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Today, the Centers for Medicare & Medicaid Services
(CMS) released a report on Medicaid Beneficiaries Who Use Long-Term
Services and Supports. This brief explores use of long-term services and
supports (LTSS) across different home and community-based services (HCBS)
and institutional categories during calendar year 2019. This report
provides data to support states and stakeholders in making data-based
decisions, responding to rebalancing trends, and planning for growth in
HCBS.
The brief describes how the use of the American Rescue Plan
Act of 2021 (ARP) section 9817 service categories can help states to
better understand their populations’ access to HCBS. We found that 8.8
million Medicaid beneficiaries across 51 states received LTSS through FFS
or MC delivery systems in 2019. Of these, 1.7 million beneficiaries (19.0
percent) received institutional services, 7.4 million (84.3 percent)
received HCBS, and 0.3 million (3.3 percent) received both.
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