RESEARCH PAPER MEDICAID EXPENDITURES FOR LONG-TERM SERVICES AND SUPPORTS: 2011 … · 2014. 11. 20. · Medicaid Expenditures for Long-Term Services and Supports 1 MEDICAID EXPENDITURES

STEVE EIKEN, KATE SREDL, BRIAN BURWELL, AND LISA GOLD THOMSON REUTERS 150 CAMBRIDGEPARK DRIVE CAMBRIDGE, MA 02140 OCTOBER 31, 2011

RESEARCH PAPER

MEDICAID EXPENDITURES FOR LONG-TERM SERVICES AND SUPPORTS: 2011 UPDATE

TABLE OF CONTENTS

Changes in Expenditures Data ........................................................................................ 1

Description of Data Tables .............................................................................................. 2

Trends in Total LTSS Expenditures ................................................................................. 4

LTSS Percentage of Total Medicaid ................................................................................ 5

Non-Institutional Services Percentage of Total LTSS ...................................................... 6

LTSS Expenditures by Medicaid Program Authority ........................................................ 7

Variation by Population Served ....................................................................................... 8

Use of Prior Period Adjustments ................................................................................... 10

Caveats......................................................................................................................... 11

Appendix A: National Data Tables

Appendix B: State Data Tables

The opinions expressed in this report are those of the authors and do not reflect the views of Thomson Reuters.

Medicaid Expenditures for Long-Term Services and Supports 1

MEDICAID EXPENDITURES FOR LONG-TERM SERVICES AND SUPPORTS

This document is the latest in a series of spending reports on Medicaid long-term

services and supports (LTSS).1 This year’s report contains newly available data and

changes in the services that are included within LTSS. We explain these changes,

summarize the data, and describe national trends regarding the following topics:

1. The rate of increase in Medicaid LTSS expenditures

2. The percentage of total Medicaid spending used for LTSS

3. The non-institutional portion of Medicaid LTSS expenditures

4. Medicaid LTSS spending by program authority2

5. The variation in the non-institutional percentage of Medicaid LTSS by

population served.

CHANGES IN EXPENDITURES DATA

We have made significant changes from previous reports to provide more complete

information. First, this report includes two types of Medicaid LTSS expenditures data

that were previously unavailable:

State-reported data for LTSS provided through managed care organizations that

are not identifiable in the state CMS 64 reports. These data are fully explained in

a separate Thomson Reuters report.3

Data for the following Medicaid program authorities, which were identified in CMS

64 reports for the first time:

o Rehabilitative services

o Private duty nursing

o State plan home and community-based services (HCBS) that are

authorized under Section 1915(i) of the Social Security Act

1 Previous reports in this series referred to ―long-term care‖ expenditures. Starting this year, we use the

phrase ―long-term services and supports‖ because it is a more inclusive term for the range of long-term assistance provided to older adults and people with disabilities.

2 Program authorities include Medicaid State Plan services specified in Section 1905(a) of the Social

Security Act and other options that allow additional state-defined services if specific requirements are met such as waivers authorized under Sections 1115 and 1915(c) of the Social Security Act.

3 Kasten J, Eiken S, Burwell B. Medicaid Managed Long-Term Services and Supports Expenditures.

Thomson Reuters: April 6, 2011, available at www.hcbs.org/moreInfo.php/nb/doc/3584 (Accessed on May 5, 2011).

http://www.hcbs.org/moreInfo.php/nb/doc/3584


FY 2010 data are

labeled “Preliminary”

expenditures to reflect

the likelihood that data

for several states will

change. We expect the

preliminary FY 2010

expenditures figure

($125.8 billion) to

increase by at least $6

billion.

dog

o Self-directed personal assistance services that are authorized under

Section 1915(j) of the Social Security Act.

Second, we included more program authorities within LTSS to align with the Balancing

Incentive Payments Program service categorization.4 LTSS now include services

provided in mental health facilities (also known as institutions for mental disease) and

the four newly available program authorities identified above. Future versions of these

reports will include the State Plan options for Health Homes and Community First

Choice, which were authorized in the Affordable Care Act.

DESCRIPTION OF DATA TABLES

Appendix A and B present a series of data tables showing FY 2005 through FY 2010

Medicaid LTSS expenditures. Most data are based on CMS 64 reports, which states

submit to the Centers for Medicare & Medicaid Services (CMS) to claim Federal financial

participation (FFP). The CMS 64 reports are among the more reliable sources of state

Medicaid spending because the Federal government audits these reports. However, the

CMS 64 reports do not consistently identify LTSS provided through managed care

programs. Thomson Reuters contacted states to collect

FY 2008 and FY 2009 LTSS spending data that were not

identified in the CMS 64 reports.5

In all tables, FY 2010 data are labeled ―preliminary‖

expenditures to reflect the likelihood that national totals,

and data for several states, will change. FY 2010 data do

not include state-reported managed care expenditures and

prior period adjustments submitted in the CMS 64 in FY

2011 and subsequent years (see the section entitled Use

of Prior Period Adjustments in this report). The preliminary

FY 2010 spending figure for Medicaid LTSS ($125.8

4 The categories of service in this report do not match perfectly with the definitions of institutional LTSS and

non-institutional LTSS used in the Balancing Incentive Payments Program application announcement because data for some services are not available in the CMS 64 reports. A state may provide more detailed data for the purposes of determining Balancing Incentive Payments Program eligibility. See the Balancing Incentive Payments Program application announcement released with a September 12, 2011 State Medicaid Director letter, available at http://www.cms.gov/smdl/smd/ (Accessed on September 14, 2011).

5 Kasten J, Eiken S, Burwell B. Medicaid Managed Long-Term Services and Supports Expenditures.

Thomson Reuters: April 6, 2011, available at www.hcbs.org/moreInfo.php/nb/doc/3584 (Accessed on May 5, 2011).

http://www.cms.gov/smdl/smd/

http://www.hcbs.org/moreInfo.php/nb/doc/3584


billion) is likely to increase by more than $6 billion (five percent) when all data are

included.

Table 1 in Appendix A shows national spending data for LTSS program authorities. We

present state data in Tables A through AE. Three tables summarize data that are

reported on other tables:

Institutional LTSS (Table E) are the sum of:

o Nursing homes (Table A)

o Intermediate care facilities for people with mental retardation (ICF/MR;

Table B)6

o Mental health facilities – regular payments (Table C)

o Mental health facilities – disproportionate share payments (Table D).

Non-institutional LTSS (Table P) are the sum of:

o Waivers authorized under Section 1915(c) of the Social Security Act

(Table F)

o Personal care (Table G), which includes the Texas Community

Assistance Services program authorized under Section 1929 of the Social

Security Act7

o Home health (Table H)

o HCBS authorized under Section 1115 or Section 1915(a) of the Social

Security Act (Table I)

o Program of All-Inclusive Care for the Elderly (PACE; Table J)

o Rehabilitative services (Table K)

o Private duty nursing (Table L)

o State plan HCBS authorized under Section 1915(i) of the Social Security

Act (Table M)

o Self-directed personal assistance services authorized under Section

1915(j) of the Social Security Act (Tables N and O).8

Total LTSS (Table Q) are the sum of institutional LTSS (Table E) and non-

institutional LTSS (Table P).

6 We prefer to use the phrase ―intellectual disability‖ instead of ―mental retardation.‖ However, when

describing ICF/MR, we use the name in Federal law and regulation.

7 Section 1929 allows states that meet certain criteria to provide an entitlement to home and community-

based services — and no other Medicaid services — for people with incomes under 300 percent of the Supplemental Security Income benefit who do not qualify for the full Medicaid benefit. Texas offers personal care under Section 1929 and is the only state that has used this section.

8 The CMS 64 form provides two categories for services authorized under Section 1915(j): one for services

that are an alternative to a 1915(c) waiver (Table N) and one for services that are an alternative to a State Plan personal care service (Table O). Data for FY 2005 through FY 2009 on Tables N and O include self-directed services programs that started as Section 1115 waivers before Congress passed Section 1915(j).


In Tables A through AE, the ―Expenditures per State Resident‖ column shows Medicaid

expenditures divided by the total state population according to the U.S. Census Bureau.

We used data from the 2010 Census for FY 2010.9 We used the most recent release of

current population estimates for FY 2008 and FY 2009.10 Tables A through AE rank

states from highest to lowest expenditures for three years (FY 2008, FY 2009, and FY

2010). States are arranged in order of their FY 2009 ranking.

Tables AF, AG, and AH present the percentage of LTSS expenditures allocated to non-

institutional LTSS for all services (Table AF), services for older adults and people with

physical disabilities (Table AG), and services for people with developmental disabilities

(Table AH). We ranked states for FY 2008, FY 2009, and FY 2010 from highest to

lowest non-institutional percentage, and show states in order of their FY 2009 ranking.

Appendix B displays the above data by state. Tables 1 through 51 provide one table for

each state and the District of Columbia.

TRENDS IN TOTAL LTSS EXPENDITURES

When discussing spending trends, we focus on data through FY 2009 because FY 2010

data do not include managed care expenditures and prior period adjustments in several

states. Reported FY 2009 Medicaid LTSS expenditures were $127.1 billion, an increase

of 5.5 percent over FY 2008. This increase was similar to the 4.9 percent average

annual spending increase between FY 2005 and FY 2008. These percentages slightly

overstate the increase in expenditures because we only included state-reported

managed care data for FY 2008 and FY 2009. For example, without state-reported

managed care data, expenditures would have increased 4.5 percent in FY 2009 and an

average of 3.8 percent from FY 2005 to FY 2008. Medicaid LTSS expenditures growth

has slowed since the early 2000s, when spending increased an average of seven

percent per year (See Figure 1 on the following page).

9 U.S. Census Bureau, Population Division ―Table 2. Comparison of Preliminary Population Estimates and

Census Counts for the United States, Regions, States, and Puerto Rico: April 1, 2010‖ February 2011, available at http://www.census.gov/popest/eval-estimates/eval-est2010.html (Accessed on September 2, 2011).

10 U.S. Census Bureau, Population Division ―Table 1. Preliminary Annual Estimates of the Resident

Population for the United States, Regions, States, and Puerto Rico: April 1, 2000 to July 1, 2010 (NST-PEST2010-01)‖ February 2011, available at http://www.census.gov/popest/eval-estimates/eval-est2010.html (Accessed on September 2, 2011).

http://www.census.gov/popest/eval-estimates/eval-est2010.html

http://www.census.gov/popest/eval-estimates/eval-est2010.html


Figure 1: Medicaid LTSS Expenditures Growth: Annual Average

Growth in Five-Year Periods from 1995–2005 and 2005–2009

LTSS PERCENTAGE OF TOTAL MEDICAID

LTSS accounted for 34.5 percent of total Medicaid expenditures in FY 2009. LTSS has

been 34–36 percent of total Medicaid spending since FY 2003 (See Figure 2 on the

following page). The inclusion of mental health facilities within LTSS added two

percentage points to the LTSS share of total Medicaid spending each year from FY 2006

through FY 2009 and three to four percentage points in earlier years.11 Reported total

Medicaid expenditures were $368.3 billion in FY 2009, which is an increase of 9.3

percent from FY 2008. Total Medicaid expenditures grew at a higher rate than in

previous years, reflecting increased enrollment of families with children during the

recession.12

11

With one exception, data for 2009 and earlier years were not available for the other new services included within LTSS. CMS 64 data are available for five self-directed services programs that were authorized under Section 1115 waivers before Section 1915(j) was an option. These programs include the original Cash and Counseling states (Arkansas, Florida, and New Jersey) and similar programs in Colorado and Oregon.

12 Holahan J, Clemans-Cope L, Lawton E, Rousseau D. Medicaid Spending Growth over the Last Decade

and the Great Recession, 2000 – 2009 Kaiser Commission for Medicaid and the Uninsured: February 2011, available at www.kff.org/medicaid/8152.cfm (Accessed on February 23, 2011).

http://www.kff.org/medicaid/8152.cfm


Figure 2: LTSS Percentage of Total Medicaid Expenditures, 1995–2009

NON-INSTITUTIONAL SERVICES PERCENTAGE OF TOTAL LTSS

Spending for non-institutional LTSS rose to 44 percent of all Medicaid LTSS

expenditures. As shown in Figure 3 on the following page, this distribution has

increased one to three percentage points each year since 1995 as states have invested

more resources in alternatives to institutional services. The inclusion of mental health

facilities reduced the non-institutional share of LTSS by two to three percentage points

each year since 1995.


Figure 3: Non-Institutional LTSS as a Percentage of Total Medicaid LTSS,

1995–2009

LTSS EXPENDITURES BY MEDICAID PROGRAM AUTHORITY

States have several options, collectively called program authorities, to include LTSS

within the Medicaid program. We list FY 2009 Medicaid LTSS expenditures by program

authority below, starting with institutional services. Institutional LTSS spending

increased 2.2 percent, from $69.7 billion in FY 2008 to $71.2 billion in FY 2009.

Institutional LTSS included the following:

Nursing homes ($51.3 billion, a 2.5 percent increase)

ICF/MR ($13.3 billion, a 2.7 percent increase)

Fee-for-service payments for mental health facilities ($3.3 billion, a 2.5 percent

decrease)

Disproportionate share hospital payments for mental health facilities ($3.3 billion,

a 0.5 percent decrease).

Medicaid non-institutional LTSS expenditures increased 10.2 percent, from $50.7 billion

in FY 2008 to $55.9 billion in FY 2009. These services included:


Waivers authorized under Section 1915(c) of the Social Security Act ($35.1

billion, a 12.7 percent increase)

Personal care ($13.8 billion, a 3.7 percent increase)

Home health ($4.9 billion, a 6.6 percent increase)

HCBS authorized under Section 1115 or Section 1915(a) of the Social Security

Act ($1.4 billion, a 28.2 percent increase)

PACE ($687 million, a 13.8 percent increase)

Self-directed personal assistance services authorized under Section 1915(j) of

the Social Security Act ($55 million, an 88.5 percent increase)13

Rehabilitative services (FY 2009 data unavailable)

Private duty nursing (FY 2009 data unavailable)

State plan HCBS authorized under Section 1915(i) of the Social Security Act (FY

2009 data unavailable).

VARIATION BY POPULATION SERVED

State systems for people with developmental disabilities rely on Medicaid non-

institutional LTSS more than state systems serving older adults and people with physical

disabilities.14 Non-institutional services comprised 36 percent of FY 2009 LTSS

expenditures targeting older adults and people with physical disabilities. For this

population group, only six states spent more than 50 percent of LTSS dollars on non-

institutional services. The non-institutional portion of LTSS expenditures has doubled

from 17 percent in FY 1995, the first year for which data by the population served were

available. Most of the increase occurred after FY 2002 (See Figure 4 on the following

page).

13

This figure includes self-directed service programs that started as Section 1115 waivers before Congress passed Section 1915(j).

14 Population categories are based on programs (e.g., the State Plan personal care service, a 1915(c)

waiver), and are not based on individual age or diagnosis. Some programs primarily serve older adults and people with physical disabilities, but may also serve people with cognitive impairments and/or people with serious mental illness. In addition, some individuals have multiple conditions and could be served in multiple types of programs.


Figure 4: Medicaid LTSS Expenditures for Older Adults and

People with Physical Disabilities, in Billions, 1995–2009

For programs targeting persons with developmental disabilities, FY 2009 only six states

spent less than 50 percent of LTSS dollars on non-institutional services. Non-

institutional spending comprised 66 percent of Medicaid LTSS expenditures for this

population. One reason for this difference is that programs for people with

developmental disabilities are more likely to provide support 24-hours a day. As

illustrated in Figure 5 on the following page, the non-institutional portion of LTSS

expenditures has doubled from 30 percent in FY 1995.


Figure 5: Medicaid LTSS Expenditures for People with

Developmental Disabilities, in Billions, 1995–2009

USE OF PRIOR PERIOD ADJUSTMENTS

The figures and tables in this report include prior period adjustments to the CMS 64

reports for the following Medicaid program authorities and fiscal years:

Waivers authorized under Section 1915(c) of the Social Security Act since FY

1995

Personal care since FY 2002 (starting in FY 2001 for California)

Nursing home, ICF/MR, inpatient hospital, mental health facilities, and

disproportionate share hospital payments (both inpatient and mental health)

since FY 2002

PACE since FY 2004

All other services starting in FY 2009.

We started obtaining adjustment data for 1915(c) waivers and personal care

expenditures to correct historical underreporting in California that occurred largely

because state agencies other than the state’s Medicaid agency administered these

benefits. We included adjustments for several types of facility services and for PACE

after we learned that several states report a significant portion of these expenditures


through prior period adjustments. We included adjustments for all services when CMS

provided access to all prior period adjustment data.

Prior period adjustments typically have increased national Medicaid expenditures. For a

few states, especially California and New York, the effect of prior period adjustments on

state Medicaid LTSS expenditures has often been significant. States submit most

adjustments within two years of the initial CMS quarterly report. Thus, it is reasonable to

assume that prior period adjustments submitted in FY 2011 and subsequent years will

moderately increase Medicaid LTSS expenditures data in this report, with a greater

increase for FY 2010 than for FY 2009.

CAVEATS

Several caveats apply to this report, with different stipulations for each data source.

Three caveats apply to the CMS 64 reports, which provide most of the data. First, these

reports represent state claims to the Federal government for expenditures that states

believe are eligible for Federal matching funds. As a result of its audit process, CMS

may disallow some of these claims. Disallowances are not reported by type of service

and therefore cannot be used to adjust previously-reported Medicaid spending data by

type of service. Second, CMS 64 data are by date of payment. Changes in state

Medicaid spending may reflect state payment policies as well as real changes in service

utilization. For example, a state can push 13 months of nursing home spending into a

later fiscal year by delaying one month of payments to nursing home providers from

September 30 to October 1. This leaves only 11 months of nursing home payments in

the earlier year. Finally, the CMS 64 classifies expenditures into several service

categories. We present data for those services that are primarily associated with LTSS.

Many states offer service categories that can include both acute care and LTSS, such as

targeted case management. Several states, such as Georgia, have large case

management programs that are specifically focused on people receiving LTSS.

Different caveats apply to state-reported managed care data. States submitted two

types of data: the amount paid by managed care organizations for LTSS (i.e., encounter

data) and capitation payments by the state to the managed care organization for the

additional cost of serving LTSS participants (i.e., rate-setting data). States generally do


not audit encounter data, which can vary in quality.15 Rate setting data are estimates of

what the state would have paid if the target population remained in fee-for-service, which

does not directly represent the cost of services to participants. In addition, states often

use financing mechanisms such as payment withholding, incentive payments,

performance payments, risk-sharing, and reinsurance. It is difficult to calculate the LTSS

portion of payments based on these funding mechanisms because LTSS are only part of

the managed care service package in most states.

ACKNOWLEDGEMENTS

We would like to thank Melissa Hulbert, Christopher Kessler, and Jean Accius in the

CMS Center for Medicaid, CHIP, and Survey & Certification for their assistance in

making these data available and for assisting us in their interpretation.

15

Levinson, D. Medicaid Managed Care Encounter Data: Collection and Use. U.S. Department of Health

and Human Services, Office of Inspector General: May 2009, available at http://www.oig.hhs.gov/oei/reports/oei-07-06-00540.pdf (Accessed on May 13, 2010).

http://www.oig.hhs.gov/oei/reports/oei-07-06-00540.pdf

APPENDIX A: NATIONAL DATA TABLES

Table 1

Medicaid Expenditures for Long-Term Services and Supports: 2005-2010

(in thousands of dollars)

Service Type FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

FY 2007

Expenditures

Percent

Change

FY 2008

Expenditures

Percent

Change

FY 2009

Expenditures

Percent

Change

Preliminary FY

2010

Expenditures

Percent

Change ACRG

Nursing homes $47,481,182 $47,698,451 0.5 $47,090,843 -1.3 $50,012,439 6.2 $51,264,074 2.5 $49,804,050 -2.8 1.0%

ICF/MR $12,483,292 $13,034,110 4.4 $12,436,838 -4.6 $12,899,606 3.7 $13,250,186 2.7 $12,871,180 -2.9 0.6%

Mental health facilities $4,345,995 $3,489,214 -19.7 $3,672,396 5.2 $3,433,066 -6.5 $3,345,864 -2.5 $3,407,244 1.8 -4.8%

Mental health facilities DSH $3,369,710 $3,254,289 -3.4 $3,207,337 -1.4 $3,343,497 4.2 $3,327,473 -0.5 $2,614,095 -21.4 -5.0%

Total institutional $67,680,180 $67,476,065 -0.3 $66,407,414 -1.6 $69,688,609 4.9 $71,187,597 2.2 $68,696,569 -3.5 0.3%

Personal care $9,453,781 $10,064,216 6.5 $11,275,655 12.0 $13,274,845 17.7 $13,766,303 3.7 $12,466,819 -9.4 5.7%

Home health $3,555,813 $3,743,865 5.3 $3,961,078 5.8 $4,567,622 15.3 $4,869,703 6.6 $4,756,486 -2.3 6.0%

1915(c) waivers $22,971,848 $25,722,343 12.0 $28,226,472 9.7 $31,134,339 10.3 $35,081,723 12.7 $35,914,998 2.4 9.3%

HCBS - 1115 & 1915(a) $0 $33,740 100.0 $42,608 26.3 $1,120,338 2529.4 $1,436,228 28.2 $0 -100.0 n/a

PACE $480,539 $453,083 -5.7 $492,663 8.7 $604,033 22.6 $687,458 13.8 $775,517 12.8 10.0%

Rehabilitative services $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,507,310 100.0 n/a

Private duty nursing $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $632,334 100.0 n/a

HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $8,020 100.0 n/a

HCBS - 1915(j) $60,735 $68,615 13.0 $60,321 -12.1 $27,866 -53.8 $54,824 96.7 $55,839 1.9 -1.7%

Personal care - 1915(j) $3,464 $4,193 21.0 $4,148 -1.1 $1,223 -70.5 $0 -100.0 $20,239 100.0 42.3%

Total non-institutional $36,526,180 $40,090,056 9.8 $44,062,946 9.9 $50,730,266 15.1 $55,896,239 10.2 $57,137,561 2.2 9.4%

Total LTSS $104,206,360 $107,566,121 3.2 $110,470,361 2.7 $120,418,875 9.0 $127,083,836 5.5 $125,834,131 -1.0 3.8%

Total Medicaid $304,625,344 $302,501,647 -0.7 $317,759,818 5.0 $336,841,294 6.0 $368,330,430 9.3 $380,322,306 3.3 4.5%

Data for 2005 - 2007, and 2010 do not include managed care data for nursing homes, ICF/MR, personal care, home health, 1915(c) waivers, and HCBS - 1115 & 1915(a).

Data for several states include expenditures for Medicaid Upper Payment Limit programs or provider taxes.

Data for mental health facility services and rehabilitative services do not include services provided through managed care organizations.

Data for rehabilitative services, private duty nursing, and services authorized under 1915(i) were not available before 2010.

ACRG - annual compound rate of growth

ICF/MR - intermediate care facilities for people with mental retardation

DSH - disproportionate share hospital payments

HCBS - home and community-based services

Sources:

Abbreviations:

PACE - Program of All-inclusive Care for the Elderly

Kasten J, Eiken S, Burwell B. Medicaid Managed Long -Term Services and Supports Expenditures. Thomson Reuters: April 6, 2011 (for 2008 and 2009 only).

CMS 64 data, Division of Financial Operations

Nursing Homes Table A

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 New York $6,936,890,672 $6,950,722,159 0.2 $6,771,786,735 -2.6 $7,305,185,510 7.9 $7,675,245,741 5.1 $6,851,543,923 -10.7 $393.15

2 2 2 Connecticut $1,050,418,002 $1,225,260,842 16.6 $1,232,775,829 0.6 $1,241,791,359 0.7 $1,239,838,546 -0.2 $1,254,179,906 1.2 $352.75

3 3 4 Washington DC $176,347,294 $173,483,918 -1.6 $173,010,834 -0.3 $181,248,320 4.8 $197,295,629 8.9 $204,874,253 3.8 $328.84

6 4 3 Pennsylvania $4,372,891,645 $3,938,590,712 -9.9 $3,798,184,903 -3.6 $3,935,891,213 3.6 $3,605,567,586 -8.4 $3,504,082,575 -2.8 $286.11

4 5 5 Rhode Island $294,427,160 $298,125,294 1.3 $299,966,521 0.6 $297,862,677 -0.7 $293,189,722 -1.6 $304,786,879 4.0 $277.26

5 6 6 North Dakota $158,222,671 $166,175,502 5.0 $166,949,324 0.5 $167,127,823 0.1 $172,397,055 3.2 $188,846,175 9.5 $266.91

8 7 7 Massachusetts $1,684,532,818 $1,666,269,792 -1.1 $1,544,377,644 -7.3 $1,600,698,705 3.6 $1,746,032,406 9.1 $1,684,310,619 -3.5 $264.86

7 8 8 West Virginia $392,226,362 $401,576,067 2.4 $420,956,268 4.8 $442,303,243 5.1 $459,245,338 3.8 $480,001,815 4.5 $252.15

9 9 9 Mississippi $612,337,281 $648,135,929 5.8 $693,389,120 7.0 $712,853,430 2.8 $727,351,102 2.0 $747,895,706 2.8 $246.56

11 10 10 New Hampshire $348,149,110 $291,346,508 -16.3 $295,239,964 1.3 $303,216,132 2.7 $314,619,705 3.8 $309,381,926 -1.7 $237.96

12 11 12 New Jersey $1,928,693,361 $1,825,194,987 -5.4 $1,814,945,690 -0.6 $1,911,287,184 5.3 $1,984,403,215 3.8 $1,880,574,388 -5.2 $228.26

10 12 11 Ohio $2,736,270,383 $2,662,845,338 -2.7 $2,661,023,924 -0.1 $2,556,868,265 -3.9 $2,564,652,608 0.3 $2,714,648,113 5.8 $222.40

14 13 13 Delaware $154,856,126 $159,962,748 3.3 $162,657,368 1.7 $176,289,496 8.4 $185,844,847 5.4 $185,834,973 0.0 $210.20

27 14 32 Wisconsin $954,567,674 $964,489,815 1.0 $918,983,035 -4.7 $800,019,128 -12.9 $1,171,162,843 46.4 $917,550,554 -21.7 $207.26

19 15 20 Alabama $838,003,192 $837,819,954 0.0 $869,818,740 3.8 $835,392,040 -4.0 $938,114,909 12.3 $875,233,701 -6.7 $199.28

13 16 14 Arkansas $491,751,667 $521,803,087 6.1 $541,166,283 3.7 $562,506,925 3.9 $572,748,901 1.8 $615,035,471 7.4 $198.37

16 17 17 Kentucky $722,057,446 $734,574,114 1.7 $756,414,218 3.0 $806,508,903 6.6 $827,805,580 2.6 $836,559,443 1.1 $191.97

15 18 15 Maine $200,084,164 $235,263,629 17.6 $237,469,775 0.9 $253,332,395 6.7 $252,448,699 -0.3 $257,667,417 2.1 $191.85

17 19 19 Vermont $103,761,799 $101,406,779 -2.3 $110,756,913 9.2 $115,353,766 4.2 $116,585,573 1.1 $115,111,802 -1.3 $187.61

18 20 21 Maryland $891,097,477 $937,507,308 5.2 $961,848,919 2.6 $1,008,231,632 4.8 $1,061,516,806 5.3 $1,060,584,112 -0.1 $186.61

20 21 16 Indiana $1,285,442,850 $981,242,897 -23.7 $1,009,581,061 2.9 $1,209,358,128 19.8 $1,195,097,348 -1.2 $1,184,292,395 -0.9 $186.23

22 22 18 Nebraska $352,507,058 $346,617,581 -1.7 $340,800,701 -1.7 $332,017,360 -2.6 $317,785,644 -4.3 $317,931,285 0.0 $177.05

21 23 23 South Dakota $127,472,842 $133,199,613 4.5 $135,932,699 2.1 $138,111,126 1.6 $142,270,612 3.0 $144,038,021 1.2 $175.47

25 24 41 Alaska $119,071,602 $123,440,557 3.7 $126,076,479 2.1 $74,009,055 -41.3 $118,855,368 60.6 $117,642,905 -1.0 $171.09

23 25 26 Louisiana $652,850,543 $638,071,074 -2.3 $692,248,341 8.5 $720,733,915 4.1 $745,621,917 3.5 $776,006,947 4.1 $166.08

29 26 25 Minnesota $859,096,238 $850,674,566 -1.0 $834,645,795 -1.9 $859,873,961 3.0 $871,036,606 1.3 $811,877,201 -6.8 $165.51

28 27 27 Montana $138,397,465 $146,689,192 6.0 $148,616,212 1.3 $152,760,292 2.8 $158,222,614 3.6 $156,002,217 -1.4 $162.42

24 28 29 Michigan $1,609,435,863 $1,447,440,219 -10.1 $1,482,976,417 2.5 $1,487,455,111 0.3 $1,546,864,101 4.0 $1,673,410,228 8.2 $155.38

26 29 28 Iowa $428,853,379 $443,873,566 3.5 $449,355,746 1.2 $469,324,035 4.4 $466,661,221 -0.6 $494,186,868 5.9 $155.12

42 30 24 Tennessee $906,528,315 $1,055,146,629 16.4 $1,063,716,319 0.8 $1,040,896,033 -2.1 $975,022,948 -6.3 $623,733,112 -36.0 $154.98

30 31 31 Missouri $803,678,068 $761,167,717 -5.3 $759,452,299 -0.2 $848,741,019 11.8 $869,379,130 2.4 $908,286,740 4.5 $145.33

32 32 30 Oklahoma $450,918,625 $454,948,372 0.9 $505,734,511 11.2 $528,366,521 4.5 $529,503,379 0.2 $508,382,881 -4.0 $143.67

35 33 37 North Carolina $1,144,670,259 $1,113,024,096 -2.8 $1,118,638,999 0.5 $1,114,886,086 -0.3 $1,291,788,396 15.9 $1,222,817,909 -5.3 $138.05

34 34 35 Wyoming $63,148,012 $63,639,886 0.8 $67,851,432 6.6 $69,720,452 2.8 $72,830,830 4.5 $74,284,033 2.0 $133.78

36 35 36 Kansas $336,089,245 $323,478,935 -3.8 $359,317,082 11.1 $360,896,905 0.4 $373,226,385 3.4 $357,760,815 -4.1 $132.47

31 36 34 Florida $2,228,586,334 $2,395,913,850 7.5 $2,341,742,673 -2.3 $2,414,746,244 3.1 $2,423,463,477 0.4 $2,785,587,243 14.9 $130.93

38 37 39 Illinois $1,397,496,709 $1,471,086,004 5.3 $1,414,774,852 -3.8 $1,461,329,052 3.3 $1,616,409,836 10.6 $1,535,935,619 -5.0 $125.37

40 38 38 California $3,099,880,820 $3,857,308,185 24.4 $3,806,536,587 -1.3 $4,310,776,730 13.2 $4,429,935,524 2.8 $4,122,337,896 -6.9 $120.09

37 39 40 South Carolina $506,621,835 $463,073,029 -8.6 $489,665,170 5.7 $503,057,848 2.7 $513,252,844 2.0 $570,714,864 11.2 $112.70

39 40 43 Colorado $451,175,002 $471,276,680 4.5 $495,541,958 5.1 $499,645,068 0.8 $548,943,656 9.9 $573,428,725 4.5 $109.46

46 41 42 Idaho $129,943,097 $136,523,200 5.1 $145,765,488 6.8 $156,283,685 7.2 $157,450,986 0.7 $125,051,696 -20.6 $101.95

33 42 33 Georgia $1,390,399,452 $1,195,813,693 -14.0 $671,181,875 -43.9 $1,311,924,811 95.5 $993,479,746 -24.3 $1,308,979,167 31.8 $101.24

41 43 44 Virginia $683,670,465 $707,898,398 3.5 $723,020,982 2.1 $744,750,936 3.0 $768,980,141 3.3 $802,896,304 4.4 $97.80

45 44 45 Washington $583,299,081 $555,539,675 -4.8 $592,401,664 6.6 $575,916,301 -2.8 $581,051,909 0.9 $578,606,382 -0.4 $87.09

44 45 48 Texas $1,715,175,351 $1,833,379,594 6.9 $1,881,397,029 2.6 $1,947,506,929 3.5 $2,151,980,785 10.5 $2,307,456,190 7.2 $86.88

51 46 22 Hawaii $196,096,956 $191,682,705 -2.3 $205,174,619 7.0 $221,880,537 8.1 $104,681,988 -52.8 $2,182,813 -97.9 $81.26

43 47 47 Oregon $255,636,038 $280,370,060 9.7 $291,260,022 3.9 $319,644,539 9.7 $304,402,841 -4.8 $362,428,684 19.1 $79.62

49 48 49 Arizona $24,090,705 $25,631,258 6.4 $12,995,050 -49.3 $424,022,382 3163.0 $447,166,315 5.5 $34,372,285 -92.3 $67.88

50 49 46 New Mexico $198,830,886 $195,240,791 -1.8 $174,595,231 -10.6 $173,981,785 -0.4 $130,763,026 -24.8 $5,246,736 -96.0 $65.14

47 50 50 Nevada $152,099,321 $149,825,323 -1.5 $155,014,807 3.5 $163,576,394 5.5 $162,315,188 -0.8 $171,012,200 5.4 $61.5248 51 51 Utah $142,433,539 $144,679,024 1.6 $163,109,155 12.7 $162,277,227 -0.5 $149,561,957 -7.8 $158,455,942 5.9 $53.78

United States $47,481,182,259 $47,698,450,851 0.5 $47,090,843,262 -1.3 $50,012,438,613 6.2 $51,264,073,529 2.5 $49,804,050,054 -2.8 $166.04

Alaska's reported 2008 NF expenditures decreased significantly from 2007. The $42 million decrease is similar to the increase in reported ICF/MR spending, so it is possible NF expenditures were reported under ICF/MR.

Hawaii's 2009 and 2010 data do not include expenditures for a managed care program that provides long-term services and supports.

Data for 2005 - 2007 and for 2010 do not include managed care data from Arizona, California, Florida, Massachusetts, Minnesota, New Mexico, New York, Texas, Vermont, and Wisconsin.


ICF/MR Table B

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 New York $2,828,388,965 $3,388,581,629 19.8 $3,057,176,529 -9.8 $3,155,327,190 3.2 $3,192,913,965 1.2 $3,373,068,946 5.6 $163.55

7 2 8 Connecticut $219,690,073 $288,306,732 31.2 $240,164,975 -16.7 $236,997,479 -1.3 $524,279,815 121.2 $292,218,580 -44.3 $149.16

3 3 2 Washington DC $79,196,025 $79,031,189 -0.2 $85,050,758 7.6 $82,579,121 -2.9 $73,766,501 -10.7 $69,360,377 -6.0 $122.95

2 4 4 North Dakota $64,514,596 $62,435,821 -3.2 $61,682,343 -1.2 $68,042,855 10.3 $77,817,002 14.4 $90,198,338 15.9 $120.48

4 5 3 Louisiana $425,679,479 $426,058,194 0.1 $442,050,609 3.8 $480,841,734 8.8 $468,057,200 -2.7 $472,346,871 0.9 $104.26

5 6 6 Iowa $249,507,427 $265,175,611 6.3 $276,651,528 4.3 $289,805,616 4.8 $305,883,715 5.5 $286,660,825 -6.3 $101.68

6 7 5 Mississippi $209,110,070 $253,584,578 21.3 $255,287,075 0.7 $285,877,979 12.0 $277,194,524 -3.0 $269,536,058 -2.8 $93.97

8 8 7 New Jersey $527,683,406 $643,693,070 22.0 $628,420,857 -2.4 $633,120,543 0.7 $664,713,723 5.0 $619,411,055 -6.8 $76.46

9 9 10 Ohio $1,056,446,387 $779,263,839 -26.2 $697,689,305 -10.5 $691,993,529 -0.8 $738,206,926 6.7 $763,029,799 3.4 $64.01

12 10 12 North Carolina $453,456,221 $454,126,315 0.1 $466,771,298 2.8 $499,305,812 7.0 $517,293,422 3.6 $491,450,313 -5.0 $55.28

11 11 13 Arkansas $140,908,587 $134,352,273 -4.7 $146,959,897 9.4 $147,860,036 0.6 $144,399,452 -2.3 $158,996,003 10.1 $50.01

29 12 45 Wisconsin $194,049,379 $171,019,578 -11.9 $131,157,781 -23.3 $38,708,515 -70.5 $280,691,095 625.1 $145,075,365 -48.3 $49.67

16 13 14 Maine $55,344,499 $70,527,465 27.4 $71,691,796 1.7 $64,101,276 -10.6 $65,185,158 1.7 $60,512,303 -7.2 $49.54

15 14 16 Pennsylvania $590,964,344 $570,626,110 -3.4 $584,411,017 2.4 $584,295,890 0.0 $620,380,762 6.2 $598,966,448 -3.5 $49.23

14 15 15 Indiana $315,325,423 $341,398,406 8.3 $318,569,313 -6.7 $301,047,377 -5.5 $312,589,037 3.8 $313,996,626 0.5 $48.71

13 16 11 Illinois $714,660,262 $724,043,694 1.3 $696,182,835 -3.8 $743,274,716 6.8 $611,548,830 -17.7 $636,142,294 4.0 $47.43

19 17 19 Tennessee $285,121,731 $267,447,879 -6.2 $243,129,310 -9.1 $241,018,741 -0.9 $267,505,167 11.0 $225,405,648 -15.7 $42.52

18 18 18 Texas $871,155,434 $888,932,716 2.0 $906,152,352 1.9 $959,803,212 5.9 $1,018,428,254 6.1 $974,081,321 -4.4 $41.11

34 19 20 Nebraska $59,443,762 $60,368,305 1.6 $66,940,338 10.9 $68,217,464 1.9 $66,975,809 -1.8 $34,312,746 -48.8 $37.32

21 20 21 Virginia $245,354,875 $249,477,839 1.7 $231,039,099 -7.4 $279,463,502 21.0 $288,251,873 3.1 $270,359,227 -6.2 $36.66

27 21 25 South Carolina $161,433,481 $161,278,523 -0.1 $157,179,948 -2.5 $154,255,458 -1.9 $166,524,666 8.0 $140,569,551 -15.6 $36.56

17 22 17 Idaho $57,413,151 $59,546,090 3.7 $59,701,562 0.3 $62,009,912 3.9 $55,032,345 -11.3 $66,258,392 20.4 $35.63

22 23 28 West Virginia $55,415,967 $56,047,320 1.1 $57,353,867 2.3 $60,128,913 4.8 $63,958,052 6.4 $62,594,827 -2.1 $35.12

24 24 23 Oklahoma $121,538,311 $125,060,741 2.9 $127,302,372 1.8 $126,917,256 -0.3 $126,206,862 -0.6 $123,591,517 -2.1 $34.24

26 25 26 Minnesota $171,455,673 $171,341,145 -0.1 $175,376,449 2.4 $178,358,058 1.7 $173,914,155 -2.5 $169,111,403 -2.8 $33.05

25 26 24 Wyoming $18,335,225 $18,287,371 -0.3 $20,006,774 9.4 $18,312,242 -8.5 $17,520,919 -4.3 $18,503,355 5.6 $32.18

20 27 27 Delaware $25,821,497 $22,750,881 -11.9 $26,647,205 17.1 $29,834,083 12.0 $27,903,771 -6.5 $30,733,521 10.1 $31.56

28 28 29 South Dakota $21,296,554 $20,785,289 -2.4 $20,148,861 -3.1 $22,366,550 11.0 $23,336,646 4.3 $24,523,880 5.1 $28.78

30 29 35 Missouri $256,680,290 $241,855,891 -5.8 $105,836,412 -56.2 $129,143,106 22.0 $152,896,378 18.4 $133,887,537 -12.4 $25.56

33 30 30 Utah $57,513,532 $60,702,442 5.5 $58,133,589 -4.2 $72,082,048 24.0 $67,815,625 -5.9 $57,404,313 -15.4 $24.39

31 31 34 Kansas $66,957,183 $64,980,900 -3.0 $64,630,016 -0.5 $63,194,274 -2.2 $66,100,912 4.6 $61,911,471 -6.3 $23.46

32 32 33 Washington $124,981,179 $125,497,391 0.4 $114,863,753 -8.5 $150,372,473 30.9 $155,556,383 3.4 $141,460,725 -9.1 $23.32

23 33 31 Kentucky $107,749,062 $128,758,532 19.5 $150,345,369 16.8 $110,812,933 -26.3 $100,520,929 -9.3 $145,522,749 44.8 $23.31

36 34 32 California $787,068,706 $816,635,114 3.8 $814,012,725 -0.3 $880,121,112 8.1 $819,930,482 -6.8 $560,645,760 -31.6 $22.23

35 35 36 Florida $301,190,366 $314,472,719 4.4 $319,288,105 1.5 $338,268,160 5.9 $328,449,347 -2.9 $333,717,786 1.6 $17.74

10 36 22 Massachusetts $213,106,263 $165,680,162 -22.3 $206,611,974 24.7 $234,756,894 13.6 $90,645,847 -61.4 $417,064,471 360.1 $13.75

37 37 37 Montana $12,350,308 $12,744,628 3.2 $10,631,730 -16.6 $13,375,445 25.8 $12,147,430 -9.2 $12,659,441 4.2 $12.47

38 38 38 New Mexico $20,568,181 $21,712,361 5.6 $21,263,002 -2.1 $23,171,893 9.0 $24,014,829 3.6 $24,694,512 2.8 $11.96

39 39 41 Rhode Island $7,067,988 $7,813,151 10.5 $7,810,448 0.0 $8,737,800 11.9 $11,424,253 30.7 $11,462,072 0.3 $10.80

41 40 42 Alabama $27,248,061 $25,886,484 -5.0 $31,522,229 21.8 $36,179,938 14.8 $37,940,939 4.9 $34,859,100 -8.1 $8.06

48 41 39 Maryland $63,962,424 $65,576,833 2.5 $68,465,522 4.4 $65,317,130 -4.6 $44,205,359 -32.3 $1,515 -100.0 $7.77

43 42 44 Hawaii $8,597,309 $7,642,373 -11.1 $8,682,856 13.6 $9,027,307 4.0 $9,903,759 9.7 $9,014,193 -9.0 $7.69

40 43 40 Georgia $99,663,677 $114,649,219 15.0 $105,885,144 -7.6 $100,501,269 -5.1 $73,794,732 -26.6 $91,956,520 24.6 $7.52

42 44 43 Nevada $26,472,598 $26,727,879 1.0 $21,390,455 -20.0 $18,993,803 -11.2 $16,426,532 -13.5 $18,473,464 12.5 $6.23

44 45 46 Colorado $58,742,900 $47,752,792 -18.7 $22,646,984 -52.6 $22,289,078 -1.6 $23,440,493 5.2 $28,485,752 21.5 $4.67

49 46 47 Arizona $0 $0 0.0 $0 0.0 $28,242,824 100.0 $28,383,904 0.5 $0 -100.0 $4.31

45 47 50 New Hampshire $2,348,269 $2,483,541 5.8 $2,521,518 1.5 $3,005,371 19.2 $3,252,472 8.2 $3,106,085 -4.5 $2.46

46 48 9 Alaska $0 $0 0.0 $168,779 100.0 $45,669,729 26958.9 $1,454,971 -96.8 $1,644,076 13.0 $2.09

50 49 51 Vermont $944,808 $0 -100.0 $0 0.0 $1,183,582 100.0 $1,226,274 3.6 $0 -100.0 $1.97

47 50 48 Oregon $0 $0 0.0 $22,407,372 100.0 $13,946,950 -37.8 $6,763,791 -51.5 $2,192,905 -67.6 $1.7751 51 49 Michigan $21,368,027 $28,989,260 35.7 $28,824,017 -0.6 $27,348,314 -5.1 $3,410,277 -87.5 $0 -100.0 $0.34

United States $12,483,291,935 $13,034,110,275 4.4 $12,436,838,052 -4.6 $12,899,606,492 3.7 $13,250,185,564 2.7 $12,871,180,036 -2.9 $42.92

Alaska's reported 2008 ICF/MR expenditures are much greater than actual spending. Alaska has no ICF/MR, but may pay for people needing out-of-state ICF/MR. Previously reported expenditures were less than $200,000.

Data for 2005 - 2007 and for 2010 do not include managed care data from Arizona, California, and Vermont.


