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US Medicaid Home and Community-Based Services (HCBS), 2009

In 2009, there were 3,254,341 Medicaid HCBS participants in US (Table 1). In that same year, expenditures on Medicaid HCBS were $50,023,544,949 (Table 2).



Table 1. US Medicaid HCBS Participants, by Program, 2009

Number of US Participants

Percentage of Total Long-Term Support and Services Participants

US Participants per 1,000 Population
1915(c) HCBS Waivers 1,366,337 — 4.45
Home Health 975,929 — 3.18
Personal Care Services 912,076 — 2.97
Total Medicaid HCBS 3,254,341 65% 10.60


Table 2. US Medicaid HCBS Expenditures, by Program, 2009

US Expenditures

Percentage of Total Long-Term Support and Services Expenditure

US Expenditures per Capita
1915(c) HCBS Waivers $33,714,478,240 $109.82
Home Health $5,339,960,173 $17.39
Personal Care Services $10,969,106,537 $35.73
Total Medicaid HCBS $50,023,544,949 44% $162.94


This information is part of the Center for PAS report:

Ng, T. & Harrington, C. (March 2013). Medicaid Home and Community-Based Services Data, 2009.

Source: Center for PAS analysis of CMS Form 372 waiver data and the authors' annual national survey of Medicaid state plan personal care services programs and home health programs.

Center for Medicare and Medicaid Services


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