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Medicaid Restructuring Under the American Health Care Act and Nonelderly Adults with Disabilities

Appendix Table:  State Medicaid Spending and Options for People with Disabilities
State Medicaid Spending Per Enrollee
(2011)
Share of Medicaid LTC Spending
Devoted to HCBS (FY 2014)
ACA Expans.
(2017)
Optional Disability-Related Eligibility Pathways (2015) Optional Home and Community-Based Services
>73%-100% FPL Work Buy-In LTC to 300% SSI Pers’l Care
(2013)
HCBS Waivers
(2017)
CFC
(2016)
Sec. 1915 (i)
(2015)
Health Homes
(2016)
States with Republican Governor
Alabama $10,142 42% X X X
Arizona $22,040 70% X X X X X
Arkansas $14,023 50% X X X X X X
Florida $15,005 33% X X X X
Georgia $10,639 48% X X X
Idaho $21,781 53% X X X X X X
Illinois $16,689 44% X X X X
Indiana $19,488 31% X X X X X X
Iowa $20,242 50% X X X X X X
Kansas $17,153 53% X X X X X
Kentucky $12,856 41% X X X X
Maine $16,920 55% X X X X X X
Maryland $23,798 56% X X X X X X X X
Massachusetts $16,927 57% X X X X X X
Michigan $15,109 35% X X X X X X X X
Mississippi $12,960 27% X X X X
Missouri $17,481 56% X X X X
Nebraska $17,449 49% X X X X
Nevada $15,706 49% X X X X X X
New Hampshire $21,545 50% X X X X X
New Jersey $19,951 41% X X X X X X X
New Mexico $18,500 74% X X X X X X
North Dakota $28,692 41% X X X X
Ohio $21,892 52% X X X X X
Oklahoma $15,010 44% X X X X X
South Carolina $12,830 43% X X X
South Dakota $19,156 47% X X X X X
Tennessee $14,680 53% X X
Texas $17,709 57% X X X X X X
Utah $19,718 48% X X X X X
Vermont $17,789 68% X X X X X X
Wisconsin $16,599 64% X X X X X X
Wyoming $25,346 50% X X X
TOTAL:  33 N/A N/A 16 13 27 30 21 33 2 9 15
States with Democratic or Independent Governor
Alaska $28,790 70% X X X X X
California $20,080 64% X X X X X X X
Colorado $19,643 63% X X X X X
Connecticut $31,004 48% X X X X X X
Delaware $22,972 42% X X X X X
DC $28,604 53% X X X X X X X X
Hawaii $17,035 42% X X X
Louisiana $15,099 39% X X X X X X
Minnesota $26,890 75% X X X X X X X
Montana $16,352 57% X X X X X X X
New York $33,808 58% X X X X X X
North Carolina $15,060 n/a X X X X X
Oregon $18,255 79% X X X X X X X
Pennsylvania $16,441 44% X X X X X
Rhode Island $21,417 58% X X X X X X
Virginia $18,952 55% X X X X
Washington $16,208 66% X X X X X X X
West Virginia $12,993 48% X X X X X X
TOTAL:  18  N/A N/A 16 8 17 14 11 18 6 8 7
NOTES: Spending per enrollee includes full benefit nonelderly adults and children with disabilities only.  Share of LTC spending devoted to HCBS omits managed care spending in CA and MA.  % HCBS not calculated for NC due to missing data.  Not all states electing the >73%-100% FPL expansion go up to 100% FPL.  HCBS waivers include § 1915 (c) and § 1115.
SOURCES:  KFF, Data Note:  Variation in Per Enrollee Medicaid Spending Across States (Feb. 2017); Steve Eiken, Kate Sredl, Brian Burwell, and Paul Saucier, Medicaid Expenditures for Long Term Services and Supports (LTSS) in FY 2014, Table C (Bethesda, MD: Truven Health Analytics, April 2016); KFF, Status of State Action on the Medicaid Expansion Decision (Jan. 1, 2017). KFF, Medicaid Financial Eligibility for Seniors and People with Disabilities in 2015 (March 2016).  KFF, Medicaid Home and Community-Based Services Programs:  2013 Data Update (Oct. 2016). KFF, Medicaid Section 1115 Managed Long-Term Services and Supports Waivers:  A Survey of Enrollment, Spending, and Program Policies (Jan. 2017). KFF, Section 1915 (k) Community First Choice State Plan Option (March 2016). KFF, Health Home State Plan Option (April 2016).
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