Mental Health Facilities Table C

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

3 1 1 Wyoming $14,934,037 $18,815,296 26.0 $22,196,596 18.0 $27,509,910 23.9 $30,153,861 9.6 $21,827,271 -27.6 $55.39

1 2 2 Arkansas $124,727,597 $139,039,350 11.5 $136,404,781 -1.9 $135,044,111 -1.0 $142,810,938 5.8 $149,037,942 4.4 $49.46

5 3 3 Maine $29,675,138 $47,256,620 59.2 $53,824,131 13.9 $57,890,172 7.6 $52,510,334 -9.3 $49,349,799 -6.0 $39.90

2 4 4 Ohio $389,902,871 $397,282,798 1.9 $401,717,582 1.1 $494,838,522 23.2 $442,509,352 -10.6 $469,385,787 6.1 $38.37

16 5 6 Maryland $160,866,528 $168,112,383 4.5 $188,626,220 12.2 $184,548,195 -2.2 $192,259,814 4.2 $93,907,455 -51.2 $33.80

14 6 12 Nebraska $44,805,057 $44,737,921 -0.1 $41,497,862 -7.2 $41,641,127 0.3 $58,259,235 39.9 $34,255,435 -41.2 $32.46

4 7 8 West Virginia $36,105,561 $38,920,230 7.8 $40,012,262 2.8 $44,734,937 11.8 $49,543,947 10.8 $70,808,673 42.9 $27.20

12 8 7 Oklahoma $58,726,151 $61,812,920 5.3 $79,140,918 28.0 $94,674,928 19.6 $99,913,974 5.5 $80,726,691 -19.2 $27.11

8 9 9 New York $434,586,784 $497,984,739 14.6 $543,649,150 9.2 $474,364,155 -12.7 $504,271,230 6.3 $523,401,364 3.8 $25.83

9 10 11 Alaska $11,605,276 $21,552,048 85.7 $19,992,053 -7.2 $16,055,032 -19.7 $16,628,109 3.6 $16,778,972 0.9 $23.94

11 11 33 Massachusetts $55,596,900 $156,190,545 180.9 $165,658,019 6.1 $44,623,512 -73.1 $146,865,515 229.1 $145,326,542 -1.0 $22.28

10 12 14 Mississippi $40,997,855 $50,718,553 23.7 $52,872,271 4.2 $57,546,931 8.8 $61,561,997 7.0 $66,796,807 8.5 $20.87

19 13 5 Virginia $294,241,247 $393,266,514 33.7 $494,226,095 25.7 $308,661,220 -37.5 $144,899,879 -53.1 $123,411,157 -14.8 $18.43

17 14 15 North Dakota $2,864,051 $2,986,178 4.3 $8,551,777 186.4 $11,592,763 35.6 $11,850,222 2.2 $10,737,518 -9.4 $18.35

15 15 16 New Jersey $136,717,139 $145,555,592 6.5 $144,494,035 -0.7 $137,753,024 -4.7 $155,570,990 12.9 $144,876,521 -6.9 $17.89

7 16 20 Washington DC $15,307,481 $13,961,233 -8.8 $10,292,984 -26.3 $7,581,720 -26.3 $9,945,625 31.2 $16,868,121 69.6 $16.58

18 17 17 Montana $18,290,650 $20,524,865 12.2 $17,311,418 -15.7 $15,186,920 -12.3 $16,075,461 5.9 $15,429,808 -4.0 $16.50

20 18 13 Nevada $38,176,678 $42,085,275 10.2 $47,887,883 13.8 $60,564,087 26.5 $41,944,771 -30.7 $38,678,898 -7.8 $15.90

24 19 19 Connecticut $10,495,916 $28,267,568 169.3 $49,358,299 74.6 $46,601,880 -5.6 $52,752,285 13.2 $42,115,127 -20.2 $15.01

22 20 21 Alabama $46,441,208 $48,280,806 4.0 $53,738,244 11.3 $59,902,142 11.5 $60,947,000 1.7 $60,482,347 -0.8 $12.95

23 21 18 Iowa $31,979,230 $32,975,712 3.1 $22,386,440 -32.1 $44,374,699 98.2 $38,725,600 -12.7 $36,656,619 -5.3 $12.87

26 22 26 South Carolina $35,271,613 $39,954,665 13.3 $36,913,703 -7.6 $38,790,785 5.1 $56,661,502 46.1 $52,852,242 -6.7 $12.44

21 23 23 Kentucky $49,105,404 $42,358,784 -13.7 $43,476,131 2.6 $46,383,809 6.7 $50,745,362 9.4 $56,073,432 10.5 $11.77

25 24 22 Minnesota $47,345,252 $54,728,374 15.6 $59,303,128 8.4 $66,026,338 11.3 $53,639,400 -18.8 $61,816,181 15.2 $10.19

32 25 24 Idaho $14,457,617 $15,486,657 7.1 $15,500,635 0.1 $16,458,335 6.2 $14,643,485 -11.0 $10,181,053 -30.5 $9.48

27 26 25 Indiana $60,665,667 $67,842,276 11.8 $66,798,311 -1.5 $62,477,896 -6.5 $59,812,107 -4.3 $59,685,339 -0.2 $9.32

31 27 29 North Carolina $43,482,163 $50,153,114 15.3 $69,506,146 38.6 $70,313,885 1.2 $86,748,854 23.4 $65,681,095 -24.3 $9.27

29 28 28 Illinois $57,784,487 $77,950,237 34.9 $95,111,104 22.0 $99,450,619 4.6 $99,542,643 0.1 $112,671,250 13.2 $7.72

30 29 32 Missouri $25,864,547 $27,373,776 5.8 $37,595,498 37.3 $42,516,523 13.1 $44,112,065 3.8 $43,102,511 -2.3 $7.37

28 30 31 California $1,567,457,227 $293,244,153 -81.3 $266,168,480 -9.2 $265,643,931 -0.2 $257,524,612 -3.1 $327,553,512 27.2 $6.98

34 31 34 Pennsylvania $149,373,730 $154,417,178 3.4 $108,345,035 -29.8 $74,026,264 -31.7 $75,023,845 1.3 $73,822,254 -1.6 $5.95

33 32 35 Utah $13,045,038 $12,586,656 -3.5 $13,966,298 11.0 $15,283,225 9.4 $16,337,365 6.9 $16,505,883 1.0 $5.87

13 33 42 Kansas $11,719,669 $8,467,957 -27.7 $7,576,841 -10.5 $6,996,051 -7.7 $15,255,871 118.1 $55,415,394 263.2 $5.41

35 34 30 Rhode Island $9,113,235 $9,759,305 7.1 $9,842,299 0.9 $8,028,149 -18.4 $5,342,942 -33.4 $5,272,633 -1.3 $5.05

38 35 37 Wisconsin $33,802,313 $30,286,573 -10.4 $27,391,504 -9.6 $25,858,044 -5.6 $28,526,492 10.3 $21,655,391 -24.1 $5.05

6 36 36 South Dakota $3,095,557 $3,523,184 13.8 $3,810,338 8.2 $4,020,124 5.5 $3,649,448 -9.2 $29,006,135 694.8 $4.50

37 37 39 Louisiana $12,014,050 $52,025,222 333.0 $15,505,667 -70.2 $17,664,762 13.9 $19,135,028 8.3 $17,438,864 -8.9 $4.26

36 38 27 Washington $28,200,452 $29,666,201 5.2 $31,692,286 6.8 $55,225,230 74.3 $26,804,091 -51.5 $26,741,565 -0.2 $4.02

39 39 43 New Hampshire $3,175,112 $3,321,412 4.6 $3,169,721 -4.6 $3,233,611 2.0 $4,600,087 42.3 $4,117,000 -10.5 $3.48

45 40 44 New Mexico $10,930,114 -$177,829 -101.6 $15,947,974 -9068.2 $4,018,030 -74.8 $5,029,475 25.2 $3,151,067 -37.3 $2.51

44 41 45 Michigan $24,671,557 $24,940,465 1.1 $24,611,535 -1.3 $20,099,818 -18.3 $21,493,058 6.9 $17,301,574 -19.5 $2.16

41 42 41 Georgia $33,048,221 $22,736,606 -31.2 $23,508,149 3.4 $28,008,908 19.1 $19,325,982 -31.0 $25,897,958 34.0 $1.97

46 43 10 Delaware $37,423,216 $34,274,702 -8.4 $37,045,267 8.1 $20,770,539 -43.9 $1,181,067 -94.3 $1,269,030 7.4 $1.34

47 44 46 Texas $26,112,088 $23,324,056 -10.7 $19,168,682 -17.8 $24,910,964 30.0 $26,955,341 8.2 $24,161,566 -10.4 $1.09

40 45 48 Florida $4,402,683 $6,436,122 46.2 $8,176,557 27.0 $9,437,805 15.4 $14,461,334 53.2 $58,548,020 304.9 $0.78

48 46 47 Colorado $4,130,093 $4,055,447 -1.8 $4,170,020 2.8 $3,386,037 -18.8 $3,898,823 15.1 $4,304,537 10.4 $0.78

43 47 38 Oregon $40,721,995 $28,089,911 -31.0 $17,442,252 -37.9 $17,172,629 -1.5 $2,759,806 -83.9 $7,115,561 157.8 $0.72

49 48 49 Arizona $1,426,485 $1,750,998 22.7 $2,191,738 25.2 $1,575,364 -28.1 $1,439,766 -8.6 $1,658,916 15.2 $0.22

42 49 40 Tennessee $926,334 $311,049 -66.4 $14,621,385 4600.7 $19,598,716 34.0 $1,214,388 -93.8 $13,385,190 1002.2 $0.19

50 50 50 Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Vermont $185,997 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $4,345,995,271 $3,489,214,397 -19.7 $3,672,395,704 5.2 $3,433,066,378 -6.5 $3,345,864,378 -2.5 $3,407,244,007 1.8 $10.84

Data do not include services provided through managed care organizations.

Mental Health Facilities - DSH Table D

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

2 1 1 New Jersey $456,981,208 $483,287,549 5.8 $458,085,850 -5.2 $597,177,611 30.4 $506,221,035 -15.2 $357,370,461 -29.4 $58.23

1 2 2 Maine $50,296,700 $51,887,962 3.2 $42,364,148 -18.4 $48,187,729 13.7 $51,447,476 6.8 $102,269,714 98.8 $39.10

3 3 3 Missouri $207,234,618 $204,780,706 -1.2 $205,201,602 0.2 $203,173,165 -1.0 $198,763,354 -2.2 $192,572,458 -3.1 $33.23

20 4 4 New York $605,000,000 $605,000,000 0.0 $605,000,000 0.0 $605,000,000 0.0 $605,000,000 0.0 $145,500,000 -76.0 $30.99

4 5 6 Connecticut $97,269,727 $97,269,727 0.0 $97,269,727 0.0 $97,269,727 0.0 $104,088,334 7.0 $105,573,726 1.4 $29.61

8 6 7 Pennsylvania $324,025,553 $316,903,463 -2.2 $320,748,958 1.2 $322,438,624 0.5 $328,721,055 1.9 $238,544,102 -27.4 $26.08

5 7 5 New Hampshire $72,097,274 $37,153,005 -48.5 $41,321,978 11.2 $39,479,435 -4.5 $34,392,417 -12.9 $35,283,783 2.6 $26.01

6 8 8 Louisiana $112,845,178 $73,284,794 -35.1 $109,724,975 49.7 $94,989,454 -13.4 $110,121,115 15.9 $108,929,824 -1.1 $24.53

7 9 9 Alaska $7,044,770 $8,171,933 16.0 $9,479,442 16.0 $12,064,739 27.3 $13,357,682 10.7 $13,503,431 1.1 $19.23

9 10 11 Washington $115,008,432 $115,008,432 0.0 $114,733,073 -0.2 $110,763,960 -3.5 $120,336,661 8.6 $125,845,257 4.6 $18.04

10 11 12 North Carolina $143,758,082 $144,425,755 0.5 $142,117,890 -1.6 $143,152,609 0.7 $149,908,784 4.7 $154,424,472 3.0 $16.02

11 12 10 Indiana $95,405,732 $152,096,600 59.4 $95,241,914 -37.4 $107,770,765 13.2 $96,145,012 -10.8 $89,044,585 -7.4 $14.98

15 13 13 Michigan $133,089,577 $141,909,300 6.6 $141,909,300 0.0 $141,774,361 -0.1 $141,909,300 0.1 $93,922,089 -33.8 $14.25

12 14 15 Texas $286,040,764 $287,066,068 0.4 $286,016,545 -0.4 $287,540,087 0.5 $292,513,592 1.7 $292,513,592 0.0 $11.81

13 15 14 South Carolina $68,814,096 $52,825,431 -23.2 $52,404,853 -0.8 $53,835,175 2.7 $52,761,795 -2.0 $48,582,838 -7.9 $11.59

14 16 16 West Virginia $23,291,631 $20,377,467 -12.5 $18,911,628 -7.2 $18,684,131 -1.2 $18,873,019 1.0 $18,887,044 0.1 $10.36

16 17 19 Maryland $47,402,123 $47,402,124 0.0 $47,402,124 0.0 $47,402,124 0.0 $50,547,776 6.6 $51,993,138 2.9 $8.89

17 18 18 Kentucky $37,430,614 $37,443,072 0.0 $37,435,105 0.0 $37,343,699 -0.2 $37,443,075 0.3 $37,443,072 0.0 $8.68

22 19 24 Illinois $89,046,247 $89,312,923 0.3 $89,491,895 0.2 $67,162,350 -25.0 $111,393,410 65.9 $89,423,992 -19.7 $8.64

19 20 20 Ohio $93,432,758 $93,432,758 0.0 $93,432,758 0.0 $93,432,758 0.0 $93,432,758 0.0 $93,432,758 0.0 $8.10

18 21 17 Kansas $21,016,040 $21,224,773 1.0 $15,960,849 -24.8 $26,895,054 68.5 $22,749,884 -15.4 $23,292,013 2.4 $8.07

21 22 21 Delaware $3,578,474 -$190,937 -105.3 $9,217,790 -4927.7 $5,628,076 -38.9 $5,853,198 4.0 $6,294,243 7.5 $6.62

23 23 22 Florida $103,563,144 $105,439,143 1.8 $103,809,891 -1.5 $107,335,371 3.4 $112,437,431 4.8 $122,087,706 8.6 $6.07

25 24 25 Arizona $28,474,900 $28,474,900 0.0 $28,474,900 0.0 $28,474,900 0.0 $28,474,900 0.0 $28,474,900 0.0 $4.32

24 25 23 Oregon $14,190,169 $16,983,011 19.7 $19,861,588 16.9 $19,975,090 0.6 $14,981,318 -25.0 $19,952,008 33.2 $3.92

26 26 26 Washington DC $2,446,012 $2,159,198 -11.7 $3,454,110 60.0 $2,362,583 -31.6 $2,093,737 -11.4 $2,047,553 -2.2 $3.49

27 27 28 North Dakota $988,478 $988,478 0.0 $988,478 0.0 $988,480 0.0 $987,735 -0.1 $988,478 0.1 $1.53

36 28 27 Rhode Island $2,390,330 $2,397,833 0.3 $2,397,833 0.0 $2,397,833 0.0 $1,578,394 -34.2 $0 -100.0 $1.49

37 29 29 Nebraska $1,707,322 $298,738 -82.5 $1,811,335 506.3 $1,863,160 2.9 $1,762,357 -5.4 $0 -100.0 $0.98

29 30 30 South Dakota $751,299 $751,299 0.0 $558,884 -25.6 $751,299 34.4 $751,299 0.0 $648,496 -13.7 $0.93

30 31 32 Virginia $4,675,525 $4,907,855 5.0 $5,235,334 6.7 $6,648,533 27.0 $7,129,293 7.2 $6,284,784 -11.8 $0.91

28 32 31 Oklahoma $3,138,655 $3,273,248 4.3 $3,273,247 0.0 $3,273,247 0.0 $3,273,248 0.0 $3,273,248 0.0 $0.89

31 33 34 Alabama $3,301,620 $3,301,620 0.0 $825,405 -75.0 $2,751,350 233.3 $3,301,620 20.0 $3,301,620 0.0 $0.70

38 34 33 Wisconsin $6,019,295 $2,312,242 -61.6 $1,649,413 -28.7 $4,237,724 156.9 $3,945,475 -6.9 $0 -100.0 $0.70

34 35 36 New Mexico $0 $254,786 100.0 $254,787 0.0 $254,786 0.0 $254,786 0.0 $254,786 0.0 $0.13

39 36 38 Tennessee $0 $0 0.0 -$352,688 100.0 $0 -100.0 $349,231 100.0 $0 -100.0 $0.06

32 37 35 Utah $934,553 $934,583 0.0 $934,587 0.0 $934,586 0.0 $89,866 -90.4 $934,587 940.0 $0.03

35 38 37 Minnesota $696,816 $920,260 32.1 $687,791 -25.3 $82,746 -88.0 $82,060 -0.8 $381,169 364.5 $0.02

33 39 39 Arkansas $819,350 $819,350 0.0 $0 -100.0 $0 0.0 $0 0.0 $819,350 100.0 $0.00

40 40 40 California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 41 41 Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 42 42 Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 43 43 Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 44 44 Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 45 45 Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 46 46 Massachusetts $105,503,250 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 47 Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

50 50 50 Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $3,369,710,316 $3,254,289,449 -3.4 $3,207,337,299 -1.4 $3,343,497,321 4.2 $3,327,473,482 -0.5 $2,614,095,277 -21.4 $10.78

Total Institutional Long-Term Services and Supports Table E

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 New York $10,804,866,421 $11,442,288,527 5.9 $10,977,612,414 -4.1 $11,539,876,855 5.1 $11,977,430,936 3.8 $10,893,514,233 -9.0 $613.52

3 2 3 Connecticut $1,377,873,718 $1,639,104,869 19.0 $1,619,568,830 -1.2 $1,622,660,445 0.2 $1,920,958,980 18.4 $1,694,087,339 -11.8 $546.53

2 3 2 Washington DC $273,296,812 $268,635,538 -1.7 $271,808,686 1.2 $273,771,744 0.7 $283,101,492 3.4 $293,150,304 3.5 $471.86

4 4 5 North Dakota $226,589,796 $232,585,979 2.6 $238,171,922 2.4 $247,751,921 4.0 $263,052,014 6.2 $290,770,509 10.5 $407.26

10 5 6 New Jersey $3,050,075,114 $3,097,731,198 1.6 $3,045,946,432 -1.7 $3,279,338,362 7.7 $3,310,908,963 1.0 $3,002,232,425 -9.3 $380.84

8 6 4 Pennsylvania $5,437,255,272 $4,980,537,463 -8.4 $4,811,689,913 -3.4 $4,916,651,991 2.2 $4,629,693,248 -5.8 $4,415,415,379 -4.6 $367.37

5 7 7 Mississippi $862,445,206 $952,439,060 10.4 $1,001,548,466 5.2 $1,056,278,340 5.5 $1,066,107,623 0.9 $1,084,228,571 1.7 $361.40

7 8 8 Ohio $4,276,052,399 $3,932,824,733 -8.0 $3,853,863,569 -2.0 $3,837,133,074 -0.4 $3,838,801,644 0.0 $4,040,496,457 5.3 $332.89

11 9 10 West Virginia $507,039,521 $516,921,084 1.9 $537,234,025 3.9 $565,851,224 5.3 $591,620,356 4.6 $632,292,359 6.9 $324.84

6 10 9 Maine $335,400,501 $404,935,676 20.7 $405,349,850 0.1 $423,511,572 4.5 $421,591,667 -0.5 $469,799,233 11.4 $320.39

9 11 14 Massachusetts $2,058,739,231 $1,988,140,499 -3.4 $1,916,647,637 -3.6 $1,880,079,111 -1.9 $1,983,543,768 5.5 $2,246,701,632 13.3 $300.89

14 12 12 Louisiana $1,203,389,250 $1,189,439,284 -1.2 $1,259,529,592 5.9 $1,314,229,865 4.3 $1,342,935,260 2.2 $1,374,722,506 2.4 $299.13

12 13 13 Arkansas $758,207,201 $796,014,060 5.0 $824,530,961 3.6 $845,411,072 2.5 $859,959,291 1.7 $923,888,766 7.4 $297.84

13 14 11 Rhode Island $312,998,713 $318,095,583 1.6 $320,017,101 0.6 $317,026,459 -0.9 $311,535,311 -1.7 $321,521,584 3.2 $294.61

16 15 17 New Hampshire $425,769,765 $334,304,466 -21.5 $342,253,181 2.4 $348,934,549 2.0 $356,864,681 2.3 $351,888,794 -1.4 $269.91

15 16 15 Iowa $710,340,036 $742,024,889 4.5 $748,393,714 0.9 $803,504,350 7.4 $811,270,536 1.0 $817,504,312 0.8 $269.67

30 17 40 Wisconsin $1,188,438,661 $1,168,108,208 -1.7 $1,079,181,733 -7.6 $868,823,411 -19.5 $1,484,325,905 70.8 $1,084,281,310 -27.0 $262.68

17 18 18 Indiana $1,756,839,672 $1,542,580,179 -12.2 $1,490,190,599 -3.4 $1,680,654,166 12.8 $1,663,643,504 -1.0 $1,647,018,945 -1.0 $259.24

18 19 16 Delaware $221,679,313 $216,797,394 -2.2 $235,567,630 8.7 $232,522,194 -1.3 $220,782,883 -5.0 $224,131,767 1.5 $249.72

22 20 19 Nebraska $458,463,199 $452,022,545 -1.4 $451,050,236 -0.2 $443,739,111 -1.6 $444,783,045 0.2 $386,499,466 -13.1 $247.81

24 21 21 Maryland $1,163,328,552 $1,218,598,648 4.8 $1,266,342,785 3.9 $1,305,499,081 3.1 $1,348,529,755 3.3 $1,206,486,220 -10.5 $237.07

19 22 20 Kentucky $916,342,526 $943,134,502 2.9 $987,670,823 4.7 $1,001,049,344 1.4 $1,016,514,946 1.5 $1,075,598,696 5.8 $235.73

26 23 22 Wyoming $96,417,274 $100,742,553 4.5 $110,054,802 9.2 $115,542,604 5.0 $120,505,610 4.3 $114,614,659 -4.9 $221.36

25 24 29 Alabama $914,994,081 $915,288,864 0.0 $955,904,618 4.4 $934,225,470 -2.3 $1,040,304,468 11.4 $973,876,768 -6.4 $220.99

27 25 30 North Carolina $1,785,366,725 $1,761,729,280 -1.3 $1,797,034,333 2.0 $1,827,658,392 1.7 $2,045,739,456 11.9 $1,934,373,789 -5.4 $218.63

23 26 23 Alaska $137,721,648 $153,164,538 11.2 $155,716,753 1.7 $147,798,555 -5.1 $150,296,130 1.7 $149,569,384 -0.5 $216.35

21 27 28 Missouri $1,293,457,523 $1,235,178,090 -4.5 $1,108,085,811 -10.3 $1,223,573,813 10.4 $1,265,150,927 3.4 $1,277,849,246 1.0 $211.48

20 28 27 South Dakota $152,616,252 $158,259,385 3.7 $160,450,782 1.4 $165,249,099 3.0 $170,008,005 2.9 $198,216,532 16.6 $209.68

28 29 24 Minnesota $1,078,593,979 $1,077,664,345 -0.1 $1,070,013,163 -0.7 $1,104,341,103 3.2 $1,098,672,221 -0.5 $1,043,185,954 -5.1 $208.76

29 30 26 Oklahoma $634,321,742 $645,095,281 1.7 $715,451,048 10.9 $753,231,952 5.3 $758,897,463 0.8 $715,974,337 -5.7 $205.91

41 31 25 Tennessee $1,192,576,380 $1,322,905,557 10.9 $1,321,114,326 -0.1 $1,301,513,490 -1.5 $1,244,091,734 -4.4 $862,523,950 -30.7 $197.75

31 32 32 Montana $169,038,423 $179,958,685 6.5 $176,559,360 -1.9 $181,322,657 2.7 $186,445,505 2.8 $184,091,466 -1.3 $191.39

33 33 31 Vermont $104,892,604 $101,406,779 -3.3 $110,756,913 9.2 $116,537,348 5.2 $117,811,847 1.1 $115,111,802 -2.3 $189.58

32 34 33 Illinois $2,258,987,705 $2,362,392,858 4.6 $2,295,560,686 -2.8 $2,371,216,737 3.3 $2,438,894,719 2.9 $2,374,173,155 -2.7 $189.16

35 35 37 South Carolina $772,141,025 $717,131,648 -7.1 $736,163,674 2.7 $749,939,266 1.9 $789,200,807 5.2 $812,719,495 3.0 $173.29

34 36 36 Michigan $1,788,565,024 $1,643,279,244 -8.1 $1,678,321,269 2.1 $1,676,677,604 -0.1 $1,713,676,736 2.2 $1,784,633,891 4.1 $172.14

37 37 38 Kansas $435,782,137 $418,152,565 -4.0 $447,484,788 7.0 $457,982,284 2.3 $477,333,052 4.2 $498,379,693 4.4 $169.42

36 38 39 Florida $2,637,742,527 $2,822,261,834 7.0 $2,773,017,226 -1.7 $2,869,787,580 3.5 $2,878,811,589 0.3 $3,299,940,755 14.6 $155.53

38 39 35 Virginia $1,227,942,112 $1,355,550,606 10.4 $1,453,521,510 7.2 $1,339,524,191 -7.8 $1,209,261,186 -9.7 $1,202,951,472 -0.5 $153.80

42 40 42 California $5,454,406,753 $4,967,187,452 -8.9 $4,886,717,792 -1.6 $5,456,541,773 11.7 $5,507,390,618 0.9 $5,010,537,168 -9.0 $149.30

44 41 41 Idaho $201,813,865 $211,555,947 4.8 $220,967,685 4.4 $234,751,932 6.2 $227,126,816 -3.2 $201,491,141 -11.3 $147.06

40 42 45 Texas $2,898,483,637 $3,032,702,434 4.6 $3,092,734,608 2.0 $3,219,761,192 4.1 $3,489,877,972 8.4 $3,598,212,669 3.1 $140.89

43 43 44 Washington $851,489,144 $825,711,699 -3.0 $853,690,776 3.4 $892,277,964 4.5 $883,749,044 -1.0 $872,653,929 -1.3 $132.46

45 44 46 Colorado $514,047,995 $523,084,919 1.8 $522,358,962 -0.1 $525,320,183 0.6 $576,282,972 9.7 $606,219,014 5.2 $114.91

39 45 43 Georgia $1,523,111,350 $1,333,199,518 -12.5 $800,575,168 -40.0 $1,440,434,988 79.9 $1,086,600,460 -24.6 $1,426,833,645 31.3 $110.72

51 46 34 Hawaii $204,694,265 $199,325,078 -2.6 $213,857,475 7.3 $230,907,844 8.0 $114,585,747 -50.4 $11,197,006 -90.2 $88.94

46 47 48 Oregon $310,548,202 $325,442,982 4.8 $350,971,234 7.8 $370,739,208 5.6 $328,907,756 -11.3 $391,689,158 19.1 $86.03

48 48 50 Utah $213,926,662 $218,902,705 2.3 $236,143,629 7.9 $250,577,086 6.1 $233,804,813 -6.7 $233,300,725 -0.2 $84.08

47 49 49 Nevada $216,748,597 $218,638,477 0.9 $224,293,145 2.6 $243,134,284 8.4 $220,686,491 -9.2 $228,164,562 3.4 $83.64

49 50 47 New Mexico $230,329,181 $217,030,109 -5.8 $212,060,994 -2.3 $201,426,494 -5.0 $160,062,116 -20.5 $33,347,101 -79.2 $79.7450 51 51 Arizona $53,992,090 $55,857,156 3.5 $43,661,688 -21.8 $482,315,470 1004.7 $505,464,885 4.8 $64,506,101 -87.2 $76.73

United States $67,680,179,781 $67,476,064,972 -0.3 $66,407,414,317 -1.6 $69,688,608,804 4.9 $71,187,596,953 2.2 $68,696,569,374 -3.5 $230.57


Nursing facility and ICF/MR data for 2005 - 2007 and for 2010 do not include managed care data from from Arizona, California, Florida, Massachusetts, Minnesota, New Mexico, New York, Texas, Vermont, and Wisconsin.

Data do not include mental health facility services provided through managed care organizations.

Data for several states include expenditures for Medicaid Upper Payment Limit programs or provider taxes. .

Personal Care Table F

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

2 1 1 New York $2,415,103,881 $2,428,916,383 0.6 $2,866,119,684 18.0 $3,470,699,246 21.1 $3,332,424,751 -4.0 $2,763,785,474 -17.1 $170.70

1 2 2 Washington DC $777,725 $32,340,442 4058.3 $55,643,593 72.1 $76,184,733 36.9 $88,719,590 16.5 $111,432,467 25.6 $147.87

4 3 3 California $3,296,206,219 $3,627,186,118 10.0 $4,089,088,986 12.7 $4,708,760,680 15.2 $4,982,718,886 5.8 $4,549,667,667 -8.7 $135.08

3 4 5 Alaska $82,207,937 $83,221,719 1.2 $75,291,547 -9.5 $71,996,780 -4.4 $82,371,964 14.4 $97,156,130 17.9 $118.57

6 5 6 Minnesota $250,262,983 $281,614,143 12.5 $314,147,867 11.6 $451,070,117 43.6 $504,877,445 11.9 $402,846,107 -20.2 $95.93

5 6 7 Massachusetts $413,497,826 $440,058,114 6.4 $470,131,653 6.8 $539,154,911 14.7 $632,334,394 17.3 $723,804,343 14.5 $95.92

7 7 8 Washington $242,064,627 $276,087,647 14.1 $320,525,081 16.1 $374,710,703 16.9 $417,563,708 11.4 $405,457,986 -2.9 $62.59

9 8 9 North Carolina $450,484,528 $448,928,365 -0.3 $449,359,538 0.1 $474,524,179 5.6 $525,724,204 10.8 $505,570,712 -3.8 $56.18

10 9 10 Louisiana $47,860,444 $80,787,703 68.8 $139,415,976 72.6 $209,337,021 50.2 $246,412,380 17.7 $227,942,058 -7.5 $54.89

8 10 11 Missouri $220,262,502 $226,763,537 3.0 $240,893,195 6.2 $267,171,467 10.9 $317,869,885 19.0 $354,963,341 11.7 $53.14

12 11 12 Texas $779,380,703 $808,218,214 3.7 $791,190,075 -2.1 $1,085,339,563 37.2 $1,255,806,388 15.7 $1,043,579,240 -16.9 $50.70

13 12 14 New Jersey $322,589,560 $309,468,029 -4.1 $318,487,596 2.9 $325,370,615 2.2 $343,723,114 5.6 $359,863,071 4.7 $39.54

14 13 13 Maine $34,682,234 $51,505,710 48.5 $45,068,122 -12.5 $51,160,620 13.5 $51,377,365 0.4 $48,847,549 -4.9 $39.04

11 14 16 Montana $24,182,827 $26,186,255 8.3 $26,303,548 0.4 $29,686,920 12.9 $35,885,239 20.9 $42,079,107 17.3 $36.84

15 15 15 Wisconsin $160,755,832 $191,172,851 18.9 $202,905,019 6.1 $197,904,074 -2.5 $198,677,929 0.4 $172,079,138 -13.4 $35.16

25 16 17 Vermont $13,873,254 $0 -100.0 $0 0.0 $17,855,477 100.0 $19,476,649 9.1 $3,429,340 -82.4 $31.34

34 17 4 New Mexico $160,183,165 $178,704,336 11.6 $206,377,019 15.5 $226,009,489 9.5 $61,488,620 -72.8 $524,523 -99.1 $30.63

17 18 20 Arkansas $67,237,684 $64,680,024 -3.8 $68,287,052 5.6 $69,696,998 2.1 $79,089,738 13.5 $80,583,631 1.9 $27.39

16 19 19 Michigan $217,274,387 $196,082,473 -9.8 $230,836,138 17.7 $252,905,363 9.6 $268,469,551 6.2 $274,247,667 2.2 $26.97

19 20 18 Nevada $43,465,895 $56,321,939 29.6 $67,194,151 19.3 $74,618,306 11.0 $68,257,353 -8.5 $66,493,467 -2.6 $25.87

18 21 23 North Dakota $2,048,196 $6,951,994 239.4 $7,152,796 2.9 $12,507,022 74.9 $13,883,815 11.0 $17,574,072 26.6 $21.50

20 22 21 West Virginia $25,910,371 $34,084,674 31.5 $37,722,272 10.7 $37,522,294 -0.5 $38,234,748 1.9 $42,140,453 10.2 $20.99

21 23 24 Idaho $26,403,609 $24,123,065 -8.6 $25,087,459 4.0 $26,463,683 5.5 $22,650,057 -14.4 $17,231,614 -23.9 $14.67

22 24 25 Nebraska $11,624,664 $12,172,737 4.7 $13,826,288 13.6 $14,800,741 7.0 $15,539,899 5.0 $15,023,709 -3.3 $8.66

30 25 22 Oregon $34,136,172 $54,693,946 60.2 $72,691,155 32.9 $75,264,792 3.5 $28,074,338 -62.7 $7,954,178 -71.7 $7.34

23 26 27 Maryland $32,339,367 $30,803,103 -4.8 $32,046,324 4.0 $33,257,781 3.8 $35,065,822 5.4 $36,745,503 4.8 $6.16

24 27 28 New Hampshire $5,100,936 $4,943,161 -3.1 $5,167,542 4.5 $5,097,465 -1.4 $6,211,595 21.9 $7,586,122 22.1 $4.70

26 28 29 Oklahoma $15,584,422 $12,577,124 -19.3 $10,608,204 -15.7 $10,622,830 0.1 $11,747,333 10.6 $12,952,904 10.3 $3.19

27 29 30 Florida $22,454,719 $26,114,760 16.3 $30,826,408 18.0 $46,752,027 51.7 $57,267,132 22.5 $49,244,652 -14.0 $3.09

28 30 32 South Carolina $4,746,784 $5,666,157 19.4 $6,877,421 21.4 $7,751,994 12.7 $9,817,657 26.6 $11,850,482 20.7 $2.16

29 31 31 South Dakota $1,421,726 $1,405,738 -1.1 $1,375,064 -2.2 $1,509,701 9.8 $1,706,709 13.0 $1,743,977 2.2 $2.10

32 32 33 Arizona $10,572,710 $15,789,614 49.3 $22,418,000 42.0 $8,393,568 -62.6 $7,793,963 -7.1 $6,884,625 -11.7 $1.18

31 33 26 Kansas $17,233,103 $17,583,997 2.0 $17,723,022 0.8 $18,437,919 4.0 $2,767,469 -85.0 $3,322,753 20.1 $0.98

33 34 34 Utah $1,053,296 $1,324,122 25.7 $1,394,164 5.3 $1,303,214 -6.5 $1,576,452 21.0 $2,042,767 29.6 $0.57

35 35 35 Georgia $497,459 $4,296,503 763.7 $13,473,158 213.6 $1,002,569 -92.6 $693,289 -30.8 $167,994 -75.8 $0.07

36 36 36 Virginia $0 $0 0.0 $0 0.0 $0 0.0 $3,351 100.0 $0 -100.0 $0.00

37 37 37 Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

38 38 38 Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

39 39 39 Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

40 40 40 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 41 41 Hawaii $298,844 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 42 42 Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 43 43 Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 44 44 Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 45 45 Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 46 46 Mississippi $512 $3,441,340 672036.7 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 47 Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

50 50 50 Tennessee $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $9,453,781,103 $10,064,216,037 6.5 $11,275,655,117 12.0 $13,274,844,862 17.7 $13,766,302,782 3.7 $12,466,818,823 -9.4 $44.59

New Mexico 2009 data do not include managed care program expenditures. New Mexico provided an estimate of non-institutional services, but did not distinguish between state plan and 1915(c) waiver services. All spending is reported under 1915(c) waivers.

Data for 2005 - 2007, and 2010 do not include managed care data from Florida, Minnesota, New Mexico, New York, Texas, Vermont, and Wisconsin.

Home Health Table G

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 New York $1,310,003,674 $1,430,383,669 9.2 $1,640,182,874 14.7 $1,707,727,945 4.1 $1,847,750,010 8.2 $2,116,102,212 14.5 $94.65

2 2 2 Connecticut $184,041,471 $193,537,346 5.2 $199,542,318 3.1 $212,923,872 6.7 $246,632,051 15.8 $237,964,563 -3.5 $70.17

51 3 3 Tennessee $3,020 $0 -100.0 $0 0.0 $313,548,000 100.0 $242,356,000 -22.7 $0 -100.0 $38.52

3 4 4 Colorado $92,314,379 $112,199,383 21.5 $132,503,035 18.1 $153,424,978 15.8 $175,575,193 14.4 $187,572,181 6.8 $35.01

4 5 5 Iowa $61,694,718 $80,216,130 30.0 $83,088,917 3.6 $91,782,306 10.5 $93,808,719 2.2 $88,641,650 -5.5 $31.18

6 6 6 Kentucky $105,234,746 $113,934,170 8.3 $110,992,093 -2.6 $110,151,471 -0.8 $116,142,795 5.4 $92,135,515 -20.7 $26.93

5 7 11 Indiana $73,946,918 $82,255,399 11.2 $89,055,068 8.3 $102,549,840 15.2 $137,609,993 34.2 $165,517,866 20.3 $21.44

12 8 7 Minnesota $74,741,007 $76,421,322 2.2 $78,677,600 3.0 $105,809,314 34.5 $107,199,621 1.3 $79,989,470 -25.4 $20.37

7 9 9 West Virginia $31,064,694 $26,539,881 -14.6 $27,890,825 5.1 $31,197,648 11.9 $35,133,313 12.6 $38,713,984 10.2 $19.29

9 10 8 Arkansas $43,483,996 $48,856,979 12.4 $47,758,879 -2.2 $51,647,831 8.1 $53,174,248 3.0 $59,524,629 11.9 $18.42

23 11 10 North Carolina $124,823,454 $123,215,543 -1.3 $125,916,628 2.2 $149,258,074 18.5 $161,180,919 8.0 $80,151,333 -50.3 $17.23

10 12 12 Ohio $153,140,637 $177,617,514 16.0 $150,260,369 -15.4 $158,956,746 5.8 $188,487,051 18.6 $215,437,401 14.3 $16.34

8 13 14 Massachusetts $65,211,532 $66,342,934 1.7 $73,107,337 10.2 $86,359,760 18.1 $101,419,033 17.4 $134,597,421 32.7 $15.38

20 14 16 Wisconsin $53,777,877 $54,449,294 1.2 $53,054,275 -2.6 $70,030,851 32.0 $82,337,753 17.6 $57,835,317 -29.8 $14.57

11 15 15 Wyoming $6,386,895 $6,144,008 -3.8 $6,261,200 1.9 $6,981,915 11.5 $7,714,547 10.5 $9,145,439 18.5 $14.17

16 16 13 Nebraska $22,176,741 $21,643,801 -2.4 $21,540,897 -0.5 $23,905,667 11.0 $23,417,394 -2.0 $23,656,792 1.0 $13.05

14 17 17 Alabama $44,381,413 $46,379,566 4.5 $49,323,548 6.3 $53,510,809 8.5 $60,988,323 14.0 $63,430,027 4.0 $12.96

15 18 18 Montana $9,230,879 $9,948,594 7.8 $10,107,864 1.6 $10,456,423 3.4 $11,702,384 11.9 $13,111,412 12.0 $12.01

24 19 27 Washington DC $31,797,692 $8,866,784 -72.1 $5,042,070 -43.1 $5,053,269 0.2 $6,689,652 32.4 $4,255,681 -36.4 $11.15

17 20 21 Texas $219,144,888 $237,617,531 8.4 $226,723,874 -4.6 $236,179,151 4.2 $272,321,643 15.3 $313,438,516 15.1 $10.99

13 21 25 South Dakota $5,976,085 $6,618,025 10.7 $6,942,234 4.9 $7,141,040 2.9 $8,781,916 23.0 $11,061,019 26.0 $10.83

31 22 19 Vermont $7,624,194 $1,979,757 -74.0 $1,306,111 -34.0 $6,541,188 400.8 $6,689,523 2.3 $2,368,010 -64.6 $10.76

18 23 23 Pennsylvania $80,228,508 $88,423,635 10.2 $109,058,542 23.3 $116,663,239 7.0 $129,610,321 11.1 $141,318,645 9.0 $10.28

21 24 22 Delaware $6,888,028 $7,371,969 7.0 $8,165,627 10.8 $8,496,993 4.1 $8,440,386 -0.7 $8,681,629 2.9 $9.55

19 25 26 Georgia $93,397,100 $91,886,851 -1.6 $76,368,814 -16.9 $84,809,494 11.1 $91,792,794 8.2 $105,536,390 15.0 $9.35

25 26 24 Florida $146,388,042 $156,559,590 6.9 $157,694,759 0.7 $168,793,167 7.0 $169,293,131 0.3 $129,062,973 -23.8 $9.15

22 27 28 Louisiana $28,467,504 $24,715,368 -13.2 $26,437,774 7.0 $34,496,399 30.5 $35,810,420 3.8 $38,889,810 8.6 $7.98

45 28 20 Maryland $102,575,136 $65,171,429 -36.5 $57,454,628 -11.8 $59,164,082 3.0 $38,889,346 -34.3 $2,499,302 -93.6 $6.84

28 29 31 Idaho $6,613,501 $7,441,189 12.5 $7,185,357 -3.4 $8,047,889 12.0 $9,200,858 14.3 $7,951,533 -13.6 $5.96

26 30 30 New Hampshire $7,799,350 $6,900,612 -11.5 $7,193,394 4.2 $7,056,931 -1.9 $7,870,949 11.5 $8,703,384 10.6 $5.95

27 31 33 Oklahoma $11,252,632 $13,922,582 23.7 $18,085,818 29.9 $16,439,822 -9.1 $18,990,636 15.5 $20,925,322 10.2 $5.15

29 32 32 California $160,087,976 $165,934,861 3.7 $159,918,219 -3.6 $171,654,816 7.3 $178,844,356 4.2 $179,788,046 0.5 $4.85

30 33 34 Kansas $15,813,323 $15,831,384 0.1 $13,105,466 -17.2 $12,183,009 -7.0 $12,826,186 5.3 $11,222,852 -12.5 $4.55

34 34 35 Washington $28,986,949 $29,160,564 0.6 $27,292,406 -6.4 $28,181,224 3.3 $29,442,640 4.5 $21,052,462 -28.5 $4.41

33 35 29 Utah $9,285,545 $9,418,363 1.4 $10,586,797 12.4 $15,287,619 44.4 $10,516,480 -31.2 $8,988,327 -14.5 $3.78

36 36 37 Maine $4,704,591 $4,937,309 4.9 $4,581,880 -7.2 $4,392,501 -4.1 $4,382,188 -0.2 $3,895,223 -11.1 $3.33

49 37 36 Illinois $36,544,050 $37,097,170 1.5 $48,142,383 29.8 $44,689,517 -7.2 $42,803,497 -4.2 $1,631,597 -96.2 $3.32

35 38 38 New Jersey $32,119,746 $31,077,860 -3.2 $26,823,484 -13.7 $26,725,483 -0.4 $27,465,115 2.8 $26,558,562 -3.3 $3.16

39 39 39 South Carolina $13,556,988 $11,775,735 -13.1 $9,819,545 -16.6 $11,991,471 22.1 $12,011,359 0.2 $8,828,261 -26.5 $2.64

44 40 43 Michigan $23,293,776 $21,331,264 -8.4 $24,308,831 14.0 $23,499,313 -3.3 $26,212,031 11.5 $6,292,345 -76.0 $2.63

32 41 42 North Dakota $1,704,014 $1,491,360 -12.5 $1,493,253 0.1 $1,545,175 3.5 $1,441,453 -6.7 $2,372,278 64.6 $2.23

37 42 40 Rhode Island $3,655,134 $3,873,982 6.0 $5,187,521 33.9 $2,764,244 -46.7 $2,348,422 -15.0 $2,085,652 -11.2 $2.22

40 43 41 Mississippi $4,722,948 $9,444,093 100.0 $6,851,914 -27.4 $7,420,273 8.3 $5,308,788 -28.5 $4,897,217 -7.8 $1.80

38 44 44 Nevada $2,838,639 $2,170,432 -23.5 $3,055,527 40.8 $3,734,722 22.2 $3,370,378 -9.8 $5,160,489 53.1 $1.28

43 45 45 Alaska $936,487 $748,488 -20.1 $612,945 -18.1 $606,889 -1.0 $637,047 5.0 $525,131 -17.6 $0.92

41 46 46 Missouri $5,728,415 $4,660,220 -18.6 $4,917,145 5.5 $4,797,289 -2.4 $5,478,116 14.2 $5,680,257 3.7 $0.92

42 47 47 Virginia $4,932,595 $4,579,478 -7.2 $4,893,931 6.9 $6,257,014 27.9 $6,790,450 8.5 $6,961,666 2.5 $0.86

50 48 48 Hawaii $1,077,794 $748,391 -30.6 $821,798 9.8 $654,464 -20.4 $414,725 -36.6 $57,783 -86.1 $0.32

46 49 50 Oregon $729,006 $547,367 -24.9 $461,841 -15.6 $775,276 67.9 $973,283 25.5 $920,116 -5.5 $0.25

48 50 51 Arizona $737,952 $864,854 17.2 $758,511 -12.3 $810,563 6.9 $1,114,500 37.5 $988,366 -11.3 $0.1747 51 49 New Mexico $546,076 $610,991 11.9 $522,353 -14.5 $545,241 4.4 $310,990 -43.0 $359,694 15.7 $0.15

United States $3,555,812,715 $3,743,865,021 5.3 $3,961,078,479 5.8 $4,567,622,217 15.3 $4,869,702,926 6.6 $4,756,485,750 -2.3 $15.77

Home health data in Illinois, Maryland, Michigan, North Carolina, and South Carolina decreased significantly in 2010, offset by private duty nursing expenditures. It is possible these states reported private duty nursing spending under home health before 2010.

Data for 2005 - 2007, and 2010 do not include managed care data from Florida, Minnesota, New York, Tennessee, Vermont, and Wisconsin.

1915(c) Waivers Table H

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

4 1 10 Connecticut $552,961,525 $560,837,552 1.4 $611,326,426 9.0 $646,183,517 5.7 $1,269,536,483 96.5 $980,489,147 -22.8 $361.19

16 2 11 New Mexico $290,269,232 $258,172,225 -11.1 $316,142,533 22.5 $359,315,114 13.7 $698,862,226 94.5 $317,158,582 -54.6 $348.16

2 3 1 Minnesota $1,173,137,879 $1,323,014,899 12.8 $1,470,473,047 11.1 $1,639,652,312 11.5 $1,718,988,941 4.8 $1,699,782,548 -1.1 $326.63

1 4 4 Washington DC $16,613,084 $35,059,246 111.0 $64,249,574 83.3 $129,705,544 101.9 $191,252,830 47.5 $216,654,208 13.3 $318.77

7 5 2 Maine $197,915,111 $262,473,659 32.6 $269,097,899 2.5 $333,463,533 23.9 $396,923,729 19.0 $328,960,967 -17.1 $301.64

3 6 5 New York $3,525,880,562 $4,083,602,662 15.8 $4,305,799,673 5.4 $4,189,950,475 -2.7 $4,921,217,776 17.5 $5,747,980,174 16.8 $252.08

5 7 7 Alaska $118,669,491 $125,508,402 5.8 $135,010,107 7.6 $139,940,680 3.7 $169,552,551 21.2 $186,752,518 10.1 $244.07

38 8 8 Wisconsin $391,683,874 $666,149,439 70.1 $692,498,519 4.0 $1,060,301,338 53.1 $1,346,237,186 27.0 $462,872,340 -65.6 $238.24

6 9 9 Oregon $576,497,057 $640,944,870 11.2 $683,351,077 6.6 $705,329,249 3.2 $890,534,207 26.3 $981,833,065 10.3 $232.94

8 10 6 Wyoming $89,483,224 $95,532,163 6.8 $104,138,892 9.0 $113,395,882 8.9 $116,774,981 3.0 $114,263,727 -2.2 $214.51

9 11 12 Kansas $373,533,168 $413,591,468 10.7 $441,369,772 6.7 $472,236,227 7.0 $557,917,329 18.1 $556,128,103 -0.3 $198.02

11 12 13 New Hampshire $167,345,491 $182,072,669 8.8 $196,467,119 7.9 $216,942,753 10.4 $235,914,142 8.7 $242,549,475 2.8 $178.43

12 13 14 West Virginia $253,573,411 $244,269,777 -3.7 $268,511,312 9.9 $288,140,460 7.3 $321,187,686 11.5 $336,966,436 4.9 $176.35

10 14 15 Pennsylvania $1,487,783,943 $1,691,240,163 13.7 $1,788,549,409 5.8 $1,862,055,110 4.1 $2,005,761,126 7.7 $2,434,265,091 21.4 $159.16

14 15 16 Washington $692,889,533 $746,094,515 7.7 $797,841,143 6.9 $893,409,789 12.0 $992,411,172 11.1 $1,043,417,645 5.1 $148.75

18 16 17 Iowa $278,869,960 $327,596,614 17.5 $355,406,390 8.5 $400,777,212 12.8 $430,866,041 7.5 $450,352,466 4.5 $143.22

15 17 23 Ohio $964,495,262 $1,195,801,949 24.0 $1,336,224,065 11.7 $1,412,938,384 5.7 $1,642,218,921 16.2 $1,784,779,362 8.7 $142.41

13 18 18 North Dakota $62,722,843 $63,606,502 1.4 $68,857,601 8.3 $85,328,631 23.9 $91,175,725 6.9 $110,858,586 21.6 $141.16

19 19 27 Massachusetts $672,936,910 $721,504,905 7.2 $599,053,430 -17.0 $689,820,045 15.2 $908,073,923 31.6 $906,650,625 -0.2 $137.75

22 20 19 Oklahoma $333,767,569 $382,762,263 14.7 $438,765,034 14.6 $480,337,704 9.5 $507,627,003 5.7 $481,436,949 -5.2 $137.73

20 21 22 Nebraska $177,305,036 $187,879,135 6.0 $202,752,327 7.9 $218,368,909 7.7 $234,245,439 7.3 $251,967,322 7.6 $130.51

21 22 21 South Dakota $81,596,289 $85,727,882 5.1 $91,821,804 7.1 $98,710,587 7.5 $105,207,291 6.6 $110,200,637 4.7 $129.76

24 23 24 Delaware $70,734,741 $86,289,243 22.0 $95,538,667 10.7 $106,542,503 11.5 $111,574,094 4.7 $108,379,730 -2.9 $126.20

17 24 25 Maryland $412,607,611 $583,767,676 41.5 $619,260,109 6.1 $627,705,535 1.4 $710,537,417 13.2 $859,840,469 21.0 $124.91

23 25 26 Montana $82,372,092 $87,755,569 6.5 $92,585,819 5.5 $103,716,031 12.0 $118,211,127 14.0 $122,047,130 3.2 $121.35

26 26 29 Colorado $355,373,332 $378,549,978 6.5 $432,247,847 14.2 $485,175,442 12.2 $555,652,318 14.5 $579,971,440 4.4 $110.79

25 27 30 Virginia $495,069,144 $528,593,523 6.8 $631,262,045 19.4 $752,171,647 19.2 $865,226,819 15.0 $964,130,963 11.4 $110.05

40 28 20 Hawaii $119,627,100 $119,773,419 0.1 $147,835,383 23.4 $167,487,102 13.3 $138,333,127 -17.4 $102,063,548 -26.2 $107.38

29 29 31 Louisiana $284,831,169 $289,349,451 1.6 $345,654,525 19.5 $422,670,488 22.3 $480,797,276 13.8 $476,569,707 -0.9 $107.09

28 30 32 Idaho $103,027,201 $116,584,409 13.2 $128,924,769 10.6 $144,712,585 12.2 $163,113,369 12.7 $166,989,727 2.4 $105.61

27 31 28 Tennessee $388,935,846 $404,689,699 4.1 $604,541,900 49.4 $627,298,371 3.8 $662,787,121 5.7 $678,741,437 2.4 $105.35

30 32 33 South Carolina $281,789,956 $293,291,404 4.1 $311,759,971 6.3 $420,170,565 34.8 $457,565,191 8.9 $483,004,962 5.6 $100.47

32 33 37 Indiana $422,728,583 $421,627,080 -0.3 $461,162,609 9.4 $525,645,862 14.0 $600,949,913 14.3 $643,222,651 7.0 $93.65

31 34 36 Missouri $384,273,317 $412,365,029 7.3 $462,319,000 12.1 $507,753,192 9.8 $541,354,976 6.6 $607,326,875 12.2 $90.49

36 35 35 North Carolina $575,129,800 $637,602,808 10.9 $725,237,981 13.7 $797,463,635 10.0 $843,509,724 5.8 $832,219,412 -1.3 $90.15

33 36 38 New Jersey $538,119,630 $839,355,962 56.0 $665,865,616 -20.7 $689,579,039 3.6 $774,070,199 12.3 $820,148,467 6.0 $89.04

34 37 41 Arkansas $149,127,493 $160,297,080 7.5 $175,676,773 9.6 $198,436,606 13.0 $232,348,113 17.1 $264,462,096 13.8 $80.47

39 38 39 Alabama $261,285,641 $284,820,801 9.0 $311,165,450 9.2 $366,156,004 17.7 $377,818,253 3.2 $381,781,937 1.0 $80.26

35 39 42 Kentucky $216,909,135 $242,615,095 11.9 $282,473,354 16.4 $288,586,074 2.2 $343,766,303 19.1 $387,799,548 12.8 $79.72

37 40 34 Illinois $801,420,020 $833,019,066 3.9 $910,816,451 9.3 $1,169,319,429 28.4 $1,016,164,141 -13.1 $1,085,203,963 6.8 $78.81

41 41 40 Florida $799,750,588 $929,838,862 16.3 $1,244,322,467 33.8 $1,319,152,391 6.0 $1,230,834,052 -6.7 $1,398,761,615 13.6 $66.50

42 42 43 Georgia $358,996,941 $355,843,726 -0.9 $477,957,253 34.3 $644,354,230 34.8 $645,812,656 0.2 $708,575,886 9.7 $65.81

49 43 3 Rhode Island $223,750,604 $239,191,724 6.9 $252,349,842 5.5 $263,209,155 4.3 $64,879,912 -75.4 $0 -100.0 $61.36

43 44 44 Utah $120,375,174 $130,525,981 8.4 $127,197,380 -2.6 $175,079,918 37.6 $165,594,306 -5.4 $181,778,259 9.8 $59.55

44 45 46 Mississippi $114,864,149 $32,591,791 -71.6 $131,169,200 302.5 $153,704,863 17.2 $173,608,687 12.9 $193,410,908 11.4 $58.85

45 46 45 Texas $888,064,926 $992,628,012 11.8 $1,080,559,179 8.9 $1,276,006,903 18.1 $1,416,959,629 11.0 $1,540,209,034 8.7 $57.20

47 47 47 California $1,377,165,219 $1,463,588,564 6.3 $1,693,601,776 15.7 $1,877,960,570 10.9 $2,016,136,930 7.4 $1,928,104,444 -4.4 $54.66

46 48 48 Michigan $471,625,269 $490,565,996 4.0 $501,429,229 2.2 $511,748,187 2.1 $536,175,775 4.8 $570,582,512 6.4 $53.86

48 49 49 Nevada $59,506,664 $73,778,153 24.0 $75,849,951 2.8 $76,229,420 0.5 $85,454,596 12.1 $83,351,229 -2.5 $32.39

50 50 50 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Vermont $134,456,011 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $22,971,847,810 $25,722,343,060 12.0 $28,226,471,699 9.7 $31,134,339,202 10.3 $35,081,722,732 12.7 $35,914,997,922 2.4 $113.63

New Mexico 2009 data include expenditures for state plan non-institutional services within a managed care program. New Mexico provided an estimate of total non-institutional services, but did not distinguish between state plan and 1915(c) waiver services.

