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State Variation in Medicaid Per Enrollee Spending for Seniors and People with Disabilities

Table 1:  State Variation in Medicaid Per Enrollee Spending, Eligibility, and Services for Seniors and People with Disabilities
State Spending Per Enrollee, FY 2011 Optional Eligibility Pathways, 2015 Optional HCBS
Children with Disabilities Nonelderly Adults with Disabilities Seniors 100% FPL Katie Beckett or equiv. waiver Work Dis. Buy In LTC Special Income Rule Pers. Care Serv., 2013 Sec. 1915 (i), 2015 CFC, 2016
Alabama $11,020 $9,903 $18,473 X X
Alaska $32,734 $28,151 $24,288 X X X X
Arizona $32,303 $19,300 $16,145 X X X X
Arkansas $14,317 $13,894 $20,484 X X X X X
California $24,909 $19,268 $12,019 X X X X X X
Colorado $17,834 $20,045 $18,478 X X X X
Connecticut $17,273 $31,039 $30,560 X X X X X
Delaware $20,091 $24,136 $27,666 X X X X X
DC $21,952 $29,948 $27,336 X X X X X X
Florida $13,373 $15,584 $14,253 X X X X X
Georgia $7,829 $11,475 $14,142 X X X
Hawaii $21,472 $16,574 $18,439 X X
Idaho $23,073 $21,426 $15,558 X X X X X X
Illinois $12,534 $16,941 $11,431 X X X
Indiana $14,827 $20,151 $21,269 X X X X X
Iowa $21,263 $20,036 $21,163 X X X X
Kansas $14,282 $17,875 $18,328 X X X X
Kentucky $12,442 $12,954 $15,757 X X X
Louisiana $11,264 $16,235 $15,491 X X X X X
Maine $22,424 $16,270 $19,881 X X X X X
Maryland $20,678 $24,415 $23,491 X X X X X X
Massachusetts $10,351 $19,146 $27,205 X X X X X
Michigan $16,994 $14,784 $17,599 X X X X X X
Minnesota $25,425 $27,159 $25,030 X X X X X
Mississippi $11,963 $13,260 $18,592 X X X X
Missouri $20,759 $17,370 $17,020 X X X
Montana $21,203 $15,549 $26,704 X X X X X X
Nebraska $17,451 $17,449 $14,997 X X X
Nevada $12,391 $16,762 $13,226 X X X X X
New Hampshire $53,557 $21,313 $26,794 X X X X X
New Jersey $18,759 $20,217 $19,160 X X X X X
New Mexico $21,966 $17,661 N/A X X X X
New York $20,082 $37,132 $28,336 X X X X X
North Carolina $17,971 $14,403 $10,518 X X X X
North Dakota $18,360 $29,813 $31,155 X X X
Ohio $15,499 $22,768 $27,494 X X X X
Oklahoma $14,460 $15,117 $12,315 X X X X
Oregon $18,737 $18,180 $24,253 X X X X X X
Pennsylvania $16,634 $16,372 $21,372 X X X X
Rhode Island $30,043 $19,588 $16,998 X X X X X
South Carolina $13,366 $12,707 $12,256 X X X
South Dakota $16,689 $19,816 $16,374 X X X X
Tennessee $6,945 $16,044 $15,745 X X
Texas $18,261 $17,503 $14,739 X X X X
Utah $21,683 $19,391 $11,763 X X X X X
Vermont $42,030 $13,967 $14,258 X X X X
Virginia $15,418 $19,681 $16,367 X X X X
Washington $17,152 $16,072 $16,183 X X X X X
West Virginia $14,045 $12,867 $23,243 X X X X
Wisconsin $9,950 $18,130 $16,344 X X X X X
Wyoming $18,684 $26,830 $32,199 X X X
United States $16,758 $18,912 $17,522 21 states 50 states 44 states 44 states 32 states 17 states 8 states
NOTES: Spending per enrollee includes full benefit enrollees. All spending per enrollee categories exclude those in ME enrolled only in Q4 and seniors excludes NM due to data quality issues.

SOURCE: KFF & Urban Institute estimates based on data from FY 2011 MSIS & CMS-64 reports. Because FY 2011 data were unavailable, FY 2010 data were used for FL, KS, ME, MD, MT, NM, NJ, OK, TX, & UT. 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, State Health Facts, Section 1915(k) Community First Choice State Plan Option (March 2016).

 

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