Medicaid Home and Community-Based Services Enrollment and Spending

Molly O'Malley Watts, MaryBeth Musumeci, and Priya Chidambaram
Published: Feb 04, 2020

Appendix Table 1: Medicaid HCBS Enrollment, by State and Authority, FY 2018

Appendix Table 2: Medicaid HCBS Spending, by State and Authority, FY 2018

Appendix Table 3: Medicaid HCBS Spending Per Enrollee, by State and Authority, FY 2018

Appendix Table 4: Medicaid Section 1915 (c) HCBS Waiver Enrollment, by Target Population and State, FY 2018

Appendix Table 5: Medicaid Section 1915 (c) HCBS Waiver Spending, by Target Population and State, FY 2018

Appendix Table 6: Medicaid Section 1915 (c) HCBS Waiver Spending Per Enrollee, by Target Population and State, FY 2018

Appendix Table 1: Medicaid HCBS Enrollment, By State and Authority, FY 2018
State	State Plan Services				Waivers
State	Home health	Personal care	Community First Choice	Section 1915 (i)	Section 1915 (c)	Section 1115
Alabama	5,900				15,100
Alaska	300	3,700			4,300
Arizona	included in 1115					52,400
Arkansas	5,000*	13,700			15,500*
California	37,500*	273,800	228,200	55,800	149,500	474,300*
Colorado	23,500	100			46,300*
Connecticut	30,700		3,200	600	28,300
Delaware	14,000			400	1,200	6,900
DC	8,600*	6,000*		200*	6,900*
Florida	20,800	3,200			102,500
Georgia	6,200				42,600
Hawaii	included in 1115				2,900	8,500
Idaho	1,900	8,500		4,000	20,200
Illinois	14,400				161,600*
Indiana	16,300			4,700	49,100
Iowa	12,400			7,100	30,400*
Kansas	3,300	included in 1115			28,700
Kentucky	15,400				24,300*
Louisiana	6,600	14,200			20,600
Maine	1,900	3,300			7,500
Maryland	4,000	1,000	13,500		25,800
Massachusetts	52,200	45,000			30,600*
Michigan	3,300	60,700			24,700
Minnesota	28,900	43,700			81,500
Mississippi	1,400			700	25,800
Missouri	4,100	65,600			33,900
Montana	600	500	3,400		5,700
Nebraska	200^	3,800			11,800
Nevada	1,300	10,300		200	5,700
New Hampshire	1,400*	100*			9,200
New Jersey	50,300	49,500			10,700*	25,000
New Mexico	4,000	included in 1115			5,100	28,000
New York	101,400*	116,200*	NR		98,000*	NR
North Carolina	9,900	44,700			25,300*
North Dakota	1,100	1,300			5,800*
Ohio	26,900			7,000	111,400
Oklahoma	3,600	3,800			26,200*
Oregon	300	3,100	36,500		64,200*
Pennsylvania	26,300				119,700
Rhode Island	8,800	400				5,500
South Carolina	500				35,200*
South Dakota	11,200	1,600			5,900*
Tennessee	11,200				7,800	17,500
Texas	11,600^	369,700	30,000	200	48,100	68,800
Utah	3,100	200			9,300
Vermont	3,700	1,400				10,600
Virginia	1,600				51,300*
Washington	4,600	1,200	77,900		64,500	1,000
West Virginia	8,100	5,700			10,900
Wisconsin	5,900	17,900			89,900
Wyoming	400				5,300*
U.S. TOTAL (51 states):	616,800 (51 states)	1,173,900 (34 states)	392,700 (8 states)	81,000 (11 states)	1,806,600 (48 states)	698,500 (12 states)
NOTES: Totals may not sum due to rounding. NR indicates state did not report data. Included in 1115 indicates that state was unable to report state plan services separately from Section 1115 waiver services. Blank cell indicates state does not elect option. Total HCBS enrollment across all authorities is not presented as individuals may receive services under more than one authority. *Data from year other than FY 2018, as noted in table endnotes. ^NE and TX home health data are fee-for-service only and exclude capitated managed care. SOURCE: KFF Medicaid HCBS Program Surveys, FY 2018.

