The Centers for Medicare & Medicaid Services (CMS) published the “Medicaid LTSS Annual Expenditures Report for Federal Fiscal Year (FFY) 2020,” and the Medicaid Section “1915(c) Waiver Programs Annual Expenditures and Beneficiaries Report, Analysis of CMS 372 Annual Reports for 2018-2019.” These reports discuss the long-term services and supports (LTSS) rebalancing trends and patterns in expenditures for different home and community-based services (HCBS) and institutional care, nationally and across states.
Medicaid LTSS Annual Expenditures Report for Federal Fiscal Year (FFY) 2020
- Summary: This report contains detailed information about Medicaid LTSS expenditures for federal fiscal year (FY) 2020 (October 1, 2019, to September 30, 2020) at the national and state levels by service category, type of LTSS (institutional and HCBS), and payment model. The last half of the FY 2020 period covers the first six months of the COVID-19 Public Health Emergency (PHE) in 2020, which had a major impact on the use of all health care services, including LTSS paid by Medicaid.
- Highlights: The percentage of HCBS expenditures comprising total Medicaid LTSS expenditures has steadily increased over the last three decades, but it has slowed in recent years. The U.S. total surpassed the long-standing benchmark of 50 percent of LTSS expenditures in FY 2013 and has remained higher than 50 percent since then, reaching 62.5 percent in FY 2020. This was an all-time high and represented a 3.9 percentage point increase from FY 2019.
1915(c) Waiver Programs Annual Expenditures and Beneficiaries Report, Analysis of CMS 372 Annual Reports for 2018-2019.
- Summary: This is the ninth CMS report analyzing information from annual 372 report submissions, and it focuses on trends in section 1915(c) waiver program participants, service use, and expenditures for waiver program year 2019.
- Highlights: Nationally, approximately 1.9 million individuals participated in section 1915(c) waiver programs in 2019, representing a 5.2 percent increase from the prior year. In 2019, average section 1915(c) waiver program expenditures per participant per year were $30,063, an increase of 1 percent over 2018.
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