Assessing the Health and Welfare of the HCBS Population

Table 3B. National Medicaid Home and Community-Based Services Population by Selected Characteristics, 2005 (by State)

Table 3B. National Medicaid Home and Community-Based Services Population by Selected Characteristics, 2005 (by State)

StateVariableHCBS SubpopulationsTotal
Dually
Eligible
Medicaid OnlyI/DDSMIAges 0-64
Without I/DD
or SMI
Age 65+
AlabamaNumber27,37710,8236,9263,56013,83115,80638,200
Percentage of HCBS Population71.6728.3318.139.3236.2141.38100.00
Age (Mean)64.6837.6739.2351.2844.9377.0457.03
Female (%)72.2359.9745.1570.9365.6180.3368.76
White (%)52.1643.6459.4354.9746.6647.8249.75
Black (%)39.7947.2635.3036.6344.9142.8841.91
Hispanic (%)0.150.700.23s0.500.160.31
Other Race or Multiple Races (%)0.380.500.300.450.410.440.41
Race Unknown (%)7.517.904.747.677.518.717.62
HMO (%)2.490.101.261.181.472.411.81
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)66.0361.2612.1365.0884.1466.7064.68
Enrolled in a 1915(c) Waiver (%)33.8938.7088.0334.8915.8533.0735.25
Used Both State Plan and Waiver Services (%)15.509.4213.9811.298.4419.3813.78
Used Only 1915(c) Waiver Services (%)17.9928.1271.3322.987.1913.5620.86
Percentage of Total Medicaid Population2.961.170.750.381.501.714.13
AlaskaNumber4,0392,6391,7269131,7472,8826,678
Percentage of HCBS Population60.4839.5225.8513.6726.1643.16100.00
Age (Mean)66.7436.6031.0149.5244.6077.5254.83
Female (%)63.9354.1945.3167.6957.0169.0860.08
White (%)52.3150.7054.6966.2752.4346.7051.68
Black (%)4.614.553.535.046.873.474.58
Hispanic (%)2.622.541.512.082.523.262.59
Other Race or Multiple Races (%)38.0538.2336.1524.7534.1244.4538.13
Race Unknown (%)2.403.984.111.864.062.123.02
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)36.4432.324.7523.2248.5442.4434.82
Enrolled in a 1915(c) Waiver (%)56.8549.1984.4167.1435.3249.8353.82
Used Both State Plan and Waiver Services (%)29.7419.9716.9236.1426.5629.4225.88
Used Only 1915(c) Waiver Services (%)33.2546.0877.2340.2023.8127.1738.32
Percentage of Total Medicaid Population3.122.041.330.711.352.235.16
ArizonaNumber8931,01040331,0228221,903
Percentage of HCBS Population46.9353.072.101.7353.7043.19100.00
Age (Mean)74.9534.2740.3547.7932.6280.3553.36
Female (%)68.5382.3840.0054.5580.8271.9075.88
White (%)4.03sss2.151.702.26
Black (%)sssssss
Hispanic (%)1.2372.97ss68.694.3839.31
Other Race or Multiple Races (%)92.8325.3580.0057.5828.0892.4657.02
Race Unknown (%)1.79ssss1.341.26
HMO (%)aaaaaaa
Managed Long-Term Care (%)aaaaaaa
Used Only HCBS State Plan Services (%)100.00100.00100.00100.00100.00100.00100.00
Enrolled in a 1915(c) Waiver (%)aaaaaaa
Used Both State Plan and Waiver Services (%)aaaaaaa
Used Only 1915(c) Waiver Services (%)aaaaaaa
Percentage of Total Medicaid Population0.060.070.000.000.070.060.13
ArkansasNumber16,8895,9225,3182,8093,96912,50022,811
Percentage of HCBS Population74.0425.9623.3112.3117.4054.80100.00
Age (Mean)70.7635.6633.5250.9048.1179.9561.64
Female (%)72.1053.0945.2060.9861.1279.2867.16
White (%)66.0959.1570.8366.3957.8063.9164.29
Black (%)27.6927.1720.4626.2730.8629.3427.56
Hispanic (%)0.340.890.660.390.930.250.48
Other Race or Multiple Races (%)0.661.640.941.071.360.690.92
Race Unknown (%)5.2211.147.115.879.055.816.76
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)40.5951.4219.4664.5866.6940.6343.40
Enrolled in a 1915(c) Waiver (%)60.5851.2780.3337.4241.2459.4858.16
Used Both State Plan and Waiver Services (%)35.968.4918.5213.351.2145.6228.83
Used Only 1915(c) Waiver Services (%)14.3328.9351.4315.270.6311.4718.12
Percentage of Total Medicaid Population2.380.840.750.400.561.763.22
CaliforniaNumber310,570175,69882,15842,547133,525246,398486,268
Percentage of HCBS Population63.8736.1316.908.7527.4650.67100.00
Age (Mean)70.1837.5130.4649.8242.6077.5658.37
Female (%)66.3358.5043.4461.4563.1770.3763.50
White (%)41.0136.8149.7550.4435.5937.5439.49
Black (%)12.6419.2611.6220.6824.499.9015.03
Hispanic (%)20.8626.8321.8115.4028.1621.3823.01
Other Race or Multiple Races (%)21.8711.477.558.908.5927.6618.11
Race Unknown (%)3.625.649.264.583.183.514.35
HMO (%)11.7622.9121.7815.4821.6010.5615.79
Managed Long-Term Care (%)0.070.02ss0.020.080.05
Used Only HCBS State Plan Services (%)87.1774.4218.3880.5597.5993.6282.56
Enrolled in a 1915(c) Waiver (%)12.8125.8682.6519.552.356.2417.53
Used Both State Plan and Waiver Services (%)6.367.2921.965.201.195.386.69
Used Only 1915(c) Waiver Services (%)6.2616.6155.5013.771.150.9610.00
Percentage of Total Medicaid Population2.911.650.770.401.252.314.56
ColoradoNumber21,91510,0589,6014,0377,66712,73131,973
Percentage of HCBS Population68.5431.4630.0312.6323.9839.82100.00
Age (Mean)64.9930.5334.5151.0639.9179.5154.15
Female (%)61.5048.7243.6355.1451.0172.5757.48
White (%)55.8748.3461.6054.4245.2753.3653.50
Black (%)2.444.042.473.424.272.222.94
Hispanic (%)11.3014.149.978.8415.3112.5412.19
Other Race or Multiple Races (%)1.061.901.260.921.681.251.32
Race Unknown (%)29.3331.5924.7132.4033.4730.6330.04
HMO (%)11.1720.9616.2419.3715.799.9414.25
Managed Long-Term Care (%)0.30sss0.140.440.23
Used Only HCBS State Plan Services (%)9.1119.766.454.1618.5614.8212.46
Enrolled in a 1915(c) Waiver (%)91.2074.2192.4296.1174.9285.6685.86
Used Both State Plan and Waiver Services (%)17.4119.9013.3518.1124.2717.9318.20
Used Only 1915(c) Waiver Services (%)70.0457.2179.6374.5952.2663.0466.01
