Assessing the Health and Welfare of the HCBS Population

Table 18C: Medicaid-Only 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 698 350 470 434 564 354 654 355
Asthma or Chronic Obstructive Pulmonary Disease 4,034 2,866 2,829 3,700 4,042 2,461 4,011 2,823
Congestive Heart Failure 3,442 2,656 2,847 2,947 3,133 2,671 3,295 2,692
Composite: Potentially Preventable Infection 6,094 4,407 4,887 4,947 5,526 4,352 6,043 4,354
    Bacterial Pneumonia 3,668 2,878 3,075 3,166 3,464 2,796 3,682 2,835
    Urinary Tract Infection 2,426 1,529 1,811 1,781 2,063 1,556 2,361 1,519
Infection Due to Device or Implant 1,155 672 789 851 920 722 1,097 678
Dehydration 1,649 974 1,048 1,337 1,502 878 1,600 967
Composite: ACSC Chronic Conditions 11,435 7,914 8,581 9,457 10,633 7,449 11,036 7,947
Composite: ACSC Acute Conditions 5,474 3,837 4,415 4,220 4,830 3,869 5,396 3,799
Composite: ACSC Overall 16,907 11,751 12,996 13,677 15,462 11,318 16,431 11,746
Pressure Ulcer 3,451 1,762 2,142 2,427 2,827 1,758 3,323 1,746
Injurious Falls 123 41 75 54 91 42 126 35

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 18C: Medicaid-Only HCBS Participants. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab18c.html