Assessing the Health and Welfare of the HCBS Population

Table 3A. National Medicaid Home and Community-Based Services Population by Selected Characteristics, 2005

National

Select Table 3B for State data.

Variable	HCBS Subpopulations						Total
Variable	Dually Eligible	Medicaid Only	I/DD	SMI	Ages 0-64 Without I/DD or SMI	Age 65+	Total
Number	1,478,881	755,835	588,063	300,607	537,434	975,576	2,234,716
Min	893	842	40	33	654	822	1,903
Max	310,570	175,698	82,158	52,629	133,525	246,398	486,268
Percentage of HCBS Population	66.18	33.82	26.31	13.45	24.05	43.66	100.00
Min	31.88	18.55	2.10	1.73	10.86	16.48	100.00
Max	81.45	68.12	65.27	28.09	53.70	56.55	100.00
Age (Mean)	66.90	33.39	34.44	48.88	41.67	78.52	55.57
Min	53.17	14.18	23.07	30.49	21.31	76.53	35.37
Max	74.95	43.70	43.00	59.94	51.18	81.02	63.46
Female (%)	65.86	52.78	44.36	58.76	57.22	74.41	61.43
Min	52.90	41.61	40.00	49.48	38.29	65.45	51.25
Max	73.38	82.38	49.06	75.88	80.82	81.84	75.88
White (%)	59.61	49.18	66.14	61.68	48.56	54.58	56.08
Min	s	s	s	s	s	s	s
Max	98.23	95.95	98.14	98.61	95.52	97.54	97.33
Black (%)	17.04	22.69	14.78	19.82	25.97	16.64	18.95
Min	s	s	s	s	s	s	s
Max	84.54	82.59	73.58	84.58	92.95	85.31	83.81
Hispanic (%)	9.42	12.54	6.85	7.53	13.04	11.32	10.48
Min	s	s	s	s	s	s	s
Max	36.23	72.97	30.86	30.39	68.69	41.14	39.31
Other Race or Multiple Races (%)	6.81	5.36	2.90	3.06	4.53	9.72	6.32
Min	s	s	s	s	s	s	s
Max	92.83	68.76	80.00	68.10	66.88	92.46	72.62
Race Unknown (%)	7.12	10.23	9.33	7.92	7.90	7.74	8.17
Min	s	s	s	s	s	s	s
Max	100.00	100.00	100.00	100.00	100.00	100.00	100.00
HMO (%)	7.54	16.31	12.17	10.16	13.20	7.81	10.51
Min	s	s	s	s	s	s	s
Max	49.02	92.41	69.09	68.41	82.70	78.85	52.18
Managed Long-Term Care (%)	0.30	0.10	0.03	0.12	0.14	0.42	0.23
Min	s	s	s	s	s	s	s
Max	92.05	22.97	77.50	57.58	25.54	92.09	55.39
Used Only HCBS State Plan Services (%)	47.06	52.78	18.89	55.11	64.05	54.33	49.00
Min	s	s	s	s	s	s	s
Max	100.00	100.00	100.00	100.00	100.00	100.00	100.00
Enrolled in a 1915(c) Waiver (%)	49.49	42.84	80.02	39.35	28.45	43.21	47.24
Min	s	s	s	s	s	s	s
Max	100.00	100.00	100.00	100.00	100.00	100.00	100.00
Used Both State Plan and Waiver Services (%)	11.06	9.59	13.87	8.89	7.78	11.15	10.56
Min	s	s	s	s	s	s	s
Max	49.09	30.76	46.90	36.52	52.02	64.58	42.47
Used Only 1915(c) Waiver Services (%)	35.73	31.57	57.05	31.43	23.82	29.26	34.32
Min	s	s	s	s	s	s	s
Max	97.55	93.23	98.41	97.29	90.34	97.36	96.14
Percentage of Total Medicaid Population	2.55	1.30	1.01	0.52	0.93	1.68	3.85
Min	0.06	0.07	0.00	0.00	0.07	0.06	0.13
Max	6.23	3.90	4.60	1.97	2.96	3.85	9.07

Notes:

HMO health maintenance organization; I/DD intellectual and development disabilities; SMI serious mental illness.

Minimum (min) and maximum (max) defined as lowest rate and highest rate among States.

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.

Races are coded as follows: White non-Hispanic white only; Black non-Hispanic black only; Hispanic includes Hispanic ethnicity with any race or no race indicated; Other Race includes Asian, Pacific Islander, or multiple races indicated; Race Unknown no race or ethnicity indicated.

s = Suppressed due to small cell size.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data.

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Current as of December 2012

Internet Citation: Assessing the Health and Welfare of the HCBS Population: Table 3A. National Medicaid Home and Community-Based Services Population by Selected Characteristics, 2005. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab3.html