Data for 2005 - 2007, and 2010 do not include managed care data from Florida, Minnesota, New Mexico, Texas, and Wisconsin.

HCBS Authorized Under Sections 1115 and 1915(a) Table I

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Vermont $0 $33,740,283 100.0 $42,608,088 26.3 $183,465,666 330.6 $188,773,945 2.9 $0 -100.0 $303.77

2 2 3 Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $198,692,343 100.0 $0 -100.0 $187.90

3 3 2 Arizona $0 $0 0.0 $0 0.0 $936,872,177 100.0 $1,013,604,110 8.2 $0 -100.0 $153.86

4 4 4 Massachusetts $0 $0 0.0 $0 0.0 $0 0.0 $35,157,317 100.0 $0 -100.0 $5.33

5 5 5 Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

6 6 6 Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

7 7 7 Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

8 8 8 California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

9 9 9 Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

10 10 10 Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

11 11 11 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

12 12 12 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

13 13 13 Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

14 14 14 Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

15 15 15 Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

16 16 16 Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

17 17 17 Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

18 18 18 Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

19 19 19 Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

20 20 20 Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

21 21 21 Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

22 22 22 Louisiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

23 23 23 Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

24 24 24 Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

25 25 25 Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

26 26 26 Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

27 27 27 Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

28 28 28 Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

29 29 29 Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

30 30 30 North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

31 31 31 North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

32 32 32 Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

33 33 33 New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

34 34 34 New Jersey $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

35 35 35 New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

36 36 36 Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

37 37 37 New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

38 38 38 Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

39 39 39 Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

40 40 40 Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 41 41 Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 42 42 South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 43 43 South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 44 44 Tennessee $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 45 45 Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 46 46 Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 47 Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Washington $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Wisconsin $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

50 50 50 West Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $0 $33,740,283 100.0 $42,608,088 26.3 $1,120,337,843 2529.4 $1,436,227,715 28.2 $0 -100.0 $4.65


Data for 2005 - 2007, and 2010 do not include managed care data from Arizona, Massachusetts, Rhode Island, and Vermont.

PACE Table J

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Massachusetts $53,758,094 $62,303,622 15.9 $66,072,852 6.0 $77,046,569 16.6 $88,756,030 15.2 $96,326,067 8.5 $13.46

2 2 2 Colorado $36,987,821 $41,312,935 11.7 $44,194,785 7.0 $51,497,877 16.5 $63,225,483 22.8 $71,889,624 13.7 $12.61

4 3 3 New York $190,649,162 $133,477,488 -30.0 $141,970,021 6.4 $147,105,876 3.6 $156,715,200 6.5 $168,128,863 7.3 $8.03

3 4 4 Pennsylvania $10,277,208 $13,490,475 31.3 $18,003,829 33.5 $71,088,585 294.9 $89,729,485 26.2 $113,035,456 26.0 $7.12

5 5 6 Oregon $14,930,376 $10,984,209 -26.4 $14,804,573 34.8 $16,741,110 13.1 $26,160,809 56.3 $29,537,857 12.9 $6.84

7 6 5 New Mexico $5,369,239 $7,735,806 44.1 $9,089,750 17.5 $9,926,018 9.2 $10,757,147 8.4 $11,242,646 4.5 $5.36

6 7 9 Vermont $0 $0 0.0 $167,824 100.0 $1,371,360 717.1 $2,993,012 118.3 $3,668,653 22.6 $4.82

9 8 7 California $73,785,791 $89,018,064 20.6 $99,995,869 12.3 $118,204,155 18.2 $115,747,647 -2.1 $102,455,511 -11.5 $3.14

10 9 8 South Carolina $9,045,396 $9,651,324 6.7 $9,902,778 2.6 $10,038,764 1.4 $12,180,910 21.3 $11,710,846 -3.9 $2.67

14 10 10 Ohio $17,797,633 $23,652,502 32.9 $24,276,765 2.6 $24,809,017 2.2 $21,755,395 -12.3 $24,258,944 11.5 $1.89

13 11 11 Kansas $4,245,493 $4,229,255 -0.4 $4,495,097 6.3 $4,712,780 4.8 $5,197,996 10.3 $6,128,090 17.9 $1.84

12 12 14 Tennessee $11,856,676 $10,748,244 -9.3 $11,338,956 5.5 $7,184,348 -36.6 $11,090,078 54.4 $13,724,639 23.8 $1.76

11 13 16 Virginia $0 $0 0.0 $0 0.0 $7,203,662 100.0 $11,082,658 53.8 $17,781,351 60.4 $1.41

16 14 12 Washington $7,006,281 $7,583,794 8.2 $6,977,314 -8.0 $8,793,189 26.0 $9,354,837 6.4 $10,375,506 10.9 $1.40

17 15 15 Michigan $6,068,710 $6,112,605 0.7 $7,520,463 23.0 $9,457,458 25.8 $12,703,160 34.3 $14,404,689 13.4 $1.28

18 16 13 Texas $23,490,511 $25,388,758 8.1 $26,010,361 2.4 $29,729,886 14.3 $29,944,220 0.7 $32,972,526 10.1 $1.21

8 17 23 North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $773,489 100.0 $1,880,660 143.1 $1.20

15 18 18 Louisiana $0 $0 0.0 $0 0.0 $1,733,942 100.0 $4,272,242 146.4 $7,529,708 76.2 $0.95

22 19 17 Missouri $4,995,880 $4,424,436 -11.4 $4,262,073 -3.7 $5,053,537 18.6 $5,229,698 3.5 $4,913,700 -6.0 $0.87

21 20 24 Montana $0 $0 0.0 $0 0.0 $0 0.0 $471,104 100.0 $919,190 95.1 $0.48

23 21 20 Iowa $0 $0 0.0 $0 0.0 $11,871 100.0 $1,084,152 9032.8 $2,226,467 105.4 $0.36

26 22 19 Florida $2,414,799 $2,615,299 8.3 $2,599,931 -0.6 $2,308,237 -11.2 $5,419,671 134.8 $7,659,005 41.3 $0.29

24 23 22 Arkansas $0 $0 0.0 $0 0.0 $3,454 100.0 $663,292 19103.6 $1,396,539 110.5 $0.23

28 24 25 Hawaii $0 $0 0.0 $773,195 100.0 $0 -100.0 $273,270 100.0 $492,493 80.2 $0.21

25 25 21 Oklahoma $0 $0 0.0 $0 0.0 $11,654 100.0 $760,265 6423.6 $1,605,835 111.2 $0.21

19 26 26 New Jersey $0 $0 0.0 $0 0.0 $0 0.0 $1,120,940 100.0 $9,656,806 761.5 $0.13

29 27 27 Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

30 28 28 Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

31 29 29 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

32 30 30 Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

33 31 31 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

34 32 32 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

35 33 33 Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

36 34 34 Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

37 35 35 Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

38 36 36 Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

39 37 37 Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

40 38 38 Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 39 39 Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 40 40 Mississippi $7,860,326 $354,189 -95.5 $200,000 -43.5 $0 -100.0 $0 0.0 $0 0.0 $0.00

27 41 41 North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $3,704,860 100.0 $0.00

43 42 42 Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 43 43 New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 44 44 Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 45 45 Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 46 46 South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 47 47 Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 48 48 Wisconsin $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

50 49 49 West Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

51 50 50 Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0020 51 51 Maryland $0 $0 0.0 $6,878 100.0 $0 -100.0 -$3,693 100.0 $5,890,694 -159609.7 $0.00

United States $480,539,396 $453,083,005 -5.7 $492,663,314 8.7 $604,033,349 22.6 $687,458,497 13.8 $775,517,225 12.8 $2.23

Rehabilitation Services (non-school based) Table K

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

34 n/a n/a Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

22 n/a n/a Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $11,272,782 100.0 n/a

2 n/a n/a Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $204,031,446 100.0 n/a

24 n/a n/a Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $4,889,904 100.0 n/a

28 n/a n/a California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $1,867,141 100.0 n/a

35 n/a n/a Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

36 n/a n/a Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

10 n/a n/a Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $12,854,772 100.0 n/a

15 n/a n/a Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $10,131,541 100.0 n/a

37 n/a n/a Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

38 n/a n/a Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

30 n/a n/a Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $55,500 100.0 n/a

11 n/a n/a Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $64,706,672 100.0 n/a

39 n/a n/a Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

12 n/a n/a Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $196,810,936 100.0 n/a

23 n/a n/a Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $11,540,092 100.0 n/a

20 n/a n/a Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $10,488,678 100.0 n/a

32 n/a n/a Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $8,355 100.0 n/a

25 n/a n/a Louisiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $1,416,660 100.0 n/a

40 n/a n/a Massachusetts $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

3 n/a n/a Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $302,985,831 100.0 n/a

17 n/a n/a Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $11,062,308 100.0 n/a

26 n/a n/a Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $1,064,750 100.0 n/a

41 n/a n/a Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

13 n/a n/a Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $90,471,683 100.0 n/a

5 n/a n/a Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $111,445,761 100.0 n/a

8 n/a n/a Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $29,977,012 100.0 n/a

1 n/a n/a North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $968,332,199 100.0 n/a

14 n/a n/a North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $8,763,148 100.0 n/a

42 n/a n/a Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

43 n/a n/a New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

44 n/a n/a New Jersey $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

31 n/a n/a New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $44,129 100.0 n/a

9 n/a n/a Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $61,872,281 100.0 n/a

33 n/a n/a New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $24,752 100.0 n/a

45 n/a n/a Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

46 n/a n/a Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

7 n/a n/a Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $122,943,567 100.0 n/a

29 n/a n/a Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $631,625 100.0 n/a

6 n/a n/a Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $38,330,067 100.0 n/a

18 n/a n/a South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $24,858,198 100.0 n/a

16 n/a n/a South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $7,771,672 100.0 n/a

47 n/a n/a Tennessee $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

19 n/a n/a Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $114,111,398 100.0 n/a

21 n/a n/a Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $9,969,945 100.0 n/a

48 n/a n/a Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

27 n/a n/a Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $33,236 100.0 n/a

49 n/a n/a Washington $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

50 n/a n/a Wisconsin $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

4 n/a n/a West Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $72,541,898 100.0 n/a51 n/a n/a Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

United States $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,507,309,939 100.0 n/a

Data were not available before 2010.


Private Duty Nursing Table L

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

19 n/a n/a Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

16 n/a n/a Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $1,426,494 100.0 n/a

11 n/a n/a Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $6,256,610 100.0 n/a

18 n/a n/a Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $20 100.0 n/a

20 n/a n/a California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

21 n/a n/a Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a


23 n/a n/a Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

6 n/a n/a Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $4,537,161 100.0 n/a

4 n/a n/a Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $161,014,793 100.0 n/a

24 n/a n/a Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

25 n/a n/a Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

26 n/a n/a Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

27 n/a n/a Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

9 n/a n/a Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $48,789,267 100.0 n/a

28 n/a n/a Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

29 n/a n/a Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

30 n/a n/a Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

31 n/a n/a Louisiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a


2 n/a n/a Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $91,909,154 100.0 n/a

7 n/a n/a Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $6,486,427 100.0 n/a

10 n/a n/a Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $27,937,664 100.0 n/a

1 n/a n/a Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $84,965,579 100.0 n/a

33 n/a n/a Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

14 n/a n/a Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,372,961 100.0 n/a

8 n/a n/a Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $3,885,608 100.0 n/a

5 n/a n/a North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $77,177,003 100.0 n/a

34 n/a n/a North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

35 n/a n/a Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



17 n/a n/a New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $509,595 100.0 n/a

38 n/a n/a Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

39 n/a n/a New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

3 n/a n/a Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $105,764,027 100.0 n/a

40 n/a n/a Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

41 n/a n/a Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

42 n/a n/a Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

43 n/a n/a Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

15 n/a n/a South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $3,325,511 100.0 n/a

44 n/a n/a South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a


46 n/a n/a Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

13 n/a n/a Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,452,771 100.0 n/a

47 n/a n/a Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

48 n/a n/a Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



12 n/a n/a West Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $3,523,291 100.0 n/a51 n/a n/a Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

United States $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $632,333,936 100.0 n/a



HCBS Authorized Under Section 1915(i) Table M

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

5 n/a n/a Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

6 n/a n/a Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

7 n/a n/a Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

8 n/a n/a Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a


3 n/a n/a Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,139,822 100.0 n/a



12 n/a n/a Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

13 n/a n/a Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

14 n/a n/a Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

15 n/a n/a Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

2 n/a n/a Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $1,798,765 100.0 n/a

16 n/a n/a Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

17 n/a n/a Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

18 n/a n/a Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

19 n/a n/a Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

20 n/a n/a Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



23 n/a n/a Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

24 n/a n/a Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

25 n/a n/a Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a


27 n/a n/a Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

28 n/a n/a Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

29 n/a n/a Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

30 n/a n/a North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

31 n/a n/a North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

32 n/a n/a Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



35 n/a n/a New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

1 n/a n/a Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $3,473,251 100.0 n/a

36 n/a n/a New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

37 n/a n/a Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

38 n/a n/a Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

4 n/a n/a Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $608,063 100.0 n/a



41 n/a n/a South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



44 n/a n/a Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

45 n/a n/a Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

46 n/a n/a Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

47 n/a n/a Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



50 n/a n/a West Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a51 n/a n/a Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

United States $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $8,019,901 100.0 n/a


HCBS Authorized Under Section 1915(j) Table N

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

2 1 3 Oregon $25,807,007 $27,082,185 4.9 $22,579,900 -16.6 $203,296 -99.1 $14,198,583 6884.2 $7,499,040 -47.2 $3.71

1 2 2 Florida $29,648,135 $34,376,030 15.9 $25,577,026 -25.6 $17,465,654 -31.7 $37,082,367 112.3 $47,629,456 28.4 $2.00

3 3 1 Colorado $5,279,812 $7,157,171 35.6 $12,164,366 70.0 $10,196,711 -16.2 $3,543,222 -65.3 $710,654 -79.9 $0.71

4 4 4 Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

5 5 5 Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

6 6 6 Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

7 7 7 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

8 8 8 California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

9 9 9 Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

10 10 10 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

11 11 11 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

12 12 12 Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

13 13 13 Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

14 14 14 Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

15 15 15 Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

16 16 16 Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

17 17 17 Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

18 18 18 Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

19 19 19 Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

20 20 20 Louisiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

21 21 21 Massachusetts $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

22 22 22 Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

23 23 23 Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

24 24 24 Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

25 25 25 Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

26 26 26 Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

27 27 27 Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

28 28 28 Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

29 29 29 North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

30 30 30 North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

31 31 31 Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

32 32 32 New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

33 33 33 New Jersey $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

34 34 34 New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

35 35 35 Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

36 36 36 New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

37 37 37 Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

38 38 38 Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

39 39 39 Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

40 40 40 Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 41 41 South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 42 42 South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 43 43 Tennessee $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 44 44 Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 45 45 Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 46 46 Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 47 Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Washington $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Wisconsin $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


United States $60,734,954 $68,615,386 13.0 $60,321,292 -12.1 $27,865,661 -53.8 $54,824,172 96.7 $55,839,150 1.9 $0.18

This table presents services authorized under Section 1915(j) that are an alternative to a 1915(c) waiver. Data for 2005 through 2009 include self-directed services programs that started as Section 1115 waivers before Congress passed Section 1915(j).

Personal Care Authorized Under Section 1915(j) Table O

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

7 1 2 Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

4 2 3 Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $124,385 100.0 $0.00

1 3 1 Arkansas $2,957,212 $3,766,897 27.4 $4,148,400 10.1 $1,223,310 -70.5 $0 -100.0 $17,514,041 100.0 $0.00

8 4 4 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

9 5 5 California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

10 6 6 Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

11 7 7 Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

12 8 8 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

13 9 9 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

14 10 10 Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

15 11 11 Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

16 12 12 Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

17 13 13 Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

18 14 14 Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

19 15 15 Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

20 16 16 Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

21 17 17 Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

22 18 18 Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

23 19 19 Louisiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

6 20 20 Massachusetts $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $6,064 100.0 $0.00

5 21 21 Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $19,518 100.0 $0.00

24 22 22 Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

25 23 23 Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

26 24 24 Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

27 25 25 Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

28 26 26 Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

29 27 27 Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

30 28 28 North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

31 29 29 North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

32 30 30 Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

33 31 31 New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

34 32 32 New Jersey $506,793 $426,229 -15.9 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

2 33 33 New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $407,256 100.0 $0.00

35 34 34 Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

36 35 35 New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

37 36 36 Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

38 37 37 Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

39 38 38 Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

40 39 39 Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 40 40 Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 41 41 South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 42 42 South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 43 43 Tennessee $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

3 44 44 Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,167,384 100.0 $0.00

45 45 45 Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 46 46 Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 47 Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Washington $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Wisconsin $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


United States $3,464,005 $4,193,126 21.0 $4,148,400 -1.1 $1,223,310 -70.5 $0 -100.0 $20,238,648 100.0 $0.00

This table presents services authorized under Section 1915(j) that are an alternative to personal care. Data for 2005 through 2009 include self-directed services programs that started as Section 1115 waivers before Congress passed Section 1915(j).

Total Non-Institutional Long-Term Services and Supports Table P

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

2 1 1 New York $7,441,637,279 $8,076,380,202 8.5 $8,954,072,252 10.9 $9,515,483,542 6.3 $10,258,107,737 7.8 $10,796,021,475 5.2 $525.45

1 2 3 Washington DC $49,188,501 $76,266,472 55.0 $124,935,237 63.8 $210,943,546 68.8 $286,662,072 35.9 $345,197,128 20.4 $477.79

3 3 2 Minnesota $1,498,141,869 $1,681,050,364 12.2 $1,863,298,514 10.8 $2,196,531,743 17.9 $2,331,066,007 6.1 $2,267,583,704 -2.7 $442.93

5 4 9 Connecticut $737,002,996 $754,374,898 2.4 $810,868,744 7.5 $859,107,389 5.9 $1,516,168,534 76.5 $1,218,453,710 -19.6 $431.36

27 5 6 New Mexico $456,367,712 $445,223,358 -2.4 $532,131,655 19.5 $595,795,862 12.0 $771,418,983 29.5 $330,246,425 -57.2 $384.30

4 6 5 Alaska $201,813,915 $209,478,609 3.8 $210,914,599 0.7 $212,544,349 0.8 $252,561,562 18.8 $284,433,779 12.6 $363.56

50 7 4 Vermont $155,953,459 $35,720,040 -77.1 $44,082,023 23.4 $209,233,691 374.6 $217,933,129 4.2 $9,499,239 -95.6 $350.69

6 8 7 Maine $237,301,936 $318,916,678 34.4 $318,747,901 -0.1 $389,016,654 22.0 $452,683,282 16.4 $399,252,474 -11.8 $344.01

35 9 10 Wisconsin $606,217,583 $911,771,584 50.4 $948,457,813 4.0 $1,328,236,263 40.0 $1,627,252,868 22.5 $692,786,795 -57.4 $287.97

8 10 12 Massachusetts $1,205,404,362 $1,290,209,575 7.0 $1,208,365,272 -6.3 $1,392,381,285 15.2 $1,765,740,697 26.8 $1,861,384,520 5.4 $267.85

49 11 8 Rhode Island $227,405,738 $243,065,706 6.9 $257,537,363 6.0 $265,973,399 3.3 $265,920,677 0.0 $40,415,719 -84.8 $251.47

7 12 13 Oregon $652,099,618 $734,252,577 12.6 $793,888,546 8.1 $798,313,723 0.6 $959,941,220 20.2 $1,151,295,886 19.9 $251.09

13 13 11 Wyoming $95,870,119 $101,676,171 6.1 $110,400,092 8.6 $120,377,797 9.0 $124,489,528 3.4 $123,409,166 -0.9 $228.68

12 14 14 Washington $970,947,390 $1,058,926,520 9.1 $1,152,635,944 8.8 $1,305,094,905 13.2 $1,448,772,357 11.0 $1,480,303,599 2.2 $217.16

9 15 15 West Virginia $310,548,476 $304,894,332 -1.8 $334,124,409 9.6 $356,860,402 6.8 $394,555,747 10.6 $493,886,062 25.2 $216.64

18 16 17 Kansas $410,825,087 $451,236,104 9.8 $476,693,357 5.6 $507,569,935 6.5 $578,708,980 14.0 $587,290,476 1.5 $205.40

22 17 16 California $4,907,245,205 $5,345,727,607 8.9 $6,042,604,850 13.0 $6,876,580,221 13.8 $7,293,447,819 6.1 $6,761,882,809 -7.3 $197.72

20 18 18 New Hampshire $180,245,777 $193,916,442 7.6 $208,828,055 7.7 $229,097,149 9.7 $249,996,686 9.1 $258,838,981 3.5 $189.08

16 19 20 Pennsylvania $1,578,289,659 $1,793,154,273 13.6 $1,915,611,780 6.8 $2,049,806,934 7.0 $2,225,100,932 8.6 $2,689,250,817 20.9 $176.57

19 20 19 Iowa $340,564,678 $407,812,744 19.7 $438,495,307 7.5 $492,571,389 12.3 $525,758,912 6.7 $607,726,020 15.6 $174.77

25 21 24 Louisiana $361,159,117 $394,852,522 9.3 $511,508,275 29.5 $668,237,850 30.6 $767,292,318 14.8 $752,347,943 -1.9 $170.91

15 22 25 Montana $115,785,798 $123,890,418 7.0 $128,997,231 4.1 $143,859,374 11.5 $166,269,854 15.6 $212,019,459 27.5 $170.68

17 23 21 North Dakota $66,475,053 $72,049,856 8.4 $77,503,650 7.6 $99,380,828 28.2 $107,274,482 7.9 $141,448,744 31.9 $166.08

10 24 22 North Carolina $1,150,437,782 $1,209,746,716 5.2 $1,300,514,147 7.5 $1,421,245,888 9.3 $1,530,414,847 7.7 $2,467,155,519 61.2 $163.56

21 25 30 Ohio $1,135,433,532 $1,397,071,965 23.0 $1,510,761,199 8.1 $1,596,704,147 5.7 $1,852,461,367 16.0 $2,130,239,734 15.0 $160.64

24 26 28 Colorado $489,955,344 $539,219,467 10.1 $621,110,033 15.2 $700,295,008 12.7 $797,996,216 14.0 $842,283,721 5.5 $159.12

51 27 26 Arizona $11,310,662 $16,654,468 47.2 $23,176,511 39.2 $946,076,308 3982.0 $1,022,512,573 8.1 $12,762,915 -98.8 $155.22

28 28 27 Nebraska $211,106,441 $221,695,673 5.0 $238,119,512 7.4 $257,075,317 8.0 $273,202,732 6.3 $290,647,823 6.4 $152.21

31 29 29 Oklahoma $360,604,623 $409,261,969 13.5 $467,459,056 14.2 $507,412,010 8.5 $539,125,237 6.2 $516,921,010 -4.1 $146.28

39 30 23 Tennessee $400,795,542 $415,437,943 3.7 $615,880,856 48.2 $948,030,719 53.9 $916,233,199 -3.4 $692,466,076 -24.4 $145.64

23 31 32 Missouri $615,260,114 $648,213,222 5.4 $712,391,413 9.9 $784,775,485 10.2 $869,932,675 10.9 $1,063,355,856 22.2 $145.42

26 32 31 South Dakota $88,994,100 $93,751,645 5.3 $100,139,102 6.8 $107,361,328 7.2 $115,695,916 7.8 $130,777,305 13.0 $142.69

11 33 35 Maryland $547,522,114 $679,742,208 24.1 $708,767,939 4.3 $720,127,398 1.6 $784,488,892 8.9 $1,299,890,471 65.7 $137.91

29 34 34 Delaware $77,622,769 $93,661,212 20.7 $103,704,294 10.7 $115,039,496 10.9 $120,014,480 4.3 $131,730,061 9.8 $135.74

30 35 36 New Jersey $893,335,729 $1,180,328,080 32.1 $1,011,176,696 -14.3 $1,041,675,137 3.0 $1,146,379,368 10.1 $1,216,226,906 6.1 $131.86

14 36 38 Arkansas $262,806,385 $277,600,980 5.6 $295,871,104 6.6 $321,008,199 8.5 $365,275,391 13.8 $633,768,992 73.5 $126.51

34 37 37 Idaho $136,044,311 $148,148,663 8.9 $161,197,585 8.8 $179,224,157 11.2 $194,964,284 8.8 $192,172,874 -1.4 $126.23

36 38 39 Texas $1,910,081,028 $2,063,852,515 8.1 $2,124,483,489 2.9 $2,627,255,503 23.7 $2,975,031,880 13.2 $3,046,478,098 2.4 $120.10

32 39 42 Indiana $496,675,501 $503,882,479 1.5 $550,217,677 9.2 $628,195,702 14.2 $738,559,906 17.6 $820,280,609 11.1 $115.09

33 40 41 Virginia $500,001,739 $533,173,001 6.6 $636,155,976 19.3 $765,632,323 20.4 $883,103,278 15.3 $988,873,980 12.0 $112.32

37 41 40 South Carolina $309,139,124 $320,384,620 3.6 $338,359,715 5.6 $449,952,794 33.0 $491,575,117 9.3 $543,578,260 10.6 $107.94

47 42 33 Hawaii $121,003,738 $120,521,810 -0.4 $149,430,376 24.0 $168,141,566 12.5 $139,021,122 -17.3 $102,669,324 -26.1 $107.91

38 43 44 Kentucky $322,143,881 $356,549,265 10.7 $393,465,447 10.4 $398,737,545 1.3 $459,909,098 15.3 $479,943,418 4.4 $106.65

42 44 45 Alabama $305,667,054 $331,200,367 8.4 $360,488,998 8.8 $419,666,813 16.4 $438,806,576 4.6 $458,035,625 4.4 $93.21

44 45 47 Michigan $718,262,142 $714,092,338 -0.6 $764,094,661 7.0 $797,610,321 4.4 $843,560,517 5.8 $894,529,627 6.0 $84.74

41 46 43 Illinois $837,964,070 $870,116,236 3.8 $958,958,834 10.2 $1,214,008,946 26.6 $1,058,967,638 -12.8 $1,332,435,763 25.8 $82.13

43 47 46 Florida $1,000,656,283 $1,149,504,541 14.9 $1,461,020,591 27.1 $1,554,471,476 6.4 $1,499,896,353 -3.5 $1,793,372,494 19.6 $81.03

45 48 48 Georgia $452,891,500 $452,027,080 -0.2 $567,799,225 25.6 $730,166,293 28.6 $738,298,739 1.1 $814,280,270 10.3 $75.23

48 49 49 Utah $130,714,015 $141,268,466 8.1 $139,178,341 -1.5 $191,670,751 37.7 $177,687,238 -7.3 $205,232,069 15.5 $63.90

40 50 51 Mississippi $127,447,935 $45,831,413 -64.0 $138,221,114 201.6 $161,125,136 16.6 $178,917,475 11.0 $312,126,847 74.5 $60.6546 51 50 Nevada $105,811,198 $132,270,524 25.0 $146,099,629 10.5 $154,582,448 5.8 $157,082,327 1.6 $220,350,717 40.3 $59.53

United States $36,526,179,983 $40,090,055,918 9.8 $44,062,946,389 9.9 $50,730,266,444 15.1 $55,896,238,824 10.2 $57,137,561,294 2.2 $181.04


Data for 2005 - 2007, and 2010 do not include managed care data from Arizona, Florida, Massachusetts, Minnesota, New Mexico, New York, Rhode Island, Tennessee, Texas, Vermont, and Wisconsin.


Rehabilitative services data do not include services provided through managed care organizations.

Total Long-Term Services and Supports Table Q

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 New York $18,246,503,700 $19,518,668,729 7.0 $19,931,684,666 2.1 $21,055,360,397 5.6 $22,235,538,673 5.6 $21,689,535,708 -2.5 $1,138.96

3 2 3 Connecticut $2,114,876,714 $2,393,479,767 13.2 $2,430,437,574 1.5 $2,481,767,834 2.1 $3,437,127,514 38.5 $2,912,541,049 -15.3 $977.89

2 3 2 Washington DC $322,485,313 $344,902,010 7.0 $396,743,923 15.0 $484,715,290 22.2 $569,763,564 17.5 $638,347,432 12.0 $949.65

4 4 5 Maine $572,702,437 $723,852,354 26.4 $724,097,751 0.0 $812,528,226 12.2 $874,274,949 7.6 $869,051,707 -0.6 $664.40

7 5 4 Minnesota $2,576,735,848 $2,758,714,709 7.1 $2,933,311,677 6.3 $3,300,872,846 12.5 $3,429,738,228 3.9 $3,310,769,658 -3.5 $651.69

8 6 9 Alaska $339,535,563 $362,643,147 6.8 $366,631,352 1.1 $360,342,904 -1.7 $402,857,692 11.8 $434,003,163 7.7 $579.91

5 7 8 North Dakota $293,064,849 $304,635,835 3.9 $315,675,572 3.6 $347,132,749 10.0 $370,326,496 6.7 $432,219,253 16.7 $573.35

6 8 12 Massachusetts $3,264,143,593 $3,278,350,074 0.4 $3,125,012,909 -4.7 $3,272,460,396 4.7 $3,749,284,465 14.6 $4,108,086,152 9.6 $568.75

34 9 24 Wisconsin $1,794,656,244 $2,079,879,792 15.9 $2,027,639,546 -2.5 $2,197,059,674 8.4 $3,111,578,773 41.6 $1,777,068,105 -42.9 $550.65

31 10 7 Rhode Island $540,404,451 $561,161,289 3.8 $577,554,464 2.9 $582,999,858 0.9 $577,455,988 -1.0 $361,937,303 -37.3 $546.08

10 11 6 Pennsylvania $7,015,544,931 $6,773,691,736 -3.4 $6,727,301,693 -0.7 $6,966,458,925 3.6 $6,854,794,180 -1.6 $7,104,666,196 3.6 $543.94

9 12 11 West Virginia $817,587,997 $821,815,416 0.5 $871,358,434 6.0 $922,711,626 5.9 $986,176,103 6.9 $1,126,178,421 14.2 $541.47

46 13 10 Vermont $260,846,063 $137,126,819 -47.4 $154,838,936 12.9 $325,771,039 110.4 $335,744,976 3.1 $124,611,041 -62.9 $540.27

13 14 13 New Jersey $3,943,410,843 $4,278,059,278 8.5 $4,057,123,128 -5.2 $4,321,013,499 6.5 $4,457,288,331 3.2 $4,218,459,331 -5.4 $512.70

11 15 14 Ohio $5,411,485,931 $5,329,896,698 -1.5 $5,364,624,768 0.7 $5,433,837,221 1.3 $5,691,263,011 4.7 $6,170,736,191 8.4 $493.53

15 16 15 Louisiana $1,564,548,367 $1,584,291,806 1.3 $1,771,037,867 11.8 $1,982,467,715 11.9 $2,110,227,578 6.4 $2,127,070,449 0.8 $470.04

47 17 21 New Mexico $686,696,893 $662,253,467 -3.6 $744,192,649 12.4 $797,222,356 7.1 $931,481,099 16.8 $363,593,526 -61.0 $464.04

17 18 17 New Hampshire $606,015,542 $528,220,908 -12.8 $551,081,236 4.3 $578,031,698 4.9 $606,861,367 5.0 $610,727,775 0.6 $458.99

20 19 16 Wyoming $192,287,393 $202,418,724 5.3 $220,454,894 8.9 $235,920,401 7.0 $244,995,138 3.8 $238,023,825 -2.8 $450.04

16 20 18 Iowa $1,050,904,714 $1,149,837,633 9.4 $1,186,889,021 3.2 $1,296,075,739 9.2 $1,337,029,448 3.2 $1,425,230,332 6.6 $444.44

12 21 20 Arkansas $1,021,013,586 $1,073,615,040 5.2 $1,120,402,065 4.4 $1,166,419,271 4.1 $1,225,234,682 5.0 $1,557,657,758 27.1 $424.35

14 22 19 Mississippi $989,893,141 $998,270,473 0.8 $1,139,769,580 14.2 $1,217,403,476 6.8 $1,245,025,098 2.3 $1,396,355,418 12.2 $422.05

28 23 23 Nebraska $669,569,640 $673,718,218 0.6 $689,169,748 2.3 $700,814,428 1.7 $717,985,777 2.5 $677,147,289 -5.7 $400.03

24 24 22 Delaware $299,302,082 $310,458,606 3.7 $339,271,924 9.3 $347,561,690 2.4 $340,797,363 -1.9 $355,861,828 4.4 $385.46

18 25 28 North Carolina $2,935,804,507 $2,971,475,996 1.2 $3,097,548,480 4.2 $3,248,904,280 4.9 $3,576,154,303 10.1 $4,401,529,308 23.1 $382.19

19 26 27 Maryland $1,710,850,666 $1,898,340,856 11.0 $1,975,110,724 4.0 $2,025,626,479 2.6 $2,133,018,647 5.3 $2,506,376,691 17.5 $374.98

27 27 30 Kansas $846,607,224 $869,388,669 2.7 $924,178,145 6.3 $965,552,219 4.5 $1,056,042,032 9.4 $1,085,670,169 2.8 $374.82

26 28 25 Indiana $2,253,515,173 $2,046,462,658 -9.2 $2,040,408,276 -0.3 $2,308,849,868 13.2 $2,402,203,410 4.0 $2,467,299,554 2.7 $374.33

23 29 34 Montana $284,824,221 $303,849,103 6.7 $305,556,591 0.6 $325,182,031 6.4 $352,715,359 8.5 $396,110,925 12.3 $362.07

25 30 33 Missouri $1,908,717,637 $1,883,391,312 -1.3 $1,820,477,224 -3.3 $2,008,349,298 10.3 $2,135,083,602 6.3 $2,341,205,102 9.7 $356.90

21 31 31 South Dakota $241,610,352 $252,011,030 4.3 $260,589,884 3.4 $272,610,427 4.6 $285,703,921 4.8 $328,993,837 15.2 $352.37

32 32 29 Oklahoma $994,926,365 $1,054,357,250 6.0 $1,182,910,104 12.2 $1,260,643,962 6.6 $1,298,022,700 3.0 $1,232,895,347 -5.0 $352.18

30 33 35 Washington $1,822,436,534 $1,884,638,219 3.4 $2,006,326,720 6.5 $2,197,372,869 9.5 $2,332,521,401 6.2 $2,352,957,528 0.9 $349.62

33 34 32 California $10,361,651,958 $10,312,915,059 -0.5 $10,929,322,642 6.0 $12,333,121,994 12.8 $12,800,838,437 3.8 $11,772,419,977 -8.0 $347.02

44 35 26 Tennessee $1,593,371,922 $1,738,343,500 9.1 $1,936,995,182 11.4 $2,249,544,209 16.1 $2,160,324,933 -4.0 $1,554,990,026 -28.0 $343.39

29 36 36 Kentucky $1,238,486,407 $1,299,683,767 4.9 $1,381,136,270 6.3 $1,399,786,889 1.4 $1,476,424,044 5.5 $1,555,542,114 5.4 $342.38

22 37 38 Oregon $962,647,820 $1,059,695,559 10.1 $1,144,859,780 8.0 $1,169,052,931 2.1 $1,288,848,976 10.2 $1,542,985,044 19.7 $337.13

35 38 39 Alabama $1,220,661,135 $1,246,489,231 2.1 $1,316,393,616 5.6 $1,353,892,283 2.8 $1,479,111,044 9.2 $1,431,912,393 -3.2 $314.20

36 39 43 South Carolina $1,081,280,149 $1,037,516,268 -4.0 $1,074,523,389 3.6 $1,199,892,060 11.7 $1,280,775,924 6.7 $1,356,297,755 5.9 $281.23

38 40 44 Colorado $1,004,003,339 $1,062,304,386 5.8 $1,143,468,995 7.6 $1,225,615,191 7.2 $1,374,279,188 12.1 $1,448,502,735 5.4 $274.03

43 41 41 Idaho $337,858,176 $359,704,610 6.5 $382,165,270 6.2 $413,976,089 8.3 $422,091,100 2.0 $393,664,015 -6.7 $273.29

37 42 40 Illinois $3,096,951,775 $3,232,509,094 4.4 $3,254,519,520 0.7 $3,585,225,683 10.2 $3,497,862,357 -2.4 $3,706,608,918 6.0 $271.29

39 43 42 Virginia $1,727,943,851 $1,888,723,607 9.3 $2,089,677,486 10.6 $2,105,156,514 0.7 $2,092,364,464 -0.6 $2,191,825,452 4.8 $266.12

42 44 46 Texas $4,808,564,665 $5,096,554,949 6.0 $5,217,218,097 2.4 $5,847,016,695 12.1 $6,464,909,852 10.6 $6,644,690,767 2.8 $260.99

40 45 45 Michigan $2,506,827,166 $2,357,371,582 -6.0 $2,442,415,930 3.6 $2,474,287,925 1.3 $2,557,237,253 3.4 $2,679,163,518 4.8 $256.87

41 46 47 Florida $3,638,398,810 $3,971,766,375 9.2 $4,234,037,817 6.6 $4,424,259,056 4.5 $4,378,707,942 -1.0 $5,093,313,249 16.3 $236.56

51 47 49 Arizona $65,302,752 $72,511,624 11.0 $66,838,199 -7.8 $1,428,391,778 2037.1 $1,527,977,458 7.0 $77,269,016 -94.9 $231.95

50 48 37 Hawaii $325,698,003 $319,846,888 -1.8 $363,287,851 13.6 $399,049,410 9.8 $253,606,869 -36.4 $113,866,330 -55.1 $196.86

45 49 48 Georgia $1,976,002,850 $1,785,226,598 -9.7 $1,368,374,393 -23.4 $2,170,601,281 58.6 $1,824,899,199 -15.9 $2,241,113,915 22.8 $185.96

49 50 50 Utah $344,640,677 $360,171,171 4.5 $375,321,970 4.2 $442,247,837 17.8 $411,492,051 -7.0 $438,532,794 6.6 $147.9748 51 51 Nevada $322,559,795 $350,909,001 8.8 $370,392,774 5.6 $397,716,732 7.4 $377,768,818 -5.0 $448,515,279 18.7 $143.17

United States $104,206,359,764 $107,566,120,890 3.2 $110,470,360,706 2.7 $120,418,875,248 9.0 $127,083,835,777 5.5 $125,834,130,668 -1.0 $411.61


Data for 2005 - 2007, and 2010 do not include managed care data from Arizona, California, Florida, Massachusetts, Minnesota, New Mexico, New York, Rhode Island, Tennessee, Texas, Vermont, and Wisconsin.

Data for several states include expenditures for Medicaid Upper Payment Limit programs or provider taxes. .



1915(c) Waivers for People with Developmental Disabilities Table R

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

4 1 7 Connecticut $428,887,905 $423,938,463 -1.2 $460,608,759 8.6 $483,525,228 5.0 $1,082,868,703 124.0 $787,152,848 -27.3 $308.09

3 2 1 Maine $176,574,272 $237,472,075 34.5 $235,207,267 -1.0 $305,020,786 29.7 $370,204,023 21.4 $300,488,478 -18.8 $281.33

1 3 2 New York $3,493,860,629 $4,048,856,886 15.9 $4,266,364,441 5.4 $4,126,745,490 -3.3 $4,767,688,444 15.5 $5,545,964,106 16.3 $244.21

2 4 8 Washington DC $10,135,846 $17,532,617 73.0 $32,314,228 84.3 $80,550,187 149.3 $121,537,030 50.9 $146,481,556 20.5 $202.57

5 5 4 Minnesota $838,054,599 $877,518,110 4.7 $906,728,206 3.3 $934,577,944 3.1 $939,910,486 0.6 $968,133,541 3.0 $178.59

6 6 5 Wyoming $76,593,348 $81,367,670 6.2 $87,809,440 7.9 $94,205,037 7.3 $95,985,544 1.9 $90,206,601 -6.0 $176.32

10 7 6 New Mexico $233,229,296 $204,330,781 -12.4 $251,900,533 23.3 $276,502,115 9.8 $286,242,648 3.5 $294,340,738 2.8 $142.60

7 8 9 North Dakota $56,421,077 $61,234,822 8.5 $66,410,358 8.5 $82,154,599 23.7 $87,733,060 6.8 $106,686,230 21.6 $135.83

8 9 14 Oregon $325,377,712 $376,277,541 15.6 $412,514,880 9.6 $408,923,807 -0.9 $519,183,712 27.0 $578,602,644 11.4 $135.80

36 10 16 Wisconsin $263,919,248 $481,539,808 82.5 $501,263,843 4.1 $571,641,464 14.0 $754,703,303 32.0 $323,016,327 -57.2 $133.56

9 11 12 Alaska $65,682,213 $69,240,098 5.4 $72,379,281 4.5 $75,332,068 4.1 $92,346,666 22.6 $103,127,013 11.7 $132.93

12 12 10 West Virginia $189,615,794 $185,800,118 -2.0 $209,675,493 12.9 $219,893,087 4.9 $237,413,199 8.0 $245,100,113 3.2 $130.35

13 13 11 New Hampshire $129,373,461 $137,761,312 6.5 $145,009,958 5.3 $157,113,978 8.3 $168,695,678 7.4 $173,149,252 2.6 $127.59

14 14 20 Massachusetts $642,246,937 $684,550,695 6.6 $565,629,365 -17.4 $634,359,821 12.2 $824,637,022 30.0 $843,118,673 2.2 $125.09

16 15 13 South Dakota $74,284,039 $78,028,845 5.0 $82,538,713 5.8 $87,939,299 6.5 $92,498,047 5.2 $97,307,392 5.2 $114.08

11 16 15 Pennsylvania $1,093,820,794 $1,238,777,770 13.3 $1,315,064,464 6.2 $1,336,268,786 1.6 $1,395,542,350 4.4 $1,737,913,672 24.5 $110.74

17 17 17 Kansas $215,616,894 $231,621,014 7.4 $250,856,650 8.3 $280,457,123 11.8 $298,745,568 6.5 $311,203,457 4.2 $106.03

15 18 22 Maryland $357,903,837 $492,312,790 37.6 $526,923,437 7.0 $527,035,205 0.0 $594,890,116 12.9 $720,965,456 21.2 $104.58

18 19 18 Iowa $216,831,095 $252,028,447 16.2 $265,621,385 5.4 $291,429,707 9.7 $310,920,850 6.7 $326,315,052 5.0 $103.35

20 20 19 Delaware $53,603,630 $66,500,922 24.1 $74,806,494 12.5 $85,296,129 14.0 $89,329,061 4.7 $87,426,303 -2.1 $101.04

19 21 24 Nebraska $125,708,765 $133,108,390 5.9 $143,699,752 8.0 $153,621,161 6.9 $167,373,343 9.0 $182,677,644 9.1 $93.25

22 22 21 Tennessee $379,433,623 $394,641,245 4.0 $588,496,177 49.1 $585,014,834 -0.6 $579,163,471 -1.0 $586,612,752 1.3 $92.06

23 23 25 Louisiana $243,942,611 $80,609,764 -67.0 $298,106,525 269.8 $361,355,899 21.2 $409,577,699 13.3 $411,075,305 0.4 $91.23

21 24 28 Ohio $496,170,680 $668,736,957 34.8 $760,066,949 13.7 $840,752,971 10.6 $1,034,735,228 23.1 $1,096,693,313 6.0 $89.73

28 25 23 Hawaii $77,384,583 $78,031,211 0.8 $100,625,805 29.0 $115,065,926 14.4 $112,998,601 -1.8 $102,056,217 -9.7 $87.71

24 26 27 Montana $60,028,231 $64,475,924 7.4 $67,177,231 4.2 $72,719,760 8.3 $82,962,936 14.1 $83,615,124 0.8 $85.16

27 27 29 Indiana $385,758,352 $385,639,265 0.0 $411,636,291 6.7 $461,098,858 12.0 $501,612,231 8.8 $508,153,906 1.3 $78.17

29 28 26 Oklahoma $219,685,238 $243,783,214 11.0 $263,837,026 8.2 $273,909,314 3.8 $285,272,098 4.1 $278,705,555 -2.3 $77.40

26 29 30 Washington $351,976,061 $378,744,669 7.6 $400,857,498 5.8 $448,879,761 12.0 $496,809,467 10.7 $531,167,045 6.9 $74.47

25 30 31 Missouri $292,255,117 $318,893,618 9.1 $364,051,598 14.2 $403,799,058 10.9 $425,910,259 5.5 $490,162,400 15.1 $71.20

30 31 34 New Jersey $404,882,703 $695,740,083 71.8 $512,505,961 -26.3 $525,652,702 2.6 $591,448,490 12.5 $617,512,196 4.4 $68.03

31 32 33 Colorado $230,578,869 $239,700,196 4.0 $275,277,934 14.8 $301,293,923 9.5 $337,940,591 12.2 $352,397,113 4.3 $67.38

32 33 32 South Carolina $182,399,186 $190,216,315 4.3 $193,336,978 1.6 $274,965,183 42.2 $288,484,325 4.9 $306,629,515 6.3 $63.34

34 34 36 Virginia $291,768,427 $320,190,342 9.7 $372,276,032 16.3 $431,365,433 15.9 $466,514,983 8.1 $487,023,781 4.4 $59.33

35 35 35 Alabama $195,029,141 $169,896,807 -12.9 $226,540,632 33.3 $261,353,853 15.4 $273,470,969 4.6 $275,738,942 0.8 $58.09

33 36 40 Kentucky $154,428,570 $173,639,033 12.4 $207,240,261 19.4 $204,329,108 -1.4 $243,672,581 19.3 $279,182,880 14.6 $56.51

37 37 38 North Carolina $298,742,246 $338,890,756 13.4 $427,163,974 26.0 $475,203,692 11.2 $526,575,239 10.8 $530,179,950 0.7 $56.28

49 38 3 Rhode Island $191,203,527 $203,867,004 6.6 $214,216,978 5.1 $220,553,736 3.0 $53,718,776 -75.6 $0 -100.0 $50.80

41 39 41 California $1,258,145,883 $1,347,374,967 7.1 $1,563,518,482 16.0 $1,727,947,393 10.5 $1,855,500,330 7.4 $1,781,831,231 -4.0 $50.30

38 40 37 Utah $112,076,753 $121,847,180 8.7 $116,607,619 -4.3 $149,755,316 28.4 $135,974,849 -9.2 $149,980,409 10.3 $48.90

42 41 42 Idaho $49,149,206 $54,673,341 11.2 $61,391,341 12.3 $68,646,635 11.8 $74,559,311 8.6 $69,932,629 -6.2 $48.28

40 42 39 Florida $646,080,966 $754,236,588 16.7 $890,106,020 18.0 $910,483,490 2.3 $858,537,287 -5.7 $902,318,953 5.1 $46.38

39 43 44 Arkansas $87,389,074 $94,603,828 8.3 $106,532,079 12.6 $114,770,565 7.7 $131,085,114 14.2 $147,177,107 12.3 $45.40

43 44 43 Michigan $397,184,983 $405,914,596 2.2 $414,795,506 2.2 $413,641,740 -0.3 $417,547,929 0.9 $440,698,999 5.5 $41.94

46 45 45 Illinois $393,570,672 $414,966,240 5.4 $425,008,684 2.4 $491,688,392 15.7 $478,517,237 -2.7 $441,435,727 -7.7 $37.11

44 46 46 Georgia $239,598,439 $198,886,367 -17.0 $299,198,694 50.4 $315,164,732 5.3 $329,918,084 4.7 $358,711,437 8.7 $33.62

45 47 47 Texas $422,256,285 $481,968,763 14.1 $574,696,976 19.2 $712,311,550 23.9 $788,701,467 10.7 $870,840,543 10.4 $31.84

47 48 48 Nevada $47,981,582 $60,658,323 26.4 $62,366,309 2.8 $64,368,176 3.2 $73,277,403 13.8 $70,989,707 -3.1 $27.77

48 49 49 Mississippi $36,738,366 $8,898,587 -75.8 $39,527,470 344.2 $41,982,477 6.2 $42,547,949 1.3 $42,426,184 -0.3 $14.42

50 50 50 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Vermont $93,730,942 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $17,307,311,707 $19,269,524,357 11.3 $21,110,489,977 9.6 $22,480,667,498 6.5 $25,195,483,757 12.1 $26,182,626,016 3.9 $81.61

Data for 2005 - 2007, and 2010 do not include managed care data from Wisconsin.

