642,4463,0462,828
Composite: Potentially Preventable Infection5,3824,2865,3544,6545,7234,4685,0504,5585,6204,614
    Bacterial Pneumonia3,2902,8823,4472,9203,4772,9163,1972,9043,3523,012
    Urinary Tract Infection2,0921,4041,9071,7342,2451,5521,8531,6542,2681,602
Infection Due to Device or Implant9096939347481,006712807841971757
Composite: ACSC Chronic Conditions10,5806,81510,2908,19610,4008,1859,4707,67610,1228,517
Composite: ACSC Acute Conditions4,7033,8274,6984,1115,0493,9324,4164,1025,1114,002
Composite: ACSC Overall15,28110,64214,98812,30615,44712,11713,88511,77815,23112,519
Pressure Ulcer2,9351,3762,6492,0453,1401,7902,2002,4473,2981,833
Injurious Falls7651101459847666311944
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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 17C: Medicaid-Only HCBS Participants: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.