Percentage of Total Medicaid Population4.111.891.800.761.442.396.00
ConnecticutNumber21,6487,4968,4966,2483,98113,48129,144
Percentage of HCBS Population74.2825.7229.1521.4413.6646.26100.00
Age (Mean)65.2234.9540.0950.1937.4078.4657.43
Female (%)63.5351.0546.0957.2249.1174.3460.32
White (%)72.9353.5280.1865.8949.7168.4367.94
Black (%)13.8421.9710.8117.1926.7814.4915.93
Hispanic (%)12.2423.168.1316.2922.6315.7015.05
Other Race or Multiple Races (%)0.941.320.860.620.831.301.04
Race Unknown (%)0.06sssss0.05
HMO (%)0.1317.930.851.2031.02s4.71
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)22.4463.6211.9269.0378.4213.4033.03
Enrolled in a 1915(c) Waiver (%)75.9436.6287.5130.6319.7784.9965.83
Used Both State Plan and Waiver Services (%)44.2411.0118.1016.078.5464.5835.69
Used Only 1915(c) Waiver Services (%)31.7022.0565.7314.1511.5320.6829.22
Percentage of Total Medicaid Population4.161.441.631.200.762.595.59
DelawareNumber2,2958429782581,1011,0153,137
Percentage of HCBS Population73.1626.8431.188.2235.1032.36100.00
Age (Mean)60.5937.0641.8749.1744.9978.8454.28
Female (%)57.5247.0345.6058.1443.0575.2754.70
White (%)63.1845.6172.4963.1843.6963.1558.46
Black (%)33.5949.2925.3632.1752.2332.1237.81
Hispanic (%)2.404.161.53s3.543.352.87
Other Race or Multiple Races (%)0.83ssss1.380.86
Race Unknown (%)sssssss
HMO (%)0.6520.557.988.538.45s5.99
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)7.7618.1712.177.7511.358.6710.55
Enrolled in a 1915(c) Waiver (%)91.7682.0788.1492.2588.4790.3489.16
Used Both State Plan and Waiver Services (%)15.2511.764.9115.5016.6219.9014.31
Used Only 1915(c) Waiver Services (%)74.0767.9382.1173.6468.4868.1872.43
Percentage of Total Medicaid Population1.380.510.590.160.660.611.89
District of ColumbiaNumber1,9471,1669542536671,4643,113
Percentage of HCBS Population62.5437.4630.658.1321.4347.03100.00
Age (Mean)68.9543.7039.8450.7548.6078.6459.49
Female (%)70.8852.8344.2357.3159.3779.0364.12
White (%)2.672.834.51s2.252.532.73
Black (%)84.5482.5973.5884.5892.9585.3183.81
Hispanic (%)1.03ssss1.300.93
Other Race or Multiple Races (%)0.56ssss0.960.55
Race Unknown (%)11.2013.2921.2811.074.059.9011.98
HMO (%)s4.633.25s3.75s1.93
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)37.0832.257.9739.5356.0740.2335.27
Enrolled in a 1915(c) Waiver (%)62.0456.1785.1252.5732.3859.7059.85
Used Both State Plan and Waiver Services (%)37.0817.416.7120.9530.2845.7029.71
Used Only 1915(c) Waiver Services (%)20.6040.6570.5535.5711.699.5628.11
Percentage of Total Medicaid Population1.200.720.590.160.410.901.92
FloridaNumber51,71429,78631,0966,59215,55633,72881,500
Percentage of HCBS Population63.4536.5538.158.0919.0941.38100.00
Age (Mean)67.0722.3129.9451.7228.3580.6650.71
Female (%)63.9743.3543.2754.2538.2977.1556.44
White (%)56.6537.3354.8847.0437.8451.3849.59
Black (%)15.8624.4720.9818.9827.3313.2719.01
Hispanic (%)18.6415.818.5523.4218.5224.3017.60
Other Race or Multiple Races (%)0.340.800.760.470.400.310.51
Race Unknown (%)8.5121.6014.8310.0915.9010.7413.29
HMO (%)17.6916.0310.109.7115.3824.8717.09
Managed Long-Term Care (%)0.24sss0.080.350.16
Used Only HCBS State Plan Services (%)17.7335.307.1424.0351.0526.1924.15
Enrolled in a 1915(c) Waiver (%)67.0856.3292.4056.6914.0562.0663.15
Used Both State Plan and Waiver Services (%)3.616.285.684.552.654.434.59
Used Only 1915(c) Waiver Services (%)63.5257.3286.6665.0343.7646.9161.25
Percentage of Total Medicaid Population1.801.031.080.230.541.172.83
GeorgiaNumber19,49612,12810,8584,4747,48511,72131,624
Percentage of HCBS Population61.6538.3534.3314.1523.6737.06100.00
Age (Mean)65.5529.0838.0242.6832.8579.6351.57
Female (%)67.0548.2746.0057.1348.9580.1859.85
White (%)55.2340.2050.1751.3242.7353.0249.47
Black (%)39.1845.6941.2739.8145.0140.4041.68
Hispanic (%)0.130.530.430.340.330.090.28
Other Race or Multiple Races (%)0.410.720.560.580.510.510.53
Race Unknown (%)5.0512.877.567.9611.425.988.05
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)7.9250.208.3342.2756.418.4024.13
Enrolled in a 1915(c) Waiver (%)92.2954.9294.4357.8248.2091.7377.96
Used Both State Plan and Waiver Services (%)5.525.472.713.536.897.535.50
Used Only 1915(c) Waiver Services (%)81.2441.9884.4951.5234.2678.4966.18
Percentage of Total Medicaid Population1.110.690.620.250.430.671.80
HawaiiNumber3,2611,8602,4425117851,9225,121
Percentage of HCBS Population63.6836.3247.699.9815.3337.53100.00
Age (Mean)64.4830.2034.8854.7944.2479.3152.03
Female (%)56.0343.7143.6554.7944.4665.4551.55
White (%)23.2827.5825.9228.1830.7019.8824.84
Black (%)0.551.080.70sss0.74
Hispanic (%)1.131.721.392.54s1.201.35
Other Race or Multiple Races (%)74.8268.7671.2968.1066.8878.2572.62
Race Unknown (%)s0.860.70sss0.45
HMO (%)s3.761.43s3.95s1.41
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)9.179.191.156.8516.8215.049.18
Enrolled in a 1915(c) Waiver (%)85.7786.5197.2284.9375.1678.4686.04
Used Both State Plan and Waiver Services (%)0.526.611.972.948.280.832.73
Used Only 1915(c) Waiver Services (%)85.4375.5991.0784.7465.2279.1981.86
Percentage of Total Medicaid Population1.450.831.080.230.350.852.27
IdahoNumber8,2183,7563,2352,2892,6764,76511,974
Percentage of HCBS Population68.6331.3727.0219.1222.3539.79100.00
Age (Mean)65.6730.0930.9445.5444.2179.7654.51
Female (%)64.0752.4545.4757.5454.8274.1060.42
White (%)97.7294.9496.6097.3895.5297.5496.85
Black (%)0.340.690.370.570.710.360.45
Hispanic (%)0.181.380.96s0.820.270.56
