Projects
Long-term Services and Supports Expenditure Reports Project
2019-2024
Project Overview
Objective
To produce annual output and reports on Medicaid long-term services and supports (LTSS) expenditures and users.
Project Motivation
To understand national and state performance related to Medicaid LTSS delivery.
Prepared For
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services
Mathematica examines Medicaid data across states to understand national and state progress towards shifting LTSS systems away from institutional care and toward home and community-based services (HCBS).
Under this project, we (1) produce annual output and reports on Medicaid LTSS expenditures and users and assess the proportion of Medicaid LTSS expenditures and users allocated to HCBS; (2) examine the impact of COVID-19 in congregate care settings and the structure of state data and communication systems for congregate care settings to inform policy actions in future public health emergencies; and (3) conduct analyses on social determinants of health among Medicaid LTSS users.
States Make Progress Reallocating Medicaid Funds Toward Home-Based Care Services
States have made considerable strides in shifting LTSS systems away from institutional care and toward HCBS. In Federal Fiscal Year (FY) 2019, the proportion of Medicaid LTSS expenditures allocated to HCBS was at an all-time high both nationally and for many states.
FY 2019 Medicaid LTSS Annual Expenditures ReportEvidence & Insights From This Project
Publication
Medicaid Long-Term Services and Supports Users and Expenditures Among People Ages 0 to 20, 2022
This brief compares the quantity of users and sum of expenditures across various HCBS and institutional categories for 2022 and the shares of total LTSS users and expenditures attributed to HCBS among people ages 0 to 20 to that of people in other age groups.
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Publication
Medicaid Long-Term Services and Supports Users and Expenditures by Service Category, 2022
Publication
Medicaid Long-Term Services and Supports Use and Expenditures by Service Category, 2019–2021
Publication
Medicaid Long Term Services and Supports Annual Expenditures Report: Federal Fiscal Year 2020
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