CMS: National Medicaid expenditures for LTSS in FFY 2012

Conclusion

FFY 2012 LTSS expenditures remain virtually unchanged when compared to FFY 2011 spending, marking the second consecutive year of little or no growth. LTSS increased as a percentage of total Medicaid spending in FFY 2012, which was attributable to a decrease in the denominator (total Medicaid spending) in FFY 2012.

LTSS expenditures reflect continuing federal and state efforts to shift the balance of expenditures from institutional services to HCBS. National Medicaid expenditures for HCBS increased again in 2012 as a percentage of total LTSS expenditures. The shift toward HCBS was similar to previous years, with no indication that HCBS has reached a natural limit beyond which it will be difficult to expand further.

Expenditures under new federal HCBS program authorities enacted in 2006 and 2010 appear in the national data but account for a small portion of HCBS spending. The majority of HCBS spending continues to be attributable to Section 1915(c) waiver programs.

 

Link to the report: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Supports/Downloads/LTSS-Expenditures-2012.pdf

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