Table 5: Number of Home and Community-Based Services Users by State With Use of Selected Medicaid Mandatory and Optional HCBS State Plan Services, 2005

State	Total HCBS Population	Home Health Program	Home Health Therapies	Private Duty Nursing	Personal Care Services	Targeted Case Management	Hospice Care	Transportation	Adult Day Care	Residential Care
National	2,234,716	433,542	80,165	12,128	785,930	285,022	26,403	558,438	165,405	110,642
Alabama	38,200	29,236	342	26	na	6,726	1,081	9,113	na	s
Alaska	6,678	207	1,117	s	3,973	26	12	2,147	na	na
Arizona	1,903	92	s	s	1,862	s	s	690	na	s
Arkansas	22,811	3,679	1,249	135	15,300	9,142	184	22,460	na	s
California	486,268	12,057	11,876	75	372,763	82,689	4,452	49,067	58,784	c
Colorado	31,973	7,305	409	195	na	s	2,641	5,895	s	na
Connecticut	29,144	17,907	404	na	1,318	8,763	s	9,798	113	1,490
Delaware	3,137	657	130	96	s	na	34	1,078	na	12
District of Columbia	3,113	2,022	s	s	s	s	s	1,391	na	na
Florida	81,500	15,969	8,196	s	6,498	4,026	736	21,236	s	1,156
Georgia	31,624	3,311	158	559	na	12,450	325	7,183	4,111	1,671
Hawaii	5,121	563	244	37	na	1,153	20	1,767	s	s
Idaho	11,974	988	2,000	444	6,080	3,214	80	4,708	349	752
Illinois	108,331	4,693	6,869	2,300	1,458	5,661	1,192	33,134	na	986
Indiana	16,234	5,124	726	s	na	948	84	4,430	na	na
Iowa	32,171	15,382	1,095	na	na	9,721	s	3,454	848	2,041
Kansas	27,108	2,889	284	na	375	15,570	529	5,858	na	na
Kentucky	21,461	11,147	175	na	na	600	1,261	3,855	na	c
Louisiana	25,897	4,665	3,630	na	7,293	5,566	76	7,527	na	c
Maine	4,119	a	a	a	a	a	a	a	na	a
Maryland	33,539	3,846	6,170	660	4,976	1,426	53	3,577	7,072	8,103
Massachusetts	39,791	22,249	734	s	8,980	15,262	1,958	13,919	6,507	12,794
Michigan	24,036	1,152	s	na	s	2,755	263	1,149	41	5,235
Minnesota	67,999	11,289	5,116	603	15,682	9,285	713	11,977	na	s
Mississippi	14,639	5,638	228	na	360	934	105	5,722	s	na
Missouri	64,392	2,421	598	53	47,719	12,611	589	14,921	1,449	5,190
Montana	8,671	242	s	s	3,119	s	36	1,055	248	na
Nebraska	10,871	1,641	1,739	233	1,574	s	111	1,632	316	na
Nevada	8,028	418	520	s	4,858	2,011	765	1,877	174	350
New Hampshire	7,564	1,189	245	136	189	s	na	1,136	237	151
New Jersey	57,094	5,114	s	225	27,369	22	1,030	18,793	14,364	11
New Mexico	17,307	144	1,041	s	10,217	314	96	3,921	na	s
New York	257,859	154,752	5,430	2,387	100,315	806	752	115,753	34,463	10,236
North Carolina	103,395	29,538	1,917	s	81,549	17,033	734	49,400	na	s
North Dakota	5,990	552	595	s	668	65	324	1,140	na	c
Ohio	94,214	24,171	2,686	2,769	na	s	1,358	39,434	na	c
Oklahoma	27,794	2,247	1,054	na	5,069	5,082	na	6,499	na	c
Oregon	42,788	396	356	47	8,295	343	175	16,287	na	141
Pennsylvania	57,362	2,425	2,108	282	s	22,429	615	1,912	na	15
Rhode Island	12,503	1,450	s	na	s	1,410	68	1,575	4,463	3,070
South Carolina	25,561	1,408	706	13	1,331	9,246	695	6,267	6,460	249
South Dakota	5,952	114	897	s	2,343	s	26	1,301	s	1,268
Tennessee	12,982	4,243	305	s	na	s	148	2,820	56	c
Texas	91,102	10,233	2,126	35	s	13,992	863	14,444	22,673	2,945
Utah	6,649	1,060	476	21	483	13	1,014	960	na	s
Vermont	7,102	2,315	291	na	1,938	862	14	2,074	na	s
Virginia	33,769	683	57	19	25	319	s	722	31	c
Washingtonb	59,651	16	3,478	317	25,040	45	545	7,850	2,628	2,930
West Virginia	13,147	812	1,312	142	4,284	51	79	5,229	s	na
Wisconsinb	30,432	3,609	952	311	12,627	2,248	533	9,824	na	1,213
Wyoming	3,766	282	111	na	na	203	16	477	na	na

Notes:

Table includes any use of these State plan services, including those provided in the home. Use defined as positive Medicaid payment for the service at any point during the year. An individual can use more than one service.

^a. Missing MAX data.
^b. Data may not be complete.
^c. Missing data because State not included in source data: Mollica R, Johnson-Lamarche H, O'Keeffe J. State residential care and assisted living policy: 2004. (Prepared under Contract No. HHS-100-01-0025 for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation). Research Triangle Park, NC: Research Triangle Institute; 2005. Available at: http://aspe.hhs.gov/daltcp/reports/2005/04alcom.htm,  Table 1-8.

na = Not applicable because the State does not cover the service and there was no reported use. Go to Table 1 for crosswalk of available services.

s = Suppressed due to small cell size.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data.

Return to Contents
Return to Document