Other Race or Multiple Races (%)1.752.982.071.922.951.832.14
Race Unknown (%)sssssss
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)10.9041.9324.3925.1230.878.1820.64
Enrolled in a 1915(c) Waiver (%)94.5262.8678.3380.2576.4696.9684.59
Used Both State Plan and Waiver Services (%)49.0927.9825.4436.5252.0249.6742.47
Used Only 1915(c) Waiver Services (%)35.7527.2147.5135.0813.3437.2333.07
Percentage of Total Medicaid Population3.761.721.481.051.222.185.47
IllinoisNumber71,28437,04726,04913,96634,54140,883108,331
Percentage of HCBS Population65.8034.2024.0512.8931.8837.74100.00
Age (Mean)63.4939.7538.5147.7945.8076.9855.37
Female (%)63.9453.9145.3658.3055.6674.0860.51
White (%)61.2348.3071.2462.4450.1753.9656.81
Black (%)30.4642.1822.3031.5842.9134.0234.47
Hispanic (%)4.506.885.194.805.265.385.31
Other Race or Multiple Races (%)3.582.341.121.021.406.323.16
Race Unknown (%)0.220.310.140.160.250.330.25
HMO (%)s0.730.120.240.62s0.25
Managed Long-Term Care (%)0.06sss0.030.080.04
Used Only HCBS State Plan Services (%)1.0813.824.9310.058.281.315.43
Enrolled in a 1915(c) Waiver (%)93.0385.1573.1586.8794.2697.2290.33
Used Both State Plan and Waiver Services (%)2.127.333.264.445.802.523.90
Used Only 1915(c) Waiver Services (%)75.8450.5583.4252.9451.2377.6767.19
Percentage of Total Medicaid Population3.091.611.130.611.501.774.70
IndianaNumber9,6696,56510,5962,4622,5592,87816,234
Percentage of HCBS Population59.5640.4465.2715.1715.7617.73100.00
Age (Mean)53.1726.2033.7544.5442.1276.5342.26
Female (%)56.4545.9942.8456.0955.9279.8152.22
White (%)85.9684.6687.7086.0782.9680.6185.43
Black (%)12.5312.4410.3212.1014.6217.4812.50
Hispanic (%)0.821.631.111.061.760.661.15
Other Race or Multiple Races (%)0.230.300.24ss0.450.26
Race Unknown (%)0.470.960.620.490.550.800.67
HMO (%)s3.310.920.614.30s1.36
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)12.9417.214.2514.2638.6924.6414.67
Enrolled in a 1915(c) Waiver (%)86.4282.5995.6184.6960.4574.5784.87
Used Both State Plan and Waiver Services (%)16.6417.7910.0511.9832.6326.6217.11
Used Only 1915(c) Waiver Services (%)69.1863.7084.8172.3826.6147.1566.96
Percentage of Total Medicaid Population0.980.661.070.250.260.291.64
IowaNumber20,29411,87710,9564,4097,72111,72832,171
Percentage of HCBS Population63.0836.9234.0613.7024.0036.46100.00
Age (Mean)63.8119.5330.8845.6827.9178.2947.46
Female (%)63.0145.1745.2457.2247.0573.1556.42
White (%)74.5969.8282.9583.7668.1165.4172.83
Black (%)2.475.032.373.615.882.443.42
Hispanic (%)0.502.330.870.542.550.581.17
Other Race or Multiple Races (%)0.661.290.510.451.041.180.89
Race Unknown (%)21.7721.5313.3011.6422.4230.4021.68
HMO (%)s1.010.10s1.33s0.37
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)20.0641.555.0346.7964.4515.2027.99
Enrolled in a 1915(c) Waiver (%)79.5257.6394.1352.9433.5685.3971.44
Used Both State Plan and Waiver Services (%)36.9613.4219.1520.9814.4049.6028.27
Used Only 1915(c) Waiver Services (%)40.6641.9973.1929.2418.8432.3841.15
Percentage of Total Medicaid Population5.123.002.761.111.952.968.12
KansasNumber16,71410,3948,4236,7725,5918,76227,108
Percentage of HCBS Population61.6638.3431.0724.9820.6232.32100.00
Age (Mean)62.5325.7532.7930.4947.0278.0048.43
Female (%)65.3346.1542.8549.4860.4576.0457.98
White (%)82.6378.5685.5382.8174.8580.5081.07
Black (%)11.0711.527.999.2017.7811.1511.24
Hispanic (%)3.024.743.173.883.853.693.68
Other Race or Multiple Races (%)2.482.761.582.332.543.642.59
Race Unknown (%)0.802.411.731.770.981.031.42
HMO (%)s1.560.191.421.18s0.63
Managed Long-Term Care (%)ssssss0.04
Used Only HCBS State Plan Services (%)2.408.662.605.8610.701.634.80
Enrolled in a 1915(c) Waiver (%)97.6190.7997.5293.6488.6298.4795.00
Used Both State Plan and Waiver Services (%)9.327.905.505.7712.6811.508.77
Used Only 1915(c) Waiver Services (%)84.4775.8685.6581.2373.7882.5781.17
Percentage of Total Medicaid Population4.863.022.451.971.622.557.88
KentuckyNumber14,1977,2646,0182,5405,5419,07121,461
Percentage of HCBS Population66.1533.8528.0411.8425.8242.27100.00
Age (Mean)66.3836.1535.7750.1145.1677.9456.14
Female (%)67.0554.5846.3365.3957.7975.6662.83
White (%)85.8879.2482.9785.2482.3784.6383.64
Black (%)8.347.988.297.527.628.858.22
Hispanic (%)0.090.390.18s0.38s0.19
Other Race or Multiple Races (%)0.140.340.23s0.290.130.21
Race Unknown (%)5.5412.058.336.899.356.287.74
HMO (%)2.153.952.684.493.412.122.76
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)19.6435.3710.1925.0038.3324.4224.97
Enrolled in a 1915(c) Waiver (%)82.5266.5290.7177.0964.2577.9177.11
Used Both State Plan and Waiver Services (%)35.8428.1728.5629.3730.2138.6933.24
Used Only 1915(c) Waiver Services (%)36.9432.1759.0739.8824.3528.1135.33
Percentage of Total Medicaid Population1.700.870.720.300.661.092.57
LouisianaNumber8,25517,6428,0405,2118,9394,82325,897
Percentage of HCBS Population31.8868.1231.0520.1234.5218.62100.00
Age (Mean)63.7222.1026.2132.4023.1879.5835.37
Female (%)68.3745.6843.8753.7945.6281.8452.91
White (%)40.1934.6648.5040.3628.0529.6936.43
Black (%)49.8454.1436.1852.3564.3157.6452.77
Hispanic (%)0.330.470.370.500.500.350.42
Other Race or Multiple Races (%)0.210.480.300.400.530.250.39
Race Unknown (%)9.4410.2514.656.396.6112.079.99
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)28.1228.7719.9411.0339.7138.6328.56
Enrolled in a 1915(c) Waiver (%)65.4022.2571.3711.388.5660.7936.01
Used Both State Plan and Waiver Services (%)32.247.0010.367.948.1344.6415.04
