87% Of Medicaid LTSS Users Received HCBS In 2023; HCBS Accounted For 63.8% Of LTSS Spending

About 87% of the 9.7 million Medicaid beneficiaries using long-term services and supports (LTSS) users received home- and community-based services (HCBS), according to a recent federal report about LTSS utilization in 2022 and 2023. About 63.8% of the total $228.6 billion LTSS spending was for HCBS.

These statistics were based on national and state-level data from the Transformed Medicaid Statistical Information System (T-MSIS) data. Across the states, expenditure rebalancing ratios of HCBS to institutional LTSS showed greater variation across states than user rebalancing ratios. The Centers for Medicare & Medicaid Services released this . . .