Medicaid Home and Community-Based Services Enrollment and Spending

Appendix Table 1: Medicaid HCBS Enrollment, By State and Program Authority, FY 2017 
  State Plan Services Waivers Total HCBS
Enrollment
State Home health Personal care Community First Choice Section 1915 (i) Section 1915 (c) Section 1115
Alabama 5,700 14,700 20,400
Alaska 400 4,000 5,300 9,700
Arizona included in 1115 19,400 19,400
Arkansas 5,000 19,800 14,300* 39,200
California 37,500* 272,700 225,400 54,400 146,200* 474,300* 1,210,600
Colorado 21,400 100 NR 45,900 67,300
Connecticut 32,500 2,700 600 28,200 64,100
Delaware included in 1115 included in 1115 900 1,200 4,700 6,800
DC 8,600 6,000 200 6,900 21,700
Florida 18,700 3,000 NR 100,100* 121,800
Georgia 7,700 42,900* 50,700
Hawaii included in 1115 2,800 4,700 7,500
Idaho 1,800 8,100 2,400 19,100 31,500
Illinois 13,300 161,600* 174,900
Indiana 14,300 2,200 41,900 58,400
Iowa 22,000* 6,900 30,300* 59,300
Kansas 3,400 included in 1115 27,600* 31,000
Kentucky 15,000 24,700 39,600
Louisiana 6,800 14,000 23,600 44,300
Maine 1,700 3,400 7,200 12,200
Maryland 4,400 700 11,600 NR 26,600 43,300
Massachusetts 71,300 51,900 30,300 153,500
Michigan 3,500 60,700 24,800 88,900
Minnesota 32,900 42,600 76,900 152,400
Mississippi 1,500 700 25,700 27,800
Missouri 4,700 66,300 32,800 103,800
Montana 300 600 3,400 5,800 10,100
Nebraska 1,900 2,500 10,800* 15,200
Nevada 3,600* 8,800* 1,100* 4,600* 18,100
New Hampshire 1,400* 100* 9,100 10,600
New Jersey 44,100 48,100 10,700* 21,000 123,900
New Mexico 700 included in 1115 5,100 29,300 35,100
New York 101,400 116,100 NR 95,300* NR 362,900
North Carolina 22,300 44,900 25,000* 92,200
North Dakota 1,100 1,200 5,300* 7,600
Ohio 25,600 NR 110,200* 135,900
Oklahoma 3,600 3,000 26,600* 33,200
Oregon 400 3,100 34,300 NR 53,300 91,000
Pennsylvania 26,700 102,800* 129,400
Rhode Island 1,700 1,200 7,900 10,800
South Carolina 600 35,100 35,700
South Dakota 11,100 600 5,800 17,500
Tennessee 10,700 8,300 16,300 35,300
Texas 25,700 346,900 27,800 0 48,100 67,500 516,000
Utah 2,900 100 8,800 11,800
Vermont 3,700 1,500 10,300 15,600
Virginia 1,800 57,000* 58,800
Washington 5,000 1,400 61,000 59,100 126,500
West Virginia 8,200 7,700 10,900 26,800
Wisconsin 5,600 16,700 NR 84,800* 107,100
Wyoming 700 5,200* 5,900
U.S.TOTAL: 645,000 1,158,000 366,000 70,000 1,750,000 656,000 4,643,000
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. *Data from 2017 unless otherwise noted in table endnotes.
SOURCE: KFF Medicaid HCBS Program Surveys, FY 2017.
Appendix Table 2:   Medicaid HCBS Spending, By State and Program Authority, FY 2017 ($, in thousands)
  State Plan Services Waivers Total HCBS
Spending
State Home health Personal care Community First Choice Section 1915 (i) Section 1915 (c) Section 1115
Alabama 30,300 428,200 458,400
Alaska 1,400 67,000 276,900 345,300
Arizona included in 1115 392,600 392,600
Arkansas 11,800 148,300 323,700* 483,800
California 153,900* 1,700,500 3,168,700 481,200 3,630,200* 4,679,100* 13,813,600
Colorado 287,100 500 NR 900,800 1,188,500
Connecticut 213,800 58,500 6,700 1,343,600 1,622,500
Delaware included in 1115 included in 1115 300 132,900 110,400 243,600
DC 229,500 254,000 NR 295,000 778,500
Florida 334,800 59,200 NR 1,329,000* 1,722,900
Georgia 5,300 1,090,200* 1,095,500
Hawaii included in 1115 112,000 99,700 211,700
Idaho 5,700 180,800 17,900 324,800 529,100
Illinois 82,500 1,285,500* 1,368,000
Indiana 305,700 2,500 990,100 1,298,300
Iowa 72,100* 70,400 641,500 784,100
Kansas 7,200 Included in 1115 990,000* 997,100
Kentucky 14,700 792,100 806,800
Louisiana 31,900 155,800 599,900 787,600
Maine 2,700 26,000 400,300 429,000
Maryland 3,100 4,000 232,100 NR 1,194,500 1,433,700
Massachusetts 745,300 825,400 1,555,200 3,125,900
Michigan 3,900 307,700 894,600* 1,206,200
Minnesota 122,800 938,900 2,605,100 3,666,800
Mississippi 1,600 5,800 367,600 374,900
Missouri 5,100 767,600 989,400 1,762,000
Montana 400 7,600 41,600 161,500 211,100
