Developing home and community-based service (HCBS) alternatives to institutional care has been a priority for many state Medicaid programs over the last three decades. While the majority of Medicaid long-term care dollars still go toward institutional care, the national percentage of Medicaid spending on HCBS has more than doubled from 19 percent in 1995 to 43 percent in 2008. More than 3 million people were served by Medicaid HCBS programs in 2008, and hundreds of thousands of people are on waiting lists.

Report (.pdf)

Previous versions:

Report - February 2011 (.pdf)

Report - November 2009 (.pdf)

 Report - December 2008 (.pdf)

 Report - December 2007 (.pdf)