Today the Centers for Medicare & Medicaid Services (CMS) released the 2013 Medicaid Expenditures for Long-Term Services and Supports Report. This report documents a milestone in the significant progress the Medicaid program has made to promote community living for older adults and people with disabilities. Federal Fiscal Year (FY) 2013 marked the first year in which home and community-based services (HCBS) were a majority of long-term services and supports (LTSS) expenditures. The percentage of total LTSS spent on HCBS increased from 49 percent in FY 2012 to 51 percent in FY 2013. The shifting balance was attributable to both an increase in HCBS spending of 7.6 percent and a 0.7 decrease in spending for institutional services. FY 2013 marked the third consecutive year in which HCBS spending increased and institutional spending decreased.
Other highlights in the report include the growth of LTSS provided through managed care organizations, from 4 percent in FY 2008 to 10 percent in FY 2013, and the continued differences in the percentage of total LTSS spent on HCBS across population groups. HCBS accounted for 72 percent of spending in programs targeting people with developmental disabilities, 40 percent of spending in programs targeting older people or people with physical disabilities, and 36 percent of spending in programs targeting people with serious mental illness or serious emotional disturbance. HCBS spending for all three populations increased relative to institutional services in FFY 2013, but the historical difference in HCBS spending across the groups remained constant.
The full report is available at:
CMS and Truven Health will host a webinar to discuss the report findings Friday, July 31, from 3 p.m. to 4 p.m. Eastern. You may register for the webinar at
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