LTSS Publications
Article Publication Date
Summary
CMS has released several new publications on Medicaid long-term services and supports (LTSS) users and expenditures. These publications include LTSS rebalancing trends and patterns in users and expenditures for different home and community-based services (HCBS) and institutional care, nationally and across states for 2023.
In addition to detailed tables of results and a methodology document, summaries of key findings are included in four brief reports, including the results of new data quality analyses to detect potential issues with the data used in the LTSS user and expenditure briefs and to support states with improving the accuracy and completeness of their data.
Some of the highlights from these publications include:
• 87.1 percent of LTSS users received HCBS in 2023.
• 63.8 percent of LTSS expenditures were for HCBS in 2023.
• In 2023, 8.4 million HCBS users accounted for $145.9 billion in HCBS spending, while 1.5 million institutional service users accounted for $82.7 billion in institutional spending.
In addition to detailed tables of results and a methodology document, summaries of key findings are included in four brief reports, including the results of new data quality analyses to detect potential issues with the data used in the LTSS user and expenditure briefs and to support states with improving the accuracy and completeness of their data.
Some of the highlights from these publications include:
• 87.1 percent of LTSS users received HCBS in 2023.
• 63.8 percent of LTSS expenditures were for HCBS in 2023.
• In 2023, 8.4 million HCBS users accounted for $145.9 billion in HCBS spending, while 1.5 million institutional service users accounted for $82.7 billion in institutional spending.