Nebraska 9,700 16,700 250,500* 276,900
Nevada 18,400* 96,000* 8,218* 112,600* 235,300
New Hampshire 6,500* 4,300* 292,000 302,700
New Jersey 62,000 577,400 605,000* 175,500 1,419,800
New Mexico 5,300 included in 1115 361,400 332,300 699,100
New York 2,306,700 3,274,500 NR 6,226,300* NR 11,954,100
North Carolina 34,400 415,400 887,900* 1,337,700
North Dakota 9,200 25,900 198,600* 233,800
Ohio 151,200 NR 2,718,300* 2,869,500
Oklahoma 13,000 8,900 503,700* 525,500
Oregon 400 5,700 599,400 NR 107,800 713,300
Pennsylvania 28,800 3,656,200* 3,685,000
Rhode Island 2,200 11,300 266,300 279,800
South Carolina 4,600 589,300 593,900
South Dakota 14,200 1,200 142,800 158,100
Tennessee 232,600 681,900 267,200 1,181,700
Texas 58,500 3,402,500 499,000 800 1,542,600 1,619,700 7,123,000
Utah 20,400 400 323,900 344,700
Vermont 7,200 13,500 383,500 404,200
Virginia 2,300 2,246,000* 2,248,400
Washington 5,900 5,500 1,186,100 649,200 1,846,700
West Virginia 9,800 74,800 411,500 496,100
Wisconsin 49,600 268,900 NR 2,261,300* 2,579,900
Wyoming 9,500 162,000* 171,400
U.S. TOTAL: 5,735,000 13,646,000 5,785,000 594,000 48,585,000 8,326,000 82,674,000
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 2017 unless otherwise noted in table endnotes.
SOURCE: KFF Medicaid HCBS Program Surveys, FY 2017.
Appendix Table 3:   Medicaid HCBS Spending Per Enrollee, By State and Program Authority, FY 2017 ($)
  State Plan Services Waivers Total HCBS
Spending
Per Enrollee
State Home health Personal care Community First Choice Section 1915 (i) Section 1915 (c) Section 1115
Alabama 5,300 29,200 22,500
Alaska 3,100 16,900 52,500 35,700
Arizona included in 1115 20,200 20,200
Arkansas 2,300 7,500 22,600* 12,300
California 4,100* 6,200 14,100 8,800 24,800* 9,900* 11,400
Colorado 13,400 7,000 NR 19,600 17,700
Connecticut 6,600 21,700 10,400 47,600 25,300
Delaware included in 1115 included in 1115 300 110,800 23,500 35,800
DC 26,800 42,000 NR 42,500 35,800
Florida 18,000 19,700 NR 13,300* 14,100
Georgia 700 25,400* 21,600
Hawaii included in 1115 40,600 21,100 28,300
Idaho 3,100 22,300 7,400 17,000 16,800
Illinois 6,200 8,000* 7,800
Indiana 21,300 1,100 23,600 22,200
Iowa 3,300* 10,200 21,200* 13,200
Kansas 2,100 included in 1115 35,900* 32,200
Kentucky 1000 32,100 20,400
Louisiana 4,700 11,200 25,400 17,800
Maine 1,600 7,700 55,400 35,000
Maryland 700 5,400 20,000 NR 44,900 33,100
Massachusetts 10,500 15,900 51,300 20,400
Michigan 1,100 5,100 36,100* 13,600
Minnesota 3,700 22,000 33,900 24,100
Mississippi 1,100 8,800 14,300 13,500
Missouri 1,200 11,600 30,200 17,000
Montana 1,200 12,700 12,300 27,900 20,900
Nebraska 5,100 6,700 23,200* 18,200
Nevada 5,200* 10,900* 7,200* 24,400* 13,000
New Hampshire 4,700* 35,200* 32,100 28,600
New Jersey 1,400 12,000 56,500* 8,300 11,500
New Mexico 8,000 included in 1115 70,300 11,300 19,900
New York 22,700 28,200 NR 65,300* NR 32,900
North Carolina 1,500 9,200 35,500* 14,500
North Dakota 8,400 22,300 37,300* 30,800
Ohio 5,900 NR 24,700* 21,100
Oklahoma 3,600 3,000 18,900* 15,800
Oregon 1,100 1,900 17,500 NR 2,000 7,800
Pennsylvania 1,100 35,600* 28,500
Rhode Island 1,300 9,300 33,600 25,900
South Carolina 8,300 16,800 16,700
South Dakota 1,300 2,000 24,600 9,000
Tennessee 21,800 82,400 16,400 33,500
Texas 2,300 9,800 18,000 8,800 32,100 24,000 13,800
Utah 7,000 4,600 36,800 29,100
Vermont 1,900 9,100 37,100 26,000
Virginia 1,300 39,400* 38,300
Washington 1,200 4,000 19,400 11,000 14,600
West Virginia 1,200 9,700 37,900 18,500
Wisconsin 8,900 16,100 NR 26,700* 24,100
Wyoming 1,200 31,400* 29,200
U.S. TOTAL: 8,900 11,800 15,800 8,500 27,800 12,700 17,800
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 2017 unless otherwise noted in table endnotes.
SOURCE: KFF Medicaid HCBS Program Surveys, FY 2017.
Appendix Table 4: Medicaid Section 1915 (c) HCBS Waiver Enrollment, by Target Population and by State, FY 2017 
State Total No.
of
§1915 (c)
Waivers
Enrollment by Target Population

