Medicaid Restructuring Under the American Health Care Act and Nonelderly Adults with Disabilities
| Appendix Table: State Medicaid Spending and Options for People with Disabilities | |||||||||||
| State | Medicaid Spending Per Enrollee (2011) |
Share of Medicaid LTC Spending Devoted to HCBS (FY 2014) |
ACA Expans. (2017) |
Optional Disability-Related Eligibility Pathways (2015) | Optional Home and Community-Based Services | ||||||
| >73%-100% FPL | Work Buy-In | LTC to 300% SSI | Pers’l Care (2013) |
HCBS Waivers (2017) |
CFC (2016) |
Sec. 1915 (i) (2015) |
Health Homes (2016) |
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| States with Republican Governor | |||||||||||
| Alabama | $10,142 | 42% | X | X | X | ||||||
| Arizona | $22,040 | 70% | X | X | X | X | X | ||||
| Arkansas | $14,023 | 50% | X | X | X | X | X | X | |||
| Florida | $15,005 | 33% | X | X | X | X | |||||
| Georgia | $10,639 | 48% | X | X | X | ||||||
| Idaho | $21,781 | 53% | X | X | X | X | X | X | |||
| Illinois | $16,689 | 44% | X | X | X | X | |||||
| Indiana | $19,488 | 31% | X | X | X | X | X | X | |||
| Iowa | $20,242 | 50% | X | X | X | X | X | X | |||
| Kansas | $17,153 | 53% | X | X | X | X | X | ||||
| Kentucky | $12,856 | 41% | X | X | X | X | |||||
| Maine | $16,920 | 55% | X | X | X | X | X | X | |||
| Maryland | $23,798 | 56% | X | X | X | X | X | X | X | X | |
| Massachusetts | $16,927 | 57% | X | X | X | X | X | X | |||
| Michigan | $15,109 | 35% | X | X | X | X | X | X | X | X | |
| Mississippi | $12,960 | 27% | X | X | X | X | |||||
| Missouri | $17,481 | 56% | X | X | X | X | |||||
| Nebraska | $17,449 | 49% | X | X | X | X | |||||
| Nevada | $15,706 | 49% | X | X | X | X | X | X | |||
| New Hampshire | $21,545 | 50% | X | X | X | X | X | ||||
| New Jersey | $19,951 | 41% | X | X | X | X | X | X | X | ||
| New Mexico | $18,500 | 74% | X | X | X | X | X | X | |||
| North Dakota | $28,692 | 41% | X | X | X | X | |||||
| Ohio | $21,892 | 52% | X | X | X | X | X | ||||
| Oklahoma | $15,010 | 44% | X | X | X | X | X | ||||
| South Carolina | $12,830 | 43% | X | X | X | ||||||
| South Dakota | $19,156 | 47% | X | X | X | X | X | ||||
| Tennessee | $14,680 | 53% | X | X | |||||||
| Texas | $17,709 | 57% | X | X | X | X | X | X | |||
| Utah | $19,718 | 48% | X | X | X | X | X | ||||
| Vermont | $17,789 | 68% | X | X | X | X | X | X | |||
| Wisconsin | $16,599 | 64% | X | X | X | X | X | X | |||
| Wyoming | $25,346 | 50% | X | X | X | ||||||
| TOTAL: 33 | N/A | N/A | 16 | 13 | 27 | 30 | 21 | 33 | 2 | 9 | 15 |
| States with Democratic or Independent Governor | |||||||||||
| Alaska | $28,790 | 70% | X | X | X | X | X | ||||
| California | $20,080 | 64% | X | X | X | X | X | X | X | ||
| Colorado | $19,643 | 63% | X | X | X | X | X | ||||
| Connecticut | $31,004 | 48% | X | X | X | X | X | X | |||
| Delaware | $22,972 | 42% | X | X | X | X | X | ||||
| DC | $28,604 | 53% | X | X | X | X | X | X | X | X | |
| Hawaii | $17,035 | 42% | X | X | X | ||||||
| Louisiana | $15,099 | 39% | X | X | X | X | X | X | |||
| Minnesota | $26,890 | 75% | X | X | X | X | X | X | X | ||
| Montana | $16,352 | 57% | X | X | X | X | X | X | X | ||
| New York | $33,808 | 58% | X | X | X | X | X | X | |||
| North Carolina | $15,060 | n/a | X | X | X | X | X | ||||
| Oregon | $18,255 | 79% | X | X | X | X | X | X | X | ||
| Pennsylvania | $16,441 | 44% | X | X | X | X | X | ||||
| Rhode Island | $21,417 | 58% | X | X | X | X | X | X | |||
| Virginia | $18,952 | 55% | X | X | X | X | |||||
| Washington | $16,208 | 66% | X | X | X | X | X | X | X | ||
| West Virginia | $12,993 | 48% | X | X | X | X | X | X | |||
| TOTAL: 18 | N/A | N/A | 16 | 8 | 17 | 14 | 11 | 18 | 6 | 8 | 7 |
| NOTES: Spending per enrollee includes full benefit nonelderly adults and children with disabilities only. Share of LTC spending devoted to HCBS omits managed care spending in CA and MA. % HCBS not calculated for NC due to missing data. Not all states electing the >73%-100% FPL expansion go up to 100% FPL. HCBS waivers include § 1915 (c) and § 1115. SOURCES: KFF, Data Note: Variation in Per Enrollee Medicaid Spending Across States (Feb. 2017); Steve Eiken, Kate Sredl, Brian Burwell, and Paul Saucier, Medicaid Expenditures for Long Term Services and Supports (LTSS) in FY 2014, Table C (Bethesda, MD: Truven Health Analytics, April 2016); KFF, Status of State Action on the Medicaid Expansion Decision (Jan. 1, 2017). 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, Section 1915 (k) Community First Choice State Plan Option (March 2016). KFF, Health Home State Plan Option (April 2016). |
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