Notes
Categories are not mutually exclusive since some enrollees may use more than one type of institutional long-term care.
Enrollment data are rounded to the nearest 100. State totals may not sum to national total due to rounding.
See How Many People Use Medicaid Long-Term Services and Supports and How Much Does Medicaid Spend on Those People? for additional details on methods.
States with "Unusable" data quality according to the CMS DQ Atlas are not included in these tables and are not included in national totals. For more information on data quality issues that may lead to unusual spending or enrollment, see CMS DQ Atlas. Caution is recommended when comparing data between years since different states may be included in each year due to data quality.
Categories are not mutually exclusive since some enrollees may use more than one type of institutional long-term care.
Enrollment data are rounded to the nearest 100. State totals may not sum to national total due to rounding.
See How Many People Use Medicaid Long-Term Services and Supports and How Much Does Medicaid Spend on Those People? for additional details on methods.
States with "Unusable" data quality according to the CMS DQ Atlas indicators "Medicaid-Only Enrollment", "Claims Volume - LT", "Service Users - OT", and "Medicaid Beneficiary Expenditures" are not included in these tables and are not included in national totals. For more information on data quality issues that may lead to unusual spending or enrollment, see CMS DQ Atlas. Caution is recommended when comparing data between years since different states may be included in each year due to data quality.
Categories are not mutually exclusive since some enrollees may use more than one type of institutional long-term care.
Enrollment data are rounded to the nearest 100. State totals may not sum to national total due to rounding.
See How Many People Use Medicaid Long-Term Services and Supports and How Much Does Medicaid Spend on Those People? for additional details on methods.
States with "Unusable" data quality according to the CMS DQ Atlas indicators "Medicaid-Only Enrollment", "Claims Volume - LT", "Service Users - OT", and "Medicaid Beneficiary Expenditures" are not included in these tables and are not included in national totals. For more information on data quality issues that may lead to unusual spending or enrollment, see CMS DQ Atlas. Caution is recommended when comparing data between years since different states may be included in each year due to data quality.
Categories are not mutually exclusive since some enrollees may use more than one type of institutional long-term care.
Enrollment data are rounded to the nearest 100. State totals may not sum to national total due to rounding.
See How Many People Use Medicaid Long-Term Services and Supports and How Much Does Medicaid Spend on Those People? for additional details on methods.
States with "Unusable" data quality according to the CMS DQ Atlas indicators "Medicaid-Only Enrollment", "Claims Volume - LT", "Service Users - OT", and "Medicaid Beneficiary Expenditures" are not included in these tables and are not included in national totals. For more information on data quality issues that may lead to unusual spending or enrollment, see CMS DQ Atlas. Caution is recommended when comparing data between years since different states may be included in each year due to data quality.
Categories are not mutually exclusive since some enrollees may use more than one type of institutional long-term care.
Enrollment data are rounded to the nearest 100. State totals may not sum to national total due to rounding.
See How Many People Use Medicaid Long-Term Services and Supports and How Much Does Medicaid Spend on Those People? for additional details on methods.
States with "Unusable" data quality according to the CMS DQ Atlas indicators "Medicaid-Only Enrollment", "Claims Volume - LT", "Service Users - OT", and "Medicaid Beneficiary Expenditures" are not included in these tables and are not included in national totals. For more information on data quality issues that may lead to unusual spending or enrollment, see CMS DQ Atlas. Caution is recommended when comparing data between years since different states may be included in each year due to data quality.
Categories are not mutually exclusive since some enrollees may use more than one type of institutional long-term care.
Enrollment data are rounded to the nearest 100. State totals may not sum to national total due to rounding.
See How Many People Use Medicaid Long-Term Services and Supports and How Much Does Medicaid Spend on Those People? for additional details on methods.
States with "Unusable" data quality according to the CMS DQ Atlas indicators "Medicaid-Only Enrollment", "Claims Volume - LT", "Service Users - OT", and "Medicaid Beneficiary Expenditures" are not included in these tables and are not included in national totals. For more information on data quality issues that may lead to unusual spending or enrollment, see CMS DQ Atlas. Caution is recommended when comparing data between years since different states may be included in each year due to data quality.
These counts include about 237,900 Medicaid enrollees who used both institutional LTC and home care in 2019.
These counts include about 208,800 Medicaid enrollees who used both institutional LTC and home care in 2020.
These counts include about 234,100 Medicaid enrollees who used both institutional LTC and home care in 2021.
These counts include about 233,000 Medicaid enrollees who used both institutional LTC and home care in 2022.
These counts include about 219,300 Medicaid enrollees who used both institutional LTC and home care in 2023.
These counts include about 259,600 Medicaid enrollees who used both institutional LTC and home care in 2024.
Sources
KFF analysis of the T-MSIS Research Identifiable Files, 2019 (Release 1)
KFF analysis of the T-MSIS Research Identifiable Files, 2020 (Release 1)
KFF analysis of the T-MSIS Research Identifiable Files, 2021 (Release 1)
KFF analysis of the T-MSIS Research Identifiable Files, 2022 (Release 1)
KFF analysis of the T-MSIS Research Identifiable Files, 2023 (Preliminary)
KFF analysis of the T-MSIS Research Identifiable Files, 2024 (Preliminary)
Definitions
NSD: Not Significant Data. Due to data security measures, the values of cells with fewer than 50 enrollees are not reported but are included in state and national totals.
DQ: Data Quality. Data categorized as "Unusable" based on the DQ Atlas. These values are not included in the national totals, unless otherwise specified in a footnote.
Any Institutional LTC : Enrollees who used any care provided in a nursing facility or intermediate care facility.
Nursing Facility : Enrollees who received any care in a nursing facility.
Intermediate Care Facility : Enrollees who received any care in an intermediate care facility.