Total

I/DD Seniors Seniors & Adults with Physical Disabilities Adults with Physical Disabilities Med. Fragile/
Tech Dep.
Children
HIV/
AIDS 
Mental Health TBI/
SCI
Alabama 7 5,500 9,100 < 50 100 14,700
Alaska 4 2,300 2,700* 300 5,300
Arkansas 4 4,300* 10,100 14,300
California 8 125,800 10,100 5,000* 4,000 300 1,100 146,200
Colorado 11 12,500 27,300 1,800 4,000 200 45,900
Connecticut 10 10,200 15,200 1,100 300 700 600 28,200
Delaware 1 1,200 1,200
DC 2 3,300 3,700 6,900
Florida 7 29,400* 63,000 < 50* 7,300* 400* 100,100
Georgia 5 12,900 28,500 1,400 100* 42,900
Hawaii 1 2,800 2,800
Idaho 4 8,200 10,900 19,100
Illinois 9 22,800 84,700* 10,800 36,100 900* 1,500 4,900 161,600
Indiana 4 23,200 18,500 200 41,900
Iowa 7 12,700* 12,600* 2,800* < 50* 800* 1,400* 30,300
Kansas 7 9,200* 6,700* 6,400* 500* 4,300* 600* 27,600
Kentucky 6 15,100 9,100 < 50 500 24,700
Louisiana 7 12,000 5,900 5,600 23,600
Maine 5 5,100 1,900 200 7,200
Maryland 6 15,900 10,400 200 100 26,600
Massachusetts 10 15,600 13,700 600 500 30,300
Michigan 4 8,500 15,600 600 24,800
Minnesota 5 18,600 29,400 27,500 1,400 76,900
Mississippi 5 2,600 19,400 2,700 900 25,700
Missouri 10 14,600 15,900 2200 100 32,800
Montana 4 2,800 2,700 300 5,800
Nebraska 5 4,800 6,000* <50* 10,800
Nevada 3 2,000* 1,900 700 4,600
New Hampshire 4 5,000 3,900 300 9,100
New Jersey 1 10,700* 10,700
New Mexico 3 5,100 5,100
New York 10 83,200 2,500* 100* 6,600 2,900* 95,400
North Carolina 3 12,500* 10,000 2,500 25,000
North Dakota 6 5,000* 300 < 50 < 50 5,300
Ohio 8 41,200* 62,600 6,400 110,200
Oklahoma 6 5600* 20,900 100 26,600
Oregon 6 17,700 35,300 300 53,300
Pennsylvania 9 37,800* 36,200* 27,900* 900* 102,800
South Carolina 8 11,800 20,400 100 1,200 800 900 35,100
South Dakota 4 3800 1,800 100 5,800
Tennessee 3 8,300 8,300
Texas 6 40,300 5,600 2,200 48,100
Utah 8 5,200 800 2,100 100 500 100 8,800
Virginia 7 22,700* 33,900* 400* 57,000
Washington 8 16,700 42,400 59,100
West Virginia 3 4,600 6,200 100 10,900
Wisconsin 7 25,500 58,200 1,200* 84,800
Wyoming 5 2,400 2,500 100* 200 5,200
TOTAL: 276 769,000 175,000 616,000 120,000 15,000 11,000 27,000 17,000 1,749,400
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 2017 unless otherwise noted in table endnotes.
SOURCE: KFF Medicaid HCBS Program Surveys, FY 2017.
Appendix Table 5: Medicaid Section 1915 (c) HCBS Waiver Spending, by Target Population and by State, FY 2017 ($, in thousands)
State Total No. of
§ 1915 (c) Waivers
Spending by Target Population

Total

I/DD Seniors Seniors & Adults with Physical Disabilities Adults with Physical Disabilities Med. Fragile/
Tech Dep.
Children
HIV/
AIDS 
Mental Health TBI/
SCI
Alabama 7 348,900 77,100 1,900 300 428,200
Alaska 4 181,100 83,600 12,200 276,900
Arkansas 4 205,600* 118,100* 323,700
California 8 3,296,300 39,800 106,400* 177,300 1,800 8,600 3,630,200
Colorado 11 458,700 362,500 18,100 38,100 23,500 900,800
