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
Dually
Eligible
Medicaid Only I/DD SMI Ages 0-64
Without I/DD
or SMI
Age 65+
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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Page last reviewed December 2012
Internet Citation: 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