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)StateVariableHCBS SubpopulationsTotalDuallyEligibleMedicaid OnlyI/DDSMIAges 0-64Without I/DDor SMIAge 65+AlabamaNumber27,37710,8236,9263,56013,83115,80638,200Percentage of HCBS Population71.6728.3318.139.3236.2141.38100.00Age (Mean)64.6837.6739.2351.2844.9377.0457.03Female (%)72.2359.9745.1570.9365.6180.3368.76White (%)52.1643.6459.4354.9746.6647.8249.75Black (%)39.7947.2635.3036.6344.9142.8841.91Hispanic (%)0.150.700.23s0.500.160.31Other Race or Multiple Races (%)0.380.500.300.450.410.440.41Race Unknown (%)7.517.904.747.677.518.717.62HMO (%)2.490.101.261.181.472.411.81Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)66.0361.2612.1365.0884.1466.7064.68Enrolled in a 1915(c) Waiver (%)33.8938.7088.0334.8915.8533.0735.25Used Both State Plan and Waiver Services (%)15.509.4213.9811.298.4419.3813.78Used Only 1915(c) Waiver Services (%)17.9928.1271.3322.987.1913.5620.86Percentage of Total Medicaid Population2.961.170.750.381.501.714.13AlaskaNumber4,0392,6391,7269131,7472,8826,678Percentage of HCBS Population60.4839.5225.8513.6726.1643.16100.00Age (Mean)66.7436.6031.0149.5244.6077.5254.83Female (%)63.9354.1945.3167.6957.0169.0860.08White (%)52.3150.7054.6966.2752.4346.7051.68Black (%)4.614.553.535.046.873.474.58Hispanic (%)2.622.541.512.082.523.262.59Other Race or Multiple Races (%)38.0538.2336.1524.7534.1244.4538.13Race Unknown (%)2.403.984.111.864.062.123.02HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)36.4432.324.7523.2248.5442.4434.82Enrolled in a 1915(c) Waiver (%)56.8549.1984.4167.1435.3249.8353.82Used Both State Plan and Waiver Services (%)29.7419.9716.9236.1426.5629.4225.88Used Only 1915(c) Waiver Services (%)33.2546.0877.2340.2023.8127.1738.32Percentage of Total Medicaid Population3.122.041.330.711.352.235.16ArizonaNumber8931,01040331,0228221,903Percentage of HCBS Population46.9353.072.101.7353.7043.19100.00Age (Mean)74.9534.2740.3547.7932.6280.3553.36Female (%)68.5382.3840.0054.5580.8271.9075.88White (%)4.03sss2.151.702.26Black (%)sssssssHispanic (%)1.2372.97ss68.694.3839.31Other Race or Multiple Races (%)92.8325.3580.0057.5828.0892.4657.02Race Unknown (%)1.79ssss1.341.26HMO (%)aaaaaaaManaged Long-Term Care (%)aaaaaaaUsed Only HCBS State Plan Services (%)100.00100.00100.00100.00100.00100.00100.00Enrolled in a 1915(c) Waiver (%)aaaaaaaUsed Both State Plan and Waiver Services (%)aaaaaaaUsed Only 1915(c) Waiver Services (%)aaaaaaaPercentage of Total Medicaid Population0.060.070.000.000.070.060.13ArkansasNumber16,8895,9225,3182,8093,96912,50022,811Percentage of HCBS Population74.0425.9623.3112.3117.4054.80100.00Age (Mean)70.7635.6633.5250.9048.1179.9561.64Female (%)72.1053.0945.2060.9861.1279.2867.16White (%)66.0959.1570.8366.3957.8063.9164.29Black (%)27.6927.1720.4626.2730.8629.3427.56Hispanic (%)0.340.890.660.390.930.250.48Other Race or Multiple Races (%)0.661.640.941.071.360.690.92Race Unknown (%)5.2211.147.115.879.055.816.76HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)40.5951.4219.4664.5866.6940.6343.40Enrolled in a 1915(c) Waiver (%)60.5851.2780.3337.4241.2459.4858.16Used Both State Plan and Waiver Services (%)35.968.4918.5213.351.2145.6228.83Used Only 1915(c) Waiver Services (%)14.3328.9351.4315.270.6311.4718.12Percentage of Total Medicaid Population2.380.840.750.400.561.763.22CaliforniaNumber310,570175,69882,15842,547133,525246,398486,268Percentage of HCBS Population63.8736.1316.908.7527.4650.67100.00Age (Mean)70.1837.5130.4649.8242.6077.5658.37Female (%)66.3358.5043.4461.4563.1770.3763.50White (%)41.0136.8149.7550.4435.5937.5439.49Black (%)12.6419.2611.6220.6824.499.9015.03Hispanic (%)20.8626.8321.8115.4028.1621.3823.01Other Race or Multiple Races (%)21.8711.477.558.908.5927.6618.11Race Unknown (%)3.625.649.264.583.183.514.35HMO (%)11.7622.9121.7815.4821.6010.5615.79Managed Long-Term Care (%)0.070.02ss0.020.080.05Used Only HCBS State Plan Services (%)87.1774.4218.3880.5597.5993.6282.56Enrolled in a 1915(c) Waiver (%)12.8125.8682.6519.552.356.2417.53Used Both State Plan and Waiver Services (%)6.367.2921.965.201.195.386.69Used Only 1915(c) Waiver Services (%)6.2616.6155.5013.771.150.9610.00Percentage of Total Medicaid Population2.911.650.770.401.252.314.56ColoradoNumber21,91510,0589,6014,0377,66712,73131,973Percentage of HCBS Population68.5431.4630.0312.6323.9839.82100.00Age (Mean)64.9930.5334.5151.0639.9179.5154.15Female (%)61.5048.7243.6355.1451.0172.5757.48White (%)55.8748.3461.6054.4245.2753.3653.50Black (%)2.444.042.473.424.272.222.94Hispanic (%)11.3014.149.978.8415.3112.5412.19Other Race or Multiple Races (%)1.061.901.260.921.681.251.32Race Unknown (%)29.3331.5924.7132.4033.4730.6330.04HMO (%)11.1720.9616.2419.3715.799.9414.25Managed Long-Term Care (%)0.30sss0.140.440.23Used Only HCBS State Plan Services (%)9.1119.766.454.1618.5614.8212.46Enrolled in a 1915(c) Waiver (%)91.2074.2192.4296.1174.9285.6685.86Used Both State Plan and Waiver Services (%)17.4119.9013.3518.1124.2717.9318.20Used Only 1915(c) Waiver Services (%)70.0457.2179.6374.5952.2663.0466.01Percentage of Total Medicaid Population4.111.891.800.761.442.396.00ConnecticutNumber21,6487,4968,4966,2483,98113,48129,144Percentage of HCBS Population74.2825.7229.1521.4413.6646.26100.00Age (Mean)65.2234.9540.0950.1937.4078.4657.43Female (%)63.5351.0546.0957.2249.1174.3460.32White (%)72.9353.5280.1865.8949.7168.4367.94Black (%)13.8421.9710.8117.1926.7814.4915.93Hispanic (%)12.2423.168.1316.2922.6315.7015.05Other Race or Multiple Races (%)0.941.320.860.620.831.301.04Race Unknown (%)0.06sssss0.05HMO (%)0.1317.930.851.2031.02s4.71Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)22.4463.6211.9269.0378.4213.4033.03Enrolled in a 1915(c) Waiver (%)75.9436.6287.5130.6319.7784.9965.83Used Both State Plan and Waiver Services (%)44.2411.0118.1016.078.5464.5835.69Used Only 1915(c) Waiver Services (%)31.7022.0565.7314.1511.5320.6829.22Percentage of Total Medicaid Population4.161.441.631.200.762.595.59DelawareNumber2,2958429782581,1011,0153,137Percentage of HCBS Population73.1626.8431.188.2235.1032.36100.00Age (Mean)60.5937.0641.8749.1744.9978.8454.28Female (%)57.5247.0345.6058.1443.0575.2754.70White (%)63.1845.6172.4963.1843.6963.1558.46Black (%)33.5949.2925.3632.1752.2332.1237.81Hispanic (%)2.404.161.53s3.543.352.87Other Race or Multiple Races (%)0.83ssss1.380.86Race Unknown (%)sssssssHMO (%)0.6520.557.988.538.45s5.99Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)7.7618.1712.177.7511.358.6710.55Enrolled in a 1915(c) Waiver (%)91.7682.0788.1492.2588.4790.3489.16Used Both State Plan and Waiver Services (%)15.2511.764.9115.5016.6219.9014.31Used Only 1915(c) Waiver Services (%)74.0767.9382.1173.6468.4868.1872.43Percentage of Total Medicaid Population1.380.510.590.160.660.611.89District of ColumbiaNumber1,9471,1669542536671,4643,113Percentage of HCBS Population62.5437.4630.658.1321.4347.03100.00Age (Mean)68.9543.7039.8450.7548.6078.6459.49Female (%)70.8852.8344.2357.3159.3779.0364.12White (%)2.672.834.51s2.252.532.73Black (%)84.5482.5973.5884.5892.9585.3183.81Hispanic (%)1.03ssss1.300.93Other Race or Multiple Races (%)0.56ssss0.960.55Race Unknown (%)11.2013.2921.2811.074.059.9011.98HMO (%)s4.633.25s3.75s1.93Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)37.0832.257.9739.5356.0740.2335.27Enrolled in a 1915(c) Waiver (%)62.0456.1785.1252.5732.3859.7059.85Used Both State Plan and Waiver Services (%)37.0817.416.7120.9530.2845.7029.71Used Only 1915(c) Waiver Services (%)20.6040.6570.5535.5711.699.5628.11Percentage of Total Medicaid Population1.200.720.590.160.410.901.92FloridaNumber51,71429,78631,0966,59215,55633,72881,500Percentage of HCBS Population63.4536.5538.158.0919.0941.38100.00Age (Mean)67.0722.3129.9451.7228.3580.6650.71Female (%)63.9743.3543.2754.2538.2977.1556.44White (%)56.6537.3354.8847.0437.8451.3849.59Black (%)15.8624.4720.9818.9827.3313.2719.01Hispanic (%)18.6415.818.5523.4218.5224.3017.60Other Race or Multiple Races (%)0.340.800.760.470.400.310.51Race Unknown (%)8.5121.6014.8310.0915.9010.7413.29HMO (%)17.6916.0310.109.7115.3824.8717.09Managed Long-Term Care (%)0.24sss0.080.350.16Used Only HCBS State Plan Services (%)17.7335.307.1424.0351.0526.1924.15Enrolled in a 1915(c) Waiver (%)67.0856.3292.4056.6914.0562.0663.15Used Both State Plan and Waiver Services (%)3.616.285.684.552.654.434.59Used Only 1915(c) Waiver Services (%)63.5257.3286.6665.0343.7646.9161.25Percentage of Total Medicaid Population1.801.031.080.230.541.172.83GeorgiaNumber19,49612,12810,8584,4747,48511,72131,624Percentage of HCBS Population61.6538.3534.3314.1523.6737.06100.00Age (Mean)65.5529.0838.0242.6832.8579.6351.57Female (%)67.0548.2746.0057.1348.9580.1859.85White (%)55.2340.2050.1751.3242.7353.0249.47Black (%)39.1845.6941.2739.8145.0140.4041.68Hispanic (%)0.130.530.430.340.330.090.28Other Race or Multiple Races (%)0.410.720.560.580.510.510.53Race Unknown (%)5.0512.877.567.9611.425.988.05HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)7.9250.208.3342.2756.418.4024.13Enrolled in a 1915(c) Waiver (%)92.2954.9294.4357.8248.2091.7377.96Used Both State Plan and Waiver Services (%)5.525.472.713.536.897.535.50Used Only 1915(c) Waiver Services (%)81.2441.9884.4951.5234.2678.4966.18Percentage of Total Medicaid Population1.110.690.620.250.430.671.80HawaiiNumber3,2611,8602,4425117851,9225,121Percentage of HCBS Population63.6836.3247.699.9815.3337.53100.00Age (Mean)64.4830.2034.8854.7944.2479.3152.03Female (%)56.0343.7143.6554.7944.4665.4551.55White (%)23.2827.5825.9228.1830.7019.8824.84Black (%)0.551.080.70sss0.74Hispanic (%)1.131.721.392.54s1.201.35Other Race or Multiple Races (%)74.8268.7671.2968.1066.8878.2572.62Race Unknown (%)s0.860.70sss0.45HMO (%)s3.761.43s3.95s1.41Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)9.179.191.156.8516.8215.049.18Enrolled in a 1915(c) Waiver (%)85.7786.5197.2284.9375.1678.4686.04Used Both State Plan and Waiver Services (%)0.526.611.972.948.280.832.73Used Only 1915(c) Waiver Services (%)85.4375.5991.0784.7465.2279.1981.86Percentage of Total Medicaid Population1.450.831.080.230.350.852.27IdahoNumber8,2183,7563,2352,2892,6764,76511,974Percentage of HCBS Population68.6331.3727.0219.1222.3539.79100.00Age (Mean)65.6730.0930.9445.5444.2179.7654.51Female (%)64.0752.4545.4757.5454.8274.1060.42White (%)97.7294.9496.6097.3895.5297.5496.85Black (%)0.340.690.370.570.710.360.45Hispanic (%)0.181.380.96s0.820.270.56Other Race or Multiple Races (%)1.752.982.071.922.951.832.14Race Unknown (%)sssssssHMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)10.9041.9324.3925.1230.878.1820.64Enrolled