Appendix Table 2: Medicaid HCBS Spending, By State and Authority, FY 2018 ($, in thousands)
State	State Plan Services				Waivers		Total HCBS Spending
State	Home health	Personal care	Community First Choice	Section 1915 (i)	Section 1915 (c)	Section 1115	Total HCBS Spending
Alabama	30,700				437,500		468,200
Alaska	1,400	61,900			265,100		328,400
Arizona	included in 1115					1,544,700	1,544,700
Arkansas	11,800*	94,300			389,600*		495,700
California	153,900*	2,960,800	5,562,600	494,600	3,810,300	4,679,100*	17,661,300
Colorado	345,800	1,200			903,700*		1,250,700
Connecticut	203,700		85,300	6,100	1,358,600		1,653,700
Delaware	63,900			500	137,200	87,200	288,800
DC	229,500*	254,000*		NR	295,000*		778,500
Florida	413,100	63,200			2,103,500		2,579,800
Georgia	4,700				1,212,900		1,217,600
Hawaii	included in 1115				135,600	104,200	239,800
Idaho	5,500	58,600		17,500*	364,000		445,600
Illinois	73,400				1,285,500*		1,358,900
Indiana	115,800			10,600	1,083,500		1,209,900
Iowa	44,600			94,400	647,900		786,900
Kansas	7,300	Included in 1115			1,198,300		1,205,600
Kentucky	30,500				805,100*		835,600
Louisiana	30,200	170,500			571,300		772,000
Maine	3,200	31,400			441,300		475,900
Maryland	2,900	7,300	300,400		1,145,200		1,455,800
Massachusetts	513,600	794,600			1,563,900*		2,872,100
Michigan	3,900	328,200			789,200*		1,121,300
Minnesota	67,800	1,017,200			2,911,800		3,996,800
Mississippi	1,600			7,600	400,800		410,000
Missouri	4,800	741,700			1,024,900		1,771,400
Montana	600	900	45,500		161,000		208,000
Nebraska	100^	15,400			365,700		381,200
Nevada	23,800	111,200		2,000	133,200		270,200
New Hampshire	6,500*	4,300*			315,700*		326,500
New Jersey	61,400	557,900			605,000*	183,000	1,407,300
New Mexico	12,000	included in 1115			379,900	329,400	721,310
New York	2,306,700*	3,274,500*	NR		6,426,100*	NR	12,007,300
North Carolina	12,800	450,500			897,500*		1,360,800
North Dakota	9,800	37,000			206,800*		253,600
Ohio	216,700			3,200	2,871,200		3,091,100
Oklahoma	15,700	10,900			476,400*		503,000
Oregon	300	7,100	673,700		100,700*		781,800
Pennsylvania	30,200				6,023,100		6,053,300
Rhode Island	115,400	6,300				71,800	193,500
South Carolina	4,200				657,700*		661,900
South Dakota	15,500	7,400			145,300*		168,200
Tennessee	226,500				684,400	297,400	1,208,300
Texas	13,900^	3,637,700	550,300	4,400	1,946,400	1,245,100	7,397,800
Utah	21,000	800			357,600		379,400
Vermont	7,600	13,900				401,700	423,200
Virginia	1,900				1,684,800*		1,686,700
Washington	6,000	6,400	1,432,500		728,600	1,300	2,174,800
West Virginia	9,400	69,400			406,300		485,100
Wisconsin	46,000	273,700			2,451,600		2,771,300
Wyoming	2,300				163,500*		165,800
U.S. TOTAL:	5,530,000 (51 states)	15,070,500 (34 states)	8,650,300 (8 states)	640,900 (11 states)	53,470,000 (48 states)	8,945,000 (12 states)	92,306,600
NOTES: Totals may not sum due to rounding. NR indicates state did not report data. Included in 1115 indicates that state was unable to report state plan services separately from Section 1115 waiver services. Blank cell indicates state did not elect option. *Data from year other than FY 2018, as noted in table endnotes. ^NE and TX home health data are fee-for-service only and exclude capitated managed care. SOURCE: KFF Medicaid HCBS Program Surveys, FY 2018.

