Center for Personal Assistance Services University of California, San Francisco  
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Table of Contents

1. Executive Summary.

2. Introduction.

3. List of Tables.

4. Part 1.

5. Part 2.

6. Part 3.

7. References.

8. Download PDF of entire report.

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Home and Community-Based PAS > Reports > Medicaid Home and Community-Based Services: Program Data, 1992-2001

Medicaid Home and Community-Based Services: Program Data, 1992-2001

Part 3

Medicaid HH, PCS, Waiver and Total HCBS Program Data, 1999-2001

Table 10 reports annual HH, PCS, waiver, and total Medicaid HCBS participants by state for 1999-2001. Nationally, over that period, total Medicaid HCBS participants increased by nearly 8.6 percent from 1.95 million to 2.12 million. However, compared with the participation growth rate of 4.3 percent in 2000,2 the rate slowed to 4.1 percent in 2001.

Within the increase in total HCBS participants between 1999 and 2001, HH participants decreased by 2.1 percent from 743,883 to 727,969. However, while HH participation fell in 20002 by 4.5 percent, it increased by 2.5 percent in 2001. Between 1999 and 2001, PCS participants rose by 9.6 percent from 508,384 to 557,064. PCS participation increased by 9.3 percent in 2000,2 but by only 0.2 percent in 2001. Between 1999 and 2001, waiver participants increased by 19.3 percent from 698,046 to 832,915. Waiver participation increased by 10.1 percent in 20002 but by only 8.4 percent in 2001.

Table 11 reports HH, PCS, waiver, and total Medicaid HCBS participants per 1,000 population by state 1999-2001. Nationally, over the period, total HCBS participants per 1,000 population increased by 4.1 percent from 7.15 to 7.44. Compared with the participation per 1,000 population growth rate of 0.8 percent in 2000,2 the rate increased to 3.2 percent in 2001.

With increasing HCBS participants per 1,000 population between 1999 and 2001, HH participants per 1,000 population decreased by more than 6 percent from 2.7 to 2.56. However, while HH participation fell in 20002 by 7.7 percent, it increased by 1.6 percent in 2001. Between 1999 and 2001, PCS participants per 1,000 population rose by 5.4 percent from 1.86 to 1.96. PCS participation per 1,000 population increased by 5.9 percent in 20002 but declined by 0.7 percent in 2001. Between 1999 and 2001, waiver participants per 1,000 population increased by 14.1 percent from 2.56 to 2.92. Waiver participation per 1,000 population increased by 6.3 percent in 20002 and accelerated to 7.4 percent in 2001.

Table 12 reports HH, PCS, waiver and total Medicaid HCBS annual expenditures by state, 1999-2001. Nationally, over that period, total Medicaid HCBS expenditures increased by 24.5 percent from $17.7 billion to $22.1 billion. Compared with the expenditure growth rate of 10 percent in 2000,2 the rate increased to 13.2 percent in 2001.

Of the total HCBS expenditure increase between 1999 and 2001, HH expenditures increased by nearly 16.7 percent from $2.43 billion to $2.83 billion. Compared with the HH expenditure growth rate of 2.3 percent in 2000,2 the rate increased to 14.1 percent in 2001. Between 1999 and 2001, PCS expenditures rose by nearly 27.1 percent from $3.95 billion to $5.02 billion. Compared with the PCS expenditure growth rate of 12.8 percent in 2000,2 the rate was only 12.7 percent in 2001.

Between 1999 and 2001, waiver expenditures increased by 25.3 percent from $11.3 billion to $14.2 billion. Compared with the waiver expenditure growth rate of 10.7 percent in 2000,2 the rate increased to 13.2 percent in 2001.

Table 13 reports HH, PCS, waiver, and total HCBS expenditures per participant by state 1999-2001. Nationally, over that period, total Medicaid HCBS expenditures per participant increased by 14.7 percent from $9,090 to $10,423. Compared with the HCBS expenditure per participant growth rate of 5.4 percent in 2000,2 the rate increased to 8.7 percent in 2001.

Of the HCBS expenditures per participant increase between 1999 and 2001, HH expenditures per participant increased by 19.2 percent from $3,265 to $3,893. Compared with the HH expenditure per participant growth rate of 7.1 percent in 2000,2 the rate increased to 11.3 percent in 2001. Between 1999 and 2001, PCS expenditures per participant rose by 16 percent from $7,773 to $9,018. Compared with the PCS expenditure per participant growth rate of 3.2 percent in 2000,2 the rate increased four-fold to 12.5 percent in 2001.

Between 1999 and 2001, waiver expenditures per participant increased by 5 percent from $16,256 to $17,070. Compared with the waiver expenditure per participant growth rate of 0.5 percent in 2000,2 the rate increased to 4.5 percent in 2001.

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