CMS Reports Shows Growth in HCBS Funding Reflecting Consumer Preference for 'Home'

In recent years, an increased number of HCAOA members are providing Medicaid-funded Home and Community-Based Services. In fact, several HCAOA state chapters have mounted campaigns to advocate for Medicaid rate increases. Last month, CMS released a report on Medicaid Long-Term Services and Supports Expenditures in 2019 that provides in-dept information on states’ spending for Home and Community-Based Services and other senior programs. Here are some highlights from the report:

• $162.1 billion spent on LTSS
  • $95 billion for HCBS
  • $67.1 billion for institutional care
• Average state Medicaid LTSS spending per person: $608.25
  • DC highest:  $1,0391.06
• LTSS represents 33% of States’ Medicaid budget, which has declined from 47% (1988).
• HCBS has steadily increase over last three decades however the rate of growth has slowed. 
• HCBS now represents 59% of LTSS, representing a 2.5% increase over 2018

 
To read the full report, which includes stat specific information on Medicaid LTSS funding, click here.