Appendix Table 3: Medicaid HCBS Spending Per Enrollee, By State and Authority, FY 2018 ($)
State	State Plan Services				Waivers
State	Home health	Personal care	Community First Choice	Section 1915 (i)	Section 1915 (c)	Section 1115
Alabama	5,200				29,000
Alaska	4,500	16,900			61,100
Arizona	included in 1115					29,500
Arkansas	2,300*	6,900			25,200*
California	4,100*	5,400	24,400	8,900	25,500	9,900*
Colorado	14,700	11,100			19,500*
Connecticut	6,600		26,600	9,800	48,100
Delaware	4,600			1,200	119,200	12,700
DC	26,800*	42,000*		NR	42,500*
Florida	19,800	20,000			20,500
Georgia	800				28,500
Hawaii	included in 1115				47,400	12,200
Idaho	2,900	5,400		7,600*	18,000
Illinois	5,100				8,000*
Indiana	7,100			2,200	22,000
Iowa	3,600			13,200	21,300*
Kansas	2,200	included in 1115			41,700
Kentucky	2,000				33,100*
Louisiana	4,500	12,000			27,700
Maine	1,700	9,500			59,200
Maryland	700	7,500	22,300		44,400
Massachusetts	9,800	17,600			51,100*
Michigan	1,200	5,400			32,000*
Minnesota	2,300	23,300			35,700
Mississippi	1,100			10,500	15,500
Missouri	1,200	11,300			30,300
Montana	1,000	1,800	13,200		28,200
Nebraska	300	4,000			31,100
Nevada	18,100	10,800		10,600	23,200
New Hampshire	4,700*	35,200*			34,300*
New Jersey	1,200	11,300			56,500*	7,300
New Mexico	3,000	included in 1115			75,200	11,800
New York	22,700*	28,200*	NR		65,600*	NR
North Carolina	1,300	10,100			35,500*
North Dakota	8,900	29,200			35,800*
Ohio	8,100			500	25,800
Oklahoma	4,400	2,900			18,200*
Oregon	1,000	2,300	18,500		1,600*
Pennsylvania	1,200				50,300*
Rhode Island	13,100	15,200				13,000
South Carolina	7,900				18,700*
South Dakota	1,400	4,700			24,500*
Tennessee	20,200				87,400	17,000
Texas	1,200	9,800	18,300	27,500	40,500	18,100
Utah	6,900	5,200			38,600
Vermont	2,100	9,700				37,900
Virginia	1,200				32,800*
Washington	1,300	5,300	18,400		11,300	1,300
West Virginia	1,200	12,100			37,300
Wisconsin	7,800	15,300			27,300
Wyoming	5,900				30,900*
U.S. TOTAL:	9,000 (51 states)	12,800 (34 states)	22,000 (8 states)	7,900 (11 states)	29,600 (48 states)	12,800 (12 states)
NOTES: Totals may not sum due to rounding. NR indicates state did not report data. Included in 1115 indicates that state was unable to report state plan services separately from Section 1115 waiver services. Blank cell indicates state did not elect option. *Data from year other than FY 2018, as noted in table endnotes. SOURCE: KFF Medicaid HCBS Program Surveys, FY 2018.

