In 2013, for the first time, according to a recent study, federal Medicaid spending for home and community based services (HCBS) accounted for the majority of Medicaid long-term services and supports (LTSS). Nationally, this is arguably good news at it is further proof that Medicaid funds are increasing used to serve those in a home and community setting, as opposed to an institutional nursing home setting.
However, New Jersey and Pennsylvania rank below the national average. Although the national average for Medicaid expenditures for HCBS is about 51%, New Jersey’s average is only 33%, ranking the state in the bottom 5 of all states. Pennsylvania’s average is better at 42%, but still far below the national average. Therefore, both New Jersey and Pennsylvania still have far to go in order to rebalance Medicaid spending to move away from an institutional model of care.
You can read the CMS study by clicking on the below link.