1915(c) Waivers for Older Adults and/or People with Physical Disabilities Table S

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

41 1 13 New Mexico $51,032,297 $47,996,243 -5.9 $61,407,038 27.9 $80,909,263 31.8 $410,779,288 407.7 $20,648,142 -95.0 $204.64

1 2 1 Minnesota $272,648,396 $376,754,365 38.2 $483,115,679 28.2 $614,904,611 27.3 $682,553,169 11.0 $637,822,364 -6.6 $129.69

2 3 2 Washington DC $6,476,035 $17,526,629 170.6 $31,935,346 82.2 $49,153,932 53.9 $69,715,800 41.8 $70,172,652 0.7 $116.20

34 4 4 Wisconsin $113,252,335 $155,887,650 37.6 $158,166,780 1.5 $456,224,272 188.4 $556,694,650 22.0 $109,934,548 -80.3 $98.52

3 5 5 Oregon $251,010,796 $264,551,853 5.4 $270,685,170 2.3 $296,352,338 9.5 $369,698,324 24.7 $401,487,989 8.6 $96.70

4 6 3 Alaska $44,000,994 $47,406,473 7.7 $53,346,421 12.5 $55,590,410 4.2 $66,601,042 19.8 $72,096,130 8.3 $95.87

6 7 7 Kansas $128,262,812 $146,056,940 13.9 $158,732,813 8.7 $182,253,364 14.8 $222,645,924 22.2 $208,395,561 -6.4 $79.02

5 8 6 Washington $340,913,472 $367,349,846 7.8 $396,983,645 8.1 $444,530,028 12.0 $495,601,705 11.5 $512,250,600 3.4 $74.29

10 9 8 Oklahoma $114,082,331 $138,979,049 21.8 $174,928,008 25.9 $206,428,390 18.0 $222,354,905 7.7 $202,731,394 -8.8 $60.33

7 10 10 Idaho $52,840,470 $60,777,526 15.0 $66,358,401 9.2 $75,449,910 13.7 $88,554,058 17.4 $97,057,098 9.6 $57.34

8 11 9 Ohio $468,324,582 $527,064,992 12.5 $576,157,116 9.3 $572,185,413 -0.7 $607,483,693 6.2 $688,086,049 13.3 $52.68

9 12 12 Virginia $202,609,609 $207,712,770 2.5 $258,260,543 24.3 $320,124,301 24.0 $397,944,926 24.3 $476,458,871 19.7 $50.61

13 13 18 West Virginia $63,957,617 $58,469,659 -8.6 $58,835,819 0.6 $68,247,373 16.0 $83,774,487 22.8 $91,866,323 9.7 $46.00

11 14 16 Pennsylvania $385,919,962 $440,133,420 14.0 $453,841,934 3.1 $495,348,948 9.1 $569,441,819 15.0 $648,855,595 13.9 $45.19

12 15 17 Mississippi $78,125,783 $23,693,204 -69.7 $91,641,730 286.8 $111,722,386 21.9 $131,060,738 17.3 $150,984,724 15.2 $44.43

15 16 19 Connecticut $104,119,855 $111,642,717 7.2 $122,335,121 9.6 $129,835,120 6.1 $151,315,396 16.5 $155,465,373 2.7 $43.05

16 17 21 New Hampshire $27,849,101 $33,184,726 19.2 $39,787,638 19.9 $46,520,474 16.9 $53,479,792 15.0 $54,257,768 1.5 $40.45

19 18 20 Nebraska $51,301,367 $54,527,081 6.3 $58,618,978 7.5 $64,093,678 9.3 $66,183,576 3.3 $68,618,622 3.7 $36.87

18 19 25 Colorado $104,863,109 $116,185,784 10.8 $131,924,970 13.5 $152,665,392 15.7 $181,516,427 18.9 $192,160,443 5.9 $36.19

20 20 23 South Carolina $94,077,405 $98,754,506 5.0 $114,903,441 16.4 $141,466,885 23.1 $164,764,822 16.5 $170,922,239 3.7 $36.18

17 21 28 Arkansas $61,738,419 $65,693,252 6.4 $69,144,694 5.3 $83,666,041 21.0 $101,262,999 21.0 $117,284,989 15.8 $35.07

14 22 11 Illinois $345,808,863 $358,076,346 3.5 $422,124,740 17.9 $580,649,525 37.6 $443,464,776 -23.6 $558,257,676 25.9 $34.40

21 23 24 Montana $22,343,861 $23,279,645 4.2 $25,306,347 8.7 $29,999,760 18.5 $33,300,218 11.0 $35,998,281 8.1 $34.18

23 24 27 Iowa $53,092,925 $64,259,549 21.0 $75,506,025 17.5 $90,204,268 19.5 $98,908,093 9.6 $101,233,140 2.4 $32.88

22 25 22 Georgia $112,579,523 $148,737,385 32.1 $169,471,482 13.9 $317,417,061 87.3 $303,208,142 -4.5 $334,724,141 10.4 $30.90

25 26 26 North Carolina $246,608,795 $267,805,941 8.6 $264,125,379 -1.4 $283,692,109 7.4 $276,977,600 -2.4 $260,372,480 -6.0 $29.60

24 27 29 Wyoming $9,442,904 $9,630,000 2.0 $11,133,093 15.6 $13,133,474 18.0 $14,580,888 11.0 $17,161,029 17.7 $26.78

28 28 32 Texas $449,774,263 $493,108,283 9.6 $481,568,157 -2.3 $514,562,993 6.9 $559,082,983 8.7 $583,806,823 4.4 $22.57

29 29 30 Alabama $66,256,500 $60,139,632 -9.2 $84,598,783 40.7 $104,649,587 23.7 $103,801,349 -0.8 $104,921,921 1.1 $22.05

26 30 34 Florida $142,010,329 $164,891,500 16.1 $346,844,600 110.3 $342,257,067 -1.3 $381,097,495 11.3 $486,849,564 27.7 $20.59

36 31 33 Delaware $14,443,025 $16,696,518 15.6 $17,576,762 5.3 $17,719,476 0.8 $18,151,513 2.4 $17,072,268 -5.9 $20.53

30 32 31 Maine $21,340,839 $25,001,584 17.2 $33,890,632 35.6 $28,442,747 -16.1 $26,719,706 -6.1 $28,472,489 6.6 $20.31

27 33 35 Maryland $53,787,888 $89,857,365 67.1 $90,671,081 0.9 $97,980,877 8.1 $112,563,002 14.9 $135,694,582 20.5 $19.79

32 34 37 Kentucky $56,531,920 $61,559,825 8.9 $66,214,249 7.6 $72,696,543 9.8 $83,266,224 14.5 $85,897,758 3.2 $19.31

35 35 36 Missouri $91,583,250 $93,066,771 1.6 $97,466,988 4.7 $101,934,464 4.6 $113,136,343 11.0 $115,153,263 1.8 $18.91

48 36 15 Hawaii $40,020,072 $39,476,455 -1.4 $45,585,559 15.5 $50,944,453 11.8 $24,245,483 -52.4 $7,331 -100.0 $18.82

33 37 38 New Jersey $110,192,809 $118,513,957 7.6 $126,481,277 6.7 $134,871,958 6.6 $152,066,043 12.7 $173,396,252 14.0 $17.49

39 38 39 Louisiana $40,888,558 $16,465,424 -59.7 $47,548,000 188.8 $61,314,589 29.0 $71,219,577 16.2 $65,494,402 -8.0 $15.86

37 39 40 South Dakota $7,312,250 $7,699,037 5.3 $9,283,091 20.6 $10,771,288 16.0 $12,709,244 18.0 $12,893,245 1.4 $15.67

31 40 42 Indiana $31,867,962 $31,441,684 -1.3 $45,940,895 46.1 $61,123,867 33.0 $95,444,165 56.1 $130,480,338 36.7 $14.87

38 41 45 Tennessee $9,502,223 $10,048,454 5.7 $16,045,723 59.7 $42,283,537 163.5 $83,623,650 97.8 $92,128,685 10.2 $13.29

40 42 41 Michigan $74,440,286 $84,651,400 13.7 $86,221,331 1.9 $97,461,335 13.0 $118,184,532 21.3 $129,644,402 9.7 $11.87

43 43 44 Massachusetts $24,213,155 $32,396,854 33.8 $27,849,843 -14.0 $50,339,472 80.8 $76,873,964 52.7 $57,136,329 -25.7 $11.66

49 44 14 Rhode Island $32,547,077 $35,324,720 8.5 $38,132,864 7.9 $42,655,419 11.9 $11,161,136 -73.8 $0 -100.0 $10.55

42 45 43 Utah $4,944,847 $5,037,677 1.9 $7,653,807 51.9 $21,001,422 174.4 $24,151,453 15.0 $25,631,527 6.1 $8.68

44 46 46 North Dakota $6,301,766 $2,371,680 -62.4 $2,447,243 3.2 $3,174,032 29.7 $3,422,263 7.8 $4,149,386 21.2 $5.30

45 47 47 Nevada $11,525,082 $13,119,830 13.8 $13,483,642 2.8 $11,861,244 -12.0 $12,177,193 2.7 $12,361,522 1.5 $4.62

46 48 48 California $102,822,963 $101,563,406 -1.2 $117,422,820 15.6 $137,590,346 17.2 $148,610,901 8.0 $134,052,186 -9.8 $4.03

47 49 49 New York $32,019,933 $34,745,776 8.5 $39,435,232 13.5 $37,738,696 -4.3 $40,488,773 7.3 $55,421,451 36.9 $2.07

50 50 50 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Vermont $33,914,925 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $5,265,525,540 $5,769,315,383 9.6 $6,641,140,930 15.1 $8,006,144,138 20.6 $9,136,064,249 14.1 $8,905,969,945 -2.5 $29.59

New Mexico 2009 data include expenditures for state plan non-institutional services within a managed care program. New Mexico provided an estimate of total non-institutional services, but did not distinguish between state plan and 1915(c) waiver services.

Data for 2005 - 2007, and 2010 do not include managed care data from Florida, Minnesota, New Mexico, Texas, and Wisconsin.

HCBS Authorized Under Sections 1115 and 1915(a) for People with Developmental Disabilities Table T

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Vermont $0 $0 0.0 $0 0.0 $123,527,080 100.0 $128,746,127 4.2 $0 -100.0 $207.18

2 2 2 Arizona $0 $0 0.0 $0 0.0 $640,048,938 100.0 $675,955,767 5.6 $0 -100.0 $102.61

3 3 3 Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

4 4 4 Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

5 5 5 Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

6 6 6 California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

7 7 7 Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

8 8 8 Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

9 9 9 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

10 10 10 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

11 11 11 Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

12 12 12 Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

13 13 13 Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

14 14 14 Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

15 15 15 Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

16 16 16 Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

17 17 17 Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

18 18 18 Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

19 19 19 Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

20 20 20 Louisiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

21 21 21 Massachusetts $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

22 22 22 Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

23 23 23 Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

24 24 24 Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

25 25 25 Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

26 26 26 Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

27 27 27 Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

28 28 28 Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

29 29 29 North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

30 30 30 North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

31 31 31 Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

32 32 32 New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

33 33 33 New Jersey $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

34 34 34 New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

35 35 35 Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

36 36 36 New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

37 37 37 Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

38 38 38 Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

39 39 39 Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

40 40 40 Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 41 41 Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 42 42 South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 43 43 South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 44 44 Tennessee $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 45 45 Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 46 46 Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 47 Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Washington $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Wisconsin $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


United States $0 $0 0.0 $0 0.0 $763,576,018 100.0 $804,701,894 5.4 $0 -100.0 $2.61

Rhode Island's 2009 and 2010 data do not include expenditures for a managed care program that provides long-term services and supports.

Data for 2005 - 2007, and 2010 do not include managed care data from Arizona and Vermont.

HCBS Authorized Under Sections 1115 and 1915(a) for Older Adults and/or People with Physical Disabilities Table U

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Vermont $0 $33,740,283 100.0 $42,608,088 26.3 $52,519,965 23.3 $51,497,379 -1.9 $0 -100.0 $82.87

2 2 2 Arizona $0 $0 0.0 $0 0.0 $296,823,239 100.0 $337,648,343 13.8 $0 -100.0 $51.25

3 3 3 Massachusetts $0 $0 0.0 $0 0.0 $0 0.0 $35,157,317 100.0 $0 -100.0 $5.33

4 4 4 Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

5 5 5 Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

6 6 6 Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

7 7 7 California $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

8 8 8 Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

9 9 9 Connecticut $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

10 10 10 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

11 11 11 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

12 12 12 Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

13 13 13 Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

14 14 14 Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

15 15 15 Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

16 16 16 Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

17 17 17 Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

18 18 18 Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

19 19 19 Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

20 20 20 Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

21 21 21 Louisiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

22 22 22 Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

23 23 23 Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

24 24 24 Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

25 25 25 Minnesota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

26 26 26 Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

27 27 27 Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

28 28 28 Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

29 29 29 North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

30 30 30 North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

31 31 31 Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

32 32 32 New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

33 33 33 New Jersey $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

34 34 34 New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

35 35 35 Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

36 36 36 New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

37 37 37 Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

38 38 38 Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

39 39 39 Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

40 40 40 Pennsylvania $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 41 41 Rhode Island $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

42 42 42 South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 43 43 South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 44 44 Tennessee $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 45 45 Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

46 46 46 Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 47 Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Washington $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Wisconsin $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


United States $0 $33,740,283 100.0 $42,608,088 26.3 $349,343,204 719.9 $424,303,039 21.5 $0 -100.0 $1.37

Data for 2005 - 2007, and 2010 do not include managed care data from Arizona, Massachusetts, and Vermont.

Hawaii and Rhode Island's 2009 and 2010 data do not include expenditures for managed care programs that provide long-term services and supports.

Inpatient Hospital Table V

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Washington DC $281,785,331 $287,872,603 2.2 $300,087,231 4.2 $302,956,608 1.0 $311,867,443 2.9 $308,529,986 -1.1 $519.80

2 2 4 Illinois $3,392,562,579 $3,284,247,001 -3.2 $4,236,184,288 29.0 $3,723,406,106 -12.1 $4,712,986,427 26.6 $5,230,291,037 11.0 $365.54

4 3 2 New York $6,113,972,434 $6,877,215,809 12.5 $6,540,947,791 -4.9 $7,075,263,538 8.2 $6,555,005,486 -7.4 $6,082,995,565 -7.2 $335.76

3 4 3 Mississippi $671,385,692 $693,182,712 3.2 $806,405,172 16.3 $862,993,781 7.0 $904,732,610 4.8 $1,043,125,707 15.3 $306.69

10 5 13 Maine $314,117,877 $209,319,987 -33.4 $293,467,808 40.2 $249,746,223 -14.9 $380,296,890 52.3 $315,251,146 -17.1 $289.00

5 6 5 Missouri $1,193,441,302 $1,410,591,111 18.2 $1,500,038,420 6.3 $1,529,580,579 2.0 $1,631,570,921 6.7 $1,724,919,094 5.7 $272.74

6 7 6 Louisiana $939,981,366 $864,312,630 -8.1 $958,336,854 10.9 $1,091,136,877 13.9 $1,190,426,708 9.1 $1,216,102,275 2.2 $265.16

19 8 10 Massachusetts $925,042,967 $1,316,977,165 42.4 $1,320,184,578 0.2 $1,366,352,442 3.5 $1,500,378,088 9.8 $1,134,481,389 -24.4 $227.60

8 9 9 Alaska $118,588,284 $130,297,939 9.9 $136,978,880 5.1 $145,771,119 6.4 $153,097,895 5.0 $173,732,270 13.5 $220.38

9 10 14 Oklahoma $486,686,735 $495,386,189 1.8 $681,616,349 37.6 $674,013,927 -1.1 $806,414,872 19.6 $893,955,610 10.9 $218.80

12 11 12 New Mexico $291,015,465 $271,987,641 -6.5 $268,402,432 -1.3 $396,988,110 47.9 $408,215,206 2.8 $433,599,110 6.2 $203.36

24 12 17 South Carolina $733,011,673 $781,926,136 6.7 $787,880,841 0.8 $763,797,626 -3.1 $923,679,579 20.9 $700,785,026 -24.1 $202.82

11 13 19 Kentucky $523,534,567 $583,391,337 11.4 $590,771,000 1.3 $689,358,116 16.7 $855,761,120 24.1 $962,164,088 12.4 $198.45

14 14 16 North Carolina $1,363,970,976 $1,462,206,239 7.2 $1,464,786,393 0.2 $1,613,272,420 10.1 $1,844,060,526 14.3 $1,873,930,242 1.6 $197.08

21 15 11 California $6,137,113,855 $6,823,026,762 11.2 $7,440,382,177 9.0 $7,586,830,140 2.0 $7,178,565,591 -5.4 $5,978,560,655 -16.7 $194.61

16 16 7 Rhode Island $235,354,355 $258,552,938 9.9 $258,877,206 0.1 $235,859,654 -8.9 $198,142,844 -16.0 $196,901,738 -0.6 $187.38

7 17 15 Arkansas $406,127,399 $398,314,931 -1.9 $452,589,627 13.6 $509,353,265 12.5 $507,462,778 -0.4 $720,347,208 42.0 $175.75

18 18 20 Texas $3,253,332,436 $3,161,612,580 -2.8 $3,836,185,783 21.3 $3,699,521,743 -3.6 $4,267,888,409 15.4 $4,491,434,864 5.2 $172.30

13 19 18 Florida $2,238,340,836 $2,405,702,945 7.5 $2,927,122,416 21.7 $2,975,301,706 1.6 $3,161,996,332 6.3 $3,702,081,561 17.1 $170.83

15 20 22 South Dakota $96,740,089 $87,998,092 -9.0 $94,873,411 7.8 $111,054,486 17.1 $130,929,735 17.9 $159,928,428 22.1 $161.48

20 21 21 Wyoming $66,341,982 $68,760,139 3.6 $59,223,570 -13.9 $75,213,128 27.0 $82,994,907 10.3 $94,152,072 13.4 $152.45

25 22 23 West Virginia $266,430,446 $218,383,096 -18.0 $225,366,360 3.2 $248,127,901 10.1 $265,662,314 7.1 $272,925,635 2.7 $145.86

17 23 24 Montana $95,959,496 $110,512,496 15.2 $106,769,033 -3.4 $116,908,275 9.5 $137,079,857 17.3 $181,408,557 32.3 $140.72

27 24 25 Idaho $138,433,950 $124,118,462 -10.3 $144,292,545 16.3 $176,272,470 22.2 $215,394,139 22.2 $218,628,622 1.5 $139.46

40 25 8 Indiana $605,016,049 $691,314,582 14.3 $615,280,388 -11.0 $1,399,057,223 127.4 $843,693,120 -39.7 $547,954,219 -35.1 $131.47

28 26 26 Georgia $1,707,337,451 $1,268,432,950 -25.7 $1,169,201,855 -7.8 $1,101,493,623 -5.8 $1,149,421,169 4.4 $1,307,985,396 13.8 $117.13

32 27 37 Connecticut $234,482,738 $256,395,283 9.3 $281,497,008 9.8 $322,241,565 14.5 $404,397,202 25.5 $436,583,768 8.0 $115.05

30 28 35 Maryland $347,463,030 $534,963,334 54.0 $592,724,316 10.8 $536,357,441 -9.5 $642,819,045 19.8 $756,388,143 17.7 $113.01

22 29 34 Iowa $273,963,285 $254,670,495 -7.0 $268,313,932 5.4 $294,216,327 9.7 $335,164,250 13.9 $473,742,167 41.3 $111.41

33 30 29 Nebraska $153,944,419 $170,245,226 10.6 $176,327,581 3.6 $188,173,637 6.7 $197,347,188 4.9 $203,117,000 2.9 $109.95

26 31 28 Utah $239,127,339 $325,835,071 36.3 $263,494,490 -19.1 $289,677,234 9.9 $300,378,383 3.7 $395,170,314 31.6 $108.02

36 32 30 Washington $659,865,609 $532,101,532 -19.4 $595,611,559 11.9 $678,873,376 14.0 $709,119,241 4.5 $666,861,387 -6.0 $106.29

23 33 32 Colorado $392,619,087 $431,864,777 10.0 $445,964,769 3.3 $507,460,725 13.8 $526,447,954 3.7 $778,717,062 47.9 $104.97

34 34 27 Michigan $955,262,775 $939,324,860 -1.7 $1,112,307,626 18.4 $1,096,344,943 -1.4 $1,043,165,555 -4.9 $1,053,924,565 1.0 $104.79

43 35 49 Wisconsin $293,048,004 $297,424,806 1.5 $286,428,095 -3.7 $244,734,286 -14.6 $559,302,945 128.5 $448,701,792 -19.8 $98.98

37 36 31 Kansas $227,704,389 $347,755,127 52.7 $256,761,410 -26.2 $288,700,979 12.4 $277,495,426 -3.9 $280,295,954 1.0 $98.49

35 37 39 Ohio $1,604,649,745 $1,515,712,078 -5.5 $1,168,560,752 -22.9 $993,662,457 -15.0 $1,111,504,892 11.9 $1,162,171,735 4.6 $96.39

41 38 36 New Jersey $729,685,470 $770,285,986 5.6 $816,971,678 6.1 $797,379,396 -2.4 $757,563,657 -5.0 $734,009,418 -3.1 $87.14

29 39 38 North Dakota $42,355,899 $47,073,407 11.1 $33,624,563 -28.6 $57,371,934 70.6 $56,028,152 -2.3 $90,807,998 62.1 $86.74

42 40 42 Virginia $502,427,808 $533,027,866 6.1 $564,562,799 5.9 $593,922,534 5.2 $641,834,296 8.1 $654,987,888 2.0 $81.63

39 41 41 Minnesota $291,310,878 $305,922,325 5.0 $357,530,456 16.9 $407,097,798 13.9 $400,259,051 -1.7 $457,448,663 14.3 $76.05

48 42 33 Hawaii $121,347,983 $102,946,597 -15.2 $126,895,708 23.3 $125,917,152 -0.8 $97,731,963 -22.4 $66,519,587 -31.9 $75.86

45 43 40 Nevada $212,487,697 $204,308,199 -3.8 $222,840,016 9.1 $203,998,668 -8.5 $197,137,368 -3.4 $191,524,027 -2.8 $74.71

31 44 43 Tennessee $533,030,164 $606,414,513 13.8 $470,367,820 -22.4 $433,315,841 -7.9 $446,109,909 3.0 $822,880,801 84.5 $70.91

46 45 44 Delaware $48,548,309 $54,632,569 12.5 $50,692,852 -7.2 $57,506,139 13.4 $56,070,636 -2.5 $52,417,479 -6.5 $63.42

49 46 47 New Hampshire $48,984,954 $53,004,558 8.2 $55,224,811 4.2 $60,157,082 8.9 $65,648,255 9.1 $63,295,797 -3.6 $49.65

44 47 46 Oregon $181,920,905 $181,445,791 -0.3 $168,208,322 -7.3 $178,178,348 5.9 $187,921,544 5.5 $289,560,785 54.1 $49.15

47 48 45 Pennsylvania $621,028,520 $642,445,287 3.4 $642,739,900 0.0 $615,931,103 -4.2 $611,429,612 -0.7 $632,803,988 3.5 $48.52

38 49 48 Alabama $390,460,752 $194,118,573 -50.3 $253,462,250 30.6 $211,749,864 -16.5 $204,711,291 -3.3 $459,565,770 124.5 $43.49

50 50 50 Arizona $159,894,402 $171,679,842 7.4 $186,288,747 8.5 $233,810,555 25.5 $260,985,796 11.6 $208,485,381 -20.1 $39.6251 51 51 Vermont $59,950,193 $2,052,157 -96.6 $2,876,539 40.2 $2,802,870 -2.6 $2,812,401 0.3 $4,343,487 54.4 $4.53

United States $41,921,189,946 $43,761,294,731 4.4 $46,616,530,407 6.5 $48,139,213,340 3.3 $50,411,110,978 4.7 $51,350,496,456 1.9 $163.28

Inpatient Hospital - DSH Table W

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Louisiana $917,391,158 $660,878,681 -28.0 $815,419,095 23.4 $873,660,377 7.1 $872,277,837 -0.2 $784,148,439 -10.1 $194.29

2 2 2 New Hampshire $200,882,541 $144,389,323 -28.1 $163,063,566 12.9 $183,632,282 12.6 $196,899,521 7.2 $194,895,738 -1.0 $148.92

3 3 3 New York $2,420,840,610 $2,420,907,193 0.0 $2,405,017,397 -0.7 $2,420,472,502 0.6 $2,633,027,351 8.8 $2,713,952,830 3.1 $134.87

4 4 5 Rhode Island $108,156,156 $110,026,488 1.7 $110,693,860 0.6 $114,198,625 3.2 $120,717,168 5.7 $124,795,467 3.4 $114.16

6 5 4 Washington DC $43,390,961 $38,963,951 -10.2 $66,701,040 71.2 $68,269,403 2.4 $67,467,120 -1.2 $64,865,552 -3.9 $112.45

5 6 6 New Jersey $748,903,206 $793,182,621 5.9 $930,386,190 17.3 $932,410,213 0.2 $966,778,499 3.7 $983,015,281 1.7 $111.20

7 7 8 Alabama $405,621,719 $413,662,335 2.0 $422,892,297 2.2 $425,584,054 0.6 $452,632,758 6.4 $463,824,975 2.5 $96.15

9 8 9 South Carolina $372,563,497 $392,181,490 5.3 $391,194,227 -0.3 $388,174,855 -0.8 $418,343,049 7.8 $369,559,336 -11.7 $91.86

8 9 7 Missouri $486,103,958 $513,427,320 5.6 $505,170,094 -1.6 $626,826,340 24.1 $432,198,498 -31.0 $527,748,764 22.1 $72.25

10 10 10 Mississippi $182,951,108 $177,465,123 -3.0 $200,815,293 13.2 $188,285,227 -6.2 $202,679,536 7.6 $208,213,247 2.7 $68.71

12 11 13 California $2,065,144,316 $2,065,159,440 0.0 $2,063,439,770 -0.1 $2,065,159,599 0.1 $2,199,182,789 6.5 $2,155,123,594 -2.0 $59.62

11 12 12 Vermont $35,205,323 $36,233,885 2.9 $35,963,346 -0.7 $35,902,422 -0.2 $36,548,781 1.8 $36,548,781 0.0 $58.81

14 13 11 Connecticut $181,753,171 $169,833,763 -6.6 $196,060,109 15.4 $216,163,008 10.3 $189,968,999 -12.1 $159,914,888 -15.8 $54.05

13 14 15 Texas $1,187,940,822 $1,195,237,420 0.6 $1,181,236,795 -1.2 $1,199,763,414 1.6 $1,329,038,964 10.8 $1,389,671,170 4.6 $53.65

45 15 16 Ohio $547,744,889 $544,593,055 -0.6 $547,132,275 0.5 $535,662,640 -2.1 $563,004,690 5.1 $0 -100.0 $48.82

15 16 17 Georgia $418,830,244 $417,724,422 -0.3 $408,489,593 -2.2 $400,877,381 -1.9 $419,429,306 4.6 $426,510,506 1.7 $42.74

16 17 19 Kentucky $158,802,714 $159,753,581 0.6 $157,367,474 -1.5 $158,383,443 0.6 $170,180,250 7.4 $173,659,743 2.0 $39.46

21 18 18 Pennsylvania $472,808,541 $547,534,008 15.8 $540,263,559 -1.3 $475,113,269 -12.1 $472,396,882 -0.6 $433,386,883 -8.3 $37.49

17 19 21 Colorado $171,986,272 $174,230,977 1.3 $174,221,080 0.0 $166,703,879 -4.3 $187,422,514 12.4 $200,031,086 6.7 $37.37

20 20 23 Nevada $77,931,664 $79,554,054 2.1 $80,778,416 1.5 $82,757,121 2.4 $92,878,022 12.2 $95,232,395 2.5 $35.20

22 21 24 North Carolina $292,796,393 $293,228,048 0.1 $281,763,394 -3.9 $282,545,950 0.3 $307,159,833 8.7 $313,451,739 2.0 $32.83

19 22 22 Washington $233,321,201 $188,219,621 -19.3 $182,966,405 -2.8 $211,005,114 15.3 $218,601,190 3.6 $243,120,255 11.2 $32.77

18 23 43 Illinois $260,244,435 $119,468,214 -54.1 $108,388,932 -9.3 $113,495,996 4.7 $386,671,350 240.7 $481,620,126 24.6 $29.99

23 24 25 West Virginia $59,410,552 $55,084,959 -7.3 $54,330,656 -1.4 $53,979,213 -0.6 $54,548,725 1.1 $55,087,700 1.0 $29.95

24 25 26 Michigan $307,059,875 $299,173,577 -2.6 $300,816,489 0.5 $287,030,365 -4.6 $282,526,069 -1.6 $279,595,430 -1.0 $28.38

29 26 28 Minnesota $61,654,014 $88,160,882 43.0 $88,434,857 0.3 $131,292,587 48.5 $127,316,015 -3.0 $108,643,317 -14.7 $24.19

25 27 35 Nebraska $19,067,402 $24,457,242 28.3 $22,107,297 -9.6 $24,935,525 12.8 $40,033,326 60.5 $47,698,173 19.1 $22.30

46 28 14 Indiana $214,210,674 $9,249,878 -95.7 $394,771,380 4167.9 $338,313,102 -14.3 $142,734,536 -57.8 $0 -100.0 $22.24

28 29 41 Arkansas $34,005,293 $40,113,884 18.0 $46,778,072 16.6 $32,500,000 -30.5 $63,169,873 94.4 $60,092,015 -4.9 $21.88

47 30 36 Arizona $112,917,835 $109,879,499 -2.7 $115,002,400 4.7 $86,920,707 -24.4 $133,125,418 53.2 $0 -100.0 $20.21

27 31 20 Tennessee $0 $0 0.0 $153,565,060 100.0 $217,559,114 41.7 $123,404,932 -43.3 $151,397,218 22.7 $19.62

26 32 30 Virginia $136,511,574 $122,066,561 -10.6 $196,404,565 60.9 $185,207,931 -5.7 $144,608,800 -21.9 $192,435,368 33.1 $18.39

30 33 33 Montana $9,305,272 $11,263,522 21.0 $13,226,696 17.4 $15,510,286 17.3 $16,480,456 6.3 $17,305,967 5.0 $16.92

31 34 31 Kansas $42,668,211 $36,867,990 -13.6 $28,213,989 -23.5 $53,884,892 91.0 $46,189,159 -14.3 $44,925,344 -2.7 $16.39

37 35 42 Maryland $45,030,494 $61,853,830 37.4 $57,506,932 -7.0 $63,435,466 10.3 $80,097,795 26.3 $60,911,473 -24.0 $14.08

34 36 38 New Mexico -$1 $15,735,450 -157354510.0 $21,922,307 39.3 $25,614,769 16.8 $28,072,048 9.6 $28,953,143 3.1 $13.98

39 37 39 Oregon $25,285,758 $34,480,671 36.4 $40,325,046 16.9 $47,053,449 16.7 $53,204,811 13.1 $34,427,236 -35.3 $13.92

35 38 40 Florida $215,784,970 $214,327,186 -0.7 $216,658,463 1.1 $224,136,409 3.5 $234,896,769 4.8 $253,738,887 8.0 $12.69

36 39 37 Oklahoma $27,999,197 $34,054,028 21.6 $39,880,236 17.1 $47,560,655 19.3 $40,213,009 -15.4 $48,908,080 21.6 $10.91

40 40 32 Iowa $35,584,972 $41,418,214 16.4 $42,157,700 1.8 $48,074,170 14.0 $30,319,399 -36.9 $27,123,879 -10.5 $10.08

38 41 44 Utah $15,475,716 $18,472,471 19.4 $21,776,849 17.9 $19,591,385 -10.0 $24,901,332 27.1 $25,914,531 4.1 $8.95

32 42 45 Alaska $5,733,457 $5,327,519 -7.1 $7,071,478 32.7 $3,516,040 -50.3 $2,247,000 -36.1 $11,060,174 392.2 $3.23

44 43 27 Wisconsin $71,084,565 $37,642,851 -47.0 $44,468,081 18.1 $150,790,006 239.1 $14,661,409 -90.3 $3,956,666 -73.0 $2.59

48 44 46 South Dakota $0 $318,692 100.0 $624,071 95.8 $624,529 0.1 $1,498,552 139.9 $0 -100.0 $1.85

43 45 47 North Dakota $837,710 $1,317,608 57.3 $642,042 -51.3 $240,360 -62.6 $541,744 125.4 $756,552 39.7 $0.84

42 46 48 Wyoming $0 $483,563 100.0 $105,108 -78.3 $129,242 23.0 $292,145 126.0 $801,851 174.5 $0.54

49 47 49 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 48 29 Hawaii $0 $0 0.0 $0 0.0 $30,973,451 100.0 $0 -100.0 $8,119,211 100.0 $0.00

33 49 34 Idaho $14,045,854 $16,458,663 17.2 $18,969,942 15.3 $22,159,454 16.8 $0 -100.0 $23,873,424 100.0 $0.00

50 50 50 Massachusetts $614,480,753 -$63,941,119 -110.4 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Maine $32,890,293 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $14,092,359,339 $12,870,122,634 -8.7 $13,895,183,923 8.0 $14,276,080,221 2.7 $14,620,588,229 2.4 $14,029,016,434 -4.0 $47.35

Medicaid Managed Care Premiums Table X

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Vermont $34,188,355 $786,300,073 2199.9 $801,942,418 2.0 $840,952,806 4.9 $907,573,389 7.9 $1,006,545,222 10.9 $1,460.45

2 2 2 Arizona $4,758,361,853 $5,172,038,864 8.7 $5,567,404,311 7.6 $6,389,964,549 14.8 $7,235,392,317 13.2 $8,013,586,341 10.8 $1,098.33

3 3 3 New Mexico $998,716,214 $1,116,136,178 11.8 $1,218,979,680 9.2 $1,415,112,673 16.1 $1,938,366,016 37.0 $2,216,533,031 14.4 $965.65

8 4 5 Pennsylvania $5,720,331,226 $5,803,346,482 1.5 $6,363,445,885 9.7 $6,651,232,153 4.5 $7,522,435,487 13.1 $8,460,617,475 12.5 $596.92

5 5 4 Tennessee $3,092,564,606 $2,844,897,303 -8.0 $3,132,866,878 10.1 $3,582,833,201 14.4 $3,688,019,760 2.9 $4,949,731,471 34.2 $586.22

7 6 7 Delaware $298,869,466 $354,512,023 18.6 $373,144,466 5.3 $431,234,323 15.6 $510,113,865 18.3 $599,867,977 17.6 $576.97

4 7 16 Hawaii $273,898,428 $398,454,106 45.5 $324,912,940 -18.5 $352,417,329 8.5 $731,301,503 107.5 $1,091,122,772 49.2 $567.66

6 8 6 Washington DC $293,476,668 $296,371,140 1.0 $298,569,071 0.7 $295,976,637 -0.9 $324,302,501 9.6 $407,696,921 25.7 $540.53

13 9 19 Wisconsin $954,677,430 $1,174,925,473 23.1 $1,298,655,082 10.5 $1,185,333,476 -8.7 $2,819,081,365 137.8 $2,609,400,660 -7.4 $498.89

9 10 8 Michigan $2,999,183,276 $3,189,985,834 6.4 $3,700,098,211 16.0 $4,221,234,223 14.1 $4,908,220,383 16.3 $5,748,957,582 17.1 $493.03

10 11 12 Rhode Island $324,771,026 $337,088,941 3.8 $259,071,797 -23.1 $389,909,933 50.5 $513,732,160 31.8 $566,660,328 10.3 $485.82

14 12 10 Minnesota $1,411,410,875 $1,474,942,088 4.5 $1,668,062,612 13.1 $2,120,403,173 27.1 $2,459,042,280 16.0 $2,431,305,270 -1.1 $467.25

12 13 9 Massachusetts $1,829,376,128 $2,547,394,278 39.2 $2,066,935,640 -18.9 $2,677,079,573 29.5 $2,886,608,731 7.8 $3,112,008,520 7.8 $437.88

11 14 11 New York $5,795,840,566 $6,428,085,285 10.9 $6,625,579,103 3.1 $7,724,959,639 16.6 $8,533,092,677 10.5 $9,666,607,483 13.3 $437.09

17 15 13 Ohio $1,046,305,499 $1,503,260,271 43.7 $3,185,085,585 111.9 $4,052,454,766 27.2 $4,497,632,026 11.0 $4,498,653,118 0.0 $390.02

15 16 14 Maryland $1,469,566,068 $1,630,659,356 11.0 $1,751,286,227 7.4 $1,849,138,742 5.6 $2,175,889,951 17.7 $2,540,603,614 16.8 $382.51

16 17 15 Oregon $1,058,588,657 $1,015,223,743 -4.1 $971,386,806 -4.3 $1,168,211,440 20.3 $1,347,582,841 15.4 $1,668,493,416 23.8 $352.49

20 18 18 Georgia $3,186,343 $466,487,998 14540.2 $2,046,583,798 338.7 $2,183,440,155 6.7 $2,361,187,682 8.1 $2,256,920,379 -4.4 $240.60

19 19 17 Washington $1,394,115,306 $1,316,092,336 -5.6 $1,281,608,542 -2.6 $1,509,610,116 17.8 $1,598,760,256 5.9 $1,720,259,077 7.6 $239.64

25 20 26 Indiana $607,532,043 $874,884,342 44.0 $971,742,274 11.1 $1,052,866,928 8.3 $1,451,061,322 37.8 $1,258,375,781 -13.3 $226.12

23 21 20 Connecticut $686,000,961 $670,352,554 -2.3 $668,217,729 -0.3 $658,571,984 -1.4 $722,165,288 9.7 $724,089,384 0.3 $205.46

27 22 23 Missouri $827,253,109 $852,851,533 3.1 $866,130,521 1.6 $1,014,483,918 17.1 $1,214,370,466 19.7 $1,089,197,042 -10.3 $203.00

18 23 32 South Carolina $86,277,781 $122,169,659 41.6 $169,846,707 39.0 $346,026,930 103.7 $910,198,712 163.0 $1,277,839,692 40.4 $199.86

21 24 22 New Jersey $1,106,441,254 $1,233,274,508 11.5 $1,364,267,518 10.6 $1,527,268,847 11.9 $1,712,263,403 12.1 $1,896,314,078 10.7 $196.95

29 25 24 Kentucky $533,655,490 $618,829,431 16.0 $658,416,674 6.4 $719,275,714 9.2 $786,268,577 9.3 $751,648,906 -4.4 $182.33

24 26 21 Kansas $142,555,233 $176,165,621 23.6 $306,692,368 74.1 $505,672,163 64.9 $512,990,760 1.4 $568,344,500 10.8 $182.08

26 27 28 Texas $1,855,161,865 $2,079,840,913 12.1 $3,037,855,990 46.1 $3,853,046,148 26.8 $4,396,429,974 14.1 $4,838,596,477 10.1 $177.49

30 28 25 California $4,913,749,878 $5,437,169,318 10.7 $5,508,850,894 1.3 $6,073,040,539 10.2 $6,398,250,876 5.4 $6,109,496,603 -4.5 $173.45

22 29 27 Virginia $992,911,238 $1,146,272,186 15.4 $1,192,729,988 4.1 $1,264,116,747 6.0 $1,333,815,580 5.5 $1,653,367,886 24.0 $169.64

28 30 29 West Virginia $158,620,450 $231,601,097 46.0 $242,717,409 4.8 $265,675,122 9.5 $306,212,809 15.3 $322,627,972 5.4 $168.13

31 31 30 Florida $1,781,980,370 $1,726,800,282 -3.1 $2,034,251,464 17.8 $2,193,416,537 7.8 $2,720,412,243 24.0 $2,932,701,621 7.8 $146.97

32 32 31 Alabama $392,215,563 $438,265,298 11.7 $444,817,905 1.5 $482,363,618 8.4 $525,078,230 8.9 $652,858,451 24.3 $111.54

33 33 35 Utah $186,305,010 $176,487,567 -5.3 $178,291,797 1.0 $165,134,717 -7.4 $283,316,658 71.6 $353,017,491 24.6 $101.88

34 34 34 Nevada $177,958,655 $174,260,183 -2.1 $165,844,089 -4.8 $183,071,940 10.4 $219,307,804 19.8 $289,034,991 31.8 $83.12

35 35 33 Colorado $407,159,717 $397,817,646 -2.3 $307,163,158 -22.8 $346,196,757 12.7 $383,239,917 10.7 $389,337,398 1.6 $76.42

36 36 36 Nebraska $70,932,026 $80,106,373 12.9 $75,217,048 -6.1 $89,913,766 19.5 $93,648,049 4.2 $104,859,683 12.0 $52.18

38 37 38 Iowa $125,213,661 $102,700,828 -18.0 $110,437,494 7.5 $119,448,131 8.2 $123,363,685 3.3 $126,761,367 2.8 $41.01

37 38 37 Oklahoma $138,532,081 $123,971,228 -10.5 $163,633,502 32.0 $162,404,643 -0.8 $149,803,499 -7.8 $172,157,964 14.9 $40.65

41 39 39 Idaho $703,306 $751,104 6.8 $3,248,596 332.5 $29,514,627 808.5 $31,996,355 8.4 $27,024,284 -15.5 $20.72

40 40 40 Illinois $225,884,975 $172,907,992 -23.5 $142,354,166 -17.7 $211,709,309 48.7 $228,253,579 7.8 $256,379,825 12.3 $17.70

39 41 41 North Carolina $61,689,295 $157,036,904 154.6 $102,910,202 -34.5 $135,036,037 31.2 $121,728,402 -9.9 $210,658,440 73.1 $13.01

42 42 42 Montana $3,045,171 $3,413,886 12.1 $2,354,641 -31.0 $3,179,641 35.0 $2,199,341 -30.8 $968,679 -56.0 $2.26

43 43 43 North Dakota $1,437,970 $1,498,410 4.2 $252,948 -83.1 $1,003,065 296.5 $1,245,714 24.2 $500,450 -59.8 $1.93

47 44 44 New Hampshire $528,540 $988,734 87.1 $1,372,456 38.8 $1,124,206 -18.1 $1,166,352 3.7 $0 -100.0 $0.88

44 45 45 Louisiana $443,980 $869,200 95.8 $1,001,949 15.3 $1,481,223 47.8 $1,832,274 23.7 $2,372,619 29.5 $0.41

45 46 46 Alaska $19,537 $41,325 111.5 $22,917 -44.5 $4,158 -81.9 $44,636 973.5 $265,223 494.2 $0.06

46 47 47 South Dakota $8,835,264 $9,756,471 10.4 $8,116,226 -16.8 $1,100 -100.0 $901 -18.1 $200 -77.8 $0.00

48 48 48 Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Maine $230,164 $237,154 3.0 $123,876 -47.8 $0 -100.0 $0 0.0 $0 0.0 $0.00

50 50 50 Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Wyoming $5,862 $6,093 3.9 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $49,250,708,439 $54,867,529,612 11.4 $61,664,501,558 12.4 $70,446,547,422 14.2 $81,589,000,596 15.8 $89,574,367,664 9.8 $264.26

Drugs Table Y

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Louisiana $804,633,476 $529,773,555 -34.2 $548,013,190 3.4 $610,025,345 11.3 $658,838,782 8.0 $633,700,641 -3.8 $146.75

2 2 2 New York $3,948,637,769 $2,749,432,136 -30.4 $2,396,676,022 -12.8 $2,460,338,899 2.7 $2,676,604,635 8.8 $2,513,755,852 -6.1 $137.10

4 3 4 Washington DC $80,161,745 $61,721,741 -23.0 $57,147,084 -7.4 $55,948,451 -2.1 $65,601,627 17.3 $60,070,877 -8.4 $109.34

6 4 3 West Virginia $312,748,697 $202,101,002 -35.4 $191,398,913 -5.3 $200,465,944 4.7 $171,973,384 -14.2 $159,735,932 -7.1 $94.42

5 5 13 Connecticut $387,296,724 $163,346,078 -57.8 $133,412,302 -18.3 $251,150,302 88.3 $303,787,658 21.0 $322,839,120 6.3 $86.43

9 6 17 North Carolina $1,337,570,828 $791,201,179 -40.8 $691,346,407 -12.6 $560,377,776 -18.9 $789,101,742 40.8 $749,975,270 -5.0 $84.33

