Table 19B: Dually Eligible HCBS Participants

Assessing the Health and Welfare of the HCBS Population

Table 19: Outcome Indicators by State Prevalence of Specific Disabilities, Age 65+, 2005a

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Table 19B: Dually Eligible HCBS Participants

Outcome IndicatorPercentage With
Sensory Disability
Percentage With
Physical Disability
Percentage With
Self-Care Disability
Percentage With
Mental Disability
Percentage With
Difficulty Going
Outside Home
>Median≤Median>Median≤Median>Median≤Median>Median≤Median>Median≤Median
Short-Term Complications of Diabetes294203233228237213230234240198
Asthma or Chronic Obstructive Pulmonary Disease4,8833,7394,0874,0924,2003,7373,9314,4024,2063,639
Congestive Heart Failure7,0675,3926,1305,5636,1655,0795,7866,1396,2594,539
Composite: Potentially Preventable Infection11,0528,2529,4998,5179,1548,9618,8479,6279,1928,784
    Bacterial Pneumonia6,6345,0815,7165,3125,5295,6405,3585,9505,5285,662
    Urinary Tract Infection4,4183,1713,7833,2053,6253,3223,4903,6773,6643,123
Infection Due to Device or Implant847686768686767635724757772594
Dehydration2,6881,9182,2002,0822,1892,0422,0832,2942,2191,902
Composite: ACSC Chronic Conditions15,31511,86013,12412,60313,43311,28512,69513,35813,57410,391
Composite: ACSC Acute Conditions10,4287,4708,7237,8498,4568,1188,1628,7988,4698,012
Composite: ACSC Overall25,74119,33021,84520,45021,88819,40220,85622,15422,04218,402
Pressure Ulcer4,6593,5734,1273,5704,1333,1864,0143,6884,1712,882
Injurious Falls476335399346378376384365381366
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Notes: 

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

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.

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 19B: Dually Eligible HCBS Participants: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab19b.html