Appendix Table 4: Medicaid Section 1915 (c) HCBS Waiver Enrollment, by Target Population and by State, FY 2018
State	Total No. of § 1915 (c) Waivers	Enrollment by Target Population								Total
State	Total No. of § 1915 (c) Waivers	I/DD	Seniors	Seniors & Adults with Physical Disabilities	Adults with Physical Disabilities	Med. Fragile/Tech Dep. Children	HIV/ AIDS	Mental Health	TBI/ SCI	Total
Alabama	6	5,500		8,900	600					15,100
Alaska	4	2,200		2,000		200				4,300
Arkansas	4	4,500*		11,000						15,500
California	7	129,100	10,500	4,600	3,800	300	1,200			149,500
Colorado	11	12,500*		27,400*		1,800*		4,000*	600*	46,300
Connecticut	11	10,200	15,300		1,100	300		800	600	28,300
Delaware	1	1,200								1,200
DC	2	3,300*		3,700*						6,900
Florida	4	31,800		70,800		< 50				102,500
Georgia	4	13,000		28,100	1,500					42,600
Hawaii	1	2,900								2,900
Idaho	4	8,800		11,500						20,200
Illinois	9	22,800*	84,700*	10,800*	36,100*	900*	1,500*		4,900*	161,600
Indiana	4	26,600		22,300					200	49,100
Iowa	7	12,600	12,600		2,800		< 50	1,000	1,400	30,400
Kansas	7	9,600	6,000		6,700	600		5,300	500	28,700
Kentucky	6	14,800		9,000*		< 50			500	24,300
Louisiana	7	12,100		5,900				2,600		20,600
Maine	5	5,300		1,900					200	7,500
Maryland	6	16,200		9,200		200			100	25,800
Massachusetts	10	15,600*		14,600*					500*	30,600
Michigan	4	8,700		15,300				700		24,700
Minnesota	5	19,900	30,300		29,400	600			1,300	81,500
Mississippi	5	2,600		20,000	2,400				800	25,800
Missouri	9	15,000		16,500	2,300		100			33,900
Montana	4	2,700		2,600				400		5,700
Nebraska	5	4,900		6,900					<50	11,800
Nevada	3	2,200	2,700		800					5,700
New Hampshire	4	5,100		3,900					300	9,200
New Jersey	1	10,700*								10,700
New Mexico	3	5,100								5,100
New York	9	85,400*		2,500*		600*		6,400	3,100*	98,000
North Carolina	3	12,500*		10,000		2,900				25,300
North Dakota	6	5,500*		300	< 50	< 50				5,800
Ohio	7	40,200		64,600	6,600					111,400
Oklahoma	6	5,400*		20,800		100*				26,200
Oregon	6	22,500*		41,400		300*				64,200
Pennsylvania	10	40,300		44,700	33,800				1,000	119,700
South Carolina	7	11,500		20,400*	100*	1,400	800*		1,100	35,200
South Dakota	4	3,700*		2,100					100*	5,900
Tennessee	3	7,800								7,800
Texas	6	39,600				6,200		2,300		48,100
Utah	8	5,500	600	2,300	100	700			100	9,300
Virginia	5	13,100		38,200*						51,300
Washington	8	19,400		43,600				1,600		64,500
West Virginia	3	4,600		6,200					100	10,900
Wisconsin	6	28,800		61,100						89,900
Wyoming	5	2,600		2,500*				100	200*	5,300
TOTAL (48 states):	265	785,800 (48 states)	162,500 (8 states)	667,000 (37 states)	128,200 (16 states)	17,100 (18 states)	3,600 (5 states)	25,100 (11 states)	17,500 (21 states)	1,806,800
No Section 1915 (c) Waivers (3 states)
Arizona
Rhode Island
Vermont
NOTES: I/DD = intellectual and developmental disabilities. TBI = traumatic brain injury. SCI = spinal cord injury. Totals may not sum due to rounding. States may offer more than one Section 1915 (c) waiver per target population category. Programs with enrollment under 50 individuals are noted as < 50. Blank cell indicates state does not offer Section 1915 (c) waiver for that population. *Data from year other than FY 2018, as noted in table endnotes.SOURCE: KFF Medicaid HCBS Program Surveys, FY 2018.