Used Only 1915(c) Waiver Services (%)38.8264.0869.3280.8752.0515.6756.03
Percentage of Total Medicaid Population0.711.510.690.450.760.412.21
MaineNumber3,0341,0852,684726549824,119
Percentage of HCBS Population73.6626.3465.161.7515.8823.84100.00
Age (Mean)55.0333.6541.4554.7146.2378.1049.40
Female (%)52.9046.6443.5251.3956.4267.3151.25
White (%)91.3390.5191.5498.6193.1287.8891.11
Black (%)ssssss0.36
Hispanic (%)sssssss
Other Race or Multiple Races (%)0.401.110.45sss0.58
Race Unknown (%)8.017.377.68s5.0511.007.84
HMO (%)aaaaaaa
Managed Long-Term Care (%)aaaaaaa
Used Only HCBS State Plan Services (%)aaaaaaa
Enrolled in a 1915(c) Waiver (%)aaaaaaa
Used Both State Plan and Waiver Services (%)aaaaaaa
Used Only 1915(c) Waiver Services (%)aaaaaaa
Percentage of Total Medicaid Population1.000.360.880.020.220.321.36
MarylandNumber15,78117,75814,2919,4206,2887,44133,539
Percentage of HCBS Population47.0552.9542.6128.0918.7522.19100.00
Age (Mean)58.8627.1733.8043.6224.2378.3842.08
Female (%)58.6746.4142.6853.7446.1775.2352.18
White (%)58.5240.7356.2550.3833.2753.4549.10
Black (%)33.5451.0335.2945.2560.1535.2042.80
Hispanic (%)1.352.171.651.002.162.231.78
Other Race or Multiple Races (%)3.172.021.881.231.116.052.56
Race Unknown (%)3.424.064.942.133.313.083.76
HMO (%)6.6892.4154.9757.3082.70s52.07
Managed Long-Term Care (%)0.16ssss0.340.07
Used Only HCBS State Plan Services (%)40.1266.4919.8373.9189.6254.4754.08
Enrolled in a 1915(c) Waiver (%)59.6133.1280.6023.8910.5845.5645.58
Used Both State Plan and Waiver Services (%)13.4210.2416.868.323.5117.8911.74
Used Only 1915(c) Waiver Services (%)44.2621.5661.0917.153.5526.1732.24
Percentage of Total Medicaid Population1.882.111.701.120.750.883.99
MassachusettsNumber27,81611,97515,0027,7687,24915,50439,791
Percentage of HCBS Population69.9130.0937.7019.5218.2238.96100.00
Age (Mean)63.8135.7040.5054.2641.4778.9555.35
Female (%)64.2852.0646.2160.3455.6576.3260.60
White (%)71.8973.6077.7274.8664.8271.4472.41
Black (%)4.367.744.445.037.334.955.38
Hispanic (%)1.212.991.121.393.591.281.75
Other Race or Multiple Races (%)0.590.730.290.420.810.870.63
Race Unknown (%)21.9414.9416.4318.2923.4521.4519.83
HMO (%)0.479.192.771.2910.08s3.10
Managed Long-Term Care (%)0.20ssss0.340.16
Used Only HCBS State Plan Services (%)80.8197.1499.1390.5493.7267.4885.73
Enrolled in a 1915(c) Waiver (%)52.2233.9682.7640.097.8241.8546.72
Used Both State Plan and Waiver Services (%)17.062.570.748.445.6128.9212.70
Used Only 1915(c) Waiver Services (%)2.040.20s0.940.553.511.49
Percentage of Total Medicaid Population2.421.041.310.680.631.353.47
MichiganNumber19,5784,4589,3381,0733,16412,11824,036
Percentage of HCBS Population81.4518.5538.854.4613.1650.42100.00
Age (Mean)68.2534.5743.0059.9449.8480.7862.00
Female (%)63.9746.7742.7561.8857.1775.0960.78
White (%)81.4376.2486.0085.6576.0777.9380.47
Black (%)14.8318.7511.0812.3019.4117.4915.56
Hispanic (%)0.731.440.65s1.580.800.86
Other Race or Multiple Races (%)0.571.621.01s1.110.510.77
Race Unknown (%)2.441.951.251.211.833.262.35
HMO (%)0.9443.4719.895.037.59s8.83
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)24.9522.544.0926.0026.0438.3324.50
Enrolled in a 1915(c) Waiver (%)73.5978.5696.6973.7272.0059.6674.51
Used Both State Plan and Waiver Services (%)1.226.481.092.617.211.502.20
Used Only 1915(c) Waiver Services (%)42.2818.626.9834.6764.2952.4837.89
Percentage of Total Medicaid Population1.090.250.520.060.180.681.34
MinnesotaNumber46,66621,33324,58813,69610,24028,86167,999
Percentage of HCBS Population68.6331.3736.1620.1415.0642.44100.00
Age (Mean)65.9227.7534.4347.2141.2979.5053.94
Female (%)65.1447.6044.9958.7354.0374.5759.64
White (%)85.6663.5282.1380.3462.0282.9478.71
Black (%)5.0716.897.819.5717.865.438.78
Hispanic (%)1.142.761.901.672.101.161.65
Other Race or Multiple Races (%)6.1312.755.246.7114.817.958.21
Race Unknown (%)2.004.092.921.703.202.532.65
HMO (%)49.0211.6210.7220.2213.1178.8537.29
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)10.2941.7317.2424.5254.274.7120.15
Enrolled in a 1915(c) Waiver (%)90.2758.4782.7275.6745.8996.2880.29
Used Both State Plan and Waiver Services (%)17.4315.5118.6619.8922.2511.8016.83
Used Only 1915(c) Waiver Services (%)49.3539.0362.8447.7918.5446.3946.12
Percentage of Total Medicaid Population6.232.853.281.831.373.859.07
MississippiNumber11,5023,1372,7561,0493,3538,27914,639
Percentage of HCBS Population78.5721.4318.837.1722.9056.55100.00
Age (Mean)70.5437.5135.0459.8548.6779.8263.46
Female (%)73.3855.8549.0675.8857.5981.1769.62
White (%)44.4037.9347.9350.6240.2341.9743.02
Black (%)49.3149.7942.7843.0951.9551.2049.42
Hispanic (%)0.11sssss0.14
Other Race or Multiple Races (%)0.100.35ssss0.16
Race Unknown (%)6.0711.678.825.627.346.677.27
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)0.4220.984.066.4815.300.274.82
Enrolled in a 1915(c) Waiver (%)99.2679.0995.8693.1484.6499.3694.94
Used Both State Plan and Waiver Services (%)37.9030.7627.9832.6030.2742.2636.37
Used Only 1915(c) Waiver Services (%)60.3847.2767.1360.0653.0956.1257.57
Percentage of Total Medicaid Population1.500.410.360.140.441.081.91
MissouriNumber50,22814,16411,54914,70413,33531,57064,392
Percentage of HCBS Population78.0022.0017.9422.8420.7149.03100.00
Age (Mean)66.8141.4539.3250.7050.2078.4161.23
Female (%)67.8557.5547.0257.4362.4376.4065.59
White (%)81.4175.1484.0281.3976.1580.2680.03
