Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009. c. Double-Counting of Enrollees


Individuals who use Medicaid services in more than one state are observed as two people living in separate states in MAX. This double-counting implies that national measures of Medicaid LTSS use are somewhat overestimated. However, while movement across states among the general elderly population is common, we expect movement across states among low-income aged or individuals with disabilities using LTSS to be very limited and have a small impact on our estimates overall.

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