13 7 6 Kentucky $577,672,992 $368,250,392 -36.3 $336,799,852 -8.5 $324,783,184 -3.6 $345,707,114 6.4 $299,933,862 -13.2 $80.17

3 8 12 Missouri $945,592,500 $479,170,814 -49.3 $407,186,446 -15.0 $428,736,972 5.3 $463,276,485 8.1 $614,186,539 32.6 $77.44

8 9 9 Delaware $86,712,919 $65,954,548 -23.9 $59,855,248 -9.2 $63,543,502 6.2 $67,814,784 6.7 $72,101,513 6.3 $76.70

15 10 14 Oklahoma $397,011,007 $246,587,312 -37.9 $231,672,495 -6.0 $236,895,010 2.3 $282,116,452 19.1 $245,303,959 -13.0 $76.54

10 11 8 Mississippi $485,515,177 $251,985,448 -48.1 $211,740,006 -16.0 $213,217,299 0.7 $224,444,329 5.3 $221,648,770 -1.2 $76.08

19 12 5 Maine $182,235,169 $97,795,019 -46.3 $103,910,355 6.3 $106,579,394 2.6 $93,552,662 -12.2 $74,890,959 -19.9 $71.09

18 13 11 Tennessee $1,569,216,253 $376,958,300 -76.0 $465,997,724 23.6 $449,923,504 -3.4 $443,967,685 -1.3 $371,462,559 -16.3 $70.57

17 14 10 Arkansas $337,333,160 $211,347,827 -37.3 $208,991,014 -1.1 $206,942,319 -1.0 $197,976,170 -4.3 $182,984,543 -7.6 $68.57

14 15 7 Alaska $99,804,517 $59,616,528 -40.3 $50,547,551 -15.2 $50,424,107 -0.2 $47,548,400 -5.7 $46,662,585 -1.9 $68.45

12 16 15 Alabama $461,345,090 $316,352,330 -31.4 $291,872,426 -7.7 $301,496,926 3.3 $315,403,397 4.6 $336,862,277 6.8 $67.00

16 17 16 Illinois $1,228,877,704 $916,248,048 -25.4 $686,905,879 -25.0 $805,745,489 17.3 $828,902,501 2.9 $810,258,693 -2.2 $64.29

7 18 24 Wisconsin $655,706,569 $372,499,377 -43.2 $280,935,452 -24.6 $271,172,106 -3.5 $330,405,503 21.8 $484,493,364 46.6 $58.47

22 19 22 Texas $1,679,968,531 $1,199,439,000 -28.6 $1,151,484,969 -4.0 $1,174,717,025 2.0 $1,339,768,022 14.1 $1,282,646,983 -4.3 $54.09

28 20 26 Wyoming $37,751,932 $28,603,156 -24.2 $23,557,089 -17.6 $25,351,270 7.6 $28,096,799 10.8 $22,535,951 -19.8 $51.61

23 21 18 Nebraska $180,051,370 $124,938,601 -30.6 $109,201,370 -12.6 $105,922,745 -3.0 $92,512,403 -12.7 $91,542,680 -1.0 $51.54

21 22 20 Massachusetts $794,309,416 $400,512,137 -49.6 $358,059,928 -10.6 $319,526,188 -10.8 $337,067,798 5.5 $346,640,055 2.8 $51.13

27 23 21 California $3,130,226,971 $1,530,641,685 -51.1 $1,727,644,550 12.9 $1,778,022,628 2.9 $1,718,474,884 -3.3 $1,515,373,675 -11.8 $46.59

25 24 25 New Jersey $878,574,171 $518,054,825 -41.0 $367,826,904 -29.0 $414,958,558 12.8 $404,092,908 -2.6 $368,468,209 -8.8 $46.48

32 25 19 Iowa $326,023,070 $422,608,188 29.6 $255,228,251 -39.6 $146,819,083 -42.5 $133,926,797 -8.8 $105,385,510 -21.3 $44.52

33 26 29 Montana $79,672,166 $40,778,162 -48.8 $39,287,978 -3.7 $39,618,324 0.8 $42,923,992 8.3 $32,809,477 -23.6 $44.06

24 27 32 Idaho $120,255,435 $76,969,245 -36.0 $64,110,477 -16.7 $57,094,202 -10.9 $65,310,370 14.4 $66,545,869 1.9 $42.29

30 28 28 Washington $509,557,283 $291,397,566 -42.8 $251,334,263 -13.7 $273,025,632 8.6 $259,978,660 -4.8 $248,895,306 -4.3 $38.97

38 29 33 New Hampshire $95,687,049 $46,612,200 -51.3 $45,181,970 -3.1 $46,474,198 2.9 $50,381,945 8.4 $38,216,125 -24.1 $38.11

40 30 34 Kansas $207,843,899 $110,168,737 -47.0 $83,730,440 -24.0 $95,286,555 13.8 $101,887,393 6.9 $76,109,803 -25.3 $36.16

29 31 37 North Dakota $48,831,855 $24,659,569 -49.5 $21,899,783 -11.2 $21,318,218 -2.7 $22,703,594 6.5 $25,941,904 14.3 $35.15

36 32 35 Maryland $411,395,998 $188,654,502 -54.1 $163,630,259 -13.3 $188,871,012 15.4 $191,808,883 1.6 $175,685,727 -8.4 $33.72

26 33 27 South Dakota $66,890,660 $37,863,951 -43.4 $31,754,944 -16.1 $36,294,257 14.3 $27,129,341 -25.3 $34,001,565 25.3 $33.46

31 34 31 Utah $174,791,633 $109,310,179 -37.5 $104,004,868 -4.9 $103,039,462 -0.9 $90,940,594 -11.7 $100,542,049 10.6 $32.70

37 35 23 South Carolina $513,479,142 $278,016,268 -45.9 $255,317,904 -8.2 $217,110,929 -15.0 $146,821,356 -32.4 $135,658,309 -7.6 $32.24

34 36 36 Florida $1,774,582,124 $641,082,913 -63.9 $618,467,964 -3.5 $612,783,072 -0.9 $563,312,371 -8.1 $581,975,901 3.3 $30.43

39 37 39 Colorado $210,814,713 $134,746,311 -36.1 $142,627,871 5.8 $159,494,153 11.8 $152,314,157 -4.5 $138,775,489 -8.9 $30.37

43 38 41 Georgia $810,293,044 $480,157,635 -40.7 $276,356,505 -42.4 $273,448,676 -1.1 $285,384,056 4.4 $226,739,847 -20.5 $29.08

42 39 43 Oregon $201,254,149 $121,683,953 -39.5 $101,040,992 -17.0 $101,836,382 0.8 $110,713,030 8.7 $91,559,271 -17.3 $28.96

20 40 42 Indiana $553,909,180 $221,694,954 -60.0 $202,294,139 -8.8 $178,280,613 -11.9 $171,578,385 -3.8 $352,144,534 105.2 $26.74

41 41 40 Minnesota $323,831,814 $162,546,856 -49.8 $147,471,930 -9.3 $153,946,240 4.4 $140,669,291 -8.6 $138,992,626 -1.2 $26.73

11 42 44 Ohio $1,374,994,210 $727,595,784 -47.1 $376,055,838 -48.3 $277,855,091 -26.1 $303,747,713 9.3 $821,437,641 170.4 $26.34

44 43 46 Nevada $100,486,641 $63,540,597 -36.8 $57,981,947 -8.7 $56,404,600 -2.7 $56,984,368 1.0 $61,266,752 7.5 $21.60

35 44 45 Michigan $638,770,800 $289,208,131 -54.7 $229,885,807 -20.5 $224,393,395 -2.4 $211,855,651 -5.6 $302,336,182 42.7 $21.28

45 45 48 Pennsylvania $754,429,518 $329,922,340 -56.3 $217,021,416 -34.2 $223,035,622 2.8 $246,662,506 10.6 $222,254,255 -9.9 $19.57

46 46 47 Virginia $460,677,062 $194,224,227 -57.8 $146,193,809 -24.7 $144,292,015 -1.3 $135,446,289 -6.1 $133,101,293 -1.7 $17.23

47 47 38 Rhode Island $129,212,814 $55,526,599 -57.0 $43,461,398 -21.7 $34,655,085 -20.3 $15,781,183 -54.5 $11,366,927 -28.0 $14.92

50 48 30 Hawaii $94,773,311 $53,991,705 -43.0 $45,037,072 -16.6 $48,473,272 7.6 $13,599,015 -71.9 $3,592,171 -73.6 $10.56

48 49 49 New Mexico $90,834,524 $30,864,718 -66.0 $13,606,906 -55.9 $22,273,365 63.7 $15,346,575 -31.1 $8,705,586 -43.3 $7.65

49 50 50 Vermont $139,675,827 $6,264,582 -95.5 $1,649,084 -73.7 $1,868,970 13.3 $1,905,976 2.0 $1,698,248 -10.9 $3.0751 51 51 Arizona $5,524,065 $3,311,466 -40.1 $4,942,867 49.3 $6,419,013 29.9 $7,023,187 9.4 $7,773,304 10.7 $1.07

United States $30,817,446,673 $17,205,932,376 -44.2 $15,031,759,858 -12.6 $15,160,676,379 0.9 $15,793,172,802 4.2 $15,971,586,539 1.1 $51.15

Targeted Case Management Table Z

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Maine $79,840,536 $99,323,054 24.4 $85,209,550 -14.2 $81,774,122 -4.0 $84,561,259 3.4 $59,648,234 -29.5 $64.26

12 2 5 Tennessee $185,206,992 $176,971,873 -4.4 $176,839,435 -0.1 $137,562,154 -22.2 $213,495,800 55.2 $91,349,070 -57.2 $33.94

2 3 2 Minnesota $160,723,449 $158,997,431 -1.1 $141,817,581 -10.8 $149,485,228 5.4 $158,502,334 6.0 $207,504,011 30.9 $30.12

4 4 3 New York $459,211,278 $419,814,691 -8.6 $442,726,278 5.5 $540,469,223 22.1 $570,663,670 5.6 $544,143,791 -4.6 $29.23

5 5 6 Montana $19,075,062 $18,299,497 -4.1 $17,963,901 -1.8 $19,410,969 8.1 $20,282,802 4.5 $19,488,075 -3.9 $20.82

9 6 4 Oregon $93,428,675 $96,876,921 3.7 $105,413,152 8.8 $84,257,253 -20.1 $65,892,553 -21.8 $67,809,164 2.9 $17.24

10 7 8 Mississippi $20,480,207 $45,314,078 121.3 $46,610,915 2.9 $48,846,671 4.8 $50,574,712 3.5 $49,977,957 -1.2 $17.14

17 8 15 California $184,480,089 $170,378,875 -7.6 $186,859,638 9.7 $395,580,545 111.7 $583,713,215 47.6 $413,737,957 -29.1 $15.82

13 9 27 North Dakota $3,390,018 $3,402,437 0.4 $3,858,757 13.4 $4,115,378 6.7 $10,107,225 145.6 $9,553,692 -5.5 $15.65

14 10 9 Nebraska $19,976,739 $19,749,091 -1.1 $27,258,940 38.0 $25,438,888 -6.7 $27,579,460 8.4 $24,827,662 -10.0 $15.37

11 11 25 Virginia $15,824,291 $17,592,311 11.2 $12,131,393 -31.0 $58,486,997 382.1 $119,120,617 103.7 $126,650,283 6.3 $15.15

6 12 10 Oklahoma $36,513,152 $42,494,800 16.4 $40,044,910 -5.8 $47,195,581 17.9 $52,707,873 11.7 $71,287,648 35.3 $14.30

24 13 24 Connecticut $30,493,511 $30,610,013 0.4 $29,941,487 -2.2 $30,578,494 2.1 $47,130,620 54.1 $32,600,118 -30.8 $13.41

7 14 13 Nevada $26,380,032 $23,551,322 -10.7 $27,158,394 15.3 $29,461,691 8.5 $34,870,638 18.4 $49,348,514 41.5 $13.22

8 15 12 North Carolina $142,292,886 $163,883,680 15.2 $99,416,841 -39.3 $108,061,563 8.7 $117,669,660 8.9 $174,042,173 47.9 $12.58

15 16 11 Iowa $22,994,153 $28,957,273 25.9 $30,129,469 4.0 $35,741,432 18.6 $37,050,419 3.7 $36,167,158 -2.4 $12.32

18 17 21 Alabama $52,068,506 $51,796,739 -0.5 $47,797,514 -7.7 $42,714,706 -10.6 $55,256,547 29.4 $49,757,202 -10.0 $11.74

22 18 26 Wisconsin $38,402,548 $41,872,125 9.0 $53,427,033 27.6 $41,188,986 -22.9 $65,719,148 59.6 $52,653,378 -19.9 $11.63

19 19 22 Missouri $43,455,197 $74,714,699 71.9 $49,979,110 -33.1 $54,243,549 8.5 $65,844,486 21.4 $57,862,195 -12.1 $11.01

16 20 17 Kentucky $37,843,290 $36,902,543 -2.5 $38,217,295 3.6 $42,124,435 10.2 $46,292,647 9.9 $50,624,873 9.4 $10.74

20 21 18 Kansas $3,965,442 $36,317,454 815.8 $43,846,546 20.7 $26,700,103 -39.1 $28,276,875 5.9 $27,513,175 -2.7 $10.04

3 22 7 Massachusetts $162,629,056 $201,056,634 23.6 $192,637,963 -4.2 $121,888,956 -36.7 $64,986,317 -46.7 $201,934,406 210.7 $9.86

26 23 19 South Carolina $75,836,684 $72,496,455 -4.4 $35,561,120 -50.9 $42,335,113 19.0 $43,845,536 3.6 $33,705,305 -23.1 $9.63

23 24 14 Rhode Island $9,407,217 $9,250,446 -1.7 $10,716,422 15.8 $11,468,438 7.0 $9,902,732 -13.7 $9,609,520 -3.0 $9.36

21 25 16 Georgia $177,638,044 $143,082,601 -19.5 $96,089,589 -32.8 $103,264,127 7.5 $90,627,485 -12.2 $92,937,476 2.5 $9.23

25 26 23 Idaho $11,672,843 $12,370,774 6.0 $12,641,610 2.2 $13,699,897 8.4 $13,991,013 2.1 $11,697,643 -16.4 $9.06

27 27 30 Florida $94,972,697 $94,405,600 -0.6 $113,190,856 19.9 $79,329,283 -29.9 $108,456,254 36.7 $117,930,591 8.7 $5.86

28 28 32 Louisiana $3,906,583 $17,814,048 356.0 $17,228,953 -3.3 $18,211,709 5.7 $19,944,022 9.5 $19,604,495 -1.7 $4.44

31 29 31 Wyoming $1,477,483 $1,695,557 14.8 $1,694,072 -0.1 $2,189,331 29.2 $2,358,541 7.7 $1,672,347 -29.1 $4.33

29 30 29 Colorado $19,667,406 $26,871,385 36.6 $23,150,992 -13.8 $23,047,933 -0.4 $18,272,365 -20.7 $21,400,093 17.1 $3.64

37 31 35 Illinois $85,257,459 $48,002,709 -43.7 $52,743,548 9.9 $32,688,899 -38.0 $44,522,035 36.2 $22,568,569 -49.3 $3.45

30 32 39 Ohio $44,664,337 $23,149,071 -48.2 $22,663,060 -2.1 $15,253,785 -32.7 $38,297,376 151.1 $39,619,909 3.5 $3.32

35 33 33 West Virginia $10,656,917 $8,929,138 -16.2 $7,417,557 -16.9 $5,903,559 -20.4 $4,194,816 -28.9 $3,800,983 -9.4 $2.30

36 34 37 Michigan $13,796,810 $15,118,308 9.6 $19,738,747 30.6 $18,517,590 -6.2 $22,697,188 22.6 $20,169,479 -11.1 $2.28

33 35 36 New Jersey $6,613,517 $11,121,063 68.2 $13,650,828 22.7 $16,839,469 23.4 $18,484,178 9.8 $20,161,749 9.1 $2.13

32 36 20 Texas $205,093,565 $226,420,514 10.4 $252,641,922 11.6 $228,442,350 -9.6 $50,837,937 -77.7 $64,086,142 26.1 $2.05

34 37 28 Pennsylvania $101,395,663 $102,280,355 0.9 $86,789,692 -15.1 $71,967,959 -17.1 $23,524,451 -67.3 $28,728,103 22.1 $1.87

39 38 38 Indiana $12,748,611 $11,011,903 -13.6 $9,507,099 -13.7 $9,920,945 4.4 $7,670,157 -22.7 $7,355,928 -4.1 $1.20

40 39 40 Arkansas $15,695,445 $10,597,437 -32.5 $5,007,762 -52.7 $3,056,746 -39.0 $3,287,380 7.5 $3,017,278 -8.2 $1.14

42 40 41 Utah $17,307,580 $8,856,036 -48.8 $1,058,590 -88.0 $1,722,881 62.8 $1,759,090 2.1 $1,255,492 -28.6 $0.63

41 41 42 Hawaii $806,375 $992,154 23.0 $739,234 -25.5 $782,255 5.8 $416,634 -46.7 $1,046,870 151.3 $0.32

38 42 44 Maryland $373,920 $495,778 32.6 $358,861 -27.6 $343,469 -4.3 $366,648 6.7 $9,850,135 2586.5 $0.06

43 43 45 New Hampshire $101,069 $52,517 -48.0 $64,228 22.3 $56,499 -12.0 $68,117 20.6 $83,081 22.0 $0.05

45 44 43 New Mexico $7,564,318 $6,427,049 -15.0 $4,318,625 -32.8 $203,927 -95.3 $94,848 -53.5 $65,564 -30.9 $0.05

46 45 46 Alaska $14,540 $56,239 286.8 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 46 47 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 47 48 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 48 49 Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

50 49 50 South Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

44 50 51 Vermont $15,772,863 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $29,872 100.0 $0.0051 51 34 Washington $30,836,798 $28,245,469 -8.4 $35,007,790 23.9 $16,804,315 -52.0 $0 -100.0 $0 0.0 $0.00

United States $2,801,953,853 $2,838,620,147 1.3 $2,721,267,259 -4.1 $2,841,377,403 4.4 $3,043,917,680 7.1 $2,948,877,360 -3.1 $9.86

ICF/MR - Public Table AA

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

4 1 5 Connecticut $166,888,597 $231,026,203 38.4 $181,714,167 -21.3 $174,937,058 -3.7 $463,678,921 165.1 $228,774,011 -50.7 $131.92

1 2 1 New York $2,002,533,907 $2,215,767,495 10.6 $2,247,080,471 1.4 $2,320,698,700 3.3 $2,370,735,969 2.2 $2,445,372,576 3.1 $121.44

2 3 2 Mississippi $167,176,890 $208,113,656 24.5 $206,165,554 -0.9 $237,944,327 15.4 $228,759,774 -3.9 $220,363,063 -3.7 $77.55

3 4 3 New Jersey $516,562,729 $631,969,863 22.3 $616,591,194 -2.4 $624,600,086 1.3 $651,091,756 4.2 $607,638,116 -6.7 $74.89

6 5 4 Louisiana $233,984,243 $242,386,500 3.6 $233,087,703 -3.8 $259,262,107 11.2 $249,313,813 -3.8 $250,514,386 0.5 $55.53

8 6 7 Iowa $99,624,133 $107,262,904 7.7 $112,952,478 5.3 $122,118,917 8.1 $133,445,943 9.3 $123,697,412 -7.3 $44.36

21 7 42 Wisconsin $117,938,588 $115,410,883 -2.1 $93,479,394 -19.0 $6,997,050 -92.5 $248,002,801 3444.4 $118,199,371 -52.3 $43.89

7 8 6 Arkansas $123,603,713 $116,521,718 -5.7 $128,155,921 10.0 $128,480,339 0.3 $124,401,264 -3.2 $136,723,173 9.9 $43.09

9 9 12 North Dakota $26,007,131 $20,397,254 -21.6 $20,668,717 1.3 $18,770,963 -9.2 $24,306,515 29.5 $24,299,618 0.0 $37.63

11 10 10 South Carolina $138,270,305 $160,157,347 15.8 $156,696,182 -2.2 $154,255,458 -1.6 $166,524,666 8.0 $140,569,551 -15.6 $36.56

10 11 9 Wyoming $18,335,225 $9,732,838 -46.9 $20,006,774 105.6 $18,312,242 -8.5 $17,520,919 -4.3 $18,503,355 5.6 $32.18

20 12 19 Tennessee $156,114,870 $193,619,743 24.0 $154,691,137 -20.1 $150,893,362 -2.5 $182,951,738 21.2 $133,903,948 -26.8 $29.08

16 13 16 Texas $564,624,729 $593,085,698 5.0 $619,122,061 4.4 $656,619,270 6.1 $719,774,855 9.6 $666,043,605 -7.5 $29.06

17 14 11 Virginia $207,250,565 $208,485,016 0.6 $193,131,934 -7.4 $230,844,182 19.5 $228,103,410 -1.2 $211,109,222 -7.5 $29.01

12 15 14 South Dakota $21,296,554 $20,785,289 -2.4 $20,148,861 -3.1 $22,366,403 11.0 $23,336,646 4.3 $24,523,880 5.1 $28.78

14 16 15 North Carolina $230,900,371 $239,268,128 3.6 $243,596,153 1.8 $253,143,452 3.9 $253,337,940 0.1 $255,423,940 0.8 $27.07

30 17 17 Nebraska $40,859,970 $41,399,983 1.3 $47,199,400 14.0 $47,980,136 1.7 $46,378,263 -3.3 $14,152,406 -69.5 $25.84

15 18 22 Ohio $661,648,682 $333,825,659 -49.5 $260,178,412 -22.1 $240,359,794 -7.6 $290,342,014 20.8 $307,422,289 5.9 $25.18

18 19 18 Delaware $19,520,826 $16,205,124 -17.0 $19,856,576 22.5 $22,327,953 12.4 $20,531,786 -8.0 $22,786,238 11.0 $23.22

25 20 13 Illinois $356,646,841 $339,408,035 -4.8 $361,827,653 6.6 $361,703,524 0.0 $291,789,553 -19.3 $215,043,058 -26.3 $22.63

22 21 20 Washington $120,536,403 $120,792,719 0.2 $110,009,261 -8.9 $145,494,814 32.3 $150,685,095 3.6 $135,973,382 -9.8 $22.59

19 22 21 Pennsylvania $285,024,540 $282,114,715 -1.0 $278,938,491 -1.1 $277,238,842 -0.6 $282,196,225 1.8 $281,837,656 -0.1 $22.39

26 23 24 Missouri $169,436,277 $216,811,472 28.0 $94,074,973 -56.6 $115,830,056 23.1 $118,260,469 2.1 $79,958,503 -32.4 $19.77

23 24 23 Oklahoma $72,848,552 $74,909,522 2.8 $72,642,123 -3.0 $71,796,707 -1.2 $69,614,919 -3.0 $67,176,209 -3.5 $18.89

24 25 25 Kansas $48,204,691 $47,590,190 -1.3 $47,605,172 0.0 $47,221,471 -0.8 $51,892,540 9.9 $48,821,294 -5.9 $18.42

28 26 27 Utah $32,171,233 $30,649,798 -4.7 $28,271,061 -7.8 $41,223,148 45.8 $39,251,880 -4.8 $25,841,386 -34.2 $14.11

5 27 8 Massachusetts $213,106,263 $165,680,162 -22.3 $211,992,561 28.0 $234,756,847 10.7 $90,645,847 -61.4 $417,064,471 360.1 $13.75

27 28 28 Montana $12,350,308 $12,744,628 3.2 $10,631,730 -16.6 $13,375,445 25.8 $12,147,430 -9.2 $12,553,373 3.3 $12.47

31 29 26 Idaho $22,234,810 $24,247,907 9.1 $23,574,182 -2.8 $25,206,402 6.9 $17,031,048 -32.4 $10,591,987 -37.8 $11.03

35 30 30 California $418,962,457 $399,128,190 -4.7 $413,369,796 3.6 $418,304,944 1.2 $298,603,704 -28.6 $165,163,691 -44.7 $8.09

45 31 29 Maryland $63,962,424 $65,576,833 2.5 $68,465,522 4.4 $65,317,130 -4.6 $44,205,359 -32.3 $1,515 -100.0 $7.77

32 32 33 Alabama $25,803,771 $24,315,317 -5.8 $29,618,555 21.8 $33,870,779 14.4 $35,451,718 4.7 $32,223,593 -9.1 $7.53

13 33 45 Kentucky $93,225,367 $109,509,933 17.5 $96,297,346 -12.1 $0 -100.0 $32,350,250 100.0 $117,403,987 262.9 $7.50

29 34 31 Georgia $92,878,141 $109,627,451 18.0 $99,385,281 -9.3 $92,505,541 -6.9 $68,195,147 -26.3 $83,214,486 22.0 $6.95

33 35 32 Florida $191,396,968 $178,393,000 -6.8 $166,697,186 -6.6 $148,383,769 -11.0 $121,227,930 -18.3 $102,594,561 -15.4 $6.55

34 36 36 Colorado $57,340,393 $46,224,688 -19.4 $20,320,968 -56.0 $20,038,068 -1.4 $21,128,283 5.4 $26,305,692 24.5 $4.21

37 37 38 Rhode Island $3,105,613 $4,095,308 31.9 $3,646,845 -11.0 $3,348,914 -8.2 $4,068,886 21.5 $3,811,662 -6.3 $3.85

36 38 34 Nevada $15,653,216 $19,328,385 23.5 $13,946,999 -27.8 $11,609,244 -16.8 $8,462,833 -27.1 $10,999,832 30.0 $3.21

38 39 41 New Hampshire $2,348,269 $2,483,541 5.8 $2,521,518 1.5 $3,005,371 19.2 $3,252,472 8.2 $3,106,085 -4.5 $2.46

39 40 40 Minnesota $11,040,128 $13,302,660 20.5 $12,899,543 -3.0 $12,953,331 0.4 $10,383,499 -19.8 $9,840,849 -5.2 $1.97

42 41 37 Oregon $0 $0 0.0 $22,407,372 100.0 $13,946,950 -37.8 $6,763,791 -51.5 $2,192,905 -67.6 $1.77

43 42 35 Indiana $88,318,687 $113,263,771 28.2 $50,076,797 -55.8 $26,219,699 -47.6 $4,448,285 -83.0 $2,213,219 -50.2 $0.69

40 43 43 New Mexico -$352,009 $0 -100.0 $505,308 100.0 $329,092 -34.9 $1,110,872 237.6 $1,457,795 31.2 $0.55

46 44 39 Michigan $21,368,027 $28,989,260 35.7 $28,824,017 -0.6 $27,348,314 -5.1 $3,410,277 -87.5 $0 -100.0 $0.34

44 45 44 Maine $2,070,448 $6,314 -99.7 -$44,328 -802.1 $110,445 -349.2 $71,287 -35.5 $38,449 -46.1 $0.05

41 46 46 Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $492,240 100.0 $0.00

47 47 47 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 48 Washington DC $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

49 49 49 Hawaii -$24,163 -$120,568 399.0 $2,146 -101.8 $0 -100.0 $0 0.0 $0 0.0 $0.00

50 50 50 Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 West Virginia $26,726 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $7,932,826,409 $8,134,494,532 2.5 $7,843,031,167 -3.6 $7,902,050,646 0.8 $8,229,188,592 4.1 $7,805,942,040 -5.1 $26.65

ICF/MR - Private Table AB

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 1 Washington DC $79,196,025 $79,031,189 -0.2 $85,050,758 7.6 $82,579,121 -2.9 $73,766,501 -10.7 $69,360,377 -6.0 $122.95

2 2 2 North Dakota $38,507,465 $42,038,567 9.2 $41,013,626 -2.4 $49,271,892 20.1 $53,510,487 8.6 $61,734,408 15.4 $82.85

3 3 4 Iowa $149,883,294 $157,912,707 5.4 $163,699,050 3.7 $167,686,699 2.4 $172,437,772 2.8 $162,963,413 -5.5 $57.32

7 4 6 Maine $53,274,051 $70,521,151 32.4 $71,736,124 1.7 $63,990,831 -10.8 $65,113,871 1.8 $60,473,854 -7.1 $49.48

4 5 5 Louisiana $191,695,236 $183,671,694 -4.2 $208,962,906 13.8 $221,579,627 6.0 $218,743,387 -1.3 $221,832,485 1.4 $48.72

5 6 7 Indiana $227,006,736 $228,134,635 0.5 $268,492,516 17.7 $274,827,678 2.4 $308,140,752 12.1 $311,783,407 1.2 $48.02

6 7 8 New York $825,855,058 $1,172,814,134 42.0 $810,096,058 -30.9 $834,628,490 3.0 $822,177,996 -1.5 $927,696,370 12.8 $42.11

8 8 9 Ohio $394,797,705 $445,438,180 12.8 $437,510,893 -1.8 $451,633,735 3.2 $447,864,912 -0.8 $455,607,510 1.7 $38.84

10 9 10 West Virginia $55,389,241 $56,047,320 1.2 $57,353,867 2.3 $60,128,913 4.8 $63,958,052 6.4 $62,594,827 -2.1 $35.12

12 10 11 Minnesota $160,415,545 $158,038,485 -1.5 $162,476,906 2.8 $165,404,727 1.8 $163,530,656 -1.1 $159,270,554 -2.6 $31.07

14 11 13 North Carolina $222,555,850 $214,858,187 -3.5 $223,175,145 3.9 $246,162,360 10.3 $263,955,482 7.2 $236,026,373 -10.6 $28.21

13 12 15 Pennsylvania $305,939,804 $288,511,395 -5.7 $305,472,526 5.9 $307,057,048 0.5 $338,184,537 10.1 $317,128,792 -6.2 $26.84

11 13 12 Illinois $358,013,421 $384,635,659 7.4 $334,355,182 -13.1 $381,571,192 14.1 $319,759,277 -16.2 $421,099,236 31.7 $24.80

9 14 16 Idaho $35,178,341 $35,298,183 0.3 $36,127,380 2.3 $36,803,510 1.9 $38,001,297 3.3 $55,666,405 46.5 $24.60

15 15 17 Connecticut $52,801,476 $57,280,529 8.5 $58,450,808 2.0 $62,060,421 6.2 $60,600,894 -2.4 $63,444,569 4.7 $17.24

16 16 18 Mississippi $41,933,180 $45,470,922 8.4 $49,121,521 8.0 $47,933,652 -2.4 $48,434,750 1.0 $49,172,995 1.5 $16.42

31 17 14 Kentucky $14,523,695 $19,248,599 32.5 $54,048,023 180.8 $110,812,933 105.0 $68,170,679 -38.5 $28,118,762 -58.8 $15.81

17 18 19 Oklahoma $48,689,759 $50,151,219 3.0 $54,660,249 9.0 $55,120,549 0.8 $56,591,943 2.7 $56,415,308 -0.3 $15.35

18 19 20 Tennessee $129,006,861 $73,828,136 -42.8 $88,438,173 19.8 $90,125,379 1.9 $84,553,429 -6.2 $91,501,700 8.2 $13.44

24 20 25 California $368,106,249 $417,506,924 13.4 $400,642,929 -4.0 $396,095,470 -1.1 $458,302,831 15.7 $395,482,069 -13.7 $12.42

20 21 21 Texas $306,530,705 $295,847,018 -3.5 $287,030,291 -3.0 $303,183,942 5.6 $298,653,399 -1.5 $308,037,716 3.1 $12.06

23 22 23 Nebraska $18,583,792 $18,968,322 2.1 $19,740,938 4.1 $20,237,328 2.5 $20,597,546 1.8 $20,160,340 -2.1 $11.48

22 23 22 New Mexico $20,920,190 $21,712,361 3.8 $20,757,694 -4.4 $22,842,801 10.0 $22,903,957 0.3 $23,236,717 1.5 $11.41

19 24 26 Florida $109,793,398 $136,079,719 23.9 $152,590,919 12.1 $189,884,391 24.4 $207,221,417 9.1 $231,123,225 11.5 $11.20

21 25 24 Utah $25,342,299 $30,052,644 18.6 $29,862,528 -0.6 $30,858,900 3.3 $28,563,745 -7.4 $31,562,927 10.5 $10.27

26 26 27 Delaware $6,300,671 $6,545,757 3.9 $6,790,629 3.7 $7,506,130 10.5 $7,371,985 -1.8 $7,947,283 7.8 $8.34

30 27 28 Hawaii $8,621,472 $7,762,941 -10.0 $8,680,710 11.8 $9,027,307 4.0 $9,903,759 9.7 $9,014,193 -9.0 $7.69

28 28 30 Virginia $38,104,310 $40,992,823 7.6 $42,923,293 4.7 $48,619,320 13.3 $60,148,463 23.7 $59,250,005 -1.5 $7.65

29 29 33 Rhode Island $3,962,375 $3,717,843 -6.2 $4,163,603 12.0 $5,388,886 29.4 $7,355,367 36.5 $7,650,410 4.0 $6.96

27 30 29 Arkansas $17,304,874 $17,830,555 3.0 $18,803,976 5.5 $19,379,697 3.1 $19,998,188 3.2 $22,272,830 11.4 $6.93

25 31 35 Missouri $87,244,013 $25,044,419 -71.3 $11,761,439 -53.0 $13,313,050 13.2 $34,635,909 160.2 $53,929,034 55.7 $5.79

32 32 32 Wisconsin $76,110,791 $55,608,695 -26.9 $37,678,387 -32.2 $31,711,465 -15.8 $32,688,294 3.1 $26,875,994 -17.8 $5.78

33 33 31 Kansas $18,752,492 $17,390,710 -7.3 $17,024,844 -2.1 $15,972,803 -6.2 $14,208,372 -11.0 $13,090,177 -7.9 $5.04

34 34 34 Nevada $10,819,382 $7,399,494 -31.6 $7,443,456 0.6 $7,384,559 -0.8 $7,963,699 7.8 $7,473,632 -6.2 $3.02

35 35 3 Alaska $0 $0 0.0 $168,779 100.0 $45,669,729 26958.9 $1,454,971 -96.8 $1,151,836 -20.8 $2.09

36 36 36 New Jersey $11,120,677 $11,723,207 5.4 $11,829,663 0.9 $8,520,457 -28.0 $13,621,967 59.9 $11,772,939 -13.6 $1.57

38 37 38 Washington $4,444,776 $4,704,672 5.8 $4,854,492 3.2 $4,913,661 1.2 $5,224,428 6.3 $5,487,343 5.0 $0.78

37 38 37 Georgia $6,785,536 $5,021,768 -26.0 $6,499,863 29.4 $7,995,728 23.0 $5,599,585 -30.0 $8,742,034 56.1 $0.57

39 39 39 Alabama $1,444,290 $1,571,167 8.8 $1,903,674 21.2 $2,309,159 21.3 $2,489,221 7.8 $2,635,507 5.9 $0.53

40 40 40 Colorado $1,402,507 $1,528,104 9.0 $2,326,016 52.2 $2,251,010 -3.2 $2,312,210 2.7 $2,180,060 -5.7 $0.46

42 41 43 Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

43 42 42 Massachusetts $0 $0 0.0 -$5,380,587 100.0 $47 -100.0 $0 -100.0 $0 0.0 $0.00

44 43 44 Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

45 44 45 Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

41 45 46 Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $106,068 100.0 $0.00

46 46 47 New Hampshire $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

47 47 48 Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

48 48 49 South Carolina $23,163,176 $1,121,176 -95.2 $483,766 -56.9 $0 -100.0 $0 0.0 $0 0.0 $0.00

49 49 41 South Dakota $0 $0 0.0 $0 0.0 $147 100.0 $0 -100.0 $0 0.0 $0.00

50 50 50 Vermont $944,808 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.0051 51 51 Wyoming $0 $8,554,533 100.0 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

United States $4,550,465,526 $4,899,615,743 7.7 $4,598,823,013 -6.1 $4,902,444,744 6.6 $4,928,715,987 0.5 $5,061,073,684 2.7 $15.96

ICF/MR - Supplemental Table AC

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

2 n/a n/a Alaska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

3 n/a n/a Alabama $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

4 n/a n/a Arkansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

5 n/a n/a Arizona $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a


7 n/a n/a Colorado $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



10 n/a n/a Delaware $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

11 n/a n/a Florida $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

12 n/a n/a Georgia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

13 n/a n/a Hawaii $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

14 n/a n/a Iowa $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

15 n/a n/a Idaho $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

16 n/a n/a Illinois $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

17 n/a n/a Indiana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

18 n/a n/a Kansas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

19 n/a n/a Kentucky $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



22 n/a n/a Maryland $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

23 n/a n/a Maine $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

24 n/a n/a Michigan $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a


26 n/a n/a Missouri $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

27 n/a n/a Mississippi $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

28 n/a n/a Montana $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

29 n/a n/a North Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

1 n/a n/a North Dakota $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $4,164,312 100.0 n/a

30 n/a n/a Nebraska $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



33 n/a n/a New Mexico $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

34 n/a n/a Nevada $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

35 n/a n/a New York $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

36 n/a n/a Ohio $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

37 n/a n/a Oklahoma $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

38 n/a n/a Oregon $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



41 n/a n/a South Carolina $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



44 n/a n/a Texas $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

45 n/a n/a Utah $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

46 n/a n/a Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

47 n/a n/a Vermont $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a



50 n/a n/a West Virginia $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a51 n/a n/a Wyoming $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 n/a

United States $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $4,164,312 100.0 n/a

Medicaid Expenditures - Rank Order Table AD

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

1 1 2 Washington DC $1,265,236,037 $1,256,968,513 -0.7 $1,349,373,759 7.4 $1,419,784,263 5.2 $1,625,853,635 14.5 $1,791,720,161 10.2 $2,709.87

2 2 1 New York $43,294,678,211 $44,869,514,188 3.6 $44,856,051,081 0.0 $47,429,220,037 5.7 $49,718,983,359 4.8 $51,131,497,787 2.8 $2,546.74

6 3 5 Maine $2,243,607,374 $2,241,732,100 -0.1 $2,108,855,813 -5.9 $2,186,659,322 3.7 $2,589,050,667 18.4 $2,399,671,700 -7.3 $1,967.53

4 4 6 Massachusetts $9,667,325,052 $9,726,915,872 0.6 $10,241,077,132 5.3 $10,853,586,273 6.0 $12,195,761,247 12.4 $12,247,350,202 0.4 $1,850.03

3 5 4 Vermont $869,364,903 $977,187,397 12.4 $1,013,320,192 3.7 $1,073,150,538 5.9 $1,146,195,375 6.8 $1,244,974,576 8.6 $1,844.43

5 6 3 Rhode Island $1,758,356,163 $1,778,279,673 1.1 $1,749,344,337 -1.6 $1,845,599,132 5.5 $1,890,737,724 2.4 $1,929,922,279 2.1 $1,788.01

9 7 11 Connecticut $4,132,550,350 $4,216,551,644 2.0 $4,327,152,522 2.6 $4,622,268,436 6.8 $5,973,552,523 29.2 $5,729,222,601 -4.1 $1,699.53

8 8 7 New Mexico $2,392,874,779 $2,443,602,468 2.1 $2,643,405,981 8.2 $3,059,942,775 15.8 $3,257,008,453 6.4 $3,462,426,431 6.3 $1,622.57

7 9 8 Alaska $936,543,651 $936,793,733 0.0 $956,063,064 2.1 $962,595,105 0.7 $1,069,887,676 11.1 $1,207,635,279 12.9 $1,540.09

10 10 9 Louisiana $5,473,864,527 $4,854,003,778 -11.3 $5,383,515,593 10.9 $6,073,774,440 12.8 $6,581,352,641 8.4 $6,636,063,936 0.8 $1,465.95

14 11 10 Minnesota $5,611,519,311 $5,478,504,302 -2.4 $6,139,226,808 12.1 $7,004,144,555 14.1 $7,425,184,775 6.0 $7,544,993,637 1.6 $1,410.87

13 12 13 Delaware $868,342,197 $942,231,746 8.5 $995,283,350 5.6 $1,103,519,563 10.9 $1,213,135,147 9.9 $1,288,282,887 6.2 $1,372.13

11 13 12 Pennsylvania $15,877,055,868 $15,416,347,196 -2.9 $15,783,068,207 2.4 $16,236,846,910 2.9 $17,128,587,926 5.5 $18,574,214,904 8.4 $1,359.18

16 14 14 West Virginia $2,238,213,522 $2,106,485,390 -5.9 $2,170,574,098 3.0 $2,277,859,957 4.9 $2,445,701,870 7.4 $2,525,451,503 3.3 $1,342.84

12 15 19 Arizona $5,704,697,697 $6,175,184,775 8.2 $6,630,456,445 7.4 $7,560,640,573 14.0 $8,560,960,274 13.2 $9,194,884,970 7.4 $1,299.55

15 16 15 Mississippi $3,360,041,943 $3,267,538,996 -2.8 $3,492,710,737 6.9 $3,668,503,777 5.0 $3,813,295,697 3.9 $4,144,112,210 8.7 $1,292.67

17 17 16 Missouri $6,644,236,371 $6,454,129,262 -2.9 $6,571,869,215 1.8 $7,201,736,949 9.6 $7,675,588,441 6.6 $8,118,380,854 5.8 $1,283.06

23 18 43 Wisconsin $4,899,517,714 $4,903,430,227 0.1 $4,918,686,230 0.3 $4,611,323,795 -6.2 $7,123,295,337 54.5 $6,637,581,088 -6.8 $1,260.59

20 19 21 Kentucky $4,298,857,780 $4,381,651,618 1.9 $4,578,266,408 4.5 $4,819,842,821 5.3 $5,371,235,855 11.4 $5,576,482,392 3.8 $1,245.57

25 20 23 North Carolina $9,197,837,959 $9,130,396,866 -0.7 $9,741,499,493 6.7 $9,952,462,816 2.2 $11,489,664,552 15.4 $10,785,637,460 -6.1 $1,227.91

21 21 20 Ohio $12,265,413,893 $11,967,880,245 -2.4 $12,500,378,181 4.4 $12,973,894,869 3.8 $14,079,843,197 8.5 $14,457,459,984 2.7 $1,220.95

19 22 18 Arkansas $2,887,087,460 $2,935,929,291 1.7 $3,145,735,710 7.1 $3,338,774,242 6.1 $3,500,011,063 4.8 $3,909,986,424 11.7 $1,212.20

22 23 25 Maryland $4,837,116,521 $5,310,451,253 9.8 $5,541,940,216 4.4 $5,729,059,395 3.4 $6,701,672,125 17.0 $7,091,759,912 5.8 $1,178.13

18 24 17 Tennessee $7,490,667,511 $6,278,930,778 -16.2 $6,929,828,481 10.4 $7,338,634,266 5.9 $7,393,496,557 0.7 $8,561,323,865 15.8 $1,175.21

26 25 22 New Jersey $8,625,430,688 $9,046,866,134 4.9 $8,952,492,170 -1.0 $9,453,250,974 5.6 $9,927,703,221 5.0 $9,930,140,041 0.0 $1,141.94

27 26 27 South Carolina $4,197,065,370 $4,070,300,879 -3.0 $4,164,004,373 2.3 $4,435,150,197 6.5 $5,096,649,968 14.9 $5,172,856,250 1.5 $1,119.10

36 27 26 California $32,529,627,531 $32,654,338,214 0.4 $34,187,056,789 4.7 $36,392,483,183 6.5 $40,818,310,695 12.2 $37,888,076,210 -7.2 $1,106.56

24 28 28 Michigan $8,630,422,865 $8,311,437,453 -3.7 $9,191,931,777 10.6 $9,765,762,150 6.2 $10,635,355,079 8.9 $11,485,639,433 8.0 $1,068.32

29 29 30 Oklahoma $2,810,114,321 $2,964,715,837 5.5 $3,361,365,062 13.4 $3,527,006,417 4.9 $3,935,501,385 11.6 $4,123,753,482 4.8 $1,067.79

28 30 34 Illinois $11,127,461,468 $10,267,698,583 -7.7 $12,693,526,348 23.6 $11,809,313,209 -7.0 $13,571,812,320 14.9 $14,216,880,582 4.8 $1,052.63

31 31 31 Hawaii $1,025,794,720 $1,089,455,022 6.2 $1,087,605,795 -0.2 $1,219,955,181 12.2 $1,338,797,465 9.7 $1,420,893,544 6.1 $1,039.21

34 32 29 Washington $5,750,587,964 $5,487,143,857 -4.6 $5,735,178,132 4.5 $6,372,692,192 11.1 $6,828,029,204 7.1 $6,868,178,826 0.6 $1,023.45

38 33 32 New Hampshire $1,282,652,570 $1,107,077,902 -13.7 $1,165,367,299 5.3 $1,256,516,384 7.8 $1,328,383,861 5.7 $1,330,211,255 0.1 $1,004.69

37 34 33 Iowa $2,477,511,520 $2,771,532,788 11.9 $2,648,472,761 -4.4 $2,828,944,594 6.8 $2,983,067,726 5.4 $3,098,131,208 3.9 $991.60

44 35 24 Indiana $5,378,614,662 $4,994,194,458 -7.1 $5,370,884,225 7.5 $6,479,553,663 20.6 $6,263,055,922 -3.3 $5,891,355,918 -5.9 $975.97

32 36 36 Texas $17,997,602,359 $18,293,937,446 1.6 $19,965,650,490 9.1 $21,769,846,583 9.0 $24,121,412,682 10.8 $26,038,896,497 7.9 $973.79

40 37 35 Wyoming $410,919,701 $421,933,774 2.7 $433,138,167 2.7 $485,661,759 12.1 $526,205,230 8.3 $537,772,041 2.2 $966.59

30 38 40 Oregon $2,862,152,995 $2,879,682,550 0.6 $2,944,665,590 2.3 $3,206,343,946 8.9 $3,593,628,212 12.1 $4,086,684,424 13.7 $939.99

35 39 38 Alabama $3,990,798,910 $3,859,837,770 -3.3 $3,962,324,075 2.7 $4,066,240,776 2.6 $4,417,352,409 8.6 $4,864,448,352 10.1 $938.37

33 40 39 North Dakota $515,587,131 $507,559,429 -1.6 $495,067,143 -2.5 $549,058,529 10.9 $590,135,660 7.5 $694,681,095 17.7 $913.66

42 41 37 Nebraska $1,496,801,126 $1,505,882,926 0.6 $1,540,702,264 2.3 $1,587,308,541 3.0 $1,632,629,403 2.9 $1,717,268,958 5.2 $909.62

41 42 44 Montana $705,432,746 $731,772,693 3.7 $735,609,177 0.5 $784,444,780 6.6 $875,848,139 11.7 $937,750,345 7.1 $899.08

39 43 41 South Dakota $612,798,453 $605,206,043 -1.2 $617,373,056 2.0 $671,124,456 8.7 $715,071,358 6.5 $784,075,626 9.6 $881.92

46 44 42 Kansas $2,016,956,791 $2,159,470,679 7.1 $2,153,182,490 -0.3 $2,310,812,301 7.3 $2,455,504,978 6.3 $2,458,834,372 0.1 $871.54

43 45 47 Florida $13,403,150,624 $12,781,286,320 -4.6 $13,725,828,149 7.4 $14,296,310,551 4.2 $15,547,103,806 8.7 $17,452,657,783 12.3 $839.93

45 46 45 Idaho $1,029,584,674 $1,039,849,185 1.0 $1,102,667,032 6.0 $1,209,937,045 9.7 $1,294,823,514 7.0 $1,410,395,239 8.9 $838.36

47 47 46 Georgia $7,669,179,533 $6,740,756,589 -12.1 $7,173,367,020 6.4 $7,581,001,407 5.7 $7,461,161,424 -1.6 $8,045,516,153 7.8 $760.29

48 48 48 Virginia $4,469,565,923 $4,626,060,820 3.5 $4,995,823,038 8.0 $5,374,240,521 7.6 $5,806,447,263 8.0 $6,438,438,743 10.9 $738.50

49 49 49 Colorado $2,813,579,024 $2,886,856,574 2.6 $2,946,320,619 2.1 $3,207,293,652 8.9 $3,570,700,066 11.3 $4,017,094,898 12.5 $711.98