in a 1915(c) Waiver (%)94.5262.8678.3380.2576.4696.9684.59Used Both State Plan and Waiver Services (%)49.0927.9825.4436.5252.0249.6742.47Used Only 1915(c) Waiver Services (%)35.7527.2147.5135.0813.3437.2333.07Percentage of Total Medicaid Population3.761.721.481.051.222.185.47IllinoisNumber71,28437,04726,04913,96634,54140,883108,331Percentage of HCBS Population65.8034.2024.0512.8931.8837.74100.00Age (Mean)63.4939.7538.5147.7945.8076.9855.37Female (%)63.9453.9145.3658.3055.6674.0860.51White (%)61.2348.3071.2462.4450.1753.9656.81Black (%)30.4642.1822.3031.5842.9134.0234.47Hispanic (%)4.506.885.194.805.265.385.31Other Race or Multiple Races (%)3.582.341.121.021.406.323.16Race Unknown (%)0.220.310.140.160.250.330.25HMO (%)s0.730.120.240.62s0.25Managed Long-Term Care (%)0.06sss0.030.080.04Used Only HCBS State Plan Services (%)1.0813.824.9310.058.281.315.43Enrolled in a 1915(c) Waiver (%)93.0385.1573.1586.8794.2697.2290.33Used Both State Plan and Waiver Services (%)2.127.333.264.445.802.523.90Used Only 1915(c) Waiver Services (%)75.8450.5583.4252.9451.2377.6767.19Percentage of Total Medicaid Population3.091.611.130.611.501.774.70IndianaNumber9,6696,56510,5962,4622,5592,87816,234Percentage of HCBS Population59.5640.4465.2715.1715.7617.73100.00Age (Mean)53.1726.2033.7544.5442.1276.5342.26Female (%)56.4545.9942.8456.0955.9279.8152.22White (%)85.9684.6687.7086.0782.9680.6185.43Black (%)12.5312.4410.3212.1014.6217.4812.50Hispanic (%)0.821.631.111.061.760.661.15Other Race or Multiple Races (%)0.230.300.24ss0.450.26Race Unknown (%)0.470.960.620.490.550.800.67HMO (%)s3.310.920.614.30s1.36Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)12.9417.214.2514.2638.6924.6414.67Enrolled in a 1915(c) Waiver (%)86.4282.5995.6184.6960.4574.5784.87Used Both State Plan and Waiver Services (%)16.6417.7910.0511.9832.6326.6217.11Used Only 1915(c) Waiver Services (%)69.1863.7084.8172.3826.6147.1566.96Percentage of Total Medicaid Population0.980.661.070.250.260.291.64IowaNumber20,29411,87710,9564,4097,72111,72832,171Percentage of HCBS Population63.0836.9234.0613.7024.0036.46100.00Age (Mean)63.8119.5330.8845.6827.9178.2947.46Female (%)63.0145.1745.2457.2247.0573.1556.42White (%)74.5969.8282.9583.7668.1165.4172.83Black (%)2.475.032.373.615.882.443.42Hispanic (%)0.502.330.870.542.550.581.17Other Race or Multiple Races (%)0.661.290.510.451.041.180.89Race Unknown (%)21.7721.5313.3011.6422.4230.4021.68HMO (%)s1.010.10s1.33s0.37Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)20.0641.555.0346.7964.4515.2027.99Enrolled in a 1915(c) Waiver (%)79.5257.6394.1352.9433.5685.3971.44Used Both State Plan and Waiver Services (%)36.9613.4219.1520.9814.4049.6028.27Used Only 1915(c) Waiver Services (%)40.6641.9973.1929.2418.8432.3841.15Percentage of Total Medicaid Population5.123.002.761.111.952.968.12KansasNumber16,71410,3948,4236,7725,5918,76227,108Percentage of HCBS Population61.6638.3431.0724.9820.6232.32100.00Age (Mean)62.5325.7532.7930.4947.0278.0048.43Female (%)65.3346.1542.8549.4860.4576.0457.98White (%)82.6378.5685.5382.8174.8580.5081.07Black (%)11.0711.527.999.2017.7811.1511.24Hispanic (%)3.024.743.173.883.853.693.68Other Race or Multiple Races (%)2.482.761.582.332.543.642.59Race Unknown (%)0.802.411.731.770.981.031.42HMO (%)s1.560.191.421.18s0.63Managed Long-Term Care (%)ssssss0.04Used Only HCBS State Plan Services (%)2.408.662.605.8610.701.634.80Enrolled in a 1915(c) Waiver (%)97.6190.7997.5293.6488.6298.4795.00Used Both State Plan and Waiver Services (%)9.327.905.505.7712.6811.508.77Used Only 1915(c) Waiver Services (%)84.4775.8685.6581.2373.7882.5781.17Percentage of Total Medicaid Population4.863.022.451.971.622.557.88KentuckyNumber14,1977,2646,0182,5405,5419,07121,461Percentage of HCBS Population66.1533.8528.0411.8425.8242.27100.00Age (Mean)66.3836.1535.7750.1145.1677.9456.14Female (%)67.0554.5846.3365.3957.7975.6662.83White (%)85.8879.2482.9785.2482.3784.6383.64Black (%)8.347.988.297.527.628.858.22Hispanic (%)0.090.390.18s0.38s0.19Other Race or Multiple Races (%)0.140.340.23s0.290.130.21Race Unknown (%)5.5412.058.336.899.356.287.74HMO (%)2.153.952.684.493.412.122.76Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)19.6435.3710.1925.0038.3324.4224.97Enrolled in a 1915(c) Waiver (%)82.5266.5290.7177.0964.2577.9177.11Used Both State Plan and Waiver Services (%)35.8428.1728.5629.3730.2138.6933.24Used Only 1915(c) Waiver Services (%)36.9432.1759.0739.8824.3528.1135.33Percentage of Total Medicaid Population1.700.870.720.300.661.092.57LouisianaNumber8,25517,6428,0405,2118,9394,82325,897Percentage of HCBS Population31.8868.1231.0520.1234.5218.62100.00Age (Mean)63.7222.1026.2132.4023.1879.5835.37Female (%)68.3745.6843.8753.7945.6281.8452.91White (%)40.1934.6648.5040.3628.0529.6936.43Black (%)49.8454.1436.1852.3564.3157.6452.77Hispanic (%)0.330.470.370.500.500.350.42Other Race or Multiple Races (%)0.210.480.300.400.530.250.39Race Unknown (%)9.4410.2514.656.396.6112.079.99HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)28.1228.7719.9411.0339.7138.6328.56Enrolled in a 1915(c) Waiver (%)65.4022.2571.3711.388.5660.7936.01Used Both State Plan and Waiver Services (%)32.247.0010.367.948.1344.6415.04Used Only 1915(c) Waiver Services (%)38.8264.0869.3280.8752.0515.6756.03Percentage