Black (%)16.4120.8914.7615.9120.6117.0417.39
Hispanic (%)0.080.13s0.090.100.100.09
Other Race or Multiple Races (%)0.260.510.290.310.300.330.31
Race Unknown (%)1.843.330.842.312.852.272.17
HMO (%)0.053.273.090.990.61s0.76
Managed Long-Term Care (%)0.04ssss0.070.04
Used Only HCBS State Plan Services (%)84.1676.2933.7182.8793.1891.4282.43
Enrolled in a 1915(c) Waiver (%)49.9719.7534.2717.9712.0471.4443.33
Used Both State Plan and Waiver Services (%)1.753.6710.432.520.790.332.17
Used Only 1915(c) Waiver Services (%)9.0917.4151.5812.555.051.0110.92
Percentage of Total Medicaid Population4.111.160.941.201.092.585.27
MontanaNumber4,1924,4792,8271,3673,3991,8438,671
Percentage of HCBS Population48.3551.6532.6015.7739.2021.25100.00
Age (Mean)59.7120.8734.7443.3023.6978.6939.65
Female (%)64.7959.1446.3763.6462.7580.7461.87
White (%)87.6281.3189.0088.3079.9985.0284.36
Black (%)0.261.030.57s0.94s0.66
Hispanic (%)0.862.391.101.392.560.761.65
Other Race or Multiple Races (%)11.2615.279.349.6616.5014.0513.33
Race Unknown (%)sssssss
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)28.3418.0210.3641.7019.3931.3623.01
Enrolled in a 1915(c) Waiver (%)66.2529.2083.5544.4014.4267.1247.11
Used Both State Plan and Waiver Services (%)25.488.0816.2714.1210.3631.8516.49
Used Only 1915(c) Waiver Services (%)45.0968.2164.4141.9969.5835.6557.03
Percentage of Total Medicaid Population3.653.902.461.192.961.617.56
NebraskaNumber7,5623,3094,1851,7361,8354,38710,871
Percentage of HCBS Population69.5630.4438.5015.9716.8840.36100.00
Age (Mean)64.7628.3634.1447.6038.5280.4353.68
Female (%)66.2950.7445.4760.0255.8078.5561.56
White (%)88.3281.5090.3084.6278.8087.4486.25
Black (%)6.599.044.448.7011.836.957.33
Hispanic (%)2.433.812.172.254.252.832.85
Other Race or Multiple Races (%)1.352.811.432.252.401.551.79
Race Unknown (%)1.312.841.652.192.721.231.78
HMO (%)0.215.020.433.804.250.681.67
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)21.7524.906.2835.5443.1621.0922.71
Enrolled in a 1915(c) Waiver (%)78.2175.5894.0064.6357.1778.8577.41
Used Both State Plan and Waiver Services (%)9.739.647.846.6810.6811.569.70
Used Only 1915(c) Waiver Services (%)65.3162.5683.7056.1642.6263.1964.47
Percentage of Total Medicaid Population2.921.281.610.670.711.694.19
NevadaNumber5,5692,4591,8651,0991,7083,9078,028
Percentage of HCBS Population69.3730.6323.2313.6921.2848.67100.00
Age (Mean)68.2138.7232.9547.9248.4378.8959.18
Female (%)69.4054.7845.4262.1562.6575.5864.92
White (%)68.9060.3576.9471.7957.7965.0166.28
Black (%)10.2517.089.9213.9222.788.1912.34
Hispanic (%)12.5314.567.407.9211.7717.0213.15
Other Race or Multiple Races (%)4.873.702.682.733.286.174.51
Race Unknown (%)3.454.313.063.644.393.613.71
HMO (%)s1.10ss1.17s0.34
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)43.3367.4720.1660.6976.1747.3550.72
Enrolled in a 1915(c) Waiver (%)57.3733.3180.3839.7627.3452.2450.00
Used Both State Plan and Waiver Services (%)34.196.599.6012.5619.5639.3125.73
Used Only 1915(c) Waiver Services (%)21.4924.9368.7425.933.3412.4422.55
Percentage of Total Medicaid Population2.210.980.740.440.681.553.19
New HampshireNumber4,5792,9853,9191,0551,4592,0637,564
Percentage of HCBS Population60.5439.4651.8113.9519.2927.27100.00
Age (Mean)59.4522.6532.4050.6835.9578.1944.93
Female (%)59.1446.8342.7459.8154.2875.4254.28
White (%)98.2395.9598.1497.5495.2097.4897.33
Black (%)0.700.900.591.041.51s0.78
Hispanic (%)0.441.610.46s2.470.680.90
Other Race or Multiple Races (%)0.240.800.43ss0.680.46
Race Unknown (%)0.390.740.38ss0.680.53
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)5.1127.173.7522.3742.434.6013.82
Enrolled in a 1915(c) Waiver (%)94.6974.0797.2477.6357.6494.8186.55
Used Both State Plan and Waiver Services (%)8.7612.5611.208.4412.617.6110.26
Used Only 1915(c) Waiver Services (%)84.3051.2976.4766.5444.4886.6771.27
Percentage of Total Medicaid Population3.502.282.990.811.111.585.78
New JerseyNumber41,47315,62113,5455,85811,04830,44357,094
Percentage of HCBS Population72.6427.3623.7210.2619.3553.32100.00
Age (Mean)68.6742.6738.7553.0747.3378.3761.56
Female (%)67.9658.3346.2166.0560.3975.0865.32
White (%)53.3140.6768.5651.0935.3248.4449.85
Black (%)17.7025.6617.3221.2731.8315.9719.87
Hispanic (%)9.0111.323.5510.1413.5610.279.64
Other Race or Multiple Races (%)1.111.310.450.510.941.601.17
Race Unknown (%)18.8721.0410.1116.9918.3523.7119.47
HMO (%)7.2542.6828.2227.3626.386.7216.94
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)59.8467.5922.4067.1777.7369.9761.96
Enrolled in a 1915(c) Waiver (%)40.0432.5577.8032.9622.3129.8337.99
Used Both State Plan and Waiver Services (%)7.746.0713.245.625.026.607.28
Used Only 1915(c) Waiver Services (%)31.5424.4062.9426.7015.7022.4129.58
Percentage of Total Medicaid Population4.101.541.340.581.093.015.64
New MexicoNumber11,5105,7974,7191,9383,9757,80217,307
Percentage of HCBS Population66.5033.5027.2711.2022.9745.08100.00
Age (Mean)66.6439.4133.8948.9347.7878.5057.52
Female (%)66.9056.7944.8863.5761.1175.3063.51
White (%)40.6334.9048.1945.6733.1135.8938.71
Black (%)1.822.501.782.432.921.642.05
Hispanic (%)29.3629.0326.9330.3930.9229.4529.25
Other Race or Multiple Races (%)18.3120.1313.528.5121.5321.8418.92
Race Unknown (%)9.9013.449.5813.0011.5211.1811.08
HMO (%)2.4981.0648.3846.2847.302.9728.81
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)59.9055.5814.9658.9378.7270.6258.45