Connecticut 10 895,100 387,600 1,600 100 < 50 59,100 1,343,600
Delaware 1 132,900 132,900
DC 2 226,100 68,900 295,000
Florida 7 836,400* 466,600* < 50* 10,800* 15,200* 1,329,000
Georgia 5 562,500 460,000 66,800 1000* 1,090,200
Hawaii 1 112,000 112,000
Idaho 4 240,600 84,100 324,800
Illinois 9 71,600 429,400* 127,800 558,200 1,900* 24,000 72,600 1,285,500
Indiana 4 757,200 228,000 4,900 990,100
Iowa 7 446,800 99,400 47,400 500 10,200 37,200 641,500
Kansas 7 413,000* 207,400* 255,600* 45,100* 49,300* 19,700* 990,000
Kentucky 6 659,900 85,600 2,900 43,700 792,100
Louisiana 7 472,200 115,000 12,800 599,900
Maine 5 350,900 33,600 15,700 400,300
Maryland 6 933,900 247,500 2,500 10,600 1,194,500
Massachusetts 10 1,282,400 184,600 36,100 52,200 1,555,200
Michigan 4 564,600* 323,700 6,400* 894,600
Minnesota 5 1,296,900 345,300 864,300 98,600 2,605,100
Mississippi 5 94,700 204,800 48,700 19,400 367,600
Missouri 10 887,200 64,100 35,700 2,400 989,400
Montana 4 112,800 43,400 5,300 161,500
Nebraska 5 168,400 81,400* 700* 250,500
Nevada 3 96,900* 10,900* 4,700* 112,600
New Hampshire 4 222,000 $48,600 21,400 292,000
New Jersey 1 605,000* 605,000
New Mexico 3 361,400 361,400
New York 10 5,846,400 113,200* 3,400* 133,200 130,100* 6,226,300
North Carolina 3 652,100* 152,600 83,300 887,900
North Dakota 6 191,600* 6,800 200 < 50 198,600
Ohio 8 1,866,800* 722,800 128,700 2,718,300
Oklahoma 6 307,200* 191,900 4,600 503,700
Oregon 6 77,100 30,400 300 107,800
Pennsylvania 9 1,695,900* 920,500* 973,500* 66,300* 3,656,200
South Carolina 8 357,700 187,700 1,600 2,500 7,500 32,300 589,300
South Dakota 4 122,200 15,900 4,700 142,800
Tennessee 3 681,900 681,900
Texas 6 1,517,400 15,300 9,800 1,542,600
Utah 8 248,300 7,800 46,500 2,300 13,100 5,900 323,900
Virginia 7 1,521,000* 671,400* 53,600* 2,246,000
Washington 8 590,700 58,600 649,200
West Virginia 3 307,200 102,900 1,500 411,500
Wisconsin 7 555,900 1,688,600 16,800* 2,261,300
Wyoming 5 116,500 37,400 100* 7,900 162,000
TOTAL: 276 waivers 33,950,000 1,712,000 8,414,000 3,227,000 203,000 54,000 283,000 743,000 48,585,000
No Section 1915 (c) Waivers (3 states)
Arizona
Rhode Island
Vermont
NOTES: I/DD = intellectual and developmental disabilities. TBI = traumatic brain injury. SCI = spinal cord injury. Totals may not sum due to rounding. States may offer more than one Section 1915 (c) waiver per target population category. Programs with enrollment under 50 individuals are noted as < 50. Blank cell indicates state does not offer Section 1915 (c) waiver for that population. *Data from 2017 unless otherwise noted in table endnotes.
SOURCE: KFF Medicaid HCBS Program Surveys, FY 2017.
Appendix Table 6:   Medicaid Section 1915 (c) HCBS Waiver Spending Per Enrollee, by Target Population and by State, FY 2017 ($) 
State Total No. of
Waivers
Per Enrollee Spending by Target Population Total

