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Distribution of Medicaid Spending on Long Term Care, FY2007

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 ICF-MRMental Health FacilitiesNursing FacilitiesHome Health & Personal CareTotal
United States11.5%4.4%44.0%40.1%100.0%
Alabama2.4%4.1%66.3%27.2%100.0%
Alaska0.0%5.5%35.3%59.1%100.0%
Arizona11.5%14.4%144.0%140.1%1100.0%1
Arkansas13.1%12.2%48.3%26.4%100.0%
California6.9%10.8%33.6%48.7%100.0%
Colorado2.1%0.3%45.4%52.2%100.0%
Connecticut10.3%2.1%52.8%34.8%100.0%
Delaware7.6%16.9%46.1%29.4%100.0%
District of Columbia23.3%2.8%47.3%26.6%100.0%
Florida7.7%0.2%56.6%35.5%100.0%
Georgia6.4%1.8%54.3%37.4%100.0%
Hawaii2.3%0.0%57.5%40.2%100.0%
Idaho16.2%4.0%37.8%41.9%100.0%
Illinois22.3%3.0%41.7%33.1%100.0%
Indiana18.2%3.8%46.0%31.9%100.0%
Iowa23.3%2.0%37.6%37.1%100.0%
Kansas7.2%0.8%39.1%52.9%100.0%
Kentucky11.2%3.2%56.4%29.3%100.0%
Louisiana26.6%0.9%41.7%30.8%100.0%
Maine10.8%7.4%34.2%47.6%100.0%
Maryland3.1%9.6%49.6%37.7%100.0%
Massachusetts6.4%7.8%50.2%35.6%100.0%
Michigan1.9%1.0%63.6%33.5%100.0%
Minnesota6.3%2.1%29.9%61.7%100.0%
Mississippi22.4%4.7%60.9%12.1%100.0%
Missouri6.8%2.3%47.0%43.8%100.0%
Montana3.4%5.6%48.4%42.5%100.0%
Nebraska9.9%6.2%48.8%35.1%100.0%
Nevada5.8%13.1%42.3%38.8%100.0%
New Hampshire0.5%0.6%57.9%41.0%100.0%
New Jersey17.6%4.4%50.0%28.0%100.0%
New Mexico2.9%2.1%23.7%71.2%100.0%
New York15.1%2.7%35.5%46.6%100.0%
North Carolina16.0%2.5%38.4%43.1%100.0%
North Dakota20.0%3.0%52.5%24.5%100.0%
Ohio13.5%7.7%51.1%27.7%100.0%
Oklahoma10.8%6.7%42.9%39.6%100.0%
Oregon0.0%1.8%30.2%68.0%100.0%
Pennsylvania9.3%2.5%60.5%27.7%100.0%
Rhode Island1.4%1.7%52.1%44.8%100.0%
South Carolina15.5%3.6%48.4%32.4%100.0%
South Dakota7.8%1.5%52.2%38.6%100.0%
Tennessee11.5%0.6%58.2%29.7%100.0%
Texas19.3%0.5%38.3%42.0%100.0%
Utah15.5%3.8%43.5%37.2%100.0%
Vermont0.0%0.0%25.8%74.2%100.0%
Virginia12.1%22.9%34.7%30.3%100.0%
Washington6.1%1.7%31.5%60.7%100.0%
West Virginia6.7%4.7%49.1%39.5%100.0%
Wisconsin7.1%1.5%46.7%44.8%100.0%
Wyoming9.1%10.1%30.8%50.1%100.0%
(show/hide notes)
Notes: 

All spending includes state and federal expenditures.

Sources: 

Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on data from Centers for Medicare and Medicaid Services-64 reports, March 2009.

Definitions: 

ICF-MR stands for intermediate care facility for the mentally retarded.
Mental Health Facilities include inpatient psychiatric services for individuals age 21 and under, and other mental health facilities for people age 65 and older.
Home Health & Personal Care includes standard home health services, personal care, targeted case management, hospice, home and community-based care for the functionally disabled elderly, and services provided under home and community-based services waivers.

Federal Fiscal Year: Unless otherwise noted, years proceeded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. For example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.

Footnotes: 
  1. Long-term care expenditures shown for Arizona include approximately $1.6 Billion in payments to managed care organizations that we estimated to be used for long-term care services. We allocated these expenditures among the services shown based on nationwide patterns of spending for long-term care services.



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