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Today,
the Centers for Medicare & Medicaid Services (CMS) released the
Medicaid LTSS Annual Expenditures Report for Federal Fiscal Year (FFY)
2019. This report discusses the LTSS rebalancing trends and growth in
expenditures for home and community-based services (HCBS) as compared to
institutional spending during the time period reviewed.
Some
of the highlights from this report show:
- Total Medicaid LTSS spending
continues to increase. Expenditures increased from $129 billion in FY
2018 to $162 billion in FY 2019.
- 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 58.6
percent in FY 2019.
- Nursing facilities represented
the greatest share of institutional LTSS expenditures, accounting for
80 percent of these expenditures in FY 2019.
- Section 1915(c) waiver programs
represented the majority of HCBS expenditures in FY 2019, accounting
for slightly more than 50 percent of these expenditures.
- The amount spent on managed LTSS
(MLTSS) programs increased more than three-fold in the past 20 years,
climbing from $6.7 billion in FY 2008 to $47.5 billion in FY 2019.
Please
learn more here: https://www.medicaid.gov/medicaid/long-term-services-supports/reports-evaluations/index.html
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