Appendix Table 5: Medicaid Section 1915 (c) HCBS Waiver Spending, by Target Population and by State, FY 2018 ($, in thousands)
State	Total No. of § 1915 (c) Waivers	Spending by Target Population								Total
State	Total No. of § 1915 (c) Waivers	I/DD	Seniors	Seniors & Adults with Physical Disabilities	Adults with Physical Disabilities	Med. Fragile/Tech Dep. Children	HIV/AIDS	Mental Health	TBI/SCI	Total
Alabama	6	351,300		78,400	7,800					437,500
Alaska	4	186,900		69,000		9,100				265,100
Arkansas	4	240,100*		149,500						389,600
California	7	3,474,900	39,800	108,900	175,400	2,600	8,700			3,810,300
Colorado	11	462,200*		361,500*		18,100*		38,300*	23,500*	903,700
Connecticut	11	883,000	395,400		2,100	100		14,700	63,300	1,358,600
Delaware	1	137,200								137,200
DC	2	226,100*		68,900*						295,000
Florida	4	1,067,000		1,036,500		< 50				2,103,500
Georgia	4	639,200		493,300	80,400					1,212,900
Hawaii	1	135,600								135,600
Idaho	4	266,900		97,000						364,000
Illinois	9	71,600*	429,400*	127,800*	558,200*	1,900*	24,000*		72,600*	1,285,500
Indiana	4	812,100		266,700					4,700	1,083,500
Iowa	7	520,600*	60,500*		23,600*		300*	10,300	32,500	647,900
Kansas	7	523,400	210,900		304,300	55,900		79,000	24,900	1,198,300
Kentucky	6	670,900		86,100*		2,600			45,600	805,100
Louisiana	7	454,900		112,500				3,900		571,300
Maine	5	385,100		40,000					16,100	441,300
Maryland	6	994,900		135,400		2,700			12,200	1,145,200
Massachusetts	10	1,301,200*		211,900*					50,900*	1,563,900
Michigan	4	444,600*		339,900				4,700*		789,200
Minnesota	5	1,403,400	435,600		932,600	42,400			97,900	2,911,800
Mississippi	5	104,300		233,900	44,100				18,400	400,800
Missouri	9	924,200		63,300	35,000		2,400			1,024,900
Montana	4	113,600		42,000				5,400		161,000
Nebraska	5	252,700		112,400					700	365,700
Nevada	3	114,400	13,900		4,900					133,200
New Hampshire	4	243,700*		48,900					23,100	315,700
New Jersey	1	605,000*								605,000
New Mexico	3	379,900								379,900
New York	9	5,970,300*		158,500*		5,400*		97,300	194,600*	6,426,100
North Carolina	3	652,100*		196,000		49,500				897,500
North Dakota	6	199,500*		6,900	200	100				206,800
Ohio	7	1,968,100*		777,500	125,600					2,871,200
Oklahoma	6	305,900*		165,900		4,600*				476,400
Oregon	6	58,500*		41,600		600*				100,700
Pennsylvania	10	3,177,600		1,481,600	1,331,200				32,700	6,023,100
South Carolina	7	423,300		192,200*	1,800*	3,300	4,700*		32,600	657,700
South Dakota	4	121,000*		20,600					3,700*	145,300
Tennessee	3	684,400								684,400
Texas	6	1,545,300				390,400		10,712		1,946,400
Utah	8	275,400	7,200	50,900	2,600	14,900			6,600	357,600
Virginia	5	908,100		776,700*						1,684,800
Washington	8	650,100		24,700				53,800		728,600
West Virginia	3	305,400		99,400					1,500	406,300
Wisconsin	6	632,800		1,818,800						2,451,600
Wyoming	5	118,100		37,400*				< 50	7,900*	163,500
TOTAL (48 states):	265	36,386,500 (48 states)	1,592,700 (8 states)	10,132,900 (37 states)	3,629,900 (16 states)	604,000 (18 states)	40,000 (5 states)	318,100 (11 states)	765,900 (21 states)	53,470,200
No Section 1915 (c) Waivers (3 states)
Arizona
Rhode Island
Vermont
NOTES: I/DD = intellectual and developmental disabilities. TBI = traumatic brain injury. SCI = spinal cord injury. Totals may not sum due to rounding. States may offer more than one Section 1915 (c) waiver per target population category. Programs with enrollment under 50 individuals are noted as < 50. Blank cell indicates state does not offer Section 1915 (c) waiver for that population. *Data from year other than FY 2018, as noted in table endnotes. SOURCE: KFF Medicaid HCBS Program Surveys, FY 2018.

