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CMS released several new publications on Medicaid long-term services and supports (LTSS) users and expenditures

Today, the Centers for Medicare & Medicaid Services (CMS) released several new publications on Medicaid long-term services and supports (LTSS) users and expenditures. These publications include LTSS rebalancing trends and patterns in users and expenditures for different home and community-based services (HCBS) and institutional care, nationally and across states for 2022. In addition to detailed tables of results, a methodology document, and information about LTSS data quality, summaries of key findings are included in three briefs: “Trends in Users and Expenditures for Home and Community-Based Services as a Share of Total LTSS Users and Expenditures, 2022,” “Medicaid Long-Term Services and Supports Users and Expenditures by Service Category, 2022,” and “Medicaid Long-Term Services and Supports Users and Expenditures Among People Ages 0 to 20, 2022.”

Some of the highlights from these publications include:

• 86.6 percent of LTSS users received HCBS in 2022.
• 64.6 percent of LTSS expenditures were for HCBS in 2022.
• Both rebalancing ratios varied the most by age group: those ages 0–20 had the highest rebalancing ratios and those ages 65 and over had the lowest.
• In 2022, 2.5 million HCBS users ages 0 to 20 accounted for $17.0 billion in HCBS spending, while about 100,000 institutional users ages 0 to 20 accounted for $3.5 billion in institutional spending.
• The most common category of HCBS among users ages 0 to 20 was state plan rehabilitative services and the most common institutional service type was mental health facility services.

Access the full reports on Medicaid.gov