of Total Medicaid Population0.711.510.690.450.760.412.21MaineNumber3,0341,0852,684726549824,119Percentage of HCBS Population73.6626.3465.161.7515.8823.84100.00Age (Mean)55.0333.6541.4554.7146.2378.1049.40Female (%)52.9046.6443.5251.3956.4267.3151.25White (%)91.3390.5191.5498.6193.1287.8891.11Black (%)ssssss0.36Hispanic (%)sssssssOther Race or Multiple Races (%)0.401.110.45sss0.58Race Unknown (%)8.017.377.68s5.0511.007.84HMO (%)aaaaaaaManaged Long-Term Care (%)aaaaaaaUsed Only HCBS State Plan Services (%)aaaaaaaEnrolled in a 1915(c) Waiver (%)aaaaaaaUsed Both State Plan and Waiver Services (%)aaaaaaaUsed Only 1915(c) Waiver Services (%)aaaaaaaPercentage of Total Medicaid Population1.000.360.880.020.220.321.36MarylandNumber15,78117,75814,2919,4206,2887,44133,539Percentage of HCBS Population47.0552.9542.6128.0918.7522.19100.00Age (Mean)58.8627.1733.8043.6224.2378.3842.08Female (%)58.6746.4142.6853.7446.1775.2352.18White (%)58.5240.7356.2550.3833.2753.4549.10Black (%)33.5451.0335.2945.2560.1535.2042.80Hispanic (%)1.352.171.651.002.162.231.78Other Race or Multiple Races (%)3.172.021.881.231.116.052.56Race Unknown (%)3.424.064.942.133.313.083.76HMO (%)6.6892.4154.9757.3082.70s52.07Managed Long-Term Care (%)0.16ssss0.340.07Used Only HCBS State Plan Services (%)40.1266.4919.8373.9189.6254.4754.08Enrolled in a 1915(c) Waiver (%)59.6133.1280.6023.8910.5845.5645.58Used Both State Plan and Waiver Services (%)13.4210.2416.868.323.5117.8911.74Used Only 1915(c) Waiver Services (%)44.2621.5661.0917.153.5526.1732.24Percentage of Total Medicaid Population1.882.111.701.120.750.883.99MassachusettsNumber27,81611,97515,0027,7687,24915,50439,791Percentage of HCBS Population69.9130.0937.7019.5218.2238.96100.00Age (Mean)63.8135.7040.5054.2641.4778.9555.35Female (%)64.2852.0646.2160.3455.6576.3260.60White (%)71.8973.6077.7274.8664.8271.4472.41Black (%)4.367.744.445.037.334.955.38Hispanic (%)1.212.991.121.393.591.281.75Other Race or Multiple Races (%)0.590.730.290.420.810.870.63Race Unknown (%)21.9414.9416.4318.2923.4521.4519.83HMO (%)0.479.192.771.2910.08s3.10Managed Long-Term Care (%)0.20ssss0.340.16Used Only HCBS State Plan Services (%)80.8197.1499.1390.5493.7267.4885.73Enrolled in a 1915(c) Waiver (%)52.2233.9682.7640.097.8241.8546.72Used Both State Plan and Waiver Services (%)17.062.570.748.445.6128.9212.70Used Only 1915(c) Waiver Services (%)2.040.20s0.940.553.511.49Percentage of Total Medicaid Population2.421.041.310.680.631.353.47MichiganNumber19,5784,4589,3381,0733,16412,11824,036Percentage of HCBS Population81.4518.5538.854.4613.1650.42100.00Age (Mean)68.2534.5743.0059.9449.8480.7862.00Female (%)63.9746.7742.7561.8857.1775.0960.78White (%)81.4376.2486.0085.6576.0777.9380.47Black (%)14.8318.7511.0812.3019.4117.4915.56Hispanic (%)0.731.440.65s1.580.800.86Other Race or Multiple Races (%)0.571.621.01s1.110.510.77Race Unknown (%)2.441.951.251.211.833.262.35HMO (%)0.9443.4719.895.037.59s8.83Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)24.9522.544.0926.0026.0438.3324.50Enrolled in a 1915(c) Waiver (%)73.5978.5696.6973.7272.0059.6674.51Used Both State Plan and Waiver Services (%)1.226.481.092.617.211.502.20Used Only 1915(c) Waiver Services (%)42.2818.626.9834.6764.2952.4837.89Percentage of Total Medicaid Population1.090.250.520.060.180.681.34MinnesotaNumber46,66621,33324,58813,69610,24028,86167,999Percentage of HCBS Population68.6331.3736.1620.1415.0642.44100.00Age (Mean)65.9227.7534.4347.2141.2979.5053.94Female (%)65.1447.6044.9958.7354.0374.5759.64White (%)85.6663.5282.1380.3462.0282.9478.71Black (%)5.0716.897.819.5717.865.438.78Hispanic (%)1.142.761.901.672.101.161.65Other Race or Multiple Races (%)6.1312.755.246.7114.817.958.21Race Unknown (%)2.004.092.921.703.202.532.65HMO (%)49.0211.6210.7220.2213.1178.8537.29Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)10.2941.7317.2424.5254.274.7120.15Enrolled in a 1915(c) Waiver (%)90.2758.4782.7275.6745.8996.2880.29Used Both State Plan and Waiver Services (%)17.4315.5118.6619.8922.2511.8016.83Used Only 1915(c) Waiver Services (%)49.3539.0362.8447.7918.5446.3946.12Percentage of Total Medicaid Population6.232.853.281.831.373.859.07MississippiNumber11,5023,1372,7561,0493,3538,27914,639Percentage of HCBS Population78.5721.4318.837.1722.9056.55100.00Age (Mean)70.5437.5135.0459.8548.6779.8263.46Female (%)73.3855.8549.0675.8857.5981.1769.62White (%)44.4037.9347.9350.6240.2341.9743.02Black (%)49.3149.7942.7843.0951.9551.2049.42Hispanic (%)0.11sssss0.14Other Race or Multiple Races (%)0.100.35ssss0.16Race Unknown (%)6.0711.678.825.627.346.677.27HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)0.4220.984.066.4815.300.274.82Enrolled in a 1915(c) Waiver (%)99.2679.0995.8693.1484.6499.3694.94Used Both State Plan and Waiver Services (%)37.9030.7627.9832.6030.2742.2636.37Used Only 1915(c) Waiver Services (%)60.3847.2767.1360.0653.0956.1257.57Percentage of Total Medicaid Population1.500.410.360.140.441.081.91MissouriNumber50,22814,16411,54914,70413,33531,57064,392Percentage of HCBS Population78.0022.0017.9422.8420.7149.03100.00Age (Mean)66.8141.4539.3250.7050.2078.4161.23Female (%)67.8557.5547.0257.4362.4376.4065.59White (%)81.4175.1484.0281.3976.1580.2680.03Black (%)16.4120.8914.7615.9120.6117.0417.39Hispanic (%)0.080.13s0.090.100.100.09Other