Assessing the Health and Welfare of the HCBS Population

Table 19C: Medicaid-Only HCBS Participants

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

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Table 19C: Medicaid-Only HCBS Participants

Outcome Indicator Percentage 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 Diabetes 627 386 495 391 487 325 455 452 486 317
Asthma or Chronic Obstructive Pulmonary Disease 3,232 3,211 3,103 3,396 3,368 2,629 3,105 3,468 3,380 2,524
Congestive Heart Failure 2,970 2,861 2,994 2,731 3,152 1,877 2,847 2,992 3,190 1,623
Composite: Potentially Preventable Infection 5,504 4,680 5,173 4,506 5,019 4,502 4,814 5,137 5,065 4,267
    Bacterial Pneumonia 3,293 3,045 3,229 2,937 3,142 3,011 3,055 3,252 3,161 2,921
    Urinary Tract Infection 2,211 1,635 1,944 1,569 1,877 1,491 1,759 1,885 1,904 1,346
Infection Due to Device or Implant 930 772 872 730 813 833 725 1,021 817 815
Dehydration 1,498 1,049 1,140 1,233 1,179 1,166 1,067 1,421 1,184 1,143
Composite: ACSC Chronic Conditions 9,834 8,629 9,132 8,718 9,605 6,500 8,868 9,202 9,664 6,021
Composite: ACSC Acute Conditions 5,014 4,057 4,618 3,874 4,435 3,912 4,284 4,429 4,470 3,725
Composite: ACSC Overall 14,847 12,685 13,750 12,591 14,039 10,413 13,151 13,631 14,134 9,746
Pressure Ulcer 3,144 1,922 2,311 2,203 2,306 2,125 2,071 2,713 2,345 1,945
Injurious Falls 114 46 72 55 58 93 68 59 59 92
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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 19C: 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/hcbsfindtab19c.html