Assessing the Health and Welfare of the HCBS Population
Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI
Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a
- Table 13A: National HCBS Population.
- Table 13B: Dually Eligible HCBS Participants.
- Table 13C: Medicaid-Only HCBS Participants.
- Table 13D: I/DD Subpopulation.
- Table 13E: SMI Subpopulation.
- Table 13G: HCBS Population Age 65+.
|Outcome Indicator||No Medically Needy Program||More Restrictive Eligibility Criteria||Less Restrictive Eligibility Criteria||Nursing Home Level of Care Eligibility Criteria for HCBS||Percentage of State LTC Funds Spent on HCBS|
|Short-Term Complications of Diabetes||867||659||481||1,192||571||476||522||801|
|Asthma or Chronic Obstructive Pulmonary Disease||6,088||4,755||4,425||5,268||4,706||3,868||4,255||5,928|
|Congestive Heart Failure||5,445||5,372||4,663||5,842||5,103||4,405||4,341||6,316|
|Composite: Potentially Preventable Infection||8,752||7,632||5,695||7,451||7,833||5,797||5,920||8,912|
|Urinary Tract Infection||3,853||3,507||2,199||3,335||3,586||2,233||2,377||4,108|
|Infection Due to Device or Implant||2,058||1,987||1,367||2,093||1,853||1,407||1,481||2,174|
|Composite: ACSC Chronic Conditions||17,249||15,265||13,118||17,499||14,629||12,006||12,791||18,023|
|Composite: ACSC Acute Conditions||7,842||6,462||4,916||6,411||6,761||5,053||5,187||7,598|
|Composite: ACSC Overall||25,088||21,726||18,033||23,910||21,388||17,059||17,977||25,619|
ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; LTC = long-term care.
a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and persons in the States of Arizona, Maine, Washington, and Wisconsin.
Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare denominator file.
Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.
HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix .
Median is defined as the value at which half of States are below and half of States are above.
Source for Outcome Indicators: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.
Sources for column heading data are described in the Appendix .
Page originally created December 2012