Race or Multiple Races (%)0.260.510.290.310.300.330.31Race Unknown (%)1.843.330.842.312.852.272.17HMO (%)0.053.273.090.990.61s0.76Managed Long-Term Care (%)0.04ssss0.070.04Used Only HCBS State Plan Services (%)84.1676.2933.7182.8793.1891.4282.43Enrolled in a 1915(c) Waiver (%)49.9719.7534.2717.9712.0471.4443.33Used Both State Plan and Waiver Services (%)1.753.6710.432.520.790.332.17Used Only 1915(c) Waiver Services (%)9.0917.4151.5812.555.051.0110.92Percentage of Total Medicaid Population4.111.160.941.201.092.585.27MontanaNumber4,1924,4792,8271,3673,3991,8438,671Percentage of HCBS Population48.3551.6532.6015.7739.2021.25100.00Age (Mean)59.7120.8734.7443.3023.6978.6939.65Female (%)64.7959.1446.3763.6462.7580.7461.87White (%)87.6281.3189.0088.3079.9985.0284.36Black (%)0.261.030.57s0.94s0.66Hispanic (%)0.862.391.101.392.560.761.65Other Race or Multiple Races (%)11.2615.279.349.6616.5014.0513.33Race Unknown (%)sssssssHMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)28.3418.0210.3641.7019.3931.3623.01Enrolled in a 1915(c) Waiver (%)66.2529.2083.5544.4014.4267.1247.11Used Both State Plan and Waiver Services (%)25.488.0816.2714.1210.3631.8516.49Used Only 1915(c) Waiver Services (%)45.0968.2164.4141.9969.5835.6557.03Percentage of Total Medicaid Population3.653.902.461.192.961.617.56NebraskaNumber7,5623,3094,1851,7361,8354,38710,871Percentage of HCBS Population69.5630.4438.5015.9716.8840.36100.00Age (Mean)64.7628.3634.1447.6038.5280.4353.68Female (%)66.2950.7445.4760.0255.8078.5561.56White (%)88.3281.5090.3084.6278.8087.4486.25Black (%)6.599.044.448.7011.836.957.33Hispanic (%)2.433.812.172.254.252.832.85Other Race or Multiple Races (%)1.352.811.432.252.401.551.79Race Unknown (%)1.312.841.652.192.721.231.78HMO (%)0.215.020.433.804.250.681.67Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)21.7524.906.2835.5443.1621.0922.71Enrolled in a 1915(c) Waiver (%)78.2175.5894.0064.6357.1778.8577.41Used Both State Plan and Waiver Services (%)9.739.647.846.6810.6811.569.70Used Only 1915(c) Waiver Services (%)65.3162.5683.7056.1642.6263.1964.47Percentage of Total Medicaid Population2.921.281.610.670.711.694.19NevadaNumber5,5692,4591,8651,0991,7083,9078,028Percentage of HCBS Population69.3730.6323.2313.6921.2848.67100.00Age (Mean)68.2138.7232.9547.9248.4378.8959.18Female (%)69.4054.7845.4262.1562.6575.5864.92White (%)68.9060.3576.9471.7957.7965.0166.28Black (%)10.2517.089.9213.9222.788.1912.34Hispanic (%)12.5314.567.407.9211.7717.0213.15Other Race or Multiple Races (%)4.873.702.682.733.286.174.51Race Unknown (%)3.454.313.063.644.393.613.71HMO (%)s1.10ss1.17s0.34Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)43.3367.4720.1660.6976.1747.3550.72Enrolled in a 1915(c) Waiver (%)57.3733.3180.3839.7627.3452.2450.00Used Both State Plan and Waiver Services (%)34.196.599.6012.5619.5639.3125.73Used Only 1915(c) Waiver Services (%)21.4924.9368.7425.933.3412.4422.55Percentage of Total Medicaid Population2.210.980.740.440.681.553.19New HampshireNumber4,5792,9853,9191,0551,4592,0637,564Percentage of HCBS Population60.5439.4651.8113.9519.2927.27100.00Age (Mean)59.4522.6532.4050.6835.9578.1944.93Female (%)59.1446.8342.7459.8154.2875.4254.28White (%)98.2395.9598.1497.5495.2097.4897.33Black (%)0.700.900.591.041.51s0.78Hispanic (%)0.441.610.46s2.470.680.90Other Race or Multiple Races (%)0.240.800.43ss0.680.46Race Unknown (%)0.390.740.38ss0.680.53HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)5.1127.173.7522.3742.434.6013.82Enrolled in a 1915(c) Waiver (%)94.6974.0797.2477.6357.6494.8186.55Used Both State Plan and Waiver Services (%)8.7612.5611.208.4412.617.6110.26Used Only 1915(c) Waiver Services (%)84.3051.2976.4766.5444.4886.6771.27Percentage of Total Medicaid Population3.502.282.990.811.111.585.78New JerseyNumber41,47315,62113,5455,85811,04830,44357,094Percentage of HCBS Population72.6427.3623.7210.2619.3553.32100.00Age (Mean)68.6742.6738.7553.0747.3378.3761.56Female (%)67.9658.3346.2166.0560.3975.0865.32White (%)53.3140.6768.5651.0935.3248.4449.85Black (%)17.7025.6617.3221.2731.8315.9719.87Hispanic (%)9.0111.323.5510.1413.5610.279.64Other Race or Multiple Races (%)1.111.310.450.510.941.601.17Race Unknown (%)18.8721.0410.1116.9918.3523.7119.47HMO (%)7.2542.6828.2227.3626.386.7216.94Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)59.8467.5922.4067.1777.7369.9761.96Enrolled in a 1915(c) Waiver (%)40.0432.5577.8032.9622.3129.8337.99Used Both State Plan and Waiver Services (%)7.746.0713.245.625.026.607.28Used Only 1915(c) Waiver Services (%)31.5424.4062.9426.7015.7022.4129.58Percentage of Total Medicaid Population4.101.541.340.581.093.015.64New MexicoNumber11,5105,7974,7191,9383,9757,80217,307Percentage of HCBS Population66.5033.5027.2711.2022.9745.08100.00Age (Mean)66.6439.4133.8948.9347.7878.5057.52Female (%)66.9056.7944.8863.5761.1175.3063.51White (%)40.6334.9048.1945.6733.1135.8938.71Black (%)1.822.501.782.432.921.642.05Hispanic (%)29.3629.0326.9330.3930.9229.4529.25Other Race or Multiple Races (%)18.3120.1313.528.5121.5321.8418.92Race Unknown (%)9.9013.449.5813.0011.5211.1811.08HMO (%)2.4981.0648.3846.2847.302.9728.81Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)59.9055.5814.9658.9378.7270.6258.45Enrolled in a 1915(c) Waiver (%)37.0740.8083.4337.0516.5826.1338.32Used Both State Plan and Waiver Services (%)1.161.330.951.601.531.141.21Used Only 1915(c) Waiver Services (%)38.1642.4283.4938.9619.0927.2839.59Percentage of Total Medicaid Population2.211.110.910.370.761.503.32New YorkNumber164,71693,14374,95852,62951,850106,190257,859Percentage of HCBS Population63.8836.1229.0720.4120.1141.18100.00Age (Mean)66.6031.8435.8949.8738.3378.6754.04Female (%)64.8250.5443.6654.9556.4274.6059.66White (%)53.1143.1261.2049.3644.6646.3249.50Black (%)15.0120.1711.8418.3623.3614.8816.87Hispanic (%)11.7014.567.6512.7215.4213.9612.73Other Race or Multiple Races (%)3.893.201.962.203.355.163.64Race Unknown (%)16.2918.9617.3517.3613.2219.6717.25HMO (%)0.699.953.286.538.370.444.04Managed Long-Term Care (%)1.460.300.110.500.472.191.04Used Only HCBS State Plan Services (%)80.8469.1423.3182.4796.3296.7776.62Enrolled in a 1915(c) Waiver (%)19.4731.9879.8216.593.343.3023.99Used Both State Plan and Waiver Services (%)6.827.9823.265.621.911.487.24Used Only 1915(c) Waiver Services (%)11.7519.3247.8811.341.531.6314.48Percentage of Total Medicaid Population3.351.891.521.071.052.165.24North CarolinaNumber74,30129,09416,75817,26528,30248,785103,395Percentage of HCBS Population71.8628.1416.2116.7027.3747.18100.00Age (Mean)68.3237.3134.5751.8147.5078.6959.60Female (%)70.2055.7045.5460.1359.7678.6766.12White (%)46.7537.1852.5053.9731.2147.3044.06Black (%)42.9447.9033.9939.8755.6541.5144.34Hispanic (%)0.431.411.180.640.790.480.71Other Race or Multiple Races (%)2.013.252.061.943.621.742.36Race Unknown (%)7.8710.2610.283.578.738.988.54HMO (%)s0.350.080.150.26s0.11Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)80.0373.9546.8489.5588.8378.7978.32Enrolled in a 1915(c) Waiver (%)20.1026.3253.4010.5611.4021.3121.85Used Both State Plan and Waiver Services (%)12.678.5914.764.847.5014.8511.52Used Only 1915(c) Waiver Services (%)7.1016.6937.645.493.376.029.80Percentage of Total Medicaid Population4.791.881.081.111.833.156.67North DakotaNumber3,3502,6403,4506717261,7345,990Percentage of HCBS Population55.9344.0757.6011.2012.1228.95100.00Age (Mean)63.1514.1823.0750.5838.9180.9441.57Female (%)61.7042.3141.9458.4253.5873.4753.16White (%)92.6081.2588.0989.8775.7692.6287.60Black (%)s2.840.81s6.47s1.39Hispanic (%)0.422.461.74s1.79s1.32Other Race or Multiple Races (%)6.5713.269.288.2015.566.529.52Race Unknown (%)ssssss0.18HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)13.049.770.6411.4834.1622.2611.60Enrolled in a 1915(c) Waiver (%)49.5282.4297.5953.8027.1320.8864.02Used Both State Plan and Waiver Services (%)20.185.684.2625.9315.2928.5513.79Used Only 1915(c) Waiver Services (%)66.4880.0891.6562.1550.1448.9072.47Percentage of Total Medicaid Population4.463.524.600.890.972.317.98OhioNumber67,833.0026,381.0028,518.0013,174.0016,423.0047,437.0094,214.00Percentage of HCBS Population72.0028.0030.2713.9817.4350.35100.00Age (Mean)68.4037.5338.6754.6045.2678.9059.75Female (%)68.9055.0845.1464.4260.3277.7665.03White (%)78.7769.0082.0178.5668.6175.6576.03Black (%)19.7827.6616.5219.8628.8722.2921.99Hispanic (%)0.921.571.051.141.361.011.11Other Race or Multiple Races (%)0.531.760.410.451.141.050.87Race Unknown (%)sssssssHMO (%)0.042.020.410.272.53s0.59Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)24.1148.5230.2935.5147.4523.2930.95Enrolled in a 1915(c) Waiver (%)78.0655.0573.0666.7154.5879.1171.62Used Both State Plan and Waiver Services (%)11.9715.409.7712.5420.2611.6112.93Used Only 1915(c) Waiver Services (%)50.8628.6653.3140.4624.9248.8544.65Percentage of Total Medicaid Population3.321.291.400.650.802.324.62OklahomaNumber21,0866,7086,1853,3816,61313,62027,794Percentage of HCBS Population75.8724.1322.2512.1623.7949.00100.00Age (Mean)67.3936.5634.1853.1350.0477.8659.95Female (%)70.4456.1945.7471.1661.1878.3167.00White (%)80.0174.2578.5682.1175.5379.6678.62Black (%)11.9713.5211.9610.7113.2812.3812.35Hispanic (%)1.082.341.631.121.811.131.39Other Race or Multiple Races (%)6.939.857.846.069.356.827.63Race Unknown (%)sssssssHMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)14.2320.977.9414.4023.2315.4515.86Enrolled in a 1915(c) Waiver (%)86.3779.7792.4586.0477.6785.1884.78Used Both State Plan and Waiver Services (%)7.0416.868.1312.1313.207.489.41Used Only 1915(c) Waiver Services (%)75.6357.1079.3270.8759.8773.8771.16Percentage of Total Medicaid Population3.070.980.900.490.961.984.04OregonNumber31,98210,8069,7276,3479,52720,43842,788Percentage of HCBS Population74.7525.2522.7314.8322.2747.77100.00Age (Mean)67.6837.2636.1349.4947.6579.7359.99Female (%)65.4353.3544.7956.5957.0674.1862.38White (%)90.6684.2089.5389.8286.6090.0289.03Black (%)2.214.923.054.004.381.832.90Hispanic (%)0.310.320.14s0.340.420.32Other Race or Multiple Races (%)4.285.133.263.704.545.114.49Race Unknown (%)2.535.424.012.384.152.633.26HMO (%)47.8964.8763.7868.4155.7642.0952.18Managed Long-Term Care (%)0.440.13s0.190.200.630.36Used Only HCBS State Plan Services (%)0.692.210.470.552.350.821.08Enrolled in a 1915(c) Waiver (%)91.4670.6191.0561.3878.8396.0786.19Used Both State Plan and Waiver Services (%)21.4214.436.0213.9623.2325.5319.65Used Only 1915(c) Waiver Services (%)66.5369.2649.2371.1271.6070.1167.22Percentage of Total Medicaid