Potential Impact of Additional Federal Funds for Medicaid HCBS for Seniors and People with Disabilities

Table 1: Estimated Additional Federal Dollars for Medicaid HCBS Under American Rescue Act HCBS FMAP Bump
State Estimated Medicaid HCBS Spending –
April 1st, 2021 – March 31st, 2022
 Estimated Additional Federal Dollars for
Medicaid HCBS 
US TOTAL $113,828,064,000 $11,382,811,000
Alabama $871,267,000 $87,127,000
Alaska $374,649,000 $37,465,000
Arizona $1,797,659,000 $179,766,000
Arkansas $1,178,098,000 $117,810,000
California $21,694,742,000 $2,169,474,000
Colorado $1,539,931,000 $153,993,000
Connecticut $1,944,728,000 $194,473,000
DC $892,504,000 $89,250,000
Delaware $372,613,000 $37,261,000
Florida $3,195,868,000 $319,587,000
Georgia $1,555,865,000 $155,587,000
Hawaii $275,132,000 $27,513,000
Idaho $534,865,000 $53,487,000
Illinois $1,770,892,000 $177,089,000
Indiana $1,395,860,000 $139,586,000
Iowa $931,020,000 $93,102,000
Kansas $1,400,775,000 $140,078,000
Kentucky $968,416,000 $96,842,000
Louisiana $906,192,000 $90,619,000
Maine $601,967,000 $60,197,000
Maryland $2,344,175,000 $234,418,000
Massachusetts $4,092,432,000 $409,243,000
Michigan $1,391,405,000 $139,141,000
Minnesota $4,886,088,000 $488,609,000
Mississippi $538,547,000 $53,855,000
Missouri $2,286,356,000 $228,636,000
Montana $323,827,000 $32,383,000
Nebraska $484,708,000 $48,471,000
Nevada $605,863,000 $60,586,000
New Hampshire $433,200,000 $43,320,000
New Jersey $1,726,932,000 $172,693,000
New Mexico $836,622,000 $83,662,000
New York $12,609,573,000 $1,260,957,000
North Carolina $1,823,280,000 $182,328,000
North Dakota $316,001,000 $31,600,000
Ohio $4,344,503,000 $434,450,000
Oklahoma $660,643,000 $66,064,000
Oregon $1,240,435,000 $124,044,000
Pennsylvania $7,291,355,000 $729,136,000
Rhode Island $338,718,000 $33,872,000
South Carolina $847,649,000 $84,765,000
South Dakota $202,815,000 $20,282,000
Tennessee $1,569,796,000 $156,980,000
Texas $8,621,124,000 $862,112,000
Utah $468,343,000 $46,834,000
Vermont $482,800,000 $48,280,000
Virginia $2,133,627,000 $213,363,000
Washington $2,530,236,000 $253,024,000
West Virginia $626,949,000 $62,695,000
Wisconsin $3,369,435,000 $336,944,000
Wyoming $197,584,000 $19,758,000
NOTES: Estimates are based on estimates of Medicaid HCBS spending in FY 2021 and FY 2022. See Methods for more details.
SOURCES: KFF estimates based on KFF FY 2018 Medicaid HCBS Program Surveys, FY 2018 Expenditure Reports From MBES/CBES, and FY 2019 – FY 2022 CBO Medicaid Baseline Projections
Data Note

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