Appendix Table 6: Medicaid Section 1915 (c) HCBS Waiver Spending Per Enrollee, by Target Population and by State, FY 2018 ($)
State	Total No. of Waivers	Per Enrollee Spending by Target Population								Total
State	Total No. of Waivers	I/DD	Seniors	Seniors & Adults with Physical Disabilities	Adults with Physical Disabilities	Med. Fragile/Tech Dep. Children	HIV/AIDS	Mental Health	TBI/SCI	Total
Alabama	6	63,600		13,800	12,700					29,000
Alaska	4	86,400		35,100		42,900				61,100
Arkansas	4	53,500*		13,600						25,200
California	7	26,900	3,800	23,600	45,800	8,900	7,200			25,500
Colorado	11	37,000*		13,200*		9,900*		9,600*	41,300*	19,500
Connecticut	11	86,600	25,900		2,000	200		17,900	106,128	48,100
Delaware	1	119,200								119,200
DC	2	69,000*		18,800*						42,500
Florida	4	33,600		14,600		2,600				20,500
Georgia	4	49,000		17,600	53,700					28,500
Hawaii	1	47,400								47,400
Idaho	4	30,500		8,500						18,000
Illinois	9	3,100*	5,100*	11,900*	15,500*	2,300*	15,800*		14,800*	8,000
Indiana	4	30,500		12,000					24,700	22,000
Iowa	7	41,400*	4,800*		8,300*		9,600*	10,600	22,700	21,300
Kansas	7	54,500	35,200		45,400	93,200		14,900	46,400	41,700
Kentucky	6	45,300		9,600*		66,300			92,700	33,100
Louisiana	7	37,500		19,100				1.500		27,700
Maine	5	72,300		20,700					80,700	59,200
Maryland	6	61,200		14,700		12,600			126,800	44,900
Massachusetts	10	83,500*		14,600*					108,000*	51,100
Michigan	4	51,400*		22,200				6,400*		32,000
Minnesota	5	70,600	14,400		31,700	69,700			76,100	35,700
Mississippi	5	40,200		11,700	18,200				22,500	15,500
Missouri	9	61,800		3,800	15,100		31,300			30,300
Montana	4	41,400		16,100				15,000		28,200
Nebraska	5	51,800		16,400					33,400	31,100
Nevada	3	51,100	5,200		5,900					23,200
New Hampshire	4	47,900*		12,700					88,600	34,300
New Jersey	1	56,500*								56,500
New Mexico	3	75,200								75,200
New York	9	69,900*		63,000*		9,000*		15,300	62,100*	65,600
North Carolina	3	52,300*		19,700		17,100				35,500
North Dakota	6	36,500*		23,900	214,500	6,000				35,800
Ohio	7	48,900		12,000	19,100					25,800
Oklahoma	6	56,700*		8,000		52,100*				18,200
Oregon	6	3,800*		1,000		1,900*				1,600
Pennsylvania	10	78,900		33,200	39,400				33,900	50,300
South Carolina	7	36,900		9,400*	30,300*	2,300	5,900*		30,400	18,700
South Dakota	4	32,300*		9,900					34,500*	24,500
Tennessee	3	87,400								87,400
Texas	6	39,000				63,500		4,600		40,500
Utah	8	50,200	12,400	22,600	23,800	21,300			47,100	38,600
Virginia	5	69,300		20,300*						32,800
Washington	8	33,500		600				33,700		11,300
West Virginia	3	65,900		16,100					18,300	37,300
Wisconsin	6	22,000		29,800						27,300
Wyoming	5	46,000		15,200*				300	48,500*	30,900
TOTAL (48 states):	265	46,300 (48 states)	9,800 (8 states)	15,200 (37 states)	28,300 (16 states)	35,200 (18 states)	11,100 (5 states)	12,700 (11 states)	43,700 (21 states)	29,600
No Section 1915 (c) Waivers (3 states)
Arizona
Rhode Island
Vermont
NOTES: I/DD = intellectual and developmental disabilities. TBI = traumatic brain injury. SCI = spinal cord injury. Totals may not sum due to rounding. States may offer more than one Section 1915 (c) waiver per target population category Programs with enrollment under 50 individuals are noted as < 50. Blank cell indicates state does not offer Section 1915 (c) waiver for that population. *Data from year other than FY 2018, as noted in table endnotes. SOURCE: KFF Medicaid HCBS Program Surveys, FY 2018.

