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Assessing the Health and Welfare of the HCBS Population

Table 5: Number of Home and Community-Based Services Users by State With Use of Selected Medicaid Mandatory and Optional HCBS State Plan Services, 2005

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Table 5: Number of Home and Community-Based Services Users by State With Use of Selected Medicaid Mandatory and Optional HCBS State Plan Services, 2005

State Total HCBS Population Home Health Program Home Health Therapies Private Duty Nursing Personal Care Services
National 2,234,716 433,542 80,165 12,128 785,930
Alabama 38,200 29,236 342 26 na
Alaska 6,678 207 1,117 s 3,973
Arizona 1,903 92 s s 1,862
Arkansas 22,811 3,679 1,249 135 15,300
California 486,268 12,057 11,876 75 372,763
Colorado 31,973 7,305 409 195 na
Connecticut 29,144 17,907 404 na 1,318
Delaware 3,137 657 130 96 s
District of Columbia 3,113 2,022 s s s
Florida 81,500 15,969 8,196 s 6,498
Georgia 31,624 3,311 158 559 na
Hawaii 5,121 563 244 37 na
Idaho 11,974 988 2,000 444 6,080
Illinois 108,331 4,693 6,869 2,300 1,458
Indiana 16,234 5,124 726 s na
Iowa 32,171 15,382 1,095 na na
Kansas 27,108 2,889 284 na 375
Kentucky 21,461 11,147 175 na na
Louisiana 25,897 4,665 3,630 na 7,293
Maine 4,119 a a a a
Maryland 33,539 3,846 6,170 660 4,976
Massachusetts 39,791 22,249 734 s 8,980
Michigan 24,036 1,152 s na s
Minnesota 67,999 11,289 5,116 603 15,682
Mississippi 14,639 5,638 228 na 360
Missouri 64,392 2,421 598 53 47,719
Montana 8,671 242 s s 3,119
Nebraska 10,871 1,641 1,739 233 1,574
Nevada 8,028 418 520 s 4,858
New Hampshire 7,564 1,189 245 136 189
New Jersey 57,094 5,114 s 225 27,369
New Mexico 17,307 144 1,041 s 10,217
New York 257,859 154,752 5,430 2,387 100,315
North Carolina 103,395 29,538 1,917 s 81,549
North Dakota 5,990 552 595 s 668
Ohio 94,214 24,171 2,686 2,769 na
Oklahoma 27,794 2,247 1,054 na 5,069
Oregon 42,788 396 356 47 8,295
Pennsylvania 57,362 2,425 2,108 282 s
Rhode Island 12,503 1,450 s na s
South Carolina 25,561 1,408 706 13 1,331
South Dakota 5,952 114 897 s 2,343
Tennessee 12,982 4,243 305 s na
Texas 91,102 10,233 2,126 35 s
Utah 6,649 1,060 476 21 483
Vermont 7,102 2,315 291 na 1,938
Virginia 33,769 683 57 19 25
Washingtonb 59,651 16 3,478 317 25,040
West Virginia 13,147 812 1,312 142 4,284
Wisconsinb 30,432 3,609 952 311 12,627
Wyoming 3,766 282 111 na na
State Targeted Case Management Hospice Care Transportation Adult Day Care Residential Care
National 285,022 26,403 558,438 165,405 110,642
Alabama 6,726 1,081 9,113 na s
Alaska 26 12 2,147 na na
Arizona s s 690 na s
Arkansas 9,142 184 22,460 na s
California 82,689 4,452 49,067 58,784 c
Colorado s 2,641 5,895 s na
Connecticut 8,763 s 9,798 113 1,490
Delaware na 34 1,078 na 12
District of Columbia s s 1,391 na na
Florida 4,026 736 21,236 s 1,156
Georgia 12,450 325 7,183 4,111 1,671
Hawaii 1,153 20 1,767 s s
Idaho 3,214 80 4,708 349 752
Illinois 5,661 1,192 33,134 na 986
Indiana 948 84 4,430 na na
Iowa 9,721 s 3,454 848 2,041
Kansas 15,570 529 5,858 na na
Kentucky 600 1,261 3,855 na c
Louisiana 5,566 76 7,527 na c
Maine a a a na a
Maryland 1,426 53 3,577 7,072 8,103
Massachusetts 15,262 1,958 13,919 6,507 12,794
Michigan 2,755 263 1,149 41 5,235
Minnesota 9,285 713 11,977 na s
Mississippi 934 105 5,722 s na
Missouri 12,611 589 14,921 1,449 5,190
Montana s 36 1,055 248 na
Nebraska s 111 1,632 316 na
Nevada 2,011 765 1,877 174 350
New Hampshire s na 1,136 237 151
New Jersey 22 1,030 18,793 14,364 11
New Mexico 314 96 3,921 na s
New York 806 752 115,753 34,463 10,236
North Carolina 17,033 734 49,400 na s
North Dakota 65 324 1,140 na c
Ohio s 1,358 39,434 na c
Oklahoma 5,082 na 6,499 na c
Oregon 343 175 16,287 na 141
Pennsylvania 22,429 615 1,912 na 15
Rhode Island 1,410 68 1,575 4,463 3,070
South Carolina 9,246 695 6,267 6,460 249
South Dakota s 26 1,301 s 1,268
Tennessee s 148 2,820 56 c
Texas 13,992 863 14,444 22,673 2,945
Utah 13 1,014 960 na s
Vermont 862 14 2,074 na s
Virginia 319 s 722 31 c
Washingtonb 45 545 7,850 2,628 2,930
West Virginia 51 79 5,229 s na
Wisconsinb 2,248 533 9,824 na 1,213
Wyoming 203 16 477 na na
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Notes:

Table includes any use of these State plan services, including those provided in the home. Use defined as positive Medicaid payment for the service at any point during the year. An individual can use more than one service.

a. Missing MAX data.
b. Data may not be complete.
c. Missing data because State not included in source data: Mollica R, Johnson-Lamarche H, O'Keeffe J. State residential care and assisted living policy: 2004. (Prepared under Contract No. HHS-100-01-0025 for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation). Research Triangle Park, NC: Research Triangle Institute; 2005. Available at: ,  Table 1-8.

na = Not applicable because the State does not cover the service and there was no reported use. Go to Table 1 for crosswalk of available services.

s = Suppressed due to small cell size.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data.

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Publication:
11(12)-0017-EF

Page last reviewed March 2023
Page originally created December 2012

Internet Citation: Table 5: Number of Home and Community-Based Services Users by State With Use of Selected Medicaid Mandatory and Optional HCBS State Plan Services, 2005. Content last reviewed March 2023. Agency for Healthcare Research and Quality, Rockville, MD.
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