Today, the Centers for Medicare and Medicaid Services (CMS) released
Selected Characteristics of 10 States with the Greatest Change in Long-Term
Services and Supports System Balancing, 2012–2016. Each year, most states
make steady, incremental progress toward rebalancing their long-term
services and supports (LTSS) systems from institutional care to home and
community-based services (HCBS). They achieve this rebalancing by
increasing expenditures on HCBS, decreasing expenditures on institutional
services, or both, resulting in a larger share of total LTSS expenditures
for HCBS. This report discusses programmatic changes and economic
indicators of the 10 states that made the greatest progress in rebalancing
their LTSS systems between 2012 and 2016: Missouri, Massachusetts, New
York, New Jersey, Connecticut, Colorado, South Carolina, Illinois, Nevada,
and Arkansas. While only half of the profiled states were above the
national average in terms of the percentage of their LTSS spending on HCBS,
the profiled states increased their HCBS share of expenditures by nearly
twice as much as the national average between 2012 and 2016.
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