Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009. II. Variation in Long-term Services and Supports System Performance


Policymakers are interested in learning about states' progress in incorporating HCBS into their LTSS systems, and the extent to which they can provide LTSS in the community for important subgroups of Medicaid enrollees who are aged or have disabilities. In this chapter, we summarize the variation in LTSS balance across states in 2009, overall, and for key subpopulations of enrollees, including aged individuals and, for those under 65 with disabilities, by whether or not they used LTSS designed for people with ID/DD. To assess recent state-level progress on balancing LTSS systems toward HCBS use, we compare our results from 2009 to previously published results that used 2006 data.

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