Assessing the Health and Welfare of the HCBS Population

Table 18B: Dually Eligible HCBS Participants

Table 18: Outcome Indicators by State Prevalence of Any Disability, 2005a

Select for:

Outcome Indicator Percentage of
Population 18-64
With Any Disability
Percentage of
Population 65+
With Any Disability
Percentage of
Population 18-64
Receiving SSDI
Percentage of
State Population
Diagnosed With
Mental Retardation
and Receiving SSDI 
>Median ≤Median >Median ≤Median >Median ≤Median >Median ≤Median
Short-Term Complications of Diabetes 288 203 228 235 267 195 284 202
Asthma or Chronic Obstructive Pulmonary Disease 5,295 3,493 3,835 4,396 5,031 3,137 5,305 3,416
Congestive Heart Failure 7,402 5,164 5,820 6,006 6,826 4,973 7,280 5,143
Composite: Potentially Preventable Infection 11,543 7,904 8,964 9,282 10,625 7,575 11,439 7,819
    Bacterial Pneumonia 6,910 4,886 5,440 5,695 6,380 4,723 6,878 4,824
    Urinary Tract Infection 4,633 3,018 3,524 3,587 4,245 2,853 4,561 2,995
Infection Due to Device or Implant 880 664 724 748 818 651 881 654
Dehydration 2,792 1,838 2,089 2,232 2,573 1,730 2,776 1,809
Composite: ACSC Chronic Conditions 15,959 11,412 12,476 13,450 15,143 10,668 15,857 11,290
Composite: ACSC Acute Conditions 10,682 7,234 8,316 8,446 9,708 7,028 10,517 7,190
Composite: ACSC Overall 26,640 18,645 20,791 21,894 24,849 17,695 26,372 18,479
Pressure Ulcer 4,754 3,486 3,908 3,901 4,595 3,208 4,736 3,445
Injurious Falls 466 335 394 359 428 327 477 323

Notes: 

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; SSDI = Social Security Disability Income.

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.

Source data uses the term mental retardation. Elsewhere in this report we refer to this condition as part of the I/DD subpopulation.

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 18B: Dually Eligible HCBS Participants. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab18b.html