Medicaid Long-Term Services and Supports Users and Expenditures Among People Ages 0 to 20, 2022

State Medicaid programs provide LTSS to people of all ages. Although most people using Medicaid LTSS are over age 20, people ages 0 to 20 made up 28.6 percent of total people using Medicaid LTSS and 10.3 percent of total Medicaid LTSS expenditures in 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 for people ages 0 to 20 to that of people in other age groups. We found that almost all LTSS users ages 0 to 20 used HCBS and a very small proportion used institutional services. The most commonly used HCBS categories among people ages 0 to 20 included state plan rehabilitative services, state plan case management services, and state plan home health services. The most commonly used institutional service category among this age group was mental health facility services.