50 50 50 Utah $1,390,461,986 $1,472,629,125 5.9 $1,403,045,568 -4.7 $1,538,543,830 9.7 $1,642,534,255 6.8 $1,711,646,896 4.2 $590.6551 51 51 Nevada $1,190,481,189 $1,173,522,820 -1.4 $1,239,486,706 5.6 $1,318,672,844 6.4 $1,383,149,123 4.9 $1,508,990,625 9.1 $524.20

United States $304,625,343,638 $302,501,647,181 -0.7 $317,759,818,368 5.0 $336,841,294,474 6.0 $368,330,430,484 9.3 $380,322,305,838 3.3 $1,192.99

Medicaid Expenditures - Alphabetical Order Table AE

Preliminary

Rank 2010

Rank

2009

Rank

2008 State

FY 2005

Expenditures

FY 2006

Expenditures

Percent

Change

05-06

FY 2007

Expenditures

Percent

Change

06-07

FY 2008

Expenditures

Percent

Change

07-08

FY 2009

Expenditures

Percent

Change

08-09

Preliminary FY 2010

Expenditures

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

35 39 38 Alabama $3,990,798,910 $3,859,837,770 -3.3 $3,962,324,075 2.7 $4,066,240,776 2.6 $4,417,352,409 8.6 $4,864,448,352 10.1 $938.37

7 9 8 Alaska $936,543,651 $936,793,733 0.0 $956,063,064 2.1 $962,595,105 0.7 $1,069,887,676 11.1 $1,207,635,279 12.9 $1,540.09

12 15 19 Arizona $5,704,697,697 $6,175,184,775 8.2 $6,630,456,445 7.4 $7,560,640,573 14.0 $8,560,960,274 13.2 $9,194,884,970 7.4 $1,299.55

19 22 18 Arkansas $2,887,087,460 $2,935,929,291 1.7 $3,145,735,710 7.1 $3,338,774,242 6.1 $3,500,011,063 4.8 $3,909,986,424 11.7 $1,212.20

36 27 26 California $32,529,627,531 $32,654,338,214 0.4 $34,187,056,789 4.7 $36,392,483,183 6.5 $40,818,310,695 12.2 $37,888,076,210 -7.2 $1,106.56

49 49 49 Colorado $2,813,579,024 $2,886,856,574 2.6 $2,946,320,619 2.1 $3,207,293,652 8.9 $3,570,700,066 11.3 $4,017,094,898 12.5 $711.98

9 7 11 Connecticut $4,132,550,350 $4,216,551,644 2.0 $4,327,152,522 2.6 $4,622,268,436 6.8 $5,973,552,523 29.2 $5,729,222,601 -4.1 $1,699.53

13 12 13 Delaware $868,342,197 $942,231,746 8.5 $995,283,350 5.6 $1,103,519,563 10.9 $1,213,135,147 9.9 $1,288,282,887 6.2 $1,372.13

43 45 47 Florida $13,403,150,624 $12,781,286,320 -4.6 $13,725,828,149 7.4 $14,296,310,551 4.2 $15,547,103,806 8.7 $17,452,657,783 12.3 $839.93

47 47 46 Georgia $7,669,179,533 $6,740,756,589 -12.1 $7,173,367,020 6.4 $7,581,001,407 5.7 $7,461,161,424 -1.6 $8,045,516,153 7.8 $760.29

31 31 31 Hawaii $1,025,794,720 $1,089,455,022 6.2 $1,087,605,795 -0.2 $1,219,955,181 12.2 $1,338,797,465 9.7 $1,420,893,544 6.1 $1,039.21

45 46 45 Idaho $1,029,584,674 $1,039,849,185 1.0 $1,102,667,032 6.0 $1,209,937,045 9.7 $1,294,823,514 7.0 $1,410,395,239 8.9 $838.36

28 30 34 Illinois $11,127,461,468 $10,267,698,583 -7.7 $12,693,526,348 23.6 $11,809,313,209 -7.0 $13,571,812,320 14.9 $14,216,880,582 4.8 $1,052.63

44 35 24 Indiana $5,378,614,662 $4,994,194,458 -7.1 $5,370,884,225 7.5 $6,479,553,663 20.6 $6,263,055,922 -3.3 $5,891,355,918 -5.9 $975.97

37 34 33 Iowa $2,477,511,520 $2,771,532,788 11.9 $2,648,472,761 -4.4 $2,828,944,594 6.8 $2,983,067,726 5.4 $3,098,131,208 3.9 $991.60

46 44 42 Kansas $2,016,956,791 $2,159,470,679 7.1 $2,153,182,490 -0.3 $2,310,812,301 7.3 $2,455,504,978 6.3 $2,458,834,372 0.1 $871.54

20 19 21 Kentucky $4,298,857,780 $4,381,651,618 1.9 $4,578,266,408 4.5 $4,819,842,821 5.3 $5,371,235,855 11.4 $5,576,482,392 3.8 $1,245.57

10 10 9 Louisiana $5,473,864,527 $4,854,003,778 -11.3 $5,383,515,593 10.9 $6,073,774,440 12.8 $6,581,352,641 8.4 $6,636,063,936 0.8 $1,465.95

6 3 5 Maine $2,243,607,374 $2,241,732,100 -0.1 $2,108,855,813 -5.9 $2,186,659,322 3.7 $2,589,050,667 18.4 $2,399,671,700 -7.3 $1,967.53

22 23 25 Maryland $4,837,116,521 $5,310,451,253 9.8 $5,541,940,216 4.4 $5,729,059,395 3.4 $6,701,672,125 17.0 $7,091,759,912 5.8 $1,178.13

4 4 6 Massachusetts $9,667,325,052 $9,726,915,872 0.6 $10,241,077,132 5.3 $10,853,586,273 6.0 $12,195,761,247 12.4 $12,247,350,202 0.4 $1,850.03

24 28 28 Michigan $8,630,422,865 $8,311,437,453 -3.7 $9,191,931,777 10.6 $9,765,762,150 6.2 $10,635,355,079 8.9 $11,485,639,433 8.0 $1,068.32

14 11 10 Minnesota $5,611,519,311 $5,478,504,302 -2.4 $6,139,226,808 12.1 $7,004,144,555 14.1 $7,425,184,775 6.0 $7,544,993,637 1.6 $1,410.87

15 16 15 Mississippi $3,360,041,943 $3,267,538,996 -2.8 $3,492,710,737 6.9 $3,668,503,777 5.0 $3,813,295,697 3.9 $4,144,112,210 8.7 $1,292.67

17 17 16 Missouri $6,644,236,371 $6,454,129,262 -2.9 $6,571,869,215 1.8 $7,201,736,949 9.6 $7,675,588,441 6.6 $8,118,380,854 5.8 $1,283.06

41 42 44 Montana $705,432,746 $731,772,693 3.7 $735,609,177 0.5 $784,444,780 6.6 $875,848,139 11.7 $937,750,345 7.1 $899.08

42 41 37 Nebraska $1,496,801,126 $1,505,882,926 0.6 $1,540,702,264 2.3 $1,587,308,541 3.0 $1,632,629,403 2.9 $1,717,268,958 5.2 $909.62

51 51 51 Nevada $1,190,481,189 $1,173,522,820 -1.4 $1,239,486,706 5.6 $1,318,672,844 6.4 $1,383,149,123 4.9 $1,508,990,625 9.1 $524.20

38 33 32 New Hampshire $1,282,652,570 $1,107,077,902 -13.7 $1,165,367,299 5.3 $1,256,516,384 7.8 $1,328,383,861 5.7 $1,330,211,255 0.1 $1,004.69

26 25 22 New Jersey $8,625,430,688 $9,046,866,134 4.9 $8,952,492,170 -1.0 $9,453,250,974 5.6 $9,927,703,221 5.0 $9,930,140,041 0.0 $1,141.94

8 8 7 New Mexico $2,392,874,779 $2,443,602,468 2.1 $2,643,405,981 8.2 $3,059,942,775 15.8 $3,257,008,453 6.4 $3,462,426,431 6.3 $1,622.57

2 2 1 New York $43,294,678,211 $44,869,514,188 3.6 $44,856,051,081 0.0 $47,429,220,037 5.7 $49,718,983,359 4.8 $51,131,497,787 2.8 $2,546.74

25 20 23 North Carolina $9,197,837,959 $9,130,396,866 -0.7 $9,741,499,493 6.7 $9,952,462,816 2.2 $11,489,664,552 15.4 $10,785,637,460 -6.1 $1,227.91

33 40 39 North Dakota $515,587,131 $507,559,429 -1.6 $495,067,143 -2.5 $549,058,529 10.9 $590,135,660 7.5 $694,681,095 17.7 $913.66

21 21 20 Ohio $12,265,413,893 $11,967,880,245 -2.4 $12,500,378,181 4.4 $12,973,894,869 3.8 $14,079,843,197 8.5 $14,457,459,984 2.7 $1,220.95

29 29 30 Oklahoma $2,810,114,321 $2,964,715,837 5.5 $3,361,365,062 13.4 $3,527,006,417 4.9 $3,935,501,385 11.6 $4,123,753,482 4.8 $1,067.79

30 38 40 Oregon $2,862,152,995 $2,879,682,550 0.6 $2,944,665,590 2.3 $3,206,343,946 8.9 $3,593,628,212 12.1 $4,086,684,424 13.7 $939.99

11 13 12 Pennsylvania $15,877,055,868 $15,416,347,196 -2.9 $15,783,068,207 2.4 $16,236,846,910 2.9 $17,128,587,926 5.5 $18,574,214,904 8.4 $1,359.18

5 6 3 Rhode Island $1,758,356,163 $1,778,279,673 1.1 $1,749,344,337 -1.6 $1,845,599,132 5.5 $1,890,737,724 2.4 $1,929,922,279 2.1 $1,788.01

27 26 27 South Carolina $4,197,065,370 $4,070,300,879 -3.0 $4,164,004,373 2.3 $4,435,150,197 6.5 $5,096,649,968 14.9 $5,172,856,250 1.5 $1,119.10

39 43 41 South Dakota $612,798,453 $605,206,043 -1.2 $617,373,056 2.0 $671,124,456 8.7 $715,071,358 6.5 $784,075,626 9.6 $881.92

18 24 17 Tennessee $7,490,667,511 $6,278,930,778 -16.2 $6,929,828,481 10.4 $7,338,634,266 5.9 $7,393,496,557 0.7 $8,561,323,865 15.8 $1,175.21

32 36 36 Texas $17,997,602,359 $18,293,937,446 1.6 $19,965,650,490 9.1 $21,769,846,583 9.0 $24,121,412,682 10.8 $26,038,896,497 7.9 $973.79

50 50 50 Utah $1,390,461,986 $1,472,629,125 5.9 $1,403,045,568 -4.7 $1,538,543,830 9.7 $1,642,534,255 6.8 $1,711,646,896 4.2 $590.65

3 5 4 Vermont $869,364,903 $977,187,397 12.4 $1,013,320,192 3.7 $1,073,150,538 5.9 $1,146,195,375 6.8 $1,244,974,576 8.6 $1,844.43

48 48 48 Virginia $4,469,565,923 $4,626,060,820 3.5 $4,995,823,038 8.0 $5,374,240,521 7.6 $5,806,447,263 8.0 $6,438,438,743 10.9 $738.50

34 32 29 Washington $5,750,587,964 $5,487,143,857 -4.6 $5,735,178,132 4.5 $6,372,692,192 11.1 $6,828,029,204 7.1 $6,868,178,826 0.6 $1,023.45

1 1 2 Washington DC $1,265,236,037 $1,256,968,513 -0.7 $1,349,373,759 7.4 $1,419,784,263 5.2 $1,625,853,635 14.5 $1,791,720,161 10.2 $2,709.87

16 14 14 West Virginia $2,238,213,522 $2,106,485,390 -5.9 $2,170,574,098 3.0 $2,277,859,957 4.9 $2,445,701,870 7.4 $2,525,451,503 3.3 $1,342.84

23 18 43 Wisconsin $4,899,517,714 $4,903,430,227 0.1 $4,918,686,230 0.3 $4,611,323,795 -6.2 $7,123,295,337 54.5 $6,637,581,088 -6.8 $1,260.5940 37 35 Wyoming $410,919,701 $421,933,774 2.7 $433,138,167 2.7 $485,661,759 12.1 $526,205,230 8.3 $537,772,041 2.2 $966.59

United States $304,625,343,638 $302,501,647,181 -0.7 $317,759,818,368 5.0 $336,841,294,474 6.0 $368,330,430,484 9.3 $380,322,305,838 3.3 $1,192.99

Percentage of Long-Term Services and Supports for Non-Institutional Services Table AF

Preliminary

Rank 2010

Rank

2009

Rank

2008 State FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010

1 1 1 New Mexico 66.5% 67.2% 71.5% 74.7% 82.8% 90.8%

3 2 2 Oregon 67.7% 69.3% 69.3% 68.3% 74.5% 74.6%

4 3 3 Minnesota 58.1% 60.9% 63.5% 66.5% 68.0% 68.5%

49 4 4 Arizona 17.3% 23.0% 34.7% 66.2% 66.9% 16.5%

51 5 5 Vermont 59.8% 26.0% 28.5% 64.2% 64.9% 7.6%

5 6 8 Alaska 59.4% 57.8% 57.5% 59.0% 62.7% 65.5%

6 7 7 Washington 53.3% 56.2% 57.5% 59.4% 62.1% 62.9%

7 8 9 Colorado 48.8% 50.8% 54.3% 57.1% 58.1% 58.1%

8 9 10 California 47.4% 51.8% 55.3% 55.8% 57.0% 57.4%

2 10 24 Hawaii 37.2% 37.7% 41.1% 42.1% 54.8% 90.2%

10 11 11 Kansas 48.5% 51.9% 51.6% 52.6% 54.8% 54.1%

34 12 6 Wisconsin 33.8% 43.8% 46.8% 60.5% 52.3% 39.0%

19 13 13 Maine 41.4% 44.1% 44.0% 47.9% 51.8% 45.9%

14 14 12 Wyoming 49.9% 50.2% 50.1% 51.0% 50.8% 51.8%

11 15 19 Washington DC 15.3% 22.1% 31.5% 43.5% 50.3% 54.1%

12 16 17 Montana 40.7% 40.8% 42.2% 44.2% 47.1% 53.5%

22 17 22 Massachusetts 36.9% 39.4% 38.7% 42.5% 47.1% 45.3%

17 18 21 Idaho 40.3% 41.2% 42.2% 43.3% 46.2% 48.8%

15 19 15 New York 40.8% 41.4% 44.9% 45.2% 46.1% 49.8%

50 20 14 Rhode Island 42.1% 43.3% 44.6% 45.6% 46.1% 11.2%

20 21 16 Texas 39.7% 40.5% 40.7% 44.9% 46.0% 45.8%

30 22 37 Connecticut 34.8% 31.5% 33.4% 34.6% 44.1% 41.8%

18 23 20 Utah 37.9% 39.2% 37.1% 43.3% 43.2% 46.8%

9 24 18 North Carolina 39.2% 40.7% 42.0% 43.7% 42.8% 56.1%

24 25 23 Tennessee 25.2% 23.9% 31.8% 42.1% 42.4% 44.5%

23 26 34 Virginia 28.9% 28.2% 30.4% 36.4% 42.2% 45.1%

16 27 29 Nevada 32.8% 37.7% 39.4% 38.9% 41.6% 49.1%

29 28 25 Oklahoma 36.2% 38.8% 39.5% 40.3% 41.5% 41.9%

28 29 26 New Hampshire 29.7% 36.7% 37.9% 39.6% 41.2% 42.4%

21 30 28 Missouri 32.2% 34.4% 39.1% 39.1% 40.7% 45.4%

33 31 27 South Dakota 36.8% 37.2% 38.4% 39.4% 40.5% 39.8%

37 32 40 Georgia 22.9% 25.3% 41.5% 33.6% 40.5% 36.3%

25 33 30 West Virginia 38.0% 37.1% 38.3% 38.7% 40.0% 43.9%

27 34 31 Iowa 32.4% 35.5% 36.9% 38.0% 39.3% 42.6%

32 35 32 South Carolina 28.6% 30.9% 31.5% 37.5% 38.4% 40.1%

26 36 33 Nebraska 31.5% 32.9% 34.6% 36.7% 38.1% 42.9%

13 37 35 Maryland 32.0% 35.8% 35.9% 35.6% 36.8% 51.9%

39 38 39 Louisiana 23.1% 24.9% 28.9% 33.7% 36.4% 35.4%

36 39 41 Delaware 25.9% 30.2% 30.6% 33.1% 35.2% 37.0%

40 40 36 Florida 27.5% 28.9% 34.5% 35.1% 34.3% 35.2%

42 41 42 Michigan 28.7% 30.3% 31.3% 32.2% 33.0% 33.4%

41 42 45 Ohio 21.0% 26.2% 28.2% 29.4% 32.5% 34.5%

35 43 44 Pennsylvania 22.5% 26.5% 28.5% 29.4% 32.5% 37.9%

46 44 47 Kentucky 26.0% 27.4% 28.5% 28.5% 31.2% 30.9%

43 45 49 Indiana 22.0% 24.6% 27.0% 27.2% 30.7% 33.2%

38 46 38 Illinois 27.1% 26.9% 29.5% 33.9% 30.3% 35.9%

31 47 48 Arkansas 25.7% 25.9% 26.4% 27.5% 29.8% 40.7%

45 48 43 Alabama 25.0% 26.6% 27.4% 31.0% 29.7% 32.0%

44 49 46 North Dakota 22.7% 23.7% 24.6% 28.6% 29.0% 32.7%

47 50 50 New Jersey 22.7% 27.6% 24.9% 24.1% 25.7% 28.8%48 51 51 Mississippi 12.9% 4.6% 12.1% 13.2% 14.4% 22.4%

United States 35.1% 37.3% 39.9% 42.1% 44.0% 45.4%


Data for 2005 - 2007, and 2010 do not include managed care data from Arizona, Florida, Massachusetts, Minnesota, New Mexico, New York, Rhode Island, Tennessee, Texas, Vermont, and Wisconsin.




Percentage of Long-Term Services and Supports for Non-Institutional Services:

Services for Older Adults and People with Physical Disabilities

Table AG

Preliminary

Rank 2010

Rank

2009

Rank


1 1 1 New Mexico 52.2% 54.6% 61.4% 64.6% 78.7% 86.5%

2 2 3 Washington 51.5% 55.0% 55.9% 59.8% 62.1% 62.1%

3 3 4 Minnesota 41.0% 46.3% 51.2% 57.7% 59.8% 59.8%

5 4 5 Oregon 56.1% 56.1% 56.7% 54.9% 59.1% 55.2%

4 5 2 Alaska 51.6% 51.6% 50.6% 63.4% 55.7% 59.1%

6 6 6 California 54.0% 50.8% 54.0% 54.4% 55.1% 54.6%

9 7 7 Texas 46.2% 46.0% 44.8% 48.9% 49.6% 46.1%

8 8 13 Washington DC 18.1% 25.3% 34.9% 41.8% 45.6% 47.6%

41 9 12 Arizona 31.9% 39.4% 64.1% 41.9% 43.7% 18.6%

10 10 10 Colorado 34.7% 37.0% 39.3% 42.4% 43.6% 44.1%

7 11 14 Idaho 39.8% 40.3% 40.4% 41.3% 43.3% 49.4%

11 12 9 North Carolina 41.8% 43.0% 42.9% 44.9% 42.7% 43.1%

25 13 8 Wisconsin 25.6% 29.4% 31.1% 47.5% 41.7% 27.0%

12 14 11 New York 36.3% 36.7% 40.9% 42.3% 41.2% 42.7%

50 15 15 Vermont 34.8% 26.0% 28.5% 40.4% 40.9% 7.6%

13 16 16 Kansas 33.0% 36.2% 35.1% 37.6% 39.5% 39.0%

14 17 20 Virginia 23.3% 23.1% 26.7% 30.9% 35.1% 38.4%

16 18 18 Massachusetts 24.8% 26.5% 29.2% 32.0% 34.9% 37.5%

18 19 17 Nevada 27.5% 32.3% 35.1% 35.5% 34.1% 32.9%

15 20 19 Montana 28.7% 28.8% 29.3% 31.5% 34.0% 38.1%

17 21 21 Missouri 28.6% 30.2% 31.4% 30.9% 33.7% 34.6%

21 22 24 Louisiana 15.2% 16.0% 23.6% 29.9% 32.4% 30.5%

19 23 22 Oklahoma 23.8% 26.7% 28.7% 30.6% 32.4% 31.9%

23 24 25 Iowa 21.1% 24.6% 26.1% 27.9% 29.3% 28.0%

20 25 26 Arkansas 26.3% 26.0% 25.9% 26.8% 29.0% 31.5%

31 26 32 Georgia 12.9% 17.0% 27.9% 23.5% 28.5% 25.2%

27 27 28 South Carolina 19.3% 21.4% 22.4% 25.4% 27.9% 26.6%

47 28 27 Tennessee 2.3% 1.9% 2.5% 25.9% 25.7% 14.5%

26 29 30 West Virginia 23.6% 22.9% 22.8% 23.6% 25.5% 26.9%

30 30 31 Nebraska 19.4% 20.3% 21.6% 23.6% 24.9% 25.2%

29 31 29 Maine 23.3% 25.7% 26.0% 24.9% 24.6% 25.4%

33 32 35 Connecticut 21.5% 19.9% 20.7% 21.6% 24.3% 23.9%

24 33 33 Ohio 18.9% 21.5% 22.0% 22.8% 24.2% 27.6%

28 34 34 Wyoming 20.0% 19.9% 20.4% 22.4% 23.4% 26.2%

22 35 23 Illinois 21.5% 21.2% 24.9% 30.0% 23.1% 28.4%

35 36 36 Michigan 16.6% 17.6% 19.0% 20.5% 21.6% 21.3%

32 37 38 Florida 13.3% 13.8% 19.4% 19.3% 21.2% 24.0%

34 38 37 New Jersey 19.4% 20.1% 20.6% 20.3% 20.9% 23.2%

40 39 40 Utah 9.7% 9.8% 10.7% 18.8% 19.5% 19.8%

43 40 41 Kentucky 18.3% 19.3% 19.0% 18.5% 19.4% 17.5%

38 41 39 Hawaii 17.4% 17.3% 18.7% 18.9% 19.2% 20.3%

36 42 45 Pennsylvania 9.8% 12.1% 13.3% 14.8% 17.9% 20.5%

42 43 42 New Hampshire 10.5% 13.4% 15.0% 16.2% 17.7% 18.6%

39 44 50 Indiana 7.6% 10.4% 11.8% 11.9% 16.3% 20.0%

44 45 46 Mississippi 12.9% 5.4% 12.5% 14.3% 15.8% 17.5%

37 46 44 Maryland 17.5% 16.5% 15.8% 15.9% 14.9% 20.5%

45 47 43 Alabama 11.7% 11.3% 13.3% 15.9% 14.9% 16.3%

46 48 49 South Dakota 10.3% 10.6% 11.5% 12.3% 14.0% 15.1%

48 49 48 Delaware 12.1% 13.1% 13.7% 12.9% 12.5% 14.0%

49 50 51 North Dakota 6.0% 6.1% 6.2% 9.3% 10.2% 12.1%51 51 47 Rhode Island 10.9% 11.6% 12.6% 13.2% 4.4% 0.7%

United States 28.4% 29.7% 32.3% 34.9% 36.1% 35.7%

Hawaii and Rhode Island's 2009 and 2010 data do not include expenditures for managed care programs that provide long-term services and supports.

Data for 2005 - 2007, and 2010 do not include managed care data from Arizona, Florida, Massachusetts, Minnesota, New Mexico, New York, Tennessee, Texas, Vermont, and Wisconsin.


Data for private duty nursing were not available before 2010.

Percentage of Long-Term Services and Supports for Non-Institutional Services:

Services for People with Developmental Disabilities

Table AH

Preliminary

Rank 2010

Rank

2009

Rank


1 1 6 Michigan 94.9% 93.3% 93.5% 93.8% 99.2% 100.0%

51 2 1 Vermont 99.0% 0.0% 0.0% 99.1% 99.1% 0.0%

3 3 3 Oregon 100.0% 100.0% 94.8% 96.7% 98.7% 99.6%

4 4 36 Alaska 100.0% 100.0% 99.8% 62.3% 98.4% 98.4%

5 5 2 New Hampshire 98.2% 98.2% 98.3% 98.1% 98.1% 98.2%

50 6 5 Arizona 0.0% 0.0% 0.0% 95.8% 96.0% 0.0%

6 7 8 Colorado 79.7% 83.4% 92.4% 93.1% 93.5% 92.5%

2 8 11 Maryland 84.8% 88.2% 88.5% 89.0% 93.1% 100.0%

7 9 10 New Mexico 91.9% 90.4% 92.2% 92.3% 92.3% 92.3%

8 10 9 Hawaii 90.0% 91.1% 92.1% 92.7% 91.9% 91.9%

33 11 25 Massachusetts 75.1% 80.5% 73.2% 73.0% 90.1% 66.9%

9 12 12 Alabama 87.7% 86.8% 87.8% 87.8% 87.8% 88.8%

10 13 13 Montana 82.9% 83.5% 86.3% 84.5% 87.2% 86.9%

14 14 16 Maine 76.1% 77.1% 76.6% 82.6% 85.0% 83.2%

15 15 15 Wyoming 80.7% 81.6% 81.4% 83.7% 84.6% 83.0%

11 16 14 Minnesota 83.0% 83.7% 83.8% 84.0% 84.4% 85.1%

49 17 4 Rhode Island 96.4% 96.3% 96.5% 96.2% 82.5% 0.0%

13 18 17 Kansas 76.3% 78.1% 79.5% 81.6% 81.9% 83.4%

18 19 21 Georgia 70.6% 63.4% 73.9% 75.8% 81.7% 79.6%

19 20 20 Nevada 64.4% 69.4% 74.5% 77.2% 81.7% 79.4%

16 21 18 South Dakota 77.7% 79.0% 80.4% 79.7% 79.9% 79.9%

17 22 19 West Virginia 77.4% 76.8% 78.5% 78.5% 78.8% 79.7%

24 23 24 Delaware 67.5% 74.5% 73.7% 74.1% 76.2% 74.0%

20 24 23 Washington 73.8% 75.1% 77.7% 74.9% 76.2% 79.0%

21 25 22 Missouri 53.2% 56.9% 77.5% 75.8% 73.6% 78.5%

30 26 7 Wisconsin 57.6% 73.8% 79.3% 93.7% 72.9% 69.0%

25 27 26 Florida 68.2% 70.6% 73.6% 72.9% 72.3% 73.0%

12 28 29 Nebraska 67.9% 68.8% 68.2% 69.2% 71.4% 84.2%

34 29 34 Kentucky 58.9% 57.4% 58.0% 64.8% 70.8% 65.7%

22 30 33 California 61.5% 62.3% 65.8% 66.3% 69.4% 76.1%

29 31 30 Oklahoma 64.4% 66.1% 67.5% 68.3% 69.3% 69.3%

23 32 28 Pennsylvania 64.9% 68.5% 69.2% 69.6% 69.2% 74.4%

28 33 27 Tennessee 57.1% 59.6% 70.8% 70.8% 68.4% 72.2%

26 34 32 Connecticut 66.1% 59.5% 65.7% 67.1% 67.4% 72.9%

27 35 31 Utah 66.1% 66.7% 66.7% 67.5% 66.7% 72.3%

31 36 35 South Carolina 53.0% 54.1% 55.2% 64.1% 63.4% 68.6%

32 37 44 Washington DC 11.3% 18.2% 27.5% 49.4% 62.2% 67.9%

35 38 37 Virginia 54.3% 56.2% 61.7% 60.7% 61.8% 64.3%

37 39 38 Indiana 55.0% 53.0% 56.4% 60.5% 61.6% 61.8%

36 40 39 New York 55.3% 54.4% 58.3% 56.7% 59.9% 62.2%

38 41 40 Ohio 32.0% 46.2% 52.1% 54.9% 58.4% 59.0%

42 42 42 Idaho 46.1% 47.9% 50.7% 52.5% 57.5% 51.3%

39 43 41 North Dakota 46.7% 49.5% 51.8% 54.7% 53.0% 54.2%

41 44 45 North Carolina 39.7% 42.7% 47.8% 48.8% 50.4% 51.9%

40 45 43 Iowa 46.5% 48.7% 49.0% 50.1% 50.4% 53.2%

44 46 47 Arkansas 38.3% 41.3% 42.0% 43.7% 47.6% 48.1%

43 47 46 New Jersey 43.4% 51.9% 44.9% 45.4% 47.1% 49.9%

46 48 48 Louisiana 36.4% 15.9% 40.3% 42.9% 46.7% 46.5%

47 49 50 Illinois 35.5% 36.4% 37.9% 39.8% 43.9% 41.0%

45 50 49 Texas 32.6% 35.2% 38.8% 42.6% 43.6% 47.2%48 51 51 Mississippi 14.9% 3.4% 13.4% 12.8% 13.3% 13.6%

United States 58.1% 59.7% 62.9% 64.3% 66.2% 67.0%

Rhode Island's 2009 and 2010 data do not include expenditures for a managed care program that provides long-term services and supports.

Data for 2005 - 2007, and 2010 do not include managed care data from Arizona, Vermont, and Wisconsin.


APPENDIX B: STATE DATA TABLES

Alabama Table 1

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10

FY 2009 Expenditures

Per State Resident

Nursing Home Services $838,003,192 $837,819,954 0.0 $869,818,740 3.8 $835,392,040 -4.0 $938,114,909 12.3 $875,233,701 -6.7 $199.28

ICF/MR: Total $27,248,061 $25,886,484 -5.0 $31,522,229 21.8 $36,179,938 14.8 $37,940,939 4.9 $34,859,100 -8.1 $8

Mental Health Facility Services $46,441,208 $48,280,806 4.0 $53,738,244 11.3 $59,902,142 11.5 $60,947,000 1.7 $60,482,347 -0.8 $12.95

Mental Health Facility Services-DSH $3,301,620 $3,301,620 0.0 $825,405 -75.0 $2,751,350 233.3 $3,301,620 20.0 $3,301,620 0.0 $0.70

Total Institutional $914,994,081 $915,288,864 0.0 $955,904,618 4.4 $934,225,470 -2.3 $1,040,304,468 11.4 $973,876,768 -6.4 $220.99

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $44,381,413 $46,379,566 4.5 $49,323,548 6.3 $53,510,809 8.5 $60,988,323 14.0 $63,430,027 4.0 $12.96

1915(c) Waivers $261,285,641 $284,820,801 9.0 $311,165,450 9.2 $366,156,004 17.7 $377,818,253 3.2 $381,781,937 1.0 $80.26

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Rehabilitative Services $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $11,272,782 100.0 $0.00

Private Duty Nursing $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $1,426,494 100.0 $0.00

HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $124,385 100.0 $0.00

Total Non-Institutional $305,667,054 $331,200,367 8.4 $360,488,998 8.8 $419,666,813 16.4 $438,806,576 4.6 $458,035,625 4.4 $93.21

Total LTSS $1,220,661,135 $1,246,489,231 2.1 $1,316,393,616 5.6 $1,353,892,283 2.8 $1,479,111,044 9.2 $1,431,912,393 -3.2 $314.20

1915(c) Waivers: DD $195,029,141 $169,896,807 -12.9 $226,540,632 33.3 $261,353,853 15.4 $273,470,969 4.6 $275,738,942 0.8 $58.09

1915(c) Waivers: A/D $66,256,500 $60,139,632 -9.2 $84,598,783 40.7 $104,649,587 23.7 $103,801,349 -0.8 $104,921,921 1.1 $22.05

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $390,460,752 $194,118,573 -50.3 $253,462,250 30.6 $211,749,864 -16.5 $204,711,291 -3.3 $459,565,770 124.5 $43.49

Inpatient Hospital DSH $405,621,719 $413,662,335 2.0 $422,892,297 2.2 $425,584,054 0.6 $452,632,758 6.4 $463,824,975 2.5 $96.15

Managed Care Premiums $392,215,563 $438,265,298 11.7 $444,817,905 1.5 $482,363,618 8.4 $525,078,230 8.9 $652,858,451 24.3 $111.54

Drugs $461,345,090 $316,352,330 -31.4 $291,872,426 -7.7 $301,496,926 3.3 $315,403,397 4.6 $336,862,277 6.8 $67.00

Targeted Case Management $52,068,506 $51,796,739 -0.5 $47,797,514 -7.7 $42,714,706 -10.6 $55,256,547 29.4 $49,757,202 -10.0 $11.74

ICF/MR: Public $25,803,771 $24,315,317 -5.8 $29,618,555 21.8 $33,870,779 14.4 $35,451,718 4.7 $32,223,593 -9.1 $7.53

ICF/MR: Private $1,444,290 $1,571,167 8.8 $1,903,674 21.2 $2,309,159 21.3 $2,489,221 7.8 $2,635,507 5.9 $0.53ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $3,990,798,910 $3,859,837,770 -3.3 $3,962,324,075 2.7 $4,066,240,776 2.6 $4,417,352,409 8.6 $4,864,448,352 10.1 $938.37

Percentage of LTSS for Non-Institutional Services 25.0% 26.6% 27.4% 31.0% 29.7% 32.0%

Percentage of LTSS for Non-Institutional Services A/D 11.7% 11.3% 13.3% 15.9% 14.9% 16.3%Percentage of LTSS for Non-Institutional Services DD 87.7% 86.8% 87.8% 87.8% 87.8% 88.8%







LTSS - Long-Term Services and Supports

DD - Services and Supports for People with Developmental Disabilities

A/D - Services and Supports for Older Adults and People with Physical Disabilities

Abbreviations:

PACE - Program of All-inclusive Care for the Elderly.

Alaska Table 2

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $119,071,602 $123,440,557 3.7 $126,076,479 2.1 $74,009,055 -41.3 $118,855,368 60.6 $117,642,905 -1.0 $171.09

ICF/MR: Total $0 $0 0.0 $168,779 100.0 $45,669,729 26958.9 $1,454,971 -96.8 $1,644,076 13.0 $2

Mental Health Facility Services $11,605,276 $21,552,048 85.7 $19,992,053 -7.2 $16,055,032 -19.7 $16,628,109 3.6 $16,778,972 0.9 $23.94

Mental Health Facility Services-DSH $7,044,770 $8,171,933 16.0 $9,479,442 16.0 $12,064,739 27.3 $13,357,682 10.7 $13,503,431 1.1 $19.23

Total Institutional $137,721,648 $153,164,538 11.2 $155,716,753 1.7 $147,798,555 -5.1 $150,296,130 1.7 $149,569,384 -0.5 $216.35

Personal Care $82,207,937 $83,221,719 1.2 $75,291,547 -9.5 $71,996,780 -4.4 $82,371,964 14.4 $97,156,130 17.9 $118.57

Home Health $936,487 $748,488 -20.1 $612,945 -18.1 $606,889 -1.0 $637,047 5.0 $525,131 -17.6 $0.92

1915(c) Waivers $118,669,491 $125,508,402 5.8 $135,010,107 7.6 $139,940,680 3.7 $169,552,551 21.2 $186,752,518 10.1 $244.07

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Rehabilitative Services $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Private Duty Nursing $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $339,535,563 $362,643,147 6.8 $366,631,352 1.1 $360,342,904 -1.7 $402,857,692 11.8 $434,003,163 7.7 $579.91

1915(c) Waivers: DD $65,682,213 $69,240,098 5.4 $72,379,281 4.5 $75,332,068 4.1 $92,346,666 22.6 $103,127,013 11.7 $132.93

1915(c) Waivers: A/D $44,000,994 $47,406,473 7.7 $53,346,421 12.5 $55,590,410 4.2 $66,601,042 19.8 $72,096,130 8.3 $95.87

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $118,588,284 $130,297,939 9.9 $136,978,880 5.1 $145,771,119 6.4 $153,097,895 5.0 $173,732,270 13.5 $220.38

Inpatient Hospital DSH $5,733,457 $5,327,519 -7.1 $7,071,478 32.7 $3,516,040 -50.3 $2,247,000 -36.1 $11,060,174 392.2 $3.23

Managed Care Premiums $19,537 $41,325 111.5 $22,917 -44.5 $4,158 -81.9 $44,636 973.5 $265,223 494.2 $0.06

Drugs $99,804,517 $59,616,528 -40.3 $50,547,551 -15.2 $50,424,107 -0.2 $47,548,400 -5.7 $46,662,585 -1.9 $68.45

Targeted Case Management $14,540 $56,239 286.8 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

ICF/MR: Public $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $492,240 100.0 $0.00

ICF/MR: Private $0 $0 0.0 $168,779 100.0 $45,669,729 26958.9 $1,454,971 -96.8 $1,151,836 -20.8 $2.09ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $936,543,651 $936,793,733 0.0 $956,063,064 2.1 $962,595,105 0.7 $1,069,887,676 11.1 $1,207,635,279 12.9 $1,540.09



Alaska's reported 2008 NF expenditures decreased significantly from 2007. The $42 million decrease is similar to the increase in reported ICF/MR spending, so it is possible NF expenditures were reported under ICF/MR.










Abbreviations:


Arizona Table 3

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $24,090,705 $25,631,258 6.4 $12,995,050 -49.3 $424,022,382 3163.0 $447,166,315 5.5 $34,372,285 -92.3 $67.88

ICF/MR: Total $0 $0 0.0 $0 0.0 $28,242,824 100.0 $28,383,904 0.5 $0 -100.0 $4

Mental Health Facility Services $1,426,485 $1,750,998 22.7 $2,191,738 25.2 $1,575,364 -28.1 $1,439,766 -8.6 $1,658,916 15.2 $0.22


Total Institutional $53,992,090 $55,857,156 3.5 $43,661,688 -21.8 $482,315,470 1004.7 $505,464,885 4.8 $64,506,101 -87.2 $76.73

Personal Care $10,572,710 $15,789,614 49.3 $22,418,000 42.0 $8,393,568 -62.6 $7,793,963 -7.1 $6,884,625 -11.7 $1.18

Home Health $737,952 $864,854 17.2 $758,511 -12.3 $810,563 6.9 $1,114,500 37.5 $988,366 -11.3 $0.17

1915(c) Waivers $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $936,872,177 100.0 $1,013,604,110 8.2 $0 -100.0 $153.86

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $11,310,662 $16,654,468 47.2 $23,176,511 39.2 $946,076,308 3982.0 $1,022,512,573 8.1 $12,762,915 -98.8 $155.22

Total LTSS $65,302,752 $72,511,624 11.0 $66,838,199 -7.8 $1,428,391,778 2037.1 $1,527,977,458 7.0 $77,269,016 -94.9 $231.95

1915(c) Waivers: DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

1915(c) Waivers: A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $640,048,938 100.0 $675,955,767 5.6 $0 -100.0 $102.61

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $296,823,239 100.0 $337,648,343 13.8 $0 -100.0 $51.25

Inpatient Hospital Care $159,894,402 $171,679,842 7.4 $186,288,747 8.5 $233,810,555 25.5 $260,985,796 11.6 $208,485,381 -20.1 $39.62

Inpatient Hospital DSH $112,917,835 $109,879,499 -2.7 $115,002,400 4.7 $86,920,707 -24.4 $133,125,418 53.2 $0 -100.0 $20.21

Managed Care Premiums $4,758,361,853 $5,172,038,864 8.7 $5,567,404,311 7.6 $6,389,964,549 14.8 $7,235,392,317 13.2 $8,013,586,341 10.8 $1,098.33

Drugs $5,524,065 $3,311,466 -40.1 $4,942,867 49.3 $6,419,013 29.9 $7,023,187 9.4 $7,773,304 10.7 $1.07

Targeted Case Management $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

ICF/MR: Public $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

ICF/MR: Private $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $5,704,697,697 $6,175,184,775 8.2 $6,630,456,445 7.4 $7,560,640,573 14.0 $8,560,960,274 13.2 $9,194,884,970 7.4 $1,299.55



Data for 2005 - 2007, and 2010 do not include managed care data for nursing homes, ICF/MR, and HCBS - 1115 & 1915(a).










Abbreviations:


Arkansas Table 4

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $491,751,667 $521,803,087 6.1 $541,166,283 3.7 $562,506,925 3.9 $572,748,901 1.8 $615,035,471 7.4 $198.37

ICF/MR: Total $140,908,587 $134,352,273 -4.7 $146,959,897 9.4 $147,860,036 0.6 $144,399,452 -2.3 $158,996,003 10.1 $50

Mental Health Facility Services $124,727,597 $139,039,350 11.5 $136,404,781 -1.9 $135,044,111 -1.0 $142,810,938 5.8 $149,037,942 4.4 $49.46

Mental Health Facility Services-DSH $819,350 $819,350 0.0 $0 -100.0 $0 0.0 $0 0.0 $819,350 100.0 $0.00

Total Institutional $758,207,201 $796,014,060 5.0 $824,530,961 3.6 $845,411,072 2.5 $859,959,291 1.7 $923,888,766 7.4 $297.84

Personal Care $67,237,684 $64,680,024 -3.8 $68,287,052 5.6 $69,696,998 2.1 $79,089,738 13.5 $80,583,631 1.9 $27.39

Home Health $43,483,996 $48,856,979 12.4 $47,758,879 -2.2 $51,647,831 8.1 $53,174,248 3.0 $59,524,629 11.9 $18.42

1915(c) Waivers $149,127,493 $160,297,080 7.5 $175,676,773 9.6 $198,436,606 13.0 $232,348,113 17.1 $264,462,096 13.8 $80.47

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $3,454 100.0 $663,292 19103.6 $1,396,539 110.5 $0.23



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $2,957,212 $3,766,897 27.4 $4,148,400 10.1 $1,223,310 -70.5 $0 -100.0 $17,514,041 100.0 $0.00


Total LTSS $1,021,013,586 $1,073,615,040 5.2 $1,120,402,065 4.4 $1,166,419,271 4.1 $1,225,234,682 5.0 $1,557,657,758 27.1 $424.35

1915(c) Waivers: DD $87,389,074 $94,603,828 8.3 $106,532,079 12.6 $114,770,565 7.7 $131,085,114 14.2 $147,177,107 12.3 $45.40

1915(c) Waivers: A/D $61,738,419 $65,693,252 6.4 $69,144,694 5.3 $83,666,041 21.0 $101,262,999 21.0 $117,284,989 15.8 $35.07

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $406,127,399 $398,314,931 -1.9 $452,589,627 13.6 $509,353,265 12.5 $507,462,778 -0.4 $720,347,208 42.0 $175.75

Inpatient Hospital DSH $34,005,293 $40,113,884 18.0 $46,778,072 16.6 $32,500,000 -30.5 $63,169,873 94.4 $60,092,015 -4.9 $21.88

Managed Care Premiums $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Drugs $337,333,160 $211,347,827 -37.3 $208,991,014 -1.1 $206,942,319 -1.0 $197,976,170 -4.3 $182,984,543 -7.6 $68.57


ICF/MR: Public $123,603,713 $116,521,718 -5.7 $128,155,921 10.0 $128,480,339 0.3 $124,401,264 -3.2 $136,723,173 9.9 $43.09


Total Medicaid $2,887,087,460 $2,935,929,291 1.7 $3,145,735,710 7.1 $3,338,774,242 6.1 $3,500,011,063 4.8 $3,909,986,424 11.7 $1,212.20



Data for 1915(j) for 2005 through 2009 include a self-directed services program that started as a Section 1115 waiver before Congress passed Section 1915(j).










Abbreviations:


California Table 5

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $3,099,880,820 $3,857,308,185 24.4 $3,806,536,587 -1.3 $4,310,776,730 13.2 $4,429,935,524 2.8 $4,122,337,896 -6.9 $120.09

ICF/MR: Total $787,068,706 $816,635,114 3.8 $814,012,725 -0.3 $880,121,112 8.1 $819,930,482 -6.8 $560,645,760 -31.6 $22

Mental Health Facility Services $1,567,457,227 $293,244,153 -81.3 $266,168,480 -9.2 $265,643,931 -0.2 $257,524,612 -3.1 $327,553,512 27.2 $6.98

Mental Health Facility Services-DSH $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Institutional $5,454,406,753 $4,967,187,452 -8.9 $4,886,717,792 -1.6 $5,456,541,773 11.7 $5,507,390,618 0.9 $5,010,537,168 -9.0 $149.30

Personal Care $3,296,206,219 $3,627,186,118 10.0 $4,089,088,986 12.7 $4,708,760,680 15.2 $4,982,718,886 5.8 $4,549,667,667 -8.7 $135.08

Home Health $160,087,976 $165,934,861 3.7 $159,918,219 -3.6 $171,654,816 7.3 $178,844,356 4.2 $179,788,046 0.5 $4.85

1915(c) Waivers $1,377,165,219 $1,463,588,564 6.3 $1,693,601,776 15.7 $1,877,960,570 10.9 $2,016,136,930 7.4 $1,928,104,444 -4.4 $54.66

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $73,785,791 $89,018,064 20.6 $99,995,869 12.3 $118,204,155 18.2 $115,747,647 -2.1 $102,455,511 -11.5 $3.14



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $4,907,245,205 $5,345,727,607 8.9 $6,042,604,850 13.0 $6,876,580,221 13.8 $7,293,447,819 6.1 $6,761,882,809 -7.3 $197.72

Total LTSS $10,361,651,958 $10,312,915,059 -0.5 $10,929,322,642 6.0 $12,333,121,994 12.8 $12,800,838,437 3.8 $11,772,419,977 -8.0 $347.02

1915(c) Waivers: DD $1,258,145,883 $1,347,374,967 7.1 $1,563,518,482 16.0 $1,727,947,393 10.5 $1,855,500,330 7.4 $1,781,831,231 -4.0 $50.30

1915(c) Waivers: A/D $102,822,963 $101,563,406 -1.2 $117,422,820 15.6 $137,590,346 17.2 $148,610,901 8.0 $134,052,186 -9.8 $4.03

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $6,137,113,855 $6,823,026,762 11.2 $7,440,382,177 9.0 $7,586,830,140 2.0 $7,178,565,591 -5.4 $5,978,560,655 -16.7 $194.61

Inpatient Hospital DSH $2,065,144,316 $2,065,159,440 0.0 $2,063,439,770 -0.1 $2,065,159,599 0.1 $2,199,182,789 6.5 $2,155,123,594 -2.0 $59.62

Managed Care Premiums $4,913,749,878 $5,437,169,318 10.7 $5,508,850,894 1.3 $6,073,040,539 10.2 $6,398,250,876 5.4 $6,109,496,603 -4.5 $173.45

Drugs $3,130,226,971 $1,530,641,685 -51.1 $1,727,644,550 12.9 $1,778,022,628 2.9 $1,718,474,884 -3.3 $1,515,373,675 -11.8 $46.59

Targeted Case Management $184,480,089 $170,378,875 -7.6 $186,859,638 9.7 $395,580,545 111.7 $583,713,215 47.6 $413,737,957 -29.1 $15.82

ICF/MR: Public $418,962,457 $399,128,190 -4.7 $413,369,796 3.6 $418,304,944 1.2 $298,603,704 -28.6 $165,163,691 -44.7 $8.09

ICF/MR: Private $368,106,249 $417,506,924 13.4 $400,642,929 -4.0 $396,095,470 -1.1 $458,302,831 15.7 $395,482,069 -13.7 $12.42ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $32,529,627,531 $32,654,338,214 0.4 $34,187,056,789 4.7 $36,392,483,183 6.5 $40,818,310,695 12.2 $37,888,076,210 -7.2 $1,106.56



Data for 2005 - 2007, and 2010 do not include managed care data for nursing homes and ICF/MR.










