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.

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Current as of 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.