Enrolled in a 1915(c) Waiver (%)37.0740.8083.4337.0516.5826.1338.32
Used Both State Plan and Waiver Services (%)1.161.330.951.601.531.141.21
Used Only 1915(c) Waiver Services (%)38.1642.4283.4938.9619.0927.2839.59
Percentage of Total Medicaid Population2.211.110.910.370.761.503.32
New YorkNumber164,71693,14374,95852,62951,850106,190257,859
Percentage of HCBS Population63.8836.1229.0720.4120.1141.18100.00
Age (Mean)66.6031.8435.8949.8738.3378.6754.04
Female (%)64.8250.5443.6654.9556.4274.6059.66
White (%)53.1143.1261.2049.3644.6646.3249.50
Black (%)15.0120.1711.8418.3623.3614.8816.87
Hispanic (%)11.7014.567.6512.7215.4213.9612.73
Other Race or Multiple Races (%)3.893.201.962.203.355.163.64
Race Unknown (%)16.2918.9617.3517.3613.2219.6717.25
HMO (%)0.699.953.286.538.370.444.04
Managed Long-Term Care (%)1.460.300.110.500.472.191.04
Used Only HCBS State Plan Services (%)80.8469.1423.3182.4796.3296.7776.62
Enrolled in a 1915(c) Waiver (%)19.4731.9879.8216.593.343.3023.99
Used Both State Plan and Waiver Services (%)6.827.9823.265.621.911.487.24
Used Only 1915(c) Waiver Services (%)11.7519.3247.8811.341.531.6314.48
Percentage of Total Medicaid Population3.351.891.521.071.052.165.24
North CarolinaNumber74,30129,09416,75817,26528,30248,785103,395
Percentage of HCBS Population71.8628.1416.2116.7027.3747.18100.00
Age (Mean)68.3237.3134.5751.8147.5078.6959.60
Female (%)70.2055.7045.5460.1359.7678.6766.12
White (%)46.7537.1852.5053.9731.2147.3044.06
Black (%)42.9447.9033.9939.8755.6541.5144.34
Hispanic (%)0.431.411.180.640.790.480.71
Other Race or Multiple Races (%)2.013.252.061.943.621.742.36
Race Unknown (%)7.8710.2610.283.578.738.988.54
HMO (%)s0.350.080.150.26s0.11
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)80.0373.9546.8489.5588.8378.7978.32
Enrolled in a 1915(c) Waiver (%)20.1026.3253.4010.5611.4021.3121.85
Used Both State Plan and Waiver Services (%)12.678.5914.764.847.5014.8511.52
Used Only 1915(c) Waiver Services (%)7.1016.6937.645.493.376.029.80
Percentage of Total Medicaid Population4.791.881.081.111.833.156.67
North DakotaNumber3,3502,6403,4506717261,7345,990
Percentage of HCBS Population55.9344.0757.6011.2012.1228.95100.00
Age (Mean)63.1514.1823.0750.5838.9180.9441.57
Female (%)61.7042.3141.9458.4253.5873.4753.16
White (%)92.6081.2588.0989.8775.7692.6287.60
Black (%)s2.840.81s6.47s1.39
Hispanic (%)0.422.461.74s1.79s1.32
Other Race or Multiple Races (%)6.5713.269.288.2015.566.529.52
Race Unknown (%)ssssss0.18
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)13.049.770.6411.4834.1622.2611.60
Enrolled in a 1915(c) Waiver (%)49.5282.4297.5953.8027.1320.8864.02
Used Both State Plan and Waiver Services (%)20.185.684.2625.9315.2928.5513.79
Used Only 1915(c) Waiver Services (%)66.4880.0891.6562.1550.1448.9072.47
Percentage of Total Medicaid Population4.463.524.600.890.972.317.98
OhioNumber67,833.0026,381.0028,518.0013,174.0016,423.0047,437.0094,214.00
Percentage of HCBS Population72.0028.0030.2713.9817.4350.35100.00
Age (Mean)68.4037.5338.6754.6045.2678.9059.75
Female (%)68.9055.0845.1464.4260.3277.7665.03
White (%)78.7769.0082.0178.5668.6175.6576.03
Black (%)19.7827.6616.5219.8628.8722.2921.99
Hispanic (%)0.921.571.051.141.361.011.11
Other Race or Multiple Races (%)0.531.760.410.451.141.050.87
Race Unknown (%)sssssss
HMO (%)0.042.020.410.272.53s0.59
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)24.1148.5230.2935.5147.4523.2930.95
Enrolled in a 1915(c) Waiver (%)78.0655.0573.0666.7154.5879.1171.62
Used Both State Plan and Waiver Services (%)11.9715.409.7712.5420.2611.6112.93
Used Only 1915(c) Waiver Services (%)50.8628.6653.3140.4624.9248.8544.65
Percentage of Total Medicaid Population3.321.291.400.650.802.324.62
OklahomaNumber21,0866,7086,1853,3816,61313,62027,794
Percentage of HCBS Population75.8724.1322.2512.1623.7949.00100.00
Age (Mean)67.3936.5634.1853.1350.0477.8659.95
Female (%)70.4456.1945.7471.1661.1878.3167.00
White (%)80.0174.2578.5682.1175.5379.6678.62
Black (%)11.9713.5211.9610.7113.2812.3812.35
Hispanic (%)1.082.341.631.121.811.131.39
Other Race or Multiple Races (%)6.939.857.846.069.356.827.63
Race Unknown (%)sssssss
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)14.2320.977.9414.4023.2315.4515.86
Enrolled in a 1915(c) Waiver (%)86.3779.7792.4586.0477.6785.1884.78
Used Both State Plan and Waiver Services (%)7.0416.868.1312.1313.207.489.41
Used Only 1915(c) Waiver Services (%)75.6357.1079.3270.8759.8773.8771.16
Percentage of Total Medicaid Population3.070.980.900.490.961.984.04
OregonNumber31,98210,8069,7276,3479,52720,43842,788
Percentage of HCBS Population74.7525.2522.7314.8322.2747.77100.00
Age (Mean)67.6837.2636.1349.4947.6579.7359.99
Female (%)65.4353.3544.7956.5957.0674.1862.38
White (%)90.6684.2089.5389.8286.6090.0289.03
Black (%)2.214.923.054.004.381.832.90
Hispanic (%)0.310.320.14s0.340.420.32
Other Race or Multiple Races (%)4.285.133.263.704.545.114.49
Race Unknown (%)2.535.424.012.384.152.633.26
HMO (%)47.8964.8763.7868.4155.7642.0952.18
Managed Long-Term Care (%)0.440.13s0.190.200.630.36
Used Only HCBS State Plan Services (%)0.692.210.470.552.350.821.08
Enrolled in a 1915(c) Waiver (%)91.4670.6191.0561.3878.8396.0786.19
Used Both State Plan and Waiver Services (%)21.4214.436.0213.9623.2325.5319.65
Used Only 1915(c) Waiver Services (%)66.5369.2649.2371.1271.6070.1167.22
Percentage of Total Medicaid Population5.541.871.681.101.653.547.41
PennsylvaniaNumber38,41918,94326,9322,9549,67221,58857,362
