CMS Posts Reports with Latest Medicaid LTSS Expenditures Data
July 25, 2016 12:34 PM
The Centers for Medicare & Medicaid Services (CMS) has announced that it posted two reports with Medicaid long-term services and support (LTSS) expenditures data.
The first report focuses on the most recent data available (Fiscal Year 2014). In an announcement, CMS stated that the report focuses on “recent trends such as 1) an increase in LTSS provided in managed care programs and 2) increased used of newer Medicaid LTSS options authorized in the Deficit Reduction Act and the Affordable Care Act.”
The second report, called Improving the Balance, provides a “historical perspective,” with data from FY 1981 through FY 2014. “This report documents the impressive transformation of Medicaid LTSS from primarily institutional services to the present home and community-based services (HCBS) that represent 53 percent of LTSS spending,” CMS said.
Following is additional information released by CMS along with the links to each report.
Long Term Services and Supports Annual Expenditures
The most recent Medicaid Long Term Services and Supports expenditure reports document the decades-long growth in home and community-based services, which now are a majority of LTSS expenditures. These reports include Medicaid expenditures for all LTSS, including institutional services and HCBS, by service category and state. The data comes primarily from CMS-64 reports.
Improving the Balance: The Evolution of Long Term Services and Supports (LTSS), FY 1981-2014
CMS explores the evolution of Medicaid LTSS spending from FY1981 to FY2014 in conjunction with various delivery implications. The report summarizes Medicaid LTSS’s policy and spending evolution since Medicaid’s inception, presenting LTSS spending by service, target population group, and state (with particular emphasis on the states with the highest portion of spending for HCBS in FY2014.
This historical expenditures report and corresponding state-by-state data tables document three decades Medicaid LTSS systems transformation from primarily institutional services to the present, where HCBS are a majority of LTSS spending. These reports include Medicaid expenditures for all LTSS, including institutional services and HCBS, by service category and state. The data comes primarily from CMS-64 reports.
Both reports are available here.