Table 19C: Medicaid-Only 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 19C: Medicaid-Only 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
Short-Term Complications of Diabetes627386495391487325455452486317
Asthma or Chronic Obstructive Pulmonary Disease3,2323,2113,1033,3963,3682,6293,1053,4683,3802,524
Congestive Heart Failure2,9702,8612,9942,7313,1521,8772,8472,9923,1901,623
Composite: Potentially Preventable Infection5,5044,6805,1734,5065,0194,5024,8145,1375,0654,267
    Bacterial Pneumonia3,2933,0453,2292,9373,1423,0113,0553,2523,1612,921
    Urinary Tract Infection2,2111,6351,9441,5691,8771,4911,7591,8851,9041,346
Infection Due to Device or Implant9307728727308138337251,021817815
Composite: ACSC Chronic Conditions9,8348,6299,1328,7189,6056,5008,8689,2029,6646,021
Composite: ACSC Acute Conditions5,0144,0574,6183,8744,4353,9124,2844,4294,4703,725
Composite: ACSC Overall14,84712,68513,75012,59114,03910,41313,15113,63114,1349,746
Pressure Ulcer3,1441,9222,3112,2032,3062,1252,0712,7132,3451,945
Injurious Falls114467255589368595992
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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 19C: Medicaid-Only HCBS Participants: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.