Percentage of HCBS Population66.9833.0246.955.1516.8637.63100.00
Age (Mean)63.6428.8133.5952.1746.7279.2552.14
Female (%)62.5148.8943.3061.0059.9674.5058.01
White (%)75.7967.4178.8981.2865.0270.1573.02
Black (%)18.3821.7613.3813.7127.4622.9419.50
Hispanic (%)2.545.933.562.784.693.113.66
Other Race or Multiple Races (%)0.911.410.890.610.831.381.07
Race Unknown (%)2.393.483.271.622.002.422.75
HMO (%)38.3563.4469.0932.1659.7814.0446.63
Managed Long-Term Care (%)0.15ssss0.270.11
Used Only HCBS State Plan Services (%)0.2412.643.136.0914.630.494.34
Enrolled in a 1915(c) Waiver (%)99.6789.7598.3894.9985.8099.3496.40
Used Both State Plan and Waiver Services (%)0.333.060.293.524.020.761.23
Used Only 1915(c) Waiver Services (%)58.0519.325.1139.0765.1683.5845.26
Percentage of Total Medicaid Population2.000.991.400.150.501.122.99
Rhode IslandNumber6,6105,8934,0321,6263,9633,81712,503
Percentage of HCBS Population52.8747.1332.2513.0031.7030.53100.00
Age (Mean)65.5320.4538.0837.4221.3180.9544.28
Female (%)66.8841.6145.3156.7741.3179.0754.97
White (%)74.0156.0878.6773.6851.4366.9665.56
Black (%)3.9310.444.047.6912.193.967.00
Hispanic (%)2.6510.063.405.9710.773.416.14
Other Race or Multiple Races (%)0.531.120.670.741.090.630.81
Race Unknown (%)18.8822.3013.2211.9324.5325.0520.49
HMO (%)0.3955.526.0033.9564.37s26.38
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)45.4881.9365.3567.3480.2738.3362.66
Enrolled in a 1915(c) Waiver (%)73.6924.0681.0537.2117.0664.6650.30
Used Both State Plan and Waiver Services (%)6.724.684.097.444.448.545.76
Used Only 1915(c) Waiver Services (%)35.515.114.2916.8513.0747.9221.18
Percentage of Total Medicaid Population3.423.052.090.842.051.976.47
South CarolinaNumber17,6607,9018,7692,0646,4989,95325,561
Percentage of HCBS Population69.0930.9134.318.0725.4238.94100.00
Age (Mean)64.3533.3934.5548.4246.5379.2354.78
Female (%)63.7049.2145.0758.4350.1577.2359.22
White (%)47.2538.0647.5452.9642.8142.3244.41
Black (%)46.0146.0439.4738.9549.5749.9946.02
Hispanic (%)0.120.610.31s0.48s0.27
Other Race or Multiple Races (%)0.200.370.290.530.200.240.25
Race Unknown (%)6.4014.9212.407.326.947.359.04
HMO (%)s2.471.09s1.59s0.79
Managed Long-Term Care (%)0.08ssss0.110.06
Used Only HCBS State Plan Services (%)14.0144.6942.3529.1721.118.1823.50
Enrolled in a 1915(c) Waiver (%)89.5460.1769.0477.8178.9892.3180.46
Used Both State Plan and Waiver Services (%)12.7920.1936.1632.036.683.6815.08
Used Only 1915(c) Waiver Services (%)71.6933.5920.0537.6970.8586.4659.92
Percentage of Total Medicaid Population1.750.790.870.210.650.992.54
South DakotaNumber3,3382,6141,5505772,4551,6525,952
Percentage of HCBS Population56.0843.9226.049.6941.2527.76100.00
Age (Mean)61.6519.6931.6533.5828.6781.0243.22
Female (%)62.9145.1444.2659.9746.3177.1255.11
White (%)92.0061.5185.8769.5067.1793.7778.61
Black (%)s1.870.71s1.47s0.89
Hispanic (%)0.422.220.97s1.79s1.21
Other Race or Multiple Races (%)7.4634.3912.4528.0829.575.8119.29
Race Unknown (%)sssssss
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)51.6273.9532.1367.5958.0088.0161.42
Enrolled in a 1915(c) Waiver (%)44.4921.9665.0318.723.9161.2034.59
Used Both State Plan and Waiver Services (%)0.360.541.23sss0.44
Used Only 1915(c) Waiver Services (%)46.3225.4866.5231.2041.838.2937.16
Percentage of Total Medicaid Population2.692.111.250.471.981.334.80
TennesseeNumber6,9995,9837,4681,9682,7602,14012,982
Percentage of HCBS Population53.9146.0957.5315.1621.2616.48100.00
Age (Mean)54.4031.2637.7444.2837.7478.1843.73
Female (%)53.7849.6144.2653.1055.0772.7151.86
White (%)73.2158.7770.2571.9058.3765.5166.55
Black (%)21.4522.4318.5519.4624.7828.5521.90
Hispanic (%)s0.720.21s1.01s0.39
Other Race or Multiple Races (%)0.310.800.320.710.910.560.54
Race Unknown (%)4.9317.2810.677.6714.935.1910.62
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)23.7552.3011.2356.0580.0038.6036.90
Enrolled in a 1915(c) Waiver (%)59.2835.5776.4630.745.2537.9948.35
Used Both State Plan and Waiver Services (%)1.843.892.871.372.902.852.79
Used Only 1915(c) Waiver Services (%)64.9938.5475.2939.0815.2949.3552.80
Percentage of Total Medicaid Population0.440.370.470.120.170.130.81
TexasNumber61,21729,88515,0699,56026,86442,99691,102
Percentage of HCBS Population67.2032.8016.5410.4929.4947.20100.00
Age (Mean)68.8630.4027.2943.8141.4478.3556.24
Female (%)66.2351.0545.3459.1452.2172.8761.25
White (%)45.5935.9845.4246.9241.3241.7642.44
Black (%)14.4217.5414.3618.2418.7213.1815.44
Hispanic (%)36.2337.9730.8629.6334.5341.1436.80
Other Race or Multiple Races (%)1.051.211.230.840.991.171.10
Race Unknown (%)2.727.298.134.364.442.754.22
HMO (%)5.2011.804.4211.4210.825.147.36
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)23.4748.5330.2147.8835.0525.7831.69
Enrolled in a 1915(c) Waiver (%)74.1949.9766.1551.0963.6971.9366.24
Used Both State Plan and Waiver Services (%)5.9011.3615.107.996.476.127.69
Used Only 1915(c) Waiver Services (%)63.9135.1652.6839.8250.9461.0854.48
Percentage of Total Medicaid Population1.540.750.380.240.681.082.29
UtahNumber3,7052,9444,1933987221,7616,649
Percentage of HCBS Population55.7244.2863.065.9910.8626.49100.00
Age (Mean)59.5622.6729.3046.4037.8680.1943.23
Female (%)59.6041.8841.6955.0351.9474.2851.75
White (%)91.9089.0392.1394.7287.4088.4290.63
Black (%)0.861.091.05ss0.740.96
Hispanic (%)3.976.113.943.278.175.854.92
Other Race or Multiple Races (%)3.243.702.86s3.324.883.44