 

I/DD Seniors Seniors &
Adults with Physical Disabilities
Adults with Physical Disabilities Med. Fragile/
Tech Dep.
Children
HIV/
AIDS 
Mental Health TBI/
SCI
 
Alabama 7 63,600 8,500 61,800 5,400 29,200
Alaska 4 78,700 31,300 41,200 52,500
Arkansas 5 48,300* 11,700* 22,600
California 8 26,200 4,000 21,300* 44,200 6,900 7,600 24,800
Colorado 11 36,600 13,300 9,900 9,600 132,700 19,600
Connecticut 11 87,400 25,400 1,600 200 < 50 92,700 47,600
Delaware 1 110,800 110,800
DC 2 69,000 18,800 42,500
Florida 7 28,400* 7,400* 3,900* 1,500* 37,300* 13,300
Georgia 5 43,700 16,100 47,300 6,800* 25,400
Hawaii 1 40,600 40,600
Idaho 4 29,300 7,700 17,000
Illinois 9 3,100 5,100* 11,900 15,500 2,300* 15,800 14,800 8,000
Indiana 5 32,600 12,400 27,000 23,600
Iowa 7 35,300* 7,900* 16,700* 16,000* 13,000* 26,900* 21,200
Kansas 7 45,100* 31,100* 40,200* 83,900* 11,600* 31,300* 35,900
Kentucky 6 43,700 9,500 68,500 91,800 32,100
Louisiana 7 39,200 19,300 2,300 25,400
Maine 6 68,900 17,300 84,200 55,400
Maryland 6 58,800 23,700 11,600 105,700 44,900
Massachusetts 10 82,300 13,500 62,700 108,400 51,300
Michigan 4 66,500* 20,700 10,100* 36,100
Minnesota 5 69,600 11,700 31,400 73,000 33,900
Mississippi 5 35,800 10,500 17,900 21,500 14,300
Missouri 10 60,600 4,000 16,500 25,800 30,200
Montana 5 40,300 16,300 16,000 27,900
Nebraska 5 35,400 13,500* 34,100* 23,200
Nevada 3 47,700* 5,900* 6,600* 24,400
New Hampshire 4 44,400 12,600 82,900 32,100
New Jersey 1 56,500* 56,500
New Mexico 3 70,300 70,300
New York 10 70,300 45,400* 25,700* 20,100 44,700* 65,300
North Carolina 3 52,300* 15,200 33,200 35,500
North Dakota 6 38,200* 23,100 175,500 1,300 37,300
Ohio 9 45,300* 11,500 20,200 24,700
Oklahoma 6 55,200* 9,200 52,400 18,900
Oregon 6 4,400 900 1,200 2,000
Pennsylvania 10 44,900* 25,400* 34,800* 74,600* 35,600
South Carolina 8 30,400 9,200 29,100 2,000 9,400 34,900 16,800
South Dakota 4 31,800 8,700 39,000 24,600
Tennessee 3 82,400 82,400
Texas 6 37,700 2,700 4,500 32,100
Utah 7 47,500 10,100 22,500 20,700 26,100 45,600 36,800
Virginia 6 67,000* 19,800* 151,100* 39,400
Washington 7 35,400 1,400 11,000
West Virginia 3 66,400 16,700 21,100 37,900
Wisconsin 7 21,800 29,000 14,400* 26,700
Wyoming 8 47,600 15,200 1,500* 48,500 31,400
TOTAL: 276 waivers 44,200 9,800 13,700 26,900 13,800 4,900 10,700 43,000 27,800
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 2017 unless otherwise noted in table endnotes.
SOURCE: KFF Medicaid HCBS Program Surveys, FY 2017.