Abbreviations:


Colorado Table 6

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $58,742,900 $47,752,792 -18.7 $22,646,984 -52.6 $22,289,078 -1.6 $23,440,493 5.2 $28,485,752 21.5 $5

Mental Health Facility Services $4,130,093 $4,055,447 -1.8 $4,170,020 2.8 $3,386,037 -18.8 $3,898,823 15.1 $4,304,537 10.4 $0.78


Total Institutional $514,047,995 $523,084,919 1.8 $522,358,962 -0.1 $525,320,183 0.6 $576,282,972 9.7 $606,219,014 5.2 $114.91

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $92,314,379 $112,199,383 21.5 $132,503,035 18.1 $153,424,978 15.8 $175,575,193 14.4 $187,572,181 6.8 $35.01

1915(c) Waivers $355,373,332 $378,549,978 6.5 $432,247,847 14.2 $485,175,442 12.2 $555,652,318 14.5 $579,971,440 4.4 $110.79

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $36,987,821 $41,312,935 11.7 $44,194,785 7.0 $51,497,877 16.5 $63,225,483 22.8 $71,889,624 13.7 $12.61



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,139,822 100.0 $0.00

HCBS - 1915(j) $5,279,812 $7,157,171 35.6 $12,164,366 70.0 $10,196,711 -16.2 $3,543,222 -65.3 $710,654 -79.9 $0.71

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $1,004,003,339 $1,062,304,386 5.8 $1,143,468,995 7.6 $1,225,615,191 7.2 $1,374,279,188 12.1 $1,448,502,735 5.4 $274.03

1915(c) Waivers: DD $230,578,869 $239,700,196 4.0 $275,277,934 14.8 $301,293,923 9.5 $337,940,591 12.2 $352,397,113 4.3 $67.38

1915(c) Waivers: A/D $104,863,109 $116,185,784 10.8 $131,924,970 13.5 $152,665,392 15.7 $181,516,427 18.9 $192,160,443 5.9 $36.19

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $171,986,272 $174,230,977 1.3 $174,221,080 0.0 $166,703,879 -4.3 $187,422,514 12.4 $200,031,086 6.7 $37.37

Managed Care Premiums $407,159,717 $397,817,646 -2.3 $307,163,158 -22.8 $346,196,757 12.7 $383,239,917 10.7 $389,337,398 1.6 $76.42

Drugs $210,814,713 $134,746,311 -36.1 $142,627,871 5.8 $159,494,153 11.8 $152,314,157 -4.5 $138,775,489 -8.9 $30.37

Targeted Case Management $19,667,406 $26,871,385 36.6 $23,150,992 -13.8 $23,047,933 -0.4 $18,272,365 -20.7 $21,400,093 17.1 $3.64

ICF/MR: Public $57,340,393 $46,224,688 -19.4 $20,320,968 -56.0 $20,038,068 -1.4 $21,128,283 5.4 $26,305,692 24.5 $4.21

ICF/MR: Private $1,402,507 $1,528,104 9.0 $2,326,016 52.2 $2,251,010 -3.2 $2,312,210 2.7 $2,180,060 -5.7 $0.46ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $2,813,579,024 $2,886,856,574 2.6 $2,946,320,619 2.1 $3,207,293,652 8.9 $3,570,700,066 11.3 $4,017,094,898 12.5 $711.98













Abbreviations:


Connecticut Table 7

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,050,418,002 $1,225,260,842 16.6 $1,232,775,829 0.6 $1,241,791,359 0.7 $1,239,838,546 -0.2 $1,254,179,906 1.2 $352.75

ICF/MR: Total $219,690,073 $288,306,732 31.2 $240,164,975 -16.7 $236,997,479 -1.3 $524,279,815 121.2 $292,218,580 -44.3 $149

Mental Health Facility Services $10,495,916 $28,267,568 169.3 $49,358,299 74.6 $46,601,880 -5.6 $52,752,285 13.2 $42,115,127 -20.2 $15.01


Total Institutional $1,377,873,718 $1,639,104,869 19.0 $1,619,568,830 -1.2 $1,622,660,445 0.2 $1,920,958,980 18.4 $1,694,087,339 -11.8 $546.53

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $184,041,471 $193,537,346 5.2 $199,542,318 3.1 $212,923,872 6.7 $246,632,051 15.8 $237,964,563 -3.5 $70.17

1915(c) Waivers $552,961,525 $560,837,552 1.4 $611,326,426 9.0 $646,183,517 5.7 $1,269,536,483 96.5 $980,489,147 -22.8 $361.19

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $737,002,996 $754,374,898 2.4 $810,868,744 7.5 $859,107,389 5.9 $1,516,168,534 76.5 $1,218,453,710 -19.6 $431.36

Total LTSS $2,114,876,714 $2,393,479,767 13.2 $2,430,437,574 1.5 $2,481,767,834 2.1 $3,437,127,514 38.5 $2,912,541,049 -15.3 $977.89

1915(c) Waivers: DD $428,887,905 $423,938,463 -1.2 $460,608,759 8.6 $483,525,228 5.0 $1,082,868,703 124.0 $787,152,848 -27.3 $308.09

1915(c) Waivers: A/D $104,119,855 $111,642,717 7.2 $122,335,121 9.6 $129,835,120 6.1 $151,315,396 16.5 $155,465,373 2.7 $43.05

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $181,753,171 $169,833,763 -6.6 $196,060,109 15.4 $216,163,008 10.3 $189,968,999 -12.1 $159,914,888 -15.8 $54.05

Managed Care Premiums $686,000,961 $670,352,554 -2.3 $668,217,729 -0.3 $658,571,984 -1.4 $722,165,288 9.7 $724,089,384 0.3 $205.46

Drugs $387,296,724 $163,346,078 -57.8 $133,412,302 -18.3 $251,150,302 88.3 $303,787,658 21.0 $322,839,120 6.3 $86.43

Targeted Case Management $30,493,511 $30,610,013 0.4 $29,941,487 -2.2 $30,578,494 2.1 $47,130,620 54.1 $32,600,118 -30.8 $13.41

ICF/MR: Public $166,888,597 $231,026,203 38.4 $181,714,167 -21.3 $174,937,058 -3.7 $463,678,921 165.1 $228,774,011 -50.7 $131.92

ICF/MR: Private $52,801,476 $57,280,529 8.5 $58,450,808 2.0 $62,060,421 6.2 $60,600,894 -2.4 $63,444,569 4.7 $17.24ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $4,132,550,350 $4,216,551,644 2.0 $4,327,152,522 2.6 $4,622,268,436 6.8 $5,973,552,523 29.2 $5,729,222,601 -4.1 $1,699.53












Abbreviations:


Delaware Table 8

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $25,821,497 $22,750,881 -11.9 $26,647,205 17.1 $29,834,083 12.0 $27,903,771 -6.5 $30,733,521 10.1 $32

Mental Health Facility Services $37,423,216 $34,274,702 -8.4 $37,045,267 8.1 $20,770,539 -43.9 $1,181,067 -94.3 $1,269,030 7.4 $1.34

Mental Health Facility Services-DSH $3,578,474 -$190,937 -105.3 $9,217,790 -4927.7 $5,628,076 -38.9 $5,853,198 4.0 $6,294,243 7.5 $6.62

Total Institutional $221,679,313 $216,797,394 -2.2 $235,567,630 8.7 $232,522,194 -1.3 $220,782,883 -5.0 $224,131,767 1.5 $249.72

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $6,888,028 $7,371,969 7.0 $8,165,627 10.8 $8,496,993 4.1 $8,440,386 -0.7 $8,681,629 2.9 $9.55

1915(c) Waivers $70,734,741 $86,289,243 22.0 $95,538,667 10.7 $106,542,503 11.5 $111,574,094 4.7 $108,379,730 -2.9 $126.20

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $299,302,082 $310,458,606 3.7 $339,271,924 9.3 $347,561,690 2.4 $340,797,363 -1.9 $355,861,828 4.4 $385.46

1915(c) Waivers: DD $53,603,630 $66,500,922 24.1 $74,806,494 12.5 $85,296,129 14.0 $89,329,061 4.7 $87,426,303 -2.1 $101.04

1915(c) Waivers: A/D $14,443,025 $16,696,518 15.6 $17,576,762 5.3 $17,719,476 0.8 $18,151,513 2.4 $17,072,268 -5.9 $20.53

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $48,548,309 $54,632,569 12.5 $50,692,852 -7.2 $57,506,139 13.4 $56,070,636 -2.5 $52,417,479 -6.5 $63.42

Inpatient Hospital DSH $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Drugs $86,712,919 $65,954,548 -23.9 $59,855,248 -9.2 $63,543,502 6.2 $67,814,784 6.7 $72,101,513 6.3 $76.70


ICF/MR: Public $19,520,826 $16,205,124 -17.0 $19,856,576 22.5 $22,327,953 12.4 $20,531,786 -8.0 $22,786,238 11.0 $23.22

ICF/MR: Private $6,300,671 $6,545,757 3.9 $6,790,629 3.7 $7,506,130 10.5 $7,371,985 -1.8 $7,947,283 7.8 $8.34ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $868,342,197 $942,231,746 8.5 $995,283,350 5.6 $1,103,519,563 10.9 $1,213,135,147 9.9 $1,288,282,887 6.2 $1,372.13












Abbreviations:


District of Columbia Table 9

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $176,347,294 $173,483,918 -1.6 $173,010,834 -0.3 $181,248,320 4.8 $197,295,629 8.9 $204,874,253 3.8 $328.84

ICF/MR: Total $79,196,025 $79,031,189 -0.2 $85,050,758 7.6 $82,579,121 -2.9 $73,766,501 -10.7 $69,360,377 -6.0 $123

Mental Health Facility Services $15,307,481 $13,961,233 -8.8 $10,292,984 -26.3 $7,581,720 -26.3 $9,945,625 31.2 $16,868,121 69.6 $16.58

Mental Health Facility Services-DSH $2,446,012 $2,159,198 -11.7 $3,454,110 60.0 $2,362,583 -31.6 $2,093,737 -11.4 $2,047,553 -2.2 $3.49

Total Institutional $273,296,812 $268,635,538 -1.7 $271,808,686 1.2 $273,771,744 0.7 $283,101,492 3.4 $293,150,304 3.5 $471.86

Personal Care $777,725 $32,340,442 4058.3 $55,643,593 72.1 $76,184,733 36.9 $88,719,590 16.5 $111,432,467 25.6 $147.87

Home Health $31,797,692 $8,866,784 -72.1 $5,042,070 -43.1 $5,053,269 0.2 $6,689,652 32.4 $4,255,681 -36.4 $11.15

1915(c) Waivers $16,613,084 $35,059,246 111.0 $64,249,574 83.3 $129,705,544 101.9 $191,252,830 47.5 $216,654,208 13.3 $318.77

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $322,485,313 $344,902,010 7.0 $396,743,923 15.0 $484,715,290 22.2 $569,763,564 17.5 $638,347,432 12.0 $949.65

1915(c) Waivers: DD $10,135,846 $17,532,617 73.0 $32,314,228 84.3 $80,550,187 149.3 $121,537,030 50.9 $146,481,556 20.5 $202.57

1915(c) Waivers: A/D $6,476,035 $17,526,629 170.6 $31,935,346 82.2 $49,153,932 53.9 $69,715,800 41.8 $70,172,652 0.7 $116.20

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



Managed Care Premiums $293,476,668 $296,371,140 1.0 $298,569,071 0.7 $295,976,637 -0.9 $324,302,501 9.6 $407,696,921 25.7 $540.53

Drugs $80,161,745 $61,721,741 -23.0 $57,147,084 -7.4 $55,948,451 -2.1 $65,601,627 17.3 $60,070,877 -8.4 $109.34


ICF/MR: Public $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

ICF/MR: Private $79,196,025 $79,031,189 -0.2 $85,050,758 7.6 $82,579,121 -2.9 $73,766,501 -10.7 $69,360,377 -6.0 $122.95ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $1,265,236,037 $1,256,968,513 -0.7 $1,349,373,759 7.4 $1,419,784,263 5.2 $1,625,853,635 14.5 $1,791,720,161 10.2 $2,709.87












Abbreviations:


Florida Table 10

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $2,228,586,334 $2,395,913,850 7.5 $2,341,742,673 -2.3 $2,414,746,244 3.1 $2,423,463,477 0.4 $2,785,587,243 14.9 $130.93

ICF/MR: Total $301,190,366 $314,472,719 4.4 $319,288,105 1.5 $338,268,160 5.9 $328,449,347 -2.9 $333,717,786 1.6 $18

Mental Health Facility Services $4,402,683 $6,436,122 46.2 $8,176,557 27.0 $9,437,805 15.4 $14,461,334 53.2 $58,548,020 304.9 $0.78

Mental Health Facility Services-DSH $103,563,144 $105,439,143 1.8 $103,809,891 -1.5 $107,335,371 3.4 $112,437,431 4.8 $122,087,706 8.6 $6.07

Total Institutional $2,637,742,527 $2,822,261,834 7.0 $2,773,017,226 -1.7 $2,869,787,580 3.5 $2,878,811,589 0.3 $3,299,940,755 14.6 $155.53

Personal Care $22,454,719 $26,114,760 16.3 $30,826,408 18.0 $46,752,027 51.7 $57,267,132 22.5 $49,244,652 -14.0 $3.09

Home Health $146,388,042 $156,559,590 6.9 $157,694,759 0.7 $168,793,167 7.0 $169,293,131 0.3 $129,062,973 -23.8 $9.15

1915(c) Waivers $799,750,588 $929,838,862 16.3 $1,244,322,467 33.8 $1,319,152,391 6.0 $1,230,834,052 -6.7 $1,398,761,615 13.6 $66.50

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $2,414,799 $2,615,299 8.3 $2,599,931 -0.6 $2,308,237 -11.2 $5,419,671 134.8 $7,659,005 41.3 $0.29



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $29,648,135 $34,376,030 15.9 $25,577,026 -25.6 $17,465,654 -31.7 $37,082,367 112.3 $47,629,456 28.4 $2.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $1,000,656,283 $1,149,504,541 14.9 $1,461,020,591 27.1 $1,554,471,476 6.4 $1,499,896,353 -3.5 $1,793,372,494 19.6 $81.03

Total LTSS $3,638,398,810 $3,971,766,375 9.2 $4,234,037,817 6.6 $4,424,259,056 4.5 $4,378,707,942 -1.0 $5,093,313,249 16.3 $236.56

1915(c) Waivers: DD $646,080,966 $754,236,588 16.7 $890,106,020 18.0 $910,483,490 2.3 $858,537,287 -5.7 $902,318,953 5.1 $46.38

1915(c) Waivers: A/D $142,010,329 $164,891,500 16.1 $346,844,600 110.3 $342,257,067 -1.3 $381,097,495 11.3 $486,849,564 27.7 $20.59

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $2,238,340,836 $2,405,702,945 7.5 $2,927,122,416 21.7 $2,975,301,706 1.6 $3,161,996,332 6.3 $3,702,081,561 17.1 $170.83

Inpatient Hospital DSH $215,784,970 $214,327,186 -0.7 $216,658,463 1.1 $224,136,409 3.5 $234,896,769 4.8 $253,738,887 8.0 $12.69

Managed Care Premiums $1,781,980,370 $1,726,800,282 -3.1 $2,034,251,464 17.8 $2,193,416,537 7.8 $2,720,412,243 24.0 $2,932,701,621 7.8 $146.97

Drugs $1,774,582,124 $641,082,913 -63.9 $618,467,964 -3.5 $612,783,072 -0.9 $563,312,371 -8.1 $581,975,901 3.3 $30.43

Targeted Case Management $94,972,697 $94,405,600 -0.6 $113,190,856 19.9 $79,329,283 -29.9 $108,456,254 36.7 $117,930,591 8.7 $5.86

ICF/MR: Public $191,396,968 $178,393,000 -6.8 $166,697,186 -6.6 $148,383,769 -11.0 $121,227,930 -18.3 $102,594,561 -15.4 $6.55


Total Medicaid $13,403,150,624 $12,781,286,320 -4.6 $13,725,828,149 7.4 $14,296,310,551 4.2 $15,547,103,806 8.7 $17,452,657,783 12.3 $839.93



Data for 2005 - 2007, and 2010 do not include managed care data for nursing homes, personal care, home health, and 1915(c) waivers.











Abbreviations:


Georgia Table 11

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,390,399,452 $1,195,813,693 -14.0 $671,181,875 -43.9 $1,311,924,811 95.5 $993,479,746 -24.3 $1,308,979,167 31.8 $101.24

ICF/MR: Total $99,663,677 $114,649,219 15.0 $105,885,144 -7.6 $100,501,269 -5.1 $73,794,732 -26.6 $91,956,520 24.6 $8

Mental Health Facility Services $33,048,221 $22,736,606 -31.2 $23,508,149 3.4 $28,008,908 19.1 $19,325,982 -31.0 $25,897,958 34.0 $1.97


Total Institutional $1,523,111,350 $1,333,199,518 -12.5 $800,575,168 -40.0 $1,440,434,988 79.9 $1,086,600,460 -24.6 $1,426,833,645 31.3 $110.72

Personal Care $497,459 $4,296,503 763.7 $13,473,158 213.6 $1,002,569 -92.6 $693,289 -30.8 $167,994 -75.8 $0.07

Home Health $93,397,100 $91,886,851 -1.6 $76,368,814 -16.9 $84,809,494 11.1 $91,792,794 8.2 $105,536,390 15.0 $9.35

1915(c) Waivers $358,996,941 $355,843,726 -0.9 $477,957,253 34.3 $644,354,230 34.8 $645,812,656 0.2 $708,575,886 9.7 $65.81

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $452,891,500 $452,027,080 -0.2 $567,799,225 25.6 $730,166,293 28.6 $738,298,739 1.1 $814,280,270 10.3 $75.23

Total LTSS $1,976,002,850 $1,785,226,598 -9.7 $1,368,374,393 -23.4 $2,170,601,281 58.6 $1,824,899,199 -15.9 $2,241,113,915 22.8 $185.96

1915(c) Waivers: DD $239,598,439 $198,886,367 -17.0 $299,198,694 50.4 $315,164,732 5.3 $329,918,084 4.7 $358,711,437 8.7 $33.62

1915(c) Waivers: A/D $112,579,523 $148,737,385 32.1 $169,471,482 13.9 $317,417,061 87.3 $303,208,142 -4.5 $334,724,141 10.4 $30.90

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $1,707,337,451 $1,268,432,950 -25.7 $1,169,201,855 -7.8 $1,101,493,623 -5.8 $1,149,421,169 4.4 $1,307,985,396 13.8 $117.13

Inpatient Hospital DSH $418,830,244 $417,724,422 -0.3 $408,489,593 -2.2 $400,877,381 -1.9 $419,429,306 4.6 $426,510,506 1.7 $42.74

Managed Care Premiums $3,186,343 $466,487,998 14540.2 $2,046,583,798 338.7 $2,183,440,155 6.7 $2,361,187,682 8.1 $2,256,920,379 -4.4 $240.60

Drugs $810,293,044 $480,157,635 -40.7 $276,356,505 -42.4 $273,448,676 -1.1 $285,384,056 4.4 $226,739,847 -20.5 $29.08

Targeted Case Management $177,638,044 $143,082,601 -19.5 $96,089,589 -32.8 $103,264,127 7.5 $90,627,485 -12.2 $92,937,476 2.5 $9.23

ICF/MR: Public $92,878,141 $109,627,451 18.0 $99,385,281 -9.3 $92,505,541 -6.9 $68,195,147 -26.3 $83,214,486 22.0 $6.95

ICF/MR: Private $6,785,536 $5,021,768 -26.0 $6,499,863 29.4 $7,995,728 23.0 $5,599,585 -30.0 $8,742,034 56.1 $0.57ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $7,669,179,533 $6,740,756,589 -12.1 $7,173,367,020 6.4 $7,581,001,407 5.7 $7,461,161,424 -1.6 $8,045,516,153 7.8 $760.29












Abbreviations:


Hawaii Table 12

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $196,096,956 $191,682,705 -2.3 $205,174,619 7.0 $221,880,537 8.1 $104,681,988 -52.8 $2,182,813 -97.9 $81.26

ICF/MR: Total $8,597,309 $7,642,373 -11.1 $8,682,856 13.6 $9,027,307 4.0 $9,903,759 9.7 $9,014,193 -9.0 $8

Mental Health Facility Services $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total Institutional $204,694,265 $199,325,078 -2.6 $213,857,475 7.3 $230,907,844 8.0 $114,585,747 -50.4 $11,197,006 -90.2 $88.94

Personal Care $298,844 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $1,077,794 $748,391 -30.6 $821,798 9.8 $654,464 -20.4 $414,725 -36.6 $57,783 -86.1 $0.32

1915(c) Waivers $119,627,100 $119,773,419 0.1 $147,835,383 23.4 $167,487,102 13.3 $138,333,127 -17.4 $102,063,548 -26.2 $107.38

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $773,195 100.0 $0 -100.0 $273,270 100.0 $492,493 80.2 $0.21

Rehabilitative Services $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $55,500 100.0 $0.00


HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $121,003,738 $120,521,810 -0.4 $149,430,376 24.0 $168,141,566 12.5 $139,021,122 -17.3 $102,669,324 -26.1 $107.91

Total LTSS $325,698,003 $319,846,888 -1.8 $363,287,851 13.6 $399,049,410 9.8 $253,606,869 -36.4 $113,866,330 -55.1 $196.86

1915(c) Waivers: DD $77,384,583 $78,031,211 0.8 $100,625,805 29.0 $115,065,926 14.4 $112,998,601 -1.8 $102,056,217 -9.7 $87.71

1915(c) Waivers: A/D $40,020,072 $39,476,455 -1.4 $45,585,559 15.5 $50,944,453 11.8 $24,245,483 -52.4 $7,331 -100.0 $18.82

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $121,347,983 $102,946,597 -15.2 $126,895,708 23.3 $125,917,152 -0.8 $97,731,963 -22.4 $66,519,587 -31.9 $75.86

Inpatient Hospital DSH $0 $0 0.0 $0 0.0 $30,973,451 100.0 $0 -100.0 $8,119,211 100.0 $0.00

Managed Care Premiums $273,898,428 $398,454,106 45.5 $324,912,940 -18.5 $352,417,329 8.5 $731,301,503 107.5 $1,091,122,772 49.2 $567.66

Drugs $94,773,311 $53,991,705 -43.0 $45,037,072 -16.6 $48,473,272 7.6 $13,599,015 -71.9 $3,592,171 -73.6 $10.56

Targeted Case Management $806,375 $992,154 23.0 $739,234 -25.5 $782,255 5.8 $416,634 -46.7 $1,046,870 151.3 $0.32

ICF/MR: Public -$24,163 -$120,568 399.0 $2,146 -101.8 $0 -100.0 $0 0.0 $0 0.0 $0.00

ICF/MR: Private $8,621,472 $7,762,941 -10.0 $8,680,710 11.8 $9,027,307 4.0 $9,903,759 9.7 $9,014,193 -9.0 $7.69ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $1,025,794,720 $1,089,455,022 6.2 $1,087,605,795 -0.2 $1,219,955,181 12.2 $1,338,797,465 9.7 $1,420,893,544 6.1 $1,039.21













Abbreviations:


Idaho Table 13

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $129,943,097 $136,523,200 5.1 $145,765,488 6.8 $156,283,685 7.2 $157,450,986 0.7 $125,051,696 -20.6 $101.95

ICF/MR: Total $57,413,151 $59,546,090 3.7 $59,701,562 0.3 $62,009,912 3.9 $55,032,345 -11.3 $66,258,392 20.4 $36

Mental Health Facility Services $14,457,617 $15,486,657 7.1 $15,500,635 0.1 $16,458,335 6.2 $14,643,485 -11.0 $10,181,053 -30.5 $9.48


Total Institutional $201,813,865 $211,555,947 4.8 $220,967,685 4.4 $234,751,932 6.2 $227,126,816 -3.2 $201,491,141 -11.3 $147.06

Personal Care $26,403,609 $24,123,065 -8.6 $25,087,459 4.0 $26,463,683 5.5 $22,650,057 -14.4 $17,231,614 -23.9 $14.67

Home Health $6,613,501 $7,441,189 12.5 $7,185,357 -3.4 $8,047,889 12.0 $9,200,858 14.3 $7,951,533 -13.6 $5.96

1915(c) Waivers $103,027,201 $116,584,409 13.2 $128,924,769 10.6 $144,712,585 12.2 $163,113,369 12.7 $166,989,727 2.4 $105.61

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $136,044,311 $148,148,663 8.9 $161,197,585 8.8 $179,224,157 11.2 $194,964,284 8.8 $192,172,874 -1.4 $126.23

Total LTSS $337,858,176 $359,704,610 6.5 $382,165,270 6.2 $413,976,089 8.3 $422,091,100 2.0 $393,664,015 -6.7 $273.29

1915(c) Waivers: DD $49,149,206 $54,673,341 11.2 $61,391,341 12.3 $68,646,635 11.8 $74,559,311 8.6 $69,932,629 -6.2 $48.28

1915(c) Waivers: A/D $52,840,470 $60,777,526 15.0 $66,358,401 9.2 $75,449,910 13.7 $88,554,058 17.4 $97,057,098 9.6 $57.34

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $138,433,950 $124,118,462 -10.3 $144,292,545 16.3 $176,272,470 22.2 $215,394,139 22.2 $218,628,622 1.5 $139.46

Inpatient Hospital DSH $14,045,854 $16,458,663 17.2 $18,969,942 15.3 $22,159,454 16.8 $0 -100.0 $23,873,424 100.0 $0.00

Managed Care Premiums $703,306 $751,104 6.8 $3,248,596 332.5 $29,514,627 808.5 $31,996,355 8.4 $27,024,284 -15.5 $20.72

Drugs $120,255,435 $76,969,245 -36.0 $64,110,477 -16.7 $57,094,202 -10.9 $65,310,370 14.4 $66,545,869 1.9 $42.29

Targeted Case Management $11,672,843 $12,370,774 6.0 $12,641,610 2.2 $13,699,897 8.4 $13,991,013 2.1 $11,697,643 -16.4 $9.06

ICF/MR: Public $22,234,810 $24,247,907 9.1 $23,574,182 -2.8 $25,206,402 6.9 $17,031,048 -32.4 $10,591,987 -37.8 $11.03


Total Medicaid $1,029,584,674 $1,039,849,185 1.0 $1,102,667,032 6.0 $1,209,937,045 9.7 $1,294,823,514 7.0 $1,410,395,239 8.9 $838.36












Abbreviations:


Illinois Table 14

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $714,660,262 $724,043,694 1.3 $696,182,835 -3.8 $743,274,716 6.8 $611,548,830 -17.7 $636,142,294 4.0 $47


Mental Health Facility Services-DSH $89,046,247 $89,312,923 0.3 $89,491,895 0.2 $67,162,350 -25.0 $111,393,410 65.9 $89,423,992 -19.7 $8.64


Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $36,544,050 $37,097,170 1.5 $48,142,383 29.8 $44,689,517 -7.2 $42,803,497 -4.2 $1,631,597 -96.2 $3.32

1915(c) Waivers $801,420,020 $833,019,066 3.9 $910,816,451 9.3 $1,169,319,429 28.4 $1,016,164,141 -13.1 $1,085,203,963 6.8 $78.81

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $837,964,070 $870,116,236 3.8 $958,958,834 10.2 $1,214,008,946 26.6 $1,058,967,638 -12.8 $1,332,435,763 25.8 $82.13

Total LTSS $3,096,951,775 $3,232,509,094 4.4 $3,254,519,520 0.7 $3,585,225,683 10.2 $3,497,862,357 -2.4 $3,706,608,918 6.0 $271.29

1915(c) Waivers: DD $393,570,672 $414,966,240 5.4 $425,008,684 2.4 $491,688,392 15.7 $478,517,237 -2.7 $441,435,727 -7.7 $37.11

1915(c) Waivers: A/D $345,808,863 $358,076,346 3.5 $422,124,740 17.9 $580,649,525 37.6 $443,464,776 -23.6 $558,257,676 25.9 $34.40

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $3,392,562,579 $3,284,247,001 -3.2 $4,236,184,288 29.0 $3,723,406,106 -12.1 $4,712,986,427 26.6 $5,230,291,037 11.0 $365.54

Inpatient Hospital DSH $260,244,435 $119,468,214 -54.1 $108,388,932 -9.3 $113,495,996 4.7 $386,671,350 240.7 $481,620,126 24.6 $29.99


Drugs $1,228,877,704 $916,248,048 -25.4 $686,905,879 -25.0 $805,745,489 17.3 $828,902,501 2.9 $810,258,693 -2.2 $64.29

Targeted Case Management $85,257,459 $48,002,709 -43.7 $52,743,548 9.9 $32,688,899 -38.0 $44,522,035 36.2 $22,568,569 -49.3 $3.45

ICF/MR: Public $356,646,841 $339,408,035 -4.8 $361,827,653 6.6 $361,703,524 0.0 $291,789,553 -19.3 $215,043,058 -26.3 $22.63

ICF/MR: Private $358,013,421 $384,635,659 7.4 $334,355,182 -13.1 $381,571,192 14.1 $319,759,277 -16.2 $421,099,236 31.7 $24.80ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $11,127,461,468 $10,267,698,583 -7.7 $12,693,526,348 23.6 $11,809,313,209 -7.0 $13,571,812,320 14.9 $14,216,880,582 4.8 $1,052.63



Home health data decreased significantly in 2010, offset by private duty nursing expenditures. It is possible Illinois reported private duty nursing spending under home health before 2010.










Abbreviations:


Indiana Table 15

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,285,442,850 $981,242,897 -23.7 $1,009,581,061 2.9 $1,209,358,128 19.8 $1,195,097,348 -1.2 $1,184,292,395 -0.9 $186.23

ICF/MR: Total $315,325,423 $341,398,406 8.3 $318,569,313 -6.7 $301,047,377 -5.5 $312,589,037 3.8 $313,996,626 0.5 $49

Mental Health Facility Services $60,665,667 $67,842,276 11.8 $66,798,311 -1.5 $62,477,896 -6.5 $59,812,107 -4.3 $59,685,339 -0.2 $9.32

Mental Health Facility Services-DSH $95,405,732 $152,096,600 59.4 $95,241,914 -37.4 $107,770,765 13.2 $96,145,012 -10.8 $89,044,585 -7.4 $14.98

Total Institutional $1,756,839,672 $1,542,580,179 -12.2 $1,490,190,599 -3.4 $1,680,654,166 12.8 $1,663,643,504 -1.0 $1,647,018,945 -1.0 $259.24

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $73,946,918 $82,255,399 11.2 $89,055,068 8.3 $102,549,840 15.2 $137,609,993 34.2 $165,517,866 20.3 $21.44

1915(c) Waivers $422,728,583 $421,627,080 -0.3 $461,162,609 9.4 $525,645,862 14.0 $600,949,913 14.3 $643,222,651 7.0 $93.65

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $2,253,515,173 $2,046,462,658 -9.2 $2,040,408,276 -0.3 $2,308,849,868 13.2 $2,402,203,410 4.0 $2,467,299,554 2.7 $374.33

1915(c) Waivers: DD $385,758,352 $385,639,265 0.0 $411,636,291 6.7 $461,098,858 12.0 $501,612,231 8.8 $508,153,906 1.3 $78.17

1915(c) Waivers: A/D $31,867,962 $31,441,684 -1.3 $45,940,895 46.1 $61,123,867 33.0 $95,444,165 56.1 $130,480,338 36.7 $14.87

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $605,016,049 $691,314,582 14.3 $615,280,388 -11.0 $1,399,057,223 127.4 $843,693,120 -39.7 $547,954,219 -35.1 $131.47

Inpatient Hospital DSH $214,210,674 $9,249,878 -95.7 $394,771,380 4167.9 $338,313,102 -14.3 $142,734,536 -57.8 $0 -100.0 $22.24

Managed Care Premiums $607,532,043 $874,884,342 44.0 $971,742,274 11.1 $1,052,866,928 8.3 $1,451,061,322 37.8 $1,258,375,781 -13.3 $226.12

Drugs $553,909,180 $221,694,954 -60.0 $202,294,139 -8.8 $178,280,613 -11.9 $171,578,385 -3.8 $352,144,534 105.2 $26.74

Targeted Case Management $12,748,611 $11,011,903 -13.6 $9,507,099 -13.7 $9,920,945 4.4 $7,670,157 -22.7 $7,355,928 -4.1 $1.20

ICF/MR: Public $88,318,687 $113,263,771 28.2 $50,076,797 -55.8 $26,219,699 -47.6 $4,448,285 -83.0 $2,213,219 -50.2 $0.69


Total Medicaid $5,378,614,662 $4,994,194,458 -7.1 $5,370,884,225 7.5 $6,479,553,663 20.6 $6,263,055,922 -3.3 $5,891,355,918 -5.9 $975.97












Abbreviations:


Iowa Table 16

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $428,853,379 $443,873,566 3.5 $449,355,746 1.2 $469,324,035 4.4 $466,661,221 -0.6 $494,186,868 5.9 $155.12

ICF/MR: Total $249,507,427 $265,175,611 6.3 $276,651,528 4.3 $289,805,616 4.8 $305,883,715 5.5 $286,660,825 -6.3 $102

Mental Health Facility Services $31,979,230 $32,975,712 3.1 $22,386,440 -32.1 $44,374,699 98.2 $38,725,600 -12.7 $36,656,619 -5.3 $12.87



Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $61,694,718 $80,216,130 30.0 $83,088,917 3.6 $91,782,306 10.5 $93,808,719 2.2 $88,641,650 -5.5 $31.18

1915(c) Waivers $278,869,960 $327,596,614 17.5 $355,406,390 8.5 $400,777,212 12.8 $430,866,041 7.5 $450,352,466 4.5 $143.22

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $11,871 100.0 $1,084,152 9032.8 $2,226,467 105.4 $0.36



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $1,798,765 100.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $1,050,904,714 $1,149,837,633 9.4 $1,186,889,021 3.2 $1,296,075,739 9.2 $1,337,029,448 3.2 $1,425,230,332 6.6 $444.44

1915(c) Waivers: DD $216,831,095 $252,028,447 16.2 $265,621,385 5.4 $291,429,707 9.7 $310,920,850 6.7 $326,315,052 5.0 $103.35

1915(c) Waivers: A/D $53,092,925 $64,259,549 21.0 $75,506,025 17.5 $90,204,268 19.5 $98,908,093 9.6 $101,233,140 2.4 $32.88

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $35,584,972 $41,418,214 16.4 $42,157,700 1.8 $48,074,170 14.0 $30,319,399 -36.9 $27,123,879 -10.5 $10.08

Managed Care Premiums $125,213,661 $102,700,828 -18.0 $110,437,494 7.5 $119,448,131 8.2 $123,363,685 3.3 $126,761,367 2.8 $41.01

Drugs $326,023,070 $422,608,188 29.6 $255,228,251 -39.6 $146,819,083 -42.5 $133,926,797 -8.8 $105,385,510 -21.3 $44.52


ICF/MR: Public $99,624,133 $107,262,904 7.7 $112,952,478 5.3 $122,118,917 8.1 $133,445,943 9.3 $123,697,412 -7.3 $44.36

ICF/MR: Private $149,883,294 $157,912,707 5.4 $163,699,050 3.7 $167,686,699 2.4 $172,437,772 2.8 $162,963,413 -5.5 $57.32ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $2,477,511,520 $2,771,532,788 11.9 $2,648,472,761 -4.4 $2,828,944,594 6.8 $2,983,067,726 5.4 $3,098,131,208 3.9 $991.60












Abbreviations:


Kansas Table 17

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $336,089,245 $323,478,935 -3.8 $359,317,082 11.1 $360,896,905 0.4 $373,226,385 3.4 $357,760,815 -4.1 $132.47

ICF/MR: Total $66,957,183 $64,980,900 -3.0 $64,630,016 -0.5 $63,194,274 -2.2 $66,100,912 4.6 $61,911,471 -6.3 $23

Mental Health Facility Services $11,719,669 $8,467,957 -27.7 $7,576,841 -10.5 $6,996,051 -7.7 $15,255,871 118.1 $55,415,394 263.2 $5.41

Mental Health Facility Services-DSH $21,016,040 $21,224,773 1.0 $15,960,849 -24.8 $26,895,054 68.5 $22,749,884 -15.4 $23,292,013 2.4 $8.07


Personal Care $17,233,103 $17,583,997 2.0 $17,723,022 0.8 $18,437,919 4.0 $2,767,469 -85.0 $3,322,753 20.1 $0.98

Home Health $15,813,323 $15,831,384 0.1 $13,105,466 -17.2 $12,183,009 -7.0 $12,826,186 5.3 $11,222,852 -12.5 $4.55

1915(c) Waivers $373,533,168 $413,591,468 10.7 $441,369,772 6.7 $472,236,227 7.0 $557,917,329 18.1 $556,128,103 -0.3 $198.02

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $4,245,493 $4,229,255 -0.4 $4,495,097 6.3 $4,712,780 4.8 $5,197,996 10.3 $6,128,090 17.9 $1.84



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $846,607,224 $869,388,669 2.7 $924,178,145 6.3 $965,552,219 4.5 $1,056,042,032 9.4 $1,085,670,169 2.8 $374.82

1915(c) Waivers: DD $215,616,894 $231,621,014 7.4 $250,856,650 8.3 $280,457,123 11.8 $298,745,568 6.5 $311,203,457 4.2 $106.03

1915(c) Waivers: A/D $128,262,812 $146,056,940 13.9 $158,732,813 8.7 $182,253,364 14.8 $222,645,924 22.2 $208,395,561 -6.4 $79.02

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $227,704,389 $347,755,127 52.7 $256,761,410 -26.2 $288,700,979 12.4 $277,495,426 -3.9 $280,295,954 1.0 $98.49

Inpatient Hospital DSH $42,668,211 $36,867,990 -13.6 $28,213,989 -23.5 $53,884,892 91.0 $46,189,159 -14.3 $44,925,344 -2.7 $16.39


Drugs $207,843,899 $110,168,737 -47.0 $83,730,440 -24.0 $95,286,555 13.8 $101,887,393 6.9 $76,109,803 -25.3 $36.16

Targeted Case Management $3,965,442 $36,317,454 815.8 $43,846,546 20.7 $26,700,103 -39.1 $28,276,875 5.9 $27,513,175 -2.7 $10.04

ICF/MR: Public $48,204,691 $47,590,190 -1.3 $47,605,172 0.0 $47,221,471 -0.8 $51,892,540 9.9 $48,821,294 -5.9 $18.42

ICF/MR: Private $18,752,492 $17,390,710 -7.3 $17,024,844 -2.1 $15,972,803 -6.2 $14,208,372 -11.0 $13,090,177 -7.9 $5.04ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $2,016,956,791 $2,159,470,679 7.1 $2,153,182,490 -0.3 $2,310,812,301 7.3 $2,455,504,978 6.3 $2,458,834,372 0.1 $871.54












Abbreviations:


Kentucky Table 18

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $107,749,062 $128,758,532 19.5 $150,345,369 16.8 $110,812,933 -26.3 $100,520,929 -9.3 $145,522,749 44.8 $23

Mental Health Facility Services $49,105,404 $42,358,784 -13.7 $43,476,131 2.6 $46,383,809 6.7 $50,745,362 9.4 $56,073,432 10.5 $11.77

Mental Health Facility Services-DSH $37,430,614 $37,443,072 0.0 $37,435,105 0.0 $37,343,699 -0.2 $37,443,075 0.3 $37,443,072 0.0 $8.68

Total Institutional $916,342,526 $943,134,502 2.9 $987,670,823 4.7 $1,001,049,344 1.4 $1,016,514,946 1.5 $1,075,598,696 5.8 $235.73

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $105,234,746 $113,934,170 8.3 $110,992,093 -2.6 $110,151,471 -0.8 $116,142,795 5.4 $92,135,515 -20.7 $26.93

1915(c) Waivers $216,909,135 $242,615,095 11.9 $282,473,354 16.4 $288,586,074 2.2 $343,766,303 19.1 $387,799,548 12.8 $79.72

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $1,238,486,407 $1,299,683,767 4.9 $1,381,136,270 6.3 $1,399,786,889 1.4 $1,476,424,044 5.5 $1,555,542,114 5.4 $342.38

1915(c) Waivers: DD $154,428,570 $173,639,033 12.4 $207,240,261 19.4 $204,329,108 -1.4 $243,672,581 19.3 $279,182,880 14.6 $56.51

1915(c) Waivers: A/D $56,531,920 $61,559,825 8.9 $66,214,249 7.6 $72,696,543 9.8 $83,266,224 14.5 $85,897,758 3.2 $19.31

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $158,802,714 $159,753,581 0.6 $157,367,474 -1.5 $158,383,443 0.6 $170,180,250 7.4 $173,659,743 2.0 $39.46

Managed Care Premiums $533,655,490 $618,829,431 16.0 $658,416,674 6.4 $719,275,714 9.2 $786,268,577 9.3 $751,648,906 -4.4 $182.33

Drugs $577,672,992 $368,250,392 -36.3 $336,799,852 -8.5 $324,783,184 -3.6 $345,707,114 6.4 $299,933,862 -13.2 $80.17

Targeted Case Management $37,843,290 $36,902,543 -2.5 $38,217,295 3.6 $42,124,435 10.2 $46,292,647 9.9 $50,624,873 9.4 $10.74

ICF/MR: Public $93,225,367 $109,509,933 17.5 $96,297,346 -12.1 $0 -100.0 $32,350,250 100.0 $117,403,987 262.9 $7.50

ICF/MR: Private $14,523,695 $19,248,599 32.5 $54,048,023 180.8 $110,812,933 105.0 $68,170,679 -38.5 $28,118,762 -58.8 $15.81ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $4,298,857,780 $4,381,651,618 1.9 $4,578,266,408 4.5 $4,819,842,821 5.3 $5,371,235,855 11.4 $5,576,482,392 3.8 $1,245.57












Abbreviations:


Louisiana Table 19

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $652,850,543 $638,071,074 -2.3 $692,248,341 8.5 $720,733,915 4.1 $745,621,917 3.5 $776,006,947 4.1 $166.08

ICF/MR: Total $425,679,479 $426,058,194 0.1 $442,050,609 3.8 $480,841,734 8.8 $468,057,200 -2.7 $472,346,871 0.9 $104

Mental Health Facility Services $12,014,050 $52,025,222 333.0 $15,505,667 -70.2 $17,664,762 13.9 $19,135,028 8.3 $17,438,864 -8.9 $4.26

Mental Health Facility Services-DSH $112,845,178 $73,284,794 -35.1 $109,724,975 49.7 $94,989,454 -13.4 $110,121,115 15.9 $108,929,824 -1.1 $24.53

Total Institutional $1,203,389,250 $1,189,439,284 -1.2 $1,259,529,592 5.9 $1,314,229,865 4.3 $1,342,935,260 2.2 $1,374,722,506 2.4 $299.13

Personal Care $47,860,444 $80,787,703 68.8 $139,415,976 72.6 $209,337,021 50.2 $246,412,380 17.7 $227,942,058 -7.5 $54.89

Home Health $28,467,504 $24,715,368 -13.2 $26,437,774 7.0 $34,496,399 30.5 $35,810,420 3.8 $38,889,810 8.6 $7.98

1915(c) Waivers $284,831,169 $289,349,451 1.6 $345,654,525 19.5 $422,670,488 22.3 $480,797,276 13.8 $476,569,707 -0.9 $107.09

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $1,733,942 100.0 $4,272,242 146.4 $7,529,708 76.2 $0.95



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $1,564,548,367 $1,584,291,806 1.3 $1,771,037,867 11.8 $1,982,467,715 11.9 $2,110,227,578 6.4 $2,127,070,449 0.8 $470.04

1915(c) Waivers: DD $243,942,611 $80,609,764 -67.0 $298,106,525 269.8 $361,355,899 21.2 $409,577,699 13.3 $411,075,305 0.4 $91.23

1915(c) Waivers: A/D $40,888,558 $16,465,424 -59.7 $47,548,000 188.8 $61,314,589 29.0 $71,219,577 16.2 $65,494,402 -8.0 $15.86

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $939,981,366 $864,312,630 -8.1 $958,336,854 10.9 $1,091,136,877 13.9 $1,190,426,708 9.1 $1,216,102,275 2.2 $265.16


Managed Care Premiums $443,980 $869,200 95.8 $1,001,949 15.3 $1,481,223 47.8 $1,832,274 23.7 $2,372,619 29.5 $0.41

Drugs $804,633,476 $529,773,555 -34.2 $548,013,190 3.4 $610,025,345 11.3 $658,838,782 8.0 $633,700,641 -3.8 $146.75


ICF/MR: Public $233,984,243 $242,386,500 3.6 $233,087,703 -3.8 $259,262,107 11.2 $249,313,813 -3.8 $250,514,386 0.5 $55.53


Total Medicaid $5,473,864,527 $4,854,003,778 -11.3 $5,383,515,593 10.9 $6,073,774,440 12.8 $6,581,352,641 8.4 $6,636,063,936 0.8 $1,465.95












Abbreviations:


Maine Table 20

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $55,344,499 $70,527,465 27.4 $71,691,796 1.7 $64,101,276 -10.6 $65,185,158 1.7 $60,512,303 -7.2 $50



Total Institutional $335,400,501 $404,935,676 20.7 $405,349,850 0.1 $423,511,572 4.5 $421,591,667 -0.5 $469,799,233 11.4 $320.39

Personal Care $34,682,234 $51,505,710 48.5 $45,068,122 -12.5 $51,160,620 13.5 $51,377,365 0.4 $48,847,549 -4.9 $39.04

Home Health $4,704,591 $4,937,309 4.9 $4,581,880 -7.2 $4,392,501 -4.1 $4,382,188 -0.2 $3,895,223 -11.1 $3.33

1915(c) Waivers $197,915,111 $262,473,659 32.6 $269,097,899 2.5 $333,463,533 23.9 $396,923,729 19.0 $328,960,967 -17.1 $301.64

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $237,301,936 $318,916,678 34.4 $318,747,901 -0.1 $389,016,654 22.0 $452,683,282 16.4 $399,252,474 -11.8 $344.01

Total LTSS $572,702,437 $723,852,354 26.4 $724,097,751 0.0 $812,528,226 12.2 $874,274,949 7.6 $869,051,707 -0.6 $664.40

1915(c) Waivers: DD $176,574,272 $237,472,075 34.5 $235,207,267 -1.0 $305,020,786 29.7 $370,204,023 21.4 $300,488,478 -18.8 $281.33

1915(c) Waivers: A/D $21,340,839 $25,001,584 17.2 $33,890,632 35.6 $28,442,747 -16.1 $26,719,706 -6.1 $28,472,489 6.6 $20.31

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $314,117,877 $209,319,987 -33.4 $293,467,808 40.2 $249,746,223 -14.9 $380,296,890 52.3 $315,251,146 -17.1 $289.00

Inpatient Hospital DSH $32,890,293 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Managed Care Premiums $230,164 $237,154 3.0 $123,876 -47.8 $0 -100.0 $0 0.0 $0 0.0 $0.00

Drugs $182,235,169 $97,795,019 -46.3 $103,910,355 6.3 $106,579,394 2.6 $93,552,662 -12.2 $74,890,959 -19.9 $71.09

Targeted Case Management $79,840,536 $99,323,054 24.4 $85,209,550 -14.2 $81,774,122 -4.0 $84,561,259 3.4 $59,648,234 -29.5 $64.26

ICF/MR: Public $2,070,448 $6,314 -99.7 -$44,328 -802.1 $110,445 -349.2 $71,287 -35.5 $38,449 -46.1 $0.05


Total Medicaid $2,243,607,374 $2,241,732,100 -0.1 $2,108,855,813 -5.9 $2,186,659,322 3.7 $2,589,050,667 18.4 $2,399,671,700 -7.3 $1,967.53












Abbreviations:


Maryland Table 21

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $891,097,477 $937,507,308 5.2 $961,848,919 2.6 $1,008,231,632 4.8 $1,061,516,806 5.3 $1,060,584,112 -0.1 $186.61

ICF/MR: Total $63,962,424 $65,576,833 2.5 $68,465,522 4.4 $65,317,130 -4.6 $44,205,359 -32.3 $1,515 -100.0 $8



Total Institutional $1,163,328,552 $1,218,598,648 4.8 $1,266,342,785 3.9 $1,305,499,081 3.1 $1,348,529,755 3.3 $1,206,486,220 -10.5 $237.07

Personal Care $32,339,367 $30,803,103 -4.8 $32,046,324 4.0 $33,257,781 3.8 $35,065,822 5.4 $36,745,503 4.8 $6.16

Home Health $102,575,136 $65,171,429 -36.5 $57,454,628 -11.8 $59,164,082 3.0 $38,889,346 -34.3 $2,499,302 -93.6 $6.84

1915(c) Waivers $412,607,611 $583,767,676 41.5 $619,260,109 6.1 $627,705,535 1.4 $710,537,417 13.2 $859,840,469 21.0 $124.91

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $6,878 100.0 $0 -100.0 -$3,693 100.0 $5,890,694 -159609.7 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $19,518 100.0 $0.00

Total Non-Institutional $547,522,114 $679,742,208 24.1 $708,767,939 4.3 $720,127,398 1.6 $784,488,892 8.9 $1,299,890,471 65.7 $137.91

Total LTSS $1,710,850,666 $1,898,340,856 11.0 $1,975,110,724 4.0 $2,025,626,479 2.6 $2,133,018,647 5.3 $2,506,376,691 17.5 $374.98

1915(c) Waivers: DD $357,903,837 $492,312,790 37.6 $526,923,437 7.0 $527,035,205 0.0 $594,890,116 12.9 $720,965,456 21.2 $104.58

1915(c) Waivers: A/D $53,787,888 $89,857,365 67.1 $90,671,081 0.9 $97,980,877 8.1 $112,563,002 14.9 $135,694,582 20.5 $19.79

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $347,463,030 $534,963,334 54.0 $592,724,316 10.8 $536,357,441 -9.5 $642,819,045 19.8 $756,388,143 17.7 $113.01

Inpatient Hospital DSH $45,030,494 $61,853,830 37.4 $57,506,932 -7.0 $63,435,466 10.3 $80,097,795 26.3 $60,911,473 -24.0 $14.08

Managed Care Premiums $1,469,566,068 $1,630,659,356 11.0 $1,751,286,227 7.4 $1,849,138,742 5.6 $2,175,889,951 17.7 $2,540,603,614 16.8 $382.51

Drugs $411,395,998 $188,654,502 -54.1 $163,630,259 -13.3 $188,871,012 15.4 $191,808,883 1.6 $175,685,727 -8.4 $33.72

Targeted Case Management $373,920 $495,778 32.6 $358,861 -27.6 $343,469 -4.3 $366,648 6.7 $9,850,135 2586.5 $0.06

ICF/MR: Public $63,962,424 $65,576,833 2.5 $68,465,522 4.4 $65,317,130 -4.6 $44,205,359 -32.3 $1,515 -100.0 $7.77


Total Medicaid $4,837,116,521 $5,310,451,253 9.8 $5,541,940,216 4.4 $5,729,059,395 3.4 $6,701,672,125 17.0 $7,091,759,912 5.8 $1,178.13



Home health data decreased significantly in 2010, offset by private duty nursing expenditures. It is possible Maryland reported private duty nursing spending under home health before 2010.