Population5.541.871.681.101.653.547.41PennsylvaniaNumber38,41918,94326,9322,9549,67221,58857,362Percentage of HCBS Population66.9833.0246.955.1516.8637.63100.00Age (Mean)63.6428.8133.5952.1746.7279.2552.14Female (%)62.5148.8943.3061.0059.9674.5058.01White (%)75.7967.4178.8981.2865.0270.1573.02Black (%)18.3821.7613.3813.7127.4622.9419.50Hispanic (%)2.545.933.562.784.693.113.66Other Race or Multiple Races (%)0.911.410.890.610.831.381.07Race Unknown (%)2.393.483.271.622.002.422.75HMO (%)38.3563.4469.0932.1659.7814.0446.63Managed Long-Term Care (%)0.15ssss0.270.11Used Only HCBS State Plan Services (%)0.2412.643.136.0914.630.494.34Enrolled in a 1915(c) Waiver (%)99.6789.7598.3894.9985.8099.3496.40Used Both State Plan and Waiver Services (%)0.333.060.293.524.020.761.23Used Only 1915(c) Waiver Services (%)58.0519.325.1139.0765.1683.5845.26Percentage of Total Medicaid Population2.000.991.400.150.501.122.99Rhode IslandNumber6,6105,8934,0321,6263,9633,81712,503Percentage of HCBS Population52.8747.1332.2513.0031.7030.53100.00Age (Mean)65.5320.4538.0837.4221.3180.9544.28Female (%)66.8841.6145.3156.7741.3179.0754.97White (%)74.0156.0878.6773.6851.4366.9665.56Black (%)3.9310.444.047.6912.193.967.00Hispanic (%)2.6510.063.405.9710.773.416.14Other Race or Multiple Races (%)0.531.120.670.741.090.630.81Race Unknown (%)18.8822.3013.2211.9324.5325.0520.49HMO (%)0.3955.526.0033.9564.37s26.38Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)45.4881.9365.3567.3480.2738.3362.66Enrolled in a 1915(c) Waiver (%)73.6924.0681.0537.2117.0664.6650.30Used Both State Plan and Waiver Services (%)6.724.684.097.444.448.545.76Used Only 1915(c) Waiver Services (%)35.515.114.2916.8513.0747.9221.18Percentage of Total Medicaid Population3.423.052.090.842.051.976.47South CarolinaNumber17,6607,9018,7692,0646,4989,95325,561Percentage of HCBS Population69.0930.9134.318.0725.4238.94100.00Age (Mean)64.3533.3934.5548.4246.5379.2354.78Female (%)63.7049.2145.0758.4350.1577.2359.22White (%)47.2538.0647.5452.9642.8142.3244.41Black (%)46.0146.0439.4738.9549.5749.9946.02Hispanic (%)0.120.610.31s0.48s0.27Other Race or Multiple Races (%)0.200.370.290.530.200.240.25Race Unknown (%)6.4014.9212.407.326.947.359.04HMO (%)s2.471.09s1.59s0.79Managed Long-Term Care (%)0.08ssss0.110.06Used Only HCBS State Plan Services (%)14.0144.6942.3529.1721.118.1823.50Enrolled in a 1915(c) Waiver (%)89.5460.1769.0477.8178.9892.3180.46Used Both State Plan and Waiver Services (%)12.7920.1936.1632.036.683.6815.08Used Only 1915(c) Waiver Services (%)71.6933.5920.0537.6970.8586.4659.92Percentage of Total Medicaid Population1.750.790.870.210.650.992.54South DakotaNumber3,3382,6141,5505772,4551,6525,952Percentage of HCBS Population56.0843.9226.049.6941.2527.76100.00Age (Mean)61.6519.6931.6533.5828.6781.0243.22Female (%)62.9145.1444.2659.9746.3177.1255.11White (%)92.0061.5185.8769.5067.1793.7778.61Black (%)s1.870.71s1.47s0.89Hispanic (%)0.422.220.97s1.79s1.21Other Race or Multiple Races (%)7.4634.3912.4528.0829.575.8119.29Race Unknown (%)sssssssHMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)51.6273.9532.1367.5958.0088.0161.42Enrolled in a 1915(c) Waiver (%)44.4921.9665.0318.723.9161.2034.59Used Both State Plan and Waiver Services (%)0.360.541.23sss0.44Used Only 1915(c) Waiver Services (%)46.3225.4866.5231.2041.838.2937.16Percentage of Total Medicaid Population2.692.111.250.471.981.334.80TennesseeNumber6,9995,9837,4681,9682,7602,14012,982Percentage of HCBS Population53.9146.0957.5315.1621.2616.48100.00Age (Mean)54.4031.2637.7444.2837.7478.1843.73Female (%)53.7849.6144.2653.1055.0772.7151.86White (%)73.2158.7770.2571.9058.3765.5166.55Black (%)21.4522.4318.5519.4624.7828.5521.90Hispanic (%)s0.720.21s1.01s0.39Other Race or Multiple Races (%)0.310.800.320.710.910.560.54Race Unknown (%)4.9317.2810.677.6714.935.1910.62HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)23.7552.3011.2356.0580.0038.6036.90Enrolled in a 1915(c) Waiver (%)59.2835.5776.4630.745.2537.9948.35Used Both State Plan and Waiver Services (%)1.843.892.871.372.902.852.79Used Only 1915(c) Waiver Services (%)64.9938.5475.2939.0815.2949.3552.80Percentage of Total Medicaid Population0.440.370.470.120.170.130.81TexasNumber61,21729,88515,0699,56026,86442,99691,102Percentage of HCBS Population67.2032.8016.5410.4929.4947.20100.00Age (Mean)68.8630.4027.2943.8141.4478.3556.24Female (%)66.2351.0545.3459.1452.2172.8761.25White (%)45.5935.9845.4246.9241.3241.7642.44Black (%)14.4217.5414.3618.2418.7213.1815.44Hispanic (%)36.2337.9730.8629.6334.5341.1436.80Other Race or Multiple Races (%)1.051.211.230.840.991.171.10Race Unknown (%)2.727.298.134.364.442.754.22HMO (%)5.2011.804.4211.4210.825.147.36Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)23.4748.5330.2147.8835.0525.7831.69Enrolled in a 1915(c) Waiver (%)74.1949.9766.1551.0963.6971.9366.24Used Both State Plan and Waiver Services (%)5.9011.3615.107.996.476.127.69Used Only 1915(c) Waiver Services (%)63.9135.1652.6839.8250.9461.0854.48Percentage of Total Medicaid Population1.540.750.380.240.681.082.29UtahNumber3,7052,9444,1933987221,7616,649Percentage of HCBS Population55.7244.2863.065.9910.8626.49100.00Age (Mean)59.5622.6729.3046.4037.8680.1943.23Female (%)59.6041.8841.6955.0351.9474.2851.75White (%)91.9089.0392.1394.7287.4088.4290.63Black (%)0.861.091.05ss0.740.96Hispanic (%)3.976.113.943.278.175.854.92Other Race or Multiple Races (%)3.243.702.86s3.324.883.44Race Unknown (%)sssssssHMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)28.8818.853.2430.1575.4849.9124.44Enrolled in a 1915(c) Waiver (%)71.2685.5097.9370.3535.6050.2677.56Used Both State Plan and Waiver Services (%)13.556.526.448.546.0922.2610.44Used Only 1915(c) Waiver Services (%)55.5773.5789.1759.8016.7625.2763.54Percentage of Total Medicaid Population1.230.981.390.130.240.582.20VermontNumber3,5393,5633,0177031,9601,9277,102Percentage of HCBS Population49.8350.1742.489.9027.6027.13100.00Age (Mean)63.4517.2529.8034.8121.8680.1940.27Female (%)59.8546.5143.3959.7448.7271.0953.15White (%)sssssssBlack (%)sssssssHispanic (%)sssssssOther Race or Multiple Races (%)sssssssRace Unknown (%)100.00100.00100.00100.00100.00100.00100.00HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)7.6961.1022.1727.8875.467.3734.48Enrolled in a 1915(c) Waiver (%)86.1536.3577.5664.5820.6683.0861.17Used Both State Plan and Waiver Services (%)26.6714.7115.5119.0612.8137.0520.67Used Only 1915(c) Waiver Services (%)65.1023.9762.1552.6311.5854.7044.47Percentage of Total Medicaid Population2.202.211.870.441.221.204.41VirginiaNumber22,75711,01210,4714,5316,70115,36533,769Percentage of HCBS Population67.3932.6131.0113.4219.8445.50100.00Age (Mean)67.8938.6036.5852.6547.2679.7058.34Female (%)66.0851.8344.3557.3856.0875.3861.43White (%)58.7859.5565.7765.2457.2954.0659.03Black (%)38.6035.8431.3033.3740.0141.9737.70Hispanic (%)0.841.701.080.531.121.201.12Other Race or Multiple Races (%)1.602.611.660.771.342.541.93Race Unknown (%)0.170.300.19s0.240.230.21HMO (%)0.6211.283.728.328.371.294.10Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)0.142.720.480.933.310.140.98Enrolled in a 1915(c) Waiver (%)65.2158.6384.3141.2953.3457.9363.06Used Both State Plan and Waiver Services (%)0.343.140.551.523.880.421.25Used Only 1915(c) Waiver Services (%)97.5593.2398.4197.2990.3497.3696.14Percentage of Total Medicaid Population2.771.341.280.550.821.874.11WashingtonNumber39,12720,5246,9725,72021,75627,57259,651Percentage of HCBS Population65.5934.4111.699.5936.4746.22100.00Age (Mean)68.1136.9030.8352.1340.2579.3557.37Female (%)67.7154.6945.8562.0654.4075.1663.23White (%)77.6570.7578.1082.1274.9674.0575.28Black (%)4.016.694.325.336.783.424.93Hispanic (%)4.076.115.032.665.724.194.77Other Race or Multiple Races (%)8.048.214.705.096.2710.808.10Race Unknown (%)6.248.237.854.816.277.546.93HMO (%)aaaaaaaManaged Long-Term Care (%)aaaaaaaUsed Only HCBS State Plan Services (%)aaaaaaaEnrolled in a 1915(c) Waiver (%)aaaaaaaUsed Both State Plan and Waiver Services (%)aaaaaaaUsed Only 1915(c) Waiver Services (%)aaaaaaaPercentage of Total Medicaid Population3.281.720.580.481.832.315.01West VirginiaNumber8,5384,6094,5711,8272,7705,05813,147Percentage of HCBS Population64.9435.0634.7713.9021.0738.47100.00Age (Mean)64.8934.3831.7050.4851.1877.5454.20Female (%)67.1053.2241.5067.9362.1778.0362.23White (%)96.6295.7596.4396.3395.4296.7096.31Black (%)3.364.103.433.674.553.263.62Hispanic (%)sssssssOther Race or Multiple Races (%)sssssssRace Unknown (%)sssssssHMO (%)s1.690.850.771.08s0.61Managed Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)30.5936.458.4241.0555.0236.6032.65Enrolled in a 1915(c) Waiver (%)48.6157.3987.2248.1728.4837.5051.68Used Both State Plan and Waiver Services (%)3.388.034.665.096.714.035.01Used Only 1915(c) Waiver Services (%)64.5053.6184.7351.5637.1557.7760.68Percentage of Total Medicaid Population2.351.271.260.500.761.393.62WisconsinNumber21,3239,1098,2034,07610,52210,04630,432Percentage of HCBS Population70.0729.9326.9613.3934.5833.01100.00Age (Mean)60.7833.7138.5450.3940.9579.3752.68Female (%)59.9451.6744.9359.5450.2274.2057.47White (%)55.4717.7633.7937.1937.6161.0644.18Black (%)2.421.801.082.163.721.382.23Hispanic (%)0.980.750.490.761.230.880.91Other Race or Multiple Races (%)0.681.000.370.561.010.870.78Race Unknown (%)40.4578.6964.2759.3256.4435.8251.90HMO (%)aaaaaaaManaged Long-Term Care (%)aaaaaaaUsed Only HCBS State Plan Services (%)aaaaaaaEnrolled in a 1915(c) Waiver (%)aaaaaaaUsed Both State Plan and Waiver Services (%)aaaaaaaUsed Only 1915(c) Waiver Services (%)aaaaaaaPercentage of Total Medicaid Population2.190.940.840.421.081.033.13WyomingNumber2,2161,5502,0424177399173,766Percentage of HCBS Population58.8441.1654.2211.0719.6224.35100.00Age (Mean)57.9224.0128.4345.7147.1077.2643.96Female (%)61.0147.6844.5660.1958.3275.2555.52White (%)91.4388.9791.4894.2487.0190.6290.41Black (%)0.501.030.93sss0.72Hispanic (%)4.694.584.023.365.825.024.65Other Race or Multiple Races (%)2.893.812.45s5.143.603.27Race Unknown (%)0.501.611.13sss0.96HMO (%)sssssssManaged Long-Term Care (%)sssssssUsed Only HCBS State Plan Services (%)s4.32ss8.25s1.99Enrolled in a 1915(c) Waiver (%)99.4195.6199.5697.8491.7599.5697.85Used Both State Plan and Waiver Services (%)4.298.192.605.0416.783.605.89Used Only 1915(c) Waiver Services (%)92.2883.7493.6891.1371.8592.6988.77Percentage of Total Medicaid Population2.831.982.610.530.941.174.81Notes: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.Return to ContentsReturn to Document Current as of December 2012 Internet Citation: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab3b.html