Table 18C: Medicaid-Only 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 Diabetes698350470434564354654355
Asthma or Chronic Obstructive Pulmonary Disease4,0342,8662,8293,7004,0422,4614,0112,823
Congestive Heart Failure3,4422,6562,8472,9473,1332,6713,2952,692
Composite: Potentially Preventable Infection6,0944,4074,8874,9475,5264,3526,0434,354
    Bacterial Pneumonia3,6682,8783,0753,1663,4642,7963,6822,835
    Urinary Tract Infection2,4261,5291,8111,7812,0631,5562,3611,519
Infection Due to Device or Implant1,1556727898519207221,097678
Composite: ACSC Chronic Conditions11,4357,9148,5819,45710,6337,44911,0367,947
Composite: ACSC Acute Conditions5,4743,8374,4154,2204,8303,8695,3963,799
Composite: ACSC Overall16,90711,75112,99613,67715,46211,31816,43111,746
Pressure Ulcer3,4511,7622,1422,4272,8271,7583,3231,746
Injurious Falls123417554914212635


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.

Return to Contents
Return to Document

Page last reviewed December 2012
Internet Citation: Table 18C: Medicaid-Only HCBS Participants: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.