Table Notes

Arkansas: Wavier data are from 2015 (#188 I/DD, #195 seniors/adults with physical disabilities, #936 I/DD) and 2014 (#400 seniors/adults with physical disabilities).

California: Home health data are from 2016. Waiver data are from 2016 (#855 seniors/adults with physical disabilities) and 2015 (Section 1115).

Florida: Waiver data are from 2015 (#194 HIV/AIDS, #342 TBI/SCI, #392 I/DD, #867 I/DD, #962 seniors/adults with physical disabilities, #40166 children, #40205 I/DD).

Georgia: Waiver data are from 2015 (#1 mental health).

Illinois: Waiver data are from 2015 (#143 seniors) and 2016 (#278 children).

Iowa: Home health data are from 2016. Waiver enrollment data are from 2016 (#213 HIV/AIDS, #242 I/DD, #299 TBI/SCI, #345 adults with physical disabilities, #819 mental health, #4111 adults with physical disabilities, #4155 seniors).

Kansas: Waiver data are from 2015 (#224 I/DD, #303 seniors, #304 adults with physical disabilities, #320 mental health, #476 I/DD, #4164 TBI/SCI, #4165 children).

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

Nebraska: Waiver data are from 2015 (#187 seniors/adults with physical disabilities, 40199 TBI/SCI).

Nevada: Home health, personal care, and Section 1915 (i) data are from 2016. Waiver data is from 2015 (#125 I/DD) and spending-only data from 2015 (#152 seniors, #4150 adults with physical disabilities).

New Hampshire: Home health and personal care data are from 2015.

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

New York: Waiver data are from 2013 (#269 TBI/SCI), 2014 (#444 seniors/adults with physical disabilities), and 2016 (#40163 children, #40176 children, #40200 children).

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

North Dakota: Waiver data are from 2015 (#842 spending-only I/DD) and 2016 (#37 I/DD).

Ohio: Waiver data are from 2015 (#383 I/DD).

Oklahoma: Waiver data are from 2016 (#179 I/DD, #343 I/DD, #351 I/DD, #399 I/DD).

Pennsylvania: Wavier data are from 2016 (# 235 I/DD, #277 adults with physical disabilities, #279 seniors/adults with physical disabilities, #319 adults with physical disabilities, #386 TBI/SCI).

Virginia: Waiver data are from 2015 (#227 I/DD, #321 adults with physical disabilities) and 2016 (#4149 adults with physical disabilities, #40206 seniors/adults with physical disabilities).

Wisconsin: Waiver data are from 2015 (#415 mental health).

Wyoming: Waiver data are from 2016 (#451 mental health).

Issue Brief