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On October 17, 2025, the Centers for Medicare & Medicaid Services (CMS) reported trends for 2023 about home and community-based services (HCBS) as a share of total Medicaid long-term services and supports (LTSS). This brief presents national and state trends in Medicaid LTSS user and expenditure rebalancing ratios for 2023, based on data from the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Rebalancing refers to the share of LTSS delivered as HCBS. It also presents national rebalancing ratios by select characteristics, including age, sex, dual-eligibility status, urban or rural residence, primary spoken language, race . . .

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Market Intelligence Resource | January 13, 2026

Trends In Users & Expenditures For Home & Community-Based Services As A Share Of Total Medicaid Long-Term Services & Supports—Users & Expenditures, 2023

On October 17, 2025, the Centers for Medicare & Medicaid Services (CMS) reported trends for 2023 about home and community-based services (HCBS) as a share of total Medicaid long-term services and supports (LTSS). This brief presents national and state trends in Medicaid LTSS user and expenditure rebalancing ratios for 2023, based on data from the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Rebalancing refers to the share of LTSS delivered as HCBS. It also presents national rebalancing ratios by select characteristics, including age, sex, dual-eligibility status, urban or rural residence, primary spoken language, race . . .

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Resource Available For Paid OPEN MINDS Circle Members Only
Not a paid member? Don't miss out! Sign up today and receive unlimited organizational access to all OPEN MINDS strategic advice, market intelligence, and management best practices – over 250,000 resources!
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If you are already a paid member, log in to your account to access this resource and more. If you are a free member, you will need to upgrade to a paid membership before accessing this resource.

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If you are not yet a paid member, learn more about the OPEN MINDS Circle Market Intelligence Service Membership on our website, reach out to our team at info@openminds.com, or call us at 877-350-6463.

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