Table 18B: Dually Eligible HCBS Participants

Assessing the Health and Welfare of the HCBS Population

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

Select for:

Outcome IndicatorPercentage 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 
Short-Term Complications of Diabetes288203228235267195284202
Asthma or Chronic Obstructive Pulmonary Disease5,2953,4933,8354,3965,0313,1375,3053,416
Congestive Heart Failure7,4025,1645,8206,0066,8264,9737,2805,143
Composite: Potentially Preventable Infection11,5437,9048,9649,28210,6257,57511,4397,819
    Bacterial Pneumonia6,9104,8865,4405,6956,3804,7236,8784,824
    Urinary Tract Infection4,6333,0183,5243,5874,2452,8534,5612,995
Infection Due to Device or Implant880664724748818651881654
Composite: ACSC Chronic Conditions15,95911,41212,47613,45015,14310,66815,85711,290
Composite: ACSC Acute Conditions10,6827,2348,3168,4469,7087,02810,5177,190
Composite: ACSC Overall26,64018,64520,79121,89424,84917,69526,37218,479
Pressure Ulcer4,7543,4863,9083,9014,5953,2084,7363,445
Injurious Falls466335394359428327477323


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