Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009. IV. Summary of Results and Directions for Future Research


This study used 2009 MAX data to examine Medicaid FFS HCBS use and spending across 37 states and the District of Columbia. The study updated analyses presented in Wenzlow et al. (2011), which was based on 2006 data, to summarize more recent performance on measures of state LTSS systems and further explore associations between state factors and policies and the balance of LTSS systems. We found that most states experienced improvements between 2006 and 2009, but discrepancies across subpopulations of enrollees persisted.

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