Table Notes

Arkansas: Home health data are from 2017. Wavier data are from 2015 (#936 I/DD).

California: Home health data are from 2016. Section 1115 waiver data are from 2015.

Colorado: Waiver data are from 2017 (#6 seniors/adults with physical disabilities, #7 I/DD, #268 mental health, #288 TBI/SCI, #293 I/DD, #305 I/DD, #450 children, #961 TBI/SCI, #4157 children, #4180 I/DD.)

District of Columbia: Home health, personal care, CFC, 1915 (i), and waiver data are from 2017.

Idaho: Section 1915 (i) spending and per enrollee spending data include only the adult DD program and exclude data for the children’s DD program. The state reported 1,700 children with DD enrolled in 2017, but did not report corresponding spending data.

Illinois: Waiver data are from 2015 (#143 seniors), 2016 (#278 children), and 2017 (#142 adults with physical disabilities, #202 HIV/AIDS, #326 seniors/adults with physical disabilities, #329 TBI/SCI, #350 I/DD, #464 I/DD, #473 I/DD).

Iowa: Waiver enrollment data are from 2016 (#345 adults with physical disabilities, #4111 adults with physical disabilities, #4155 seniors) and 2017 (#213 HIV/AIDS, #242 I/DD).

Kentucky: Waiver data are from 2017 (#144 seniors/adults with physical disabilities).

Massachusetts: Waiver data are from 2016 (#59 seniors/adults with physical disabilities) and 2017 (#359 TBI/SCI, #826 I/DD, #827 I/DD, #828 I/DD, #1027 seniors/adults with physical disabilities, #1028 seniors/adults with physical disabilities, #40207 I/DD, #40701 TBI/SCI, #40702 TBI/SCI).

Michigan: Waiver spending data are from 2016 (#167 I/DD, #438 mental health, #4119 I/DD).

New Hampshire: Home health and personal care data are from 2015. Waiver spending data are from 2016 (#397 I/DD).

New Jersey: Waiver data are from 2011 (#31 I/DD).

New York: Home health and personal care data are from 2017. Waiver data are from 2016 (#40176 children) and 2017 (#269 spending-only TBI/SCI, #444 spending-only seniors/adults with physical disabilities, #470 I/DD, and #471 children).

North Carolina: Waiver data are from 2016 (#432 I/DD).

North Dakota: Waiver data are from 2017 (#842 spending-only I/DD, #37 I/DD).

Oklahoma: Waiver data are from 2017 (#179 I/DD, #343 I/DD, #351 I/DD, #399 I/DD, #811 children).

Oregon: Waiver data are from 2017 (#117 I/DD, #375 I/DD, #565 children, #40193 children, #40194 I/DD).

South Carolina: Waiver data are from 2016 (#40181 adults with physical disabilities) and 2017 (#186 HIV/AIDS, #405 seniors/adults with physical disabilities).

South Dakota: Waiver data are from 2016 (#44 I/DD, #264 TBI/SCI, #338 I/DD).

Virginia: Waiver data are from 2017 (#321 seniors/adults with physical disabilities).

Wyoming: Waiver data are from 2017 (#236 seniors/adults with physical disabilities, #370 TBI/SCI).

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Medicaid Home and Community-Based Services Enrollment and Spending

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