Medicaid Selected Characteristics of 10 States with the Greatest Change in Long-Term Services and Support System Balancing, 2012-2016 Report

Today, the Centers for Medicare and Medicaid Services (CMS) released Selected Characteristics of 10 States with the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016. Each year, most states make steady, incremental progress toward rebalancing their long-term services and supports (LTSS) systems from institutional care to home and community-based services (HCBS). They achieve this rebalancing by increasing expenditures on HCBS, decreasing expenditures on institutional services, or both, resulting in a larger share of total LTSS expenditures for HCBS. This report discusses programmatic changes and economic indicators of the 10 states that made the greatest progress in rebalancing their LTSS systems between 2012 and 2016: Missouri, Massachusetts, New York, New Jersey, Connecticut, Colorado, South Carolina, Illinois, Nevada, and Arkansas. While only half of the profiled states were above the national average in terms of the percentage of their LTSS spending on HCBS, the profiled states increased their HCBS share of expenditures by nearly twice as much as the national average between 2012 and 2016.

• Medicaid Selected Characteristics of 10 States with the Greatest Change in Long-Term Services and Support System Balancing, 2012-2016 Report