Race Unknown (%)sssssss
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)28.8818.853.2430.1575.4849.9124.44
Enrolled in a 1915(c) Waiver (%)71.2685.5097.9370.3535.6050.2677.56
Used Both State Plan and Waiver Services (%)13.556.526.448.546.0922.2610.44
Used Only 1915(c) Waiver Services (%)55.5773.5789.1759.8016.7625.2763.54
Percentage of Total Medicaid Population1.230.981.390.130.240.582.20
VermontNumber3,5393,5633,0177031,9601,9277,102
Percentage of HCBS Population49.8350.1742.489.9027.6027.13100.00
Age (Mean)63.4517.2529.8034.8121.8680.1940.27
Female (%)59.8546.5143.3959.7448.7271.0953.15
White (%)sssssss
Black (%)sssssss
Hispanic (%)sssssss
Other Race or Multiple Races (%)sssssss
Race Unknown (%)100.00100.00100.00100.00100.00100.00100.00
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)7.6961.1022.1727.8875.467.3734.48
Enrolled in a 1915(c) Waiver (%)86.1536.3577.5664.5820.6683.0861.17
Used Both State Plan and Waiver Services (%)26.6714.7115.5119.0612.8137.0520.67
Used Only 1915(c) Waiver Services (%)65.1023.9762.1552.6311.5854.7044.47
Percentage of Total Medicaid Population2.202.211.870.441.221.204.41
VirginiaNumber22,75711,01210,4714,5316,70115,36533,769
Percentage of HCBS Population67.3932.6131.0113.4219.8445.50100.00
Age (Mean)67.8938.6036.5852.6547.2679.7058.34
Female (%)66.0851.8344.3557.3856.0875.3861.43
White (%)58.7859.5565.7765.2457.2954.0659.03
Black (%)38.6035.8431.3033.3740.0141.9737.70
Hispanic (%)0.841.701.080.531.121.201.12
Other Race or Multiple Races (%)1.602.611.660.771.342.541.93
Race Unknown (%)0.170.300.19s0.240.230.21
HMO (%)0.6211.283.728.328.371.294.10
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)0.142.720.480.933.310.140.98
Enrolled in a 1915(c) Waiver (%)65.2158.6384.3141.2953.3457.9363.06
Used Both State Plan and Waiver Services (%)0.343.140.551.523.880.421.25
Used Only 1915(c) Waiver Services (%)97.5593.2398.4197.2990.3497.3696.14
Percentage of Total Medicaid Population2.771.341.280.550.821.874.11
WashingtonNumber39,12720,5246,9725,72021,75627,57259,651
Percentage of HCBS Population65.5934.4111.699.5936.4746.22100.00
Age (Mean)68.1136.9030.8352.1340.2579.3557.37
Female (%)67.7154.6945.8562.0654.4075.1663.23
White (%)77.6570.7578.1082.1274.9674.0575.28
Black (%)4.016.694.325.336.783.424.93
Hispanic (%)4.076.115.032.665.724.194.77
Other Race or Multiple Races (%)8.048.214.705.096.2710.808.10
Race Unknown (%)6.248.237.854.816.277.546.93
HMO (%)aaaaaaa
Managed Long-Term Care (%)aaaaaaa
Used Only HCBS State Plan Services (%)aaaaaaa
Enrolled in a 1915(c) Waiver (%)aaaaaaa
Used Both State Plan and Waiver Services (%)aaaaaaa
Used Only 1915(c) Waiver Services (%)aaaaaaa
Percentage of Total Medicaid Population3.281.720.580.481.832.315.01
West VirginiaNumber8,5384,6094,5711,8272,7705,05813,147
Percentage of HCBS Population64.9435.0634.7713.9021.0738.47100.00
Age (Mean)64.8934.3831.7050.4851.1877.5454.20
Female (%)67.1053.2241.5067.9362.1778.0362.23
White (%)96.6295.7596.4396.3395.4296.7096.31
Black (%)3.364.103.433.674.553.263.62
Hispanic (%)sssssss
Other Race or Multiple Races (%)sssssss
Race Unknown (%)sssssss
HMO (%)s1.690.850.771.08s0.61
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)30.5936.458.4241.0555.0236.6032.65
Enrolled in a 1915(c) Waiver (%)48.6157.3987.2248.1728.4837.5051.68
Used Both State Plan and Waiver Services (%)3.388.034.665.096.714.035.01
Used Only 1915(c) Waiver Services (%)64.5053.6184.7351.5637.1557.7760.68
Percentage of Total Medicaid Population2.351.271.260.500.761.393.62
WisconsinNumber21,3239,1098,2034,07610,52210,04630,432
Percentage of HCBS Population70.0729.9326.9613.3934.5833.01100.00
Age (Mean)60.7833.7138.5450.3940.9579.3752.68
Female (%)59.9451.6744.9359.5450.2274.2057.47
White (%)55.4717.7633.7937.1937.6161.0644.18
Black (%)2.421.801.082.163.721.382.23
Hispanic (%)0.980.750.490.761.230.880.91
Other Race or Multiple Races (%)0.681.000.370.561.010.870.78
Race Unknown (%)40.4578.6964.2759.3256.4435.8251.90
HMO (%)aaaaaaa
Managed Long-Term Care (%)aaaaaaa
Used Only HCBS State Plan Services (%)aaaaaaa
Enrolled in a 1915(c) Waiver (%)aaaaaaa
Used Both State Plan and Waiver Services (%)aaaaaaa
Used Only 1915(c) Waiver Services (%)aaaaaaa
Percentage of Total Medicaid Population2.190.940.840.421.081.033.13
WyomingNumber2,2161,5502,0424177399173,766
Percentage of HCBS Population58.8441.1654.2211.0719.6224.35100.00
Age (Mean)57.9224.0128.4345.7147.1077.2643.96
Female (%)61.0147.6844.5660.1958.3275.2555.52
White (%)91.4388.9791.4894.2487.0190.6290.41
Black (%)0.501.030.93sss0.72
Hispanic (%)4.694.584.023.365.825.024.65
Other Race or Multiple Races (%)2.893.812.45s5.143.603.27
Race Unknown (%)0.501.611.13sss0.96
HMO (%)sssssss
Managed Long-Term Care (%)sssssss
Used Only HCBS State Plan Services (%)s4.32ss8.25s1.99
Enrolled in a 1915(c) Waiver (%)99.4195.6199.5697.8491.7599.5697.85
Used Both State Plan and Waiver Services (%)4.298.192.605.0416.783.605.89
Used Only 1915(c) Waiver Services (%)92.2883.7493.6891.1371.8592.6988.77
Percentage of Total Medicaid Population2.831.982.610.530.941.174.81

Notes:

a. Missing MAX data.

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: Assessing the Health and Welfare of the HCBS Population: Table 3B. National Medicaid Home and Community-Based Services Population by Selected Characteristics, 2005 (by State). December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab3b.html