Reports & Evaluations

Long Term Services and Supports Users and Expenditures

These publications present findings on Medicaid long-term services and supports (LTSS) users and expenditures, including LTSS rebalancing trends and patterns in users and expenditures for different home and community-based services (HCBS) and institutional care, nationally and across states.

• Trends in the Use of and Spending for Home and Community-Based Services as a Share of Total LTSS Use and Spending in Medicaid, 2019–2021
• Medicaid Long-Term Services and Supports Use and Expenditures by Service Category, 2019–2021
• Characteristics of People Using Medicaid Long-Term Services and Supports, 2021
• Methodology for Identifying Medicaid Long-Term Services and Supports Expenditures and Users, 2019–2021
• Data Notes for Medicaid TAF Long-Term Services and Supports Annual Expenditures and Users, 2019-2021
• Data Tables, 2019-2021

Historical Publications

Long Term Services and Supports Annual 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.

• LTSS Expenditure Report 2020
  • Medicaid Long Term Services and Supports Annual Expenditures Report
  • Appendix D
  • Appendix E
  • Appendix F
  • Appendix G
• LTSS Expenditure Report 2019
  • Medicaid Long Term Services and Supports Annual Expenditures Report
  • Appendix D
  • Appendix E
  • Appendix F
  • Appendix G
• LTSS Expenditure Report 2017 and 2018
  • Medicaid Long Term Services and Supports Annual Expenditures Report
  • Appendix D: Data tables Excel workbook attachment
• LTSS Expenditure Report 2016
• LTSS Expenditure Report 2015
• LTSS Expenditure Report 2014
• LTSS Expenditure Report 2013
  • Webinar "Home and Community-based Services were a Majority of LTSS Spending”
  • Infographic “Home and Community-based Services were a Majority of LTSS Spending”
• LTSS Presentation 2013
• LTSS Expenditure Report 2012

Special Reports:

• Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016
• Improving the Balance: the Evolution of LTSS Expenditures
• Data Tables
  • Medicaid LTSS Expenditures, fiscal year (FY) 1981 – 2014

Long-Term Services and Supports Beneficiaries

These reports include counts of the number of people who receive Medicaid LTSS.

Reports based on Transformed Statistical Information System Analytic Files (TAF):

• CY 2019 LTSS User Brief

Reports based on the Medicaid Analytic eXtract (MAX):

• CY 2013 LTSS Beneficiaries Report
• CY 2012 LTSS Beneficiaries Report
• CY 2011 LTSS Beneficiaries Report
• CY 2010 LTSS Beneficiaries Report

Section 1915(c) Waiver Program Information

These reports summarize information about section 1915(c) waiver programs, including the number of people who received HCBS waiver program services and Medicaid expenditures.

Reports based on CMS 372 data:

• 2018-2019 Section 1915c Expenditure and Beneficiary Report
  • MEDICAID SECTION 1915(c) WAIVER PROGRAMS ANNUAL EXPENDITURES AND BENEFICIARIES REPORT
  • Appendix B: 372 Data
• 2017-2018 Section 1915c Expenditure and Beneficiary Report
  • MEDICAID SECTION 1915(c) WAIVER PROGRAMS ANNUAL EXPENDITURES AND BENEFICIARIES REPORT
  • Appendix B: 372 Data
• 2015-2017 Section 1915c Expenditure and Beneficiary Report
  • MEDICAID SECTION 1915(c) WAIVER PROGRAMS ANNUAL EXPENDITURES AND BENEFICIARIES REPORT
  • Appendix B: 372 Data
• 2014-2015 CMS 372 Report
• 2013-2014 CMS 372 Report
• 2012-2013 CMS 372 Report
• 2011-2012 CMS 372 Report
• 2010-2011 CMS 372 Report
• 2009-2010 CMS 372 Report

Reports based on CMS-64 data (standalone reports prior to FY 2017 and 2018):

• 1915c Expenditure Report FFY2016
• 1915c Expenditure Report FFY2015
• 1915c Expenditure Report FFY2014
• 1915c Expenditure Report FFY2013
• 1915c Expenditure Report FFY2012
• 1915c Expenditure Report FFY2011