Abbreviations:


Massachusetts Table 22

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,684,532,818 $1,666,269,792 -1.1 $1,544,377,644 -7.3 $1,600,698,705 3.6 $1,746,032,406 9.1 $1,684,310,619 -3.5 $264.86

ICF/MR: Total $213,106,263 $165,680,162 -22.3 $206,611,974 24.7 $234,756,894 13.6 $90,645,847 -61.4 $417,064,471 360.1 $14


Mental Health Facility Services-DSH $105,503,250 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Institutional $2,058,739,231 $1,988,140,499 -3.4 $1,916,647,637 -3.6 $1,880,079,111 -1.9 $1,983,543,768 5.5 $2,246,701,632 13.3 $300.89

Personal Care $413,497,826 $440,058,114 6.4 $470,131,653 6.8 $539,154,911 14.7 $632,334,394 17.3 $723,804,343 14.5 $95.92

Home Health $65,211,532 $66,342,934 1.7 $73,107,337 10.2 $86,359,760 18.1 $101,419,033 17.4 $134,597,421 32.7 $15.38

1915(c) Waivers $672,936,910 $721,504,905 7.2 $599,053,430 -17.0 $689,820,045 15.2 $908,073,923 31.6 $906,650,625 -0.2 $137.75

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $35,157,317 100.0 $0 -100.0 $5.33

PACE $53,758,094 $62,303,622 15.9 $66,072,852 6.0 $77,046,569 16.6 $88,756,030 15.2 $96,326,067 8.5 $13.46



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $6,064 100.0 $0.00

Total Non-Institutional $1,205,404,362 $1,290,209,575 7.0 $1,208,365,272 -6.3 $1,392,381,285 15.2 $1,765,740,697 26.8 $1,861,384,520 5.4 $267.85

Total LTSS $3,264,143,593 $3,278,350,074 0.4 $3,125,012,909 -4.7 $3,272,460,396 4.7 $3,749,284,465 14.6 $4,108,086,152 9.6 $568.75

1915(c) Waivers: DD $642,246,937 $684,550,695 6.6 $565,629,365 -17.4 $634,359,821 12.2 $824,637,022 30.0 $843,118,673 2.2 $125.09

1915(c) Waivers: A/D $24,213,155 $32,396,854 33.8 $27,849,843 -14.0 $50,339,472 80.8 $76,873,964 52.7 $57,136,329 -25.7 $11.66

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $35,157,317 100.0 $0 -100.0 $5.33

Inpatient Hospital Care $925,042,967 $1,316,977,165 42.4 $1,320,184,578 0.2 $1,366,352,442 3.5 $1,500,378,088 9.8 $1,134,481,389 -24.4 $227.60

Inpatient Hospital DSH $614,480,753 -$63,941,119 -110.4 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Managed Care Premiums $1,829,376,128 $2,547,394,278 39.2 $2,066,935,640 -18.9 $2,677,079,573 29.5 $2,886,608,731 7.8 $3,112,008,520 7.8 $437.88

Drugs $794,309,416 $400,512,137 -49.6 $358,059,928 -10.6 $319,526,188 -10.8 $337,067,798 5.5 $346,640,055 2.8 $51.13


ICF/MR: Public $213,106,263 $165,680,162 -22.3 $211,992,561 28.0 $234,756,847 10.7 $90,645,847 -61.4 $417,064,471 360.1 $13.75

ICF/MR: Private $0 $0 0.0 -$5,380,587 100.0 $47 -100.0 $0 -100.0 $0 0.0 $0.00ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $9,667,325,052 $9,726,915,872 0.6 $10,241,077,132 5.3 $10,853,586,273 6.0 $12,195,761,247 12.4 $12,247,350,202 0.4 $1,850.03



Data for 2005 - 2008, and 2010 do not include managed care data for nursing homes and HCBS - 1115 & 1915(a).










Abbreviations:


Michigan Table 23

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,609,435,863 $1,447,440,219 -10.1 $1,482,976,417 2.5 $1,487,455,111 0.3 $1,546,864,101 4.0 $1,673,410,228 8.2 $155.38

ICF/MR: Total $21,368,027 $28,989,260 35.7 $28,824,017 -0.6 $27,348,314 -5.1 $3,410,277 -87.5 $0 -100.0 $0

Mental Health Facility Services $24,671,557 $24,940,465 1.1 $24,611,535 -1.3 $20,099,818 -18.3 $21,493,058 6.9 $17,301,574 -19.5 $2.16

Mental Health Facility Services-DSH $133,089,577 $141,909,300 6.6 $141,909,300 0.0 $141,774,361 -0.1 $141,909,300 0.1 $93,922,089 -33.8 $14.25

Total Institutional $1,788,565,024 $1,643,279,244 -8.1 $1,678,321,269 2.1 $1,676,677,604 -0.1 $1,713,676,736 2.2 $1,784,633,891 4.1 $172.14

Personal Care $217,274,387 $196,082,473 -9.8 $230,836,138 17.7 $252,905,363 9.6 $268,469,551 6.2 $274,247,667 2.2 $26.97

Home Health $23,293,776 $21,331,264 -8.4 $24,308,831 14.0 $23,499,313 -3.3 $26,212,031 11.5 $6,292,345 -76.0 $2.63

1915(c) Waivers $471,625,269 $490,565,996 4.0 $501,429,229 2.2 $511,748,187 2.1 $536,175,775 4.8 $570,582,512 6.4 $53.86

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $6,068,710 $6,112,605 0.7 $7,520,463 23.0 $9,457,458 25.8 $12,703,160 34.3 $14,404,689 13.4 $1.28



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $2,506,827,166 $2,357,371,582 -6.0 $2,442,415,930 3.6 $2,474,287,925 1.3 $2,557,237,253 3.4 $2,679,163,518 4.8 $256.87

1915(c) Waivers: DD $397,184,983 $405,914,596 2.2 $414,795,506 2.2 $413,641,740 -0.3 $417,547,929 0.9 $440,698,999 5.5 $41.94

1915(c) Waivers: A/D $74,440,286 $84,651,400 13.7 $86,221,331 1.9 $97,461,335 13.0 $118,184,532 21.3 $129,644,402 9.7 $11.87

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $955,262,775 $939,324,860 -1.7 $1,112,307,626 18.4 $1,096,344,943 -1.4 $1,043,165,555 -4.9 $1,053,924,565 1.0 $104.79

Inpatient Hospital DSH $307,059,875 $299,173,577 -2.6 $300,816,489 0.5 $287,030,365 -4.6 $282,526,069 -1.6 $279,595,430 -1.0 $28.38


Drugs $638,770,800 $289,208,131 -54.7 $229,885,807 -20.5 $224,393,395 -2.4 $211,855,651 -5.6 $302,336,182 42.7 $21.28


ICF/MR: Public $21,368,027 $28,989,260 35.7 $28,824,017 -0.6 $27,348,314 -5.1 $3,410,277 -87.5 $0 -100.0 $0.34


Total Medicaid $8,630,422,865 $8,311,437,453 -3.7 $9,191,931,777 10.6 $9,765,762,150 6.2 $10,635,355,079 8.9 $11,485,639,433 8.0 $1,068.32



Home health data decreased significantly in 2010, offset by private duty nursing expenditures. It is possible Michigan reported private duty nursing spending under home health before 2010.










Abbreviations:


Minnesota Table 24

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $859,096,238 $850,674,566 -1.0 $834,645,795 -1.9 $859,873,961 3.0 $871,036,606 1.3 $811,877,201 -6.8 $165.51

ICF/MR: Total $171,455,673 $171,341,145 -0.1 $175,376,449 2.4 $178,358,058 1.7 $173,914,155 -2.5 $169,111,403 -2.8 $33

Mental Health Facility Services $47,345,252 $54,728,374 15.6 $59,303,128 8.4 $66,026,338 11.3 $53,639,400 -18.8 $61,816,181 15.2 $10.19

Mental Health Facility Services-DSH $696,816 $920,260 32.1 $687,791 -25.3 $82,746 -88.0 $82,060 -0.8 $381,169 364.5 $0.02


Personal Care $250,262,983 $281,614,143 12.5 $314,147,867 11.6 $451,070,117 43.6 $504,877,445 11.9 $402,846,107 -20.2 $95.93

Home Health $74,741,007 $76,421,322 2.2 $78,677,600 3.0 $105,809,314 34.5 $107,199,621 1.3 $79,989,470 -25.4 $20.37

1915(c) Waivers $1,173,137,879 $1,323,014,899 12.8 $1,470,473,047 11.1 $1,639,652,312 11.5 $1,718,988,941 4.8 $1,699,782,548 -1.1 $326.63

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $1,498,141,869 $1,681,050,364 12.2 $1,863,298,514 10.8 $2,196,531,743 17.9 $2,331,066,007 6.1 $2,267,583,704 -2.7 $442.93

Total LTSS $2,576,735,848 $2,758,714,709 7.1 $2,933,311,677 6.3 $3,300,872,846 12.5 $3,429,738,228 3.9 $3,310,769,658 -3.5 $651.69

1915(c) Waivers: DD $838,054,599 $877,518,110 4.7 $906,728,206 3.3 $934,577,944 3.1 $939,910,486 0.6 $968,133,541 3.0 $178.59

1915(c) Waivers: A/D $272,648,396 $376,754,365 38.2 $483,115,679 28.2 $614,904,611 27.3 $682,553,169 11.0 $637,822,364 -6.6 $129.69

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $291,310,878 $305,922,325 5.0 $357,530,456 16.9 $407,097,798 13.9 $400,259,051 -1.7 $457,448,663 14.3 $76.05

Inpatient Hospital DSH $61,654,014 $88,160,882 43.0 $88,434,857 0.3 $131,292,587 48.5 $127,316,015 -3.0 $108,643,317 -14.7 $24.19

Managed Care Premiums $1,411,410,875 $1,474,942,088 4.5 $1,668,062,612 13.1 $2,120,403,173 27.1 $2,459,042,280 16.0 $2,431,305,270 -1.1 $467.25

Drugs $323,831,814 $162,546,856 -49.8 $147,471,930 -9.3 $153,946,240 4.4 $140,669,291 -8.6 $138,992,626 -1.2 $26.73

Targeted Case Management $160,723,449 $158,997,431 -1.1 $141,817,581 -10.8 $149,485,228 5.4 $158,502,334 6.0 $207,504,011 30.9 $30.12

ICF/MR: Public $11,040,128 $13,302,660 20.5 $12,899,543 -3.0 $12,953,331 0.4 $10,383,499 -19.8 $9,840,849 -5.2 $1.97

ICF/MR: Private $160,415,545 $158,038,485 -1.5 $162,476,906 2.8 $165,404,727 1.8 $163,530,656 -1.1 $159,270,554 -2.6 $31.07ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $5,611,519,311 $5,478,504,302 -2.4 $6,139,226,808 12.1 $7,004,144,555 14.1 $7,425,184,775 6.0 $7,544,993,637 1.6 $1,410.87













Abbreviations:


Mississippi Table 25

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $209,110,070 $253,584,578 21.3 $255,287,075 0.7 $285,877,979 12.0 $277,194,524 -3.0 $269,536,058 -2.8 $94



Total Institutional $862,445,206 $952,439,060 10.4 $1,001,548,466 5.2 $1,056,278,340 5.5 $1,066,107,623 0.9 $1,084,228,571 1.7 $361.40

Personal Care $512 $3,441,340 672036.7 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $4,722,948 $9,444,093 100.0 $6,851,914 -27.4 $7,420,273 8.3 $5,308,788 -28.5 $4,897,217 -7.8 $1.80

1915(c) Waivers $114,864,149 $32,591,791 -71.6 $131,169,200 302.5 $153,704,863 17.2 $173,608,687 12.9 $193,410,908 11.4 $58.85

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $7,860,326 $354,189 -95.5 $200,000 -43.5 $0 -100.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $989,893,141 $998,270,473 0.8 $1,139,769,580 14.2 $1,217,403,476 6.8 $1,245,025,098 2.3 $1,396,355,418 12.2 $422.05

1915(c) Waivers: DD $36,738,366 $8,898,587 -75.8 $39,527,470 344.2 $41,982,477 6.2 $42,547,949 1.3 $42,426,184 -0.3 $14.42

1915(c) Waivers: A/D $78,125,783 $23,693,204 -69.7 $91,641,730 286.8 $111,722,386 21.9 $131,060,738 17.3 $150,984,724 15.2 $44.43

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $671,385,692 $693,182,712 3.2 $806,405,172 16.3 $862,993,781 7.0 $904,732,610 4.8 $1,043,125,707 15.3 $306.69

Inpatient Hospital DSH $182,951,108 $177,465,123 -3.0 $200,815,293 13.2 $188,285,227 -6.2 $202,679,536 7.6 $208,213,247 2.7 $68.71

Managed Care Premiums $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Drugs $485,515,177 $251,985,448 -48.1 $211,740,006 -16.0 $213,217,299 0.7 $224,444,329 5.3 $221,648,770 -1.2 $76.08


ICF/MR: Public $167,176,890 $208,113,656 24.5 $206,165,554 -0.9 $237,944,327 15.4 $228,759,774 -3.9 $220,363,063 -3.7 $77.55

ICF/MR: Private $41,933,180 $45,470,922 8.4 $49,121,521 8.0 $47,933,652 -2.4 $48,434,750 1.0 $49,172,995 1.5 $16.42ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $3,360,041,943 $3,267,538,996 -2.8 $3,492,710,737 6.9 $3,668,503,777 5.0 $3,813,295,697 3.9 $4,144,112,210 8.7 $1,292.67












Abbreviations:


Missouri Table 26

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $803,678,068 $761,167,717 -5.3 $759,452,299 -0.2 $848,741,019 11.8 $869,379,130 2.4 $908,286,740 4.5 $145.33

ICF/MR: Total $256,680,290 $241,855,891 -5.8 $105,836,412 -56.2 $129,143,106 22.0 $152,896,378 18.4 $133,887,537 -12.4 $26


Mental Health Facility Services-DSH $207,234,618 $204,780,706 -1.2 $205,201,602 0.2 $203,173,165 -1.0 $198,763,354 -2.2 $192,572,458 -3.1 $33.23

Total Institutional $1,293,457,523 $1,235,178,090 -4.5 $1,108,085,811 -10.3 $1,223,573,813 10.4 $1,265,150,927 3.4 $1,277,849,246 1.0 $211.48

Personal Care $220,262,502 $226,763,537 3.0 $240,893,195 6.2 $267,171,467 10.9 $317,869,885 19.0 $354,963,341 11.7 $53.14

Home Health $5,728,415 $4,660,220 -18.6 $4,917,145 5.5 $4,797,289 -2.4 $5,478,116 14.2 $5,680,257 3.7 $0.92

1915(c) Waivers $384,273,317 $412,365,029 7.3 $462,319,000 12.1 $507,753,192 9.8 $541,354,976 6.6 $607,326,875 12.2 $90.49

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $4,995,880 $4,424,436 -11.4 $4,262,073 -3.7 $5,053,537 18.6 $5,229,698 3.5 $4,913,700 -6.0 $0.87



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $1,908,717,637 $1,883,391,312 -1.3 $1,820,477,224 -3.3 $2,008,349,298 10.3 $2,135,083,602 6.3 $2,341,205,102 9.7 $356.90

1915(c) Waivers: DD $292,255,117 $318,893,618 9.1 $364,051,598 14.2 $403,799,058 10.9 $425,910,259 5.5 $490,162,400 15.1 $71.20

1915(c) Waivers: A/D $91,583,250 $93,066,771 1.6 $97,466,988 4.7 $101,934,464 4.6 $113,136,343 11.0 $115,153,263 1.8 $18.91

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $486,103,958 $513,427,320 5.6 $505,170,094 -1.6 $626,826,340 24.1 $432,198,498 -31.0 $527,748,764 22.1 $72.25

Managed Care Premiums $827,253,109 $852,851,533 3.1 $866,130,521 1.6 $1,014,483,918 17.1 $1,214,370,466 19.7 $1,089,197,042 -10.3 $203.00

Drugs $945,592,500 $479,170,814 -49.3 $407,186,446 -15.0 $428,736,972 5.3 $463,276,485 8.1 $614,186,539 32.6 $77.44


ICF/MR: Public $169,436,277 $216,811,472 28.0 $94,074,973 -56.6 $115,830,056 23.1 $118,260,469 2.1 $79,958,503 -32.4 $19.77

ICF/MR: Private $87,244,013 $25,044,419 -71.3 $11,761,439 -53.0 $13,313,050 13.2 $34,635,909 160.2 $53,929,034 55.7 $5.79ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $6,644,236,371 $6,454,129,262 -2.9 $6,571,869,215 1.8 $7,201,736,949 9.6 $7,675,588,441 6.6 $8,118,380,854 5.8 $1,283.06












Abbreviations:


Montana Table 27

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $12,350,308 $12,744,628 3.2 $10,631,730 -16.6 $13,375,445 25.8 $12,147,430 -9.2 $12,659,441 4.2 $12



Total Institutional $169,038,423 $179,958,685 6.5 $176,559,360 -1.9 $181,322,657 2.7 $186,445,505 2.8 $184,091,466 -1.3 $191.39

Personal Care $24,182,827 $26,186,255 8.3 $26,303,548 0.4 $29,686,920 12.9 $35,885,239 20.9 $42,079,107 17.3 $36.84

Home Health $9,230,879 $9,948,594 7.8 $10,107,864 1.6 $10,456,423 3.4 $11,702,384 11.9 $13,111,412 12.0 $12.01

1915(c) Waivers $82,372,092 $87,755,569 6.5 $92,585,819 5.5 $103,716,031 12.0 $118,211,127 14.0 $122,047,130 3.2 $121.35

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $471,104 100.0 $919,190 95.1 $0.48



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $284,824,221 $303,849,103 6.7 $305,556,591 0.6 $325,182,031 6.4 $352,715,359 8.5 $396,110,925 12.3 $362.07

1915(c) Waivers: DD $60,028,231 $64,475,924 7.4 $67,177,231 4.2 $72,719,760 8.3 $82,962,936 14.1 $83,615,124 0.8 $85.16

1915(c) Waivers: A/D $22,343,861 $23,279,645 4.2 $25,306,347 8.7 $29,999,760 18.5 $33,300,218 11.0 $35,998,281 8.1 $34.18

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $95,959,496 $110,512,496 15.2 $106,769,033 -3.4 $116,908,275 9.5 $137,079,857 17.3 $181,408,557 32.3 $140.72


Managed Care Premiums $3,045,171 $3,413,886 12.1 $2,354,641 -31.0 $3,179,641 35.0 $2,199,341 -30.8 $968,679 -56.0 $2.26

Drugs $79,672,166 $40,778,162 -48.8 $39,287,978 -3.7 $39,618,324 0.8 $42,923,992 8.3 $32,809,477 -23.6 $44.06

Targeted Case Management $19,075,062 $18,299,497 -4.1 $17,963,901 -1.8 $19,410,969 8.1 $20,282,802 4.5 $19,488,075 -3.9 $20.82

ICF/MR: Public $12,350,308 $12,744,628 3.2 $10,631,730 -16.6 $13,375,445 25.8 $12,147,430 -9.2 $12,553,373 3.3 $12.47

ICF/MR: Private $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $106,068 100.0 $0.00ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $705,432,746 $731,772,693 3.7 $735,609,177 0.5 $784,444,780 6.6 $875,848,139 11.7 $937,750,345 7.1 $899.08












Abbreviations:


Nebraska Table 28

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $352,507,058 $346,617,581 -1.7 $340,800,701 -1.7 $332,017,360 -2.6 $317,785,644 -4.3 $317,931,285 0.0 $177.05

ICF/MR: Total $59,443,762 $60,368,305 1.6 $66,940,338 10.9 $68,217,464 1.9 $66,975,809 -1.8 $34,312,746 -48.8 $37

Mental Health Facility Services $44,805,057 $44,737,921 -0.1 $41,497,862 -7.2 $41,641,127 0.3 $58,259,235 39.9 $34,255,435 -41.2 $32.46

Mental Health Facility Services-DSH $1,707,322 $298,738 -82.5 $1,811,335 506.3 $1,863,160 2.9 $1,762,357 -5.4 $0 -100.0 $0.98

Total Institutional $458,463,199 $452,022,545 -1.4 $451,050,236 -0.2 $443,739,111 -1.6 $444,783,045 0.2 $386,499,466 -13.1 $247.81

Personal Care $11,624,664 $12,172,737 4.7 $13,826,288 13.6 $14,800,741 7.0 $15,539,899 5.0 $15,023,709 -3.3 $8.66

Home Health $22,176,741 $21,643,801 -2.4 $21,540,897 -0.5 $23,905,667 11.0 $23,417,394 -2.0 $23,656,792 1.0 $13.05

1915(c) Waivers $177,305,036 $187,879,135 6.0 $202,752,327 7.9 $218,368,909 7.7 $234,245,439 7.3 $251,967,322 7.6 $130.51

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $669,569,640 $673,718,218 0.6 $689,169,748 2.3 $700,814,428 1.7 $717,985,777 2.5 $677,147,289 -5.7 $400.03

1915(c) Waivers: DD $125,708,765 $133,108,390 5.9 $143,699,752 8.0 $153,621,161 6.9 $167,373,343 9.0 $182,677,644 9.1 $93.25

1915(c) Waivers: A/D $51,301,367 $54,527,081 6.3 $58,618,978 7.5 $64,093,678 9.3 $66,183,576 3.3 $68,618,622 3.7 $36.87

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



Managed Care Premiums $70,932,026 $80,106,373 12.9 $75,217,048 -6.1 $89,913,766 19.5 $93,648,049 4.2 $104,859,683 12.0 $52.18

Drugs $180,051,370 $124,938,601 -30.6 $109,201,370 -12.6 $105,922,745 -3.0 $92,512,403 -12.7 $91,542,680 -1.0 $51.54

Targeted Case Management $19,976,739 $19,749,091 -1.1 $27,258,940 38.0 $25,438,888 -6.7 $27,579,460 8.4 $24,827,662 -10.0 $15.37

ICF/MR: Public $40,859,970 $41,399,983 1.3 $47,199,400 14.0 $47,980,136 1.7 $46,378,263 -3.3 $14,152,406 -69.5 $25.84


Total Medicaid $1,496,801,126 $1,505,882,926 0.6 $1,540,702,264 2.3 $1,587,308,541 3.0 $1,632,629,403 2.9 $1,717,268,958 5.2 $909.62












Abbreviations:


Nevada Table 29

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $152,099,321 $149,825,323 -1.5 $155,014,807 3.5 $163,576,394 5.5 $162,315,188 -0.8 $171,012,200 5.4 $61.52

ICF/MR: Total $26,472,598 $26,727,879 1.0 $21,390,455 -20.0 $18,993,803 -11.2 $16,426,532 -13.5 $18,473,464 12.5 $6




Personal Care $43,465,895 $56,321,939 29.6 $67,194,151 19.3 $74,618,306 11.0 $68,257,353 -8.5 $66,493,467 -2.6 $25.87

Home Health $2,838,639 $2,170,432 -23.5 $3,055,527 40.8 $3,734,722 22.2 $3,370,378 -9.8 $5,160,489 53.1 $1.28

1915(c) Waivers $59,506,664 $73,778,153 24.0 $75,849,951 2.8 $76,229,420 0.5 $85,454,596 12.1 $83,351,229 -2.5 $32.39

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $3,473,251 100.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $322,559,795 $350,909,001 8.8 $370,392,774 5.6 $397,716,732 7.4 $377,768,818 -5.0 $448,515,279 18.7 $143.17

1915(c) Waivers: DD $47,981,582 $60,658,323 26.4 $62,366,309 2.8 $64,368,176 3.2 $73,277,403 13.8 $70,989,707 -3.1 $27.77

1915(c) Waivers: A/D $11,525,082 $13,119,830 13.8 $13,483,642 2.8 $11,861,244 -12.0 $12,177,193 2.7 $12,361,522 1.5 $4.62

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $212,487,697 $204,308,199 -3.8 $222,840,016 9.1 $203,998,668 -8.5 $197,137,368 -3.4 $191,524,027 -2.8 $74.71



Drugs $100,486,641 $63,540,597 -36.8 $57,981,947 -8.7 $56,404,600 -2.7 $56,984,368 1.0 $61,266,752 7.5 $21.60

Targeted Case Management $26,380,032 $23,551,322 -10.7 $27,158,394 15.3 $29,461,691 8.5 $34,870,638 18.4 $49,348,514 41.5 $13.22

ICF/MR: Public $15,653,216 $19,328,385 23.5 $13,946,999 -27.8 $11,609,244 -16.8 $8,462,833 -27.1 $10,999,832 30.0 $3.21

ICF/MR: Private $10,819,382 $7,399,494 -31.6 $7,443,456 0.6 $7,384,559 -0.8 $7,963,699 7.8 $7,473,632 -6.2 $3.02ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $1,190,481,189 $1,173,522,820 -1.4 $1,239,486,706 5.6 $1,318,672,844 6.4 $1,383,149,123 4.9 $1,508,990,625 9.1 $524.20












Abbreviations:


New Hampshire Table 30

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $2,348,269 $2,483,541 5.8 $2,521,518 1.5 $3,005,371 19.2 $3,252,472 8.2 $3,106,085 -4.5 $2


Mental Health Facility Services-DSH $72,097,274 $37,153,005 -48.5 $41,321,978 11.2 $39,479,435 -4.5 $34,392,417 -12.9 $35,283,783 2.6 $26.01

Total Institutional $425,769,765 $334,304,466 -21.5 $342,253,181 2.4 $348,934,549 2.0 $356,864,681 2.3 $351,888,794 -1.4 $269.91

Personal Care $5,100,936 $4,943,161 -3.1 $5,167,542 4.5 $5,097,465 -1.4 $6,211,595 21.9 $7,586,122 22.1 $4.70

Home Health $7,799,350 $6,900,612 -11.5 $7,193,394 4.2 $7,056,931 -1.9 $7,870,949 11.5 $8,703,384 10.6 $5.95

1915(c) Waivers $167,345,491 $182,072,669 8.8 $196,467,119 7.9 $216,942,753 10.4 $235,914,142 8.7 $242,549,475 2.8 $178.43

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $606,015,542 $528,220,908 -12.8 $551,081,236 4.3 $578,031,698 4.9 $606,861,367 5.0 $610,727,775 0.6 $458.99

1915(c) Waivers: DD $129,373,461 $137,761,312 6.5 $145,009,958 5.3 $157,113,978 8.3 $168,695,678 7.4 $173,149,252 2.6 $127.59

1915(c) Waivers: A/D $27,849,101 $33,184,726 19.2 $39,787,638 19.9 $46,520,474 16.9 $53,479,792 15.0 $54,257,768 1.5 $40.45

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $200,882,541 $144,389,323 -28.1 $163,063,566 12.9 $183,632,282 12.6 $196,899,521 7.2 $194,895,738 -1.0 $148.92

Managed Care Premiums $528,540 $988,734 87.1 $1,372,456 38.8 $1,124,206 -18.1 $1,166,352 3.7 $0 -100.0 $0.88

Drugs $95,687,049 $46,612,200 -51.3 $45,181,970 -3.1 $46,474,198 2.9 $50,381,945 8.4 $38,216,125 -24.1 $38.11

Targeted Case Management $101,069 $52,517 -48.0 $64,228 22.3 $56,499 -12.0 $68,117 20.6 $83,081 22.0 $0.05

ICF/MR: Public $2,348,269 $2,483,541 5.8 $2,521,518 1.5 $3,005,371 19.2 $3,252,472 8.2 $3,106,085 -4.5 $2.46


Total Medicaid $1,282,652,570 $1,107,077,902 -13.7 $1,165,367,299 5.3 $1,256,516,384 7.8 $1,328,383,861 5.7 $1,330,211,255 0.1 $1,004.69












Abbreviations:


New Jersey Table 31

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,928,693,361 $1,825,194,987 -5.4 $1,814,945,690 -0.6 $1,911,287,184 5.3 $1,984,403,215 3.8 $1,880,574,388 -5.2 $228.26

ICF/MR: Total $527,683,406 $643,693,070 22.0 $628,420,857 -2.4 $633,120,543 0.7 $664,713,723 5.0 $619,411,055 -6.8 $76


Mental Health Facility Services-DSH $456,981,208 $483,287,549 5.8 $458,085,850 -5.2 $597,177,611 30.4 $506,221,035 -15.2 $357,370,461 -29.4 $58.23


Personal Care $322,589,560 $309,468,029 -4.1 $318,487,596 2.9 $325,370,615 2.2 $343,723,114 5.6 $359,863,071 4.7 $39.54

Home Health $32,119,746 $31,077,860 -3.2 $26,823,484 -13.7 $26,725,483 -0.4 $27,465,115 2.8 $26,558,562 -3.3 $3.16

1915(c) Waivers $538,119,630 $839,355,962 56.0 $665,865,616 -20.7 $689,579,039 3.6 $774,070,199 12.3 $820,148,467 6.0 $89.04

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $1,120,940 100.0 $9,656,806 761.5 $0.13



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $506,793 $426,229 -15.9 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $893,335,729 $1,180,328,080 32.1 $1,011,176,696 -14.3 $1,041,675,137 3.0 $1,146,379,368 10.1 $1,216,226,906 6.1 $131.86

Total LTSS $3,943,410,843 $4,278,059,278 8.5 $4,057,123,128 -5.2 $4,321,013,499 6.5 $4,457,288,331 3.2 $4,218,459,331 -5.4 $512.70

1915(c) Waivers: DD $404,882,703 $695,740,083 71.8 $512,505,961 -26.3 $525,652,702 2.6 $591,448,490 12.5 $617,512,196 4.4 $68.03

1915(c) Waivers: A/D $110,192,809 $118,513,957 7.6 $126,481,277 6.7 $134,871,958 6.6 $152,066,043 12.7 $173,396,252 14.0 $17.49

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $729,685,470 $770,285,986 5.6 $816,971,678 6.1 $797,379,396 -2.4 $757,563,657 -5.0 $734,009,418 -3.1 $87.14



Drugs $878,574,171 $518,054,825 -41.0 $367,826,904 -29.0 $414,958,558 12.8 $404,092,908 -2.6 $368,468,209 -8.8 $46.48

Targeted Case Management $6,613,517 $11,121,063 68.2 $13,650,828 22.7 $16,839,469 23.4 $18,484,178 9.8 $20,161,749 9.1 $2.13

ICF/MR: Public $516,562,729 $631,969,863 22.3 $616,591,194 -2.4 $624,600,086 1.3 $651,091,756 4.2 $607,638,116 -6.7 $74.89


Total Medicaid $8,625,430,688 $9,046,866,134 4.9 $8,952,492,170 -1.0 $9,453,250,974 5.6 $9,927,703,221 5.0 $9,930,140,041 0.0 $1,141.94













Abbreviations:


New Mexico Table 32

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10

FY 2009

Expenditures Per

State Resident

Nursing Home Services $198,830,886 $195,240,791 -1.8 $174,595,231 -10.6 $173,981,785 -0.4 $130,763,026 -24.8 $5,246,736 -96.0 $65.14

ICF/MR: Total $20,568,181 $21,712,361 5.6 $21,263,002 -2.1 $23,171,893 9.0 $24,014,829 3.6 $24,694,512 2.8 $12

Mental Health Facility Services $10,930,114 -$177,829 -101.6 $15,947,974 -9068.2 $4,018,030 -74.8 $5,029,475 25.2 $3,151,067 -37.3 $2.51

Mental Health Facility Services-DSH $0 $254,786 100.0 $254,787 0.0 $254,786 0.0 $254,786 0.0 $254,786 0.0 $0.13

Total Institutional $230,329,181 $217,030,109 -5.8 $212,060,994 -2.3 $201,426,494 -5.0 $160,062,116 -20.5 $33,347,101 -79.2 $79.74

Personal Care $160,183,165 $178,704,336 11.6 $206,377,019 15.5 $226,009,489 9.5 $61,488,620 -72.8 $524,523 -99.1 $30.63

Home Health $546,076 $610,991 11.9 $522,353 -14.5 $545,241 4.4 $310,990 -43.0 $359,694 15.7 $0.15

1915(c) Waivers $290,269,232 $258,172,225 -11.1 $316,142,533 22.5 $359,315,114 13.7 $698,862,226 94.5 $317,158,582 -54.6 $348.16

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $5,369,239 $7,735,806 44.1 $9,089,750 17.5 $9,926,018 9.2 $10,757,147 8.4 $11,242,646 4.5 $5.36


Private Duty Nursing $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $509,595 100.0 $0.00

HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $407,256 100.0 $0.00

Total Non-Institutional $456,367,712 $445,223,358 -2.4 $532,131,655 19.5 $595,795,862 12.0 $771,418,983 29.5 $330,246,425 -57.2 $384.30

Total LTSS $686,696,893 $662,253,467 -3.6 $744,192,649 12.4 $797,222,356 7.1 $931,481,099 16.8 $363,593,526 -61.0 $464.04

1915(c) Waivers: DD $233,229,296 $204,330,781 -12.4 $251,900,533 23.3 $276,502,115 9.8 $286,242,648 3.5 $294,340,738 2.8 $142.60

1915(c) Waivers: A/D $51,032,297 $47,996,243 -5.9 $61,407,038 27.9 $80,909,263 31.8 $410,779,288 407.7 $20,648,142 -95.0 $204.64

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $291,015,465 $271,987,641 -6.5 $268,402,432 -1.3 $396,988,110 47.9 $408,215,206 2.8 $433,599,110 6.2 $203.36

Inpatient Hospital DSH -$1 $15,735,450 -157354510.0 $21,922,307 39.3 $25,614,769 16.8 $28,072,048 9.6 $28,953,143 3.1 $13.98

Managed Care Premiums $998,716,214 $1,116,136,178 11.8 $1,218,979,680 9.2 $1,415,112,673 16.1 $1,938,366,016 37.0 $2,216,533,031 14.4 $965.65

Drugs $90,834,524 $30,864,718 -66.0 $13,606,906 -55.9 $22,273,365 63.7 $15,346,575 -31.1 $8,705,586 -43.3 $7.65

Targeted Case Management $7,564,318 $6,427,049 -15.0 $4,318,625 -32.8 $203,927 -95.3 $94,848 -53.5 $65,564 -30.9 $0.05

ICF/MR: Public -$352,009 $0 -100.0 $505,308 100.0 $329,092 -34.9 $1,110,872 237.6 $1,457,795 31.2 $0.55

ICF/MR: Private $20,920,190 $21,712,361 3.8 $20,757,694 -4.4 $22,842,801 10.0 $22,903,957 0.3 $23,236,717 1.5 $11.41ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $2,392,874,779 $2,443,602,468 2.1 $2,643,405,981 8.2 $3,059,942,775 15.8 $3,257,008,453 6.4 $3,462,426,431 6.3 $1,622.57



Data for 2010 do not include managed care data for nursing homes, personal care, and 1915(c) waivers.

New Mexico 2009 personal care data do not include managed care program expenditures. New Mexico 1915(c) waiver data includes both personal care and 1915(c) waiver managed care services.










Abbreviations:


New York Table 33

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $2,828,388,965 $3,388,581,629 19.8 $3,057,176,529 -9.8 $3,155,327,190 3.2 $3,192,913,965 1.2 $3,373,068,946 5.6 $164

Mental Health Facility Services $434,586,784 $497,984,739 14.6 $543,649,150 9.2 $474,364,155 -12.7 $504,271,230 6.3 $523,401,364 3.8 $25.83

Mental Health Facility Services-DSH $605,000,000 $605,000,000 0.0 $605,000,000 0.0 $605,000,000 0.0 $605,000,000 0.0 $145,500,000 -76.0 $30.99


Personal Care $2,415,103,881 $2,428,916,383 0.6 $2,866,119,684 18.0 $3,470,699,246 21.1 $3,332,424,751 -4.0 $2,763,785,474 -17.1 $170.70

Home Health $1,310,003,674 $1,430,383,669 9.2 $1,640,182,874 14.7 $1,707,727,945 4.1 $1,847,750,010 8.2 $2,116,102,212 14.5 $94.65

1915(c) Waivers $3,525,880,562 $4,083,602,662 15.8 $4,305,799,673 5.4 $4,189,950,475 -2.7 $4,921,217,776 17.5 $5,747,980,174 16.8 $252.08

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $190,649,162 $133,477,488 -30.0 $141,970,021 6.4 $147,105,876 3.6 $156,715,200 6.5 $168,128,863 7.3 $8.03



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $7,441,637,279 $8,076,380,202 8.5 $8,954,072,252 10.9 $9,515,483,542 6.3 $10,258,107,737 7.8 $10,796,021,475 5.2 $525.45

Total LTSS $18,246,503,700 $19,518,668,729 7.0 $19,931,684,666 2.1 $21,055,360,397 5.6 $22,235,538,673 5.6 $21,689,535,708 -2.5 $1,138.96

1915(c) Waivers: DD $3,493,860,629 $4,048,856,886 15.9 $4,266,364,441 5.4 $4,126,745,490 -3.3 $4,767,688,444 15.5 $5,545,964,106 16.3 $244.21

1915(c) Waivers: A/D $32,019,933 $34,745,776 8.5 $39,435,232 13.5 $37,738,696 -4.3 $40,488,773 7.3 $55,421,451 36.9 $2.07

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $6,113,972,434 $6,877,215,809 12.5 $6,540,947,791 -4.9 $7,075,263,538 8.2 $6,555,005,486 -7.4 $6,082,995,565 -7.2 $335.76

Inpatient Hospital DSH $2,420,840,610 $2,420,907,193 0.0 $2,405,017,397 -0.7 $2,420,472,502 0.6 $2,633,027,351 8.8 $2,713,952,830 3.1 $134.87


Drugs $3,948,637,769 $2,749,432,136 -30.4 $2,396,676,022 -12.8 $2,460,338,899 2.7 $2,676,604,635 8.8 $2,513,755,852 -6.1 $137.10

Targeted Case Management $459,211,278 $419,814,691 -8.6 $442,726,278 5.5 $540,469,223 22.1 $570,663,670 5.6 $544,143,791 -4.6 $29.23

ICF/MR: Public $2,002,533,907 $2,215,767,495 10.6 $2,247,080,471 1.4 $2,320,698,700 3.3 $2,370,735,969 2.2 $2,445,372,576 3.1 $121.44

ICF/MR: Private $825,855,058 $1,172,814,134 42.0 $810,096,058 -30.9 $834,628,490 3.0 $822,177,996 -1.5 $927,696,370 12.8 $42.11ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $43,294,678,211 $44,869,514,188 3.6 $44,856,051,081 0.0 $47,429,220,037 5.7 $49,718,983,359 4.8 $51,131,497,787 2.8 $2,546.74



Data for 2005 - 2007, and 2010 do not include managed care data for nursing homes, personal care, and home health.










Abbreviations:


North Carolina Table 34

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,144,670,259 $1,113,024,096 -2.8 $1,118,638,999 0.5 $1,114,886,086 -0.3 $1,291,788,396 15.9 $1,222,817,909 -5.3 $138.05

ICF/MR: Total $453,456,221 $454,126,315 0.1 $466,771,298 2.8 $499,305,812 7.0 $517,293,422 3.6 $491,450,313 -5.0 $55



Total Institutional $1,785,366,725 $1,761,729,280 -1.3 $1,797,034,333 2.0 $1,827,658,392 1.7 $2,045,739,456 11.9 $1,934,373,789 -5.4 $218.63

Personal Care $450,484,528 $448,928,365 -0.3 $449,359,538 0.1 $474,524,179 5.6 $525,724,204 10.8 $505,570,712 -3.8 $56.18

Home Health $124,823,454 $123,215,543 -1.3 $125,916,628 2.2 $149,258,074 18.5 $161,180,919 8.0 $80,151,333 -50.3 $17.23

1915(c) Waivers $575,129,800 $637,602,808 10.9 $725,237,981 13.7 $797,463,635 10.0 $843,509,724 5.8 $832,219,412 -1.3 $90.15

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $3,704,860 100.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $2,935,804,507 $2,971,475,996 1.2 $3,097,548,480 4.2 $3,248,904,280 4.9 $3,576,154,303 10.1 $4,401,529,308 23.1 $382.19

1915(c) Waivers: DD $298,742,246 $338,890,756 13.4 $427,163,974 26.0 $475,203,692 11.2 $526,575,239 10.8 $530,179,950 0.7 $56.28

1915(c) Waivers: A/D $246,608,795 $267,805,941 8.6 $264,125,379 -1.4 $283,692,109 7.4 $276,977,600 -2.4 $260,372,480 -6.0 $29.60

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



Managed Care Premiums $61,689,295 $157,036,904 154.6 $102,910,202 -34.5 $135,036,037 31.2 $121,728,402 -9.9 $210,658,440 73.1 $13.01

Drugs $1,337,570,828 $791,201,179 -40.8 $691,346,407 -12.6 $560,377,776 -18.9 $789,101,742 40.8 $749,975,270 -5.0 $84.33

Targeted Case Management $142,292,886 $163,883,680 15.2 $99,416,841 -39.3 $108,061,563 8.7 $117,669,660 8.9 $174,042,173 47.9 $12.58

ICF/MR: Public $230,900,371 $239,268,128 3.6 $243,596,153 1.8 $253,143,452 3.9 $253,337,940 0.1 $255,423,940 0.8 $27.07


Total Medicaid $9,197,837,959 $9,130,396,866 -0.7 $9,741,499,493 6.7 $9,952,462,816 2.2 $11,489,664,552 15.4 $10,785,637,460 -6.1 $1,227.91



Home health data decreased significantly in 2010, offset by private duty nursing expenditures. It is possible North Carolina reported private duty nursing spending under home health before 2010.










Abbreviations:


North Dakota Table 35

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $64,514,596 $62,435,821 -3.2 $61,682,343 -1.2 $68,042,855 10.3 $77,817,002 14.4 $90,198,338 15.9 $120


Mental Health Facility Services-DSH $988,478 $988,478 0.0 $988,478 0.0 $988,480 0.0 $987,735 -0.1 $988,478 0.1 $1.53


Personal Care $2,048,196 $6,951,994 239.4 $7,152,796 2.9 $12,507,022 74.9 $13,883,815 11.0 $17,574,072 26.6 $21.50

Home Health $1,704,014 $1,491,360 -12.5 $1,493,253 0.1 $1,545,175 3.5 $1,441,453 -6.7 $2,372,278 64.6 $2.23

1915(c) Waivers $62,722,843 $63,606,502 1.4 $68,857,601 8.3 $85,328,631 23.9 $91,175,725 6.9 $110,858,586 21.6 $141.16

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $773,489 100.0 $1,880,660 143.1 $1.20



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $293,064,849 $304,635,835 3.9 $315,675,572 3.6 $347,132,749 10.0 $370,326,496 6.7 $432,219,253 16.7 $573.35

1915(c) Waivers: DD $56,421,077 $61,234,822 8.5 $66,410,358 8.5 $82,154,599 23.7 $87,733,060 6.8 $106,686,230 21.6 $135.83

1915(c) Waivers: A/D $6,301,766 $2,371,680 -62.4 $2,447,243 3.2 $3,174,032 29.7 $3,422,263 7.8 $4,149,386 21.2 $5.30

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $42,355,899 $47,073,407 11.1 $33,624,563 -28.6 $57,371,934 70.6 $56,028,152 -2.3 $90,807,998 62.1 $86.74

Inpatient Hospital DSH $837,710 $1,317,608 57.3 $642,042 -51.3 $240,360 -62.6 $541,744 125.4 $756,552 39.7 $0.84

Managed Care Premiums $1,437,970 $1,498,410 4.2 $252,948 -83.1 $1,003,065 296.5 $1,245,714 24.2 $500,450 -59.8 $1.93

Drugs $48,831,855 $24,659,569 -49.5 $21,899,783 -11.2 $21,318,218 -2.7 $22,703,594 6.5 $25,941,904 14.3 $35.15


ICF/MR: Public $26,007,131 $20,397,254 -21.6 $20,668,717 1.3 $18,770,963 -9.2 $24,306,515 29.5 $24,299,618 0.0 $37.63

ICF/MR: Private $38,507,465 $42,038,567 9.2 $41,013,626 -2.4 $49,271,892 20.1 $53,510,487 8.6 $61,734,408 15.4 $82.85ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $4,164,312 100.0 $0.00

Total Medicaid $515,587,131 $507,559,429 -1.6 $495,067,143 -2.5 $549,058,529 10.9 $590,135,660 7.5 $694,681,095 17.7 $913.66












Abbreviations:


Ohio Table 36

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $2,736,270,383 $2,662,845,338 -2.7 $2,661,023,924 -0.1 $2,556,868,265 -3.9 $2,564,652,608 0.3 $2,714,648,113 5.8 $222.40

ICF/MR: Total $1,056,446,387 $779,263,839 -26.2 $697,689,305 -10.5 $691,993,529 -0.8 $738,206,926 6.7 $763,029,799 3.4 $64



Total Institutional $4,276,052,399 $3,932,824,733 -8.0 $3,853,863,569 -2.0 $3,837,133,074 -0.4 $3,838,801,644 0.0 $4,040,496,457 5.3 $332.89

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $153,140,637 $177,617,514 16.0 $150,260,369 -15.4 $158,956,746 5.8 $188,487,051 18.6 $215,437,401 14.3 $16.34

1915(c) Waivers $964,495,262 $1,195,801,949 24.0 $1,336,224,065 11.7 $1,412,938,384 5.7 $1,642,218,921 16.2 $1,784,779,362 8.7 $142.41

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $17,797,633 $23,652,502 32.9 $24,276,765 2.6 $24,809,017 2.2 $21,755,395 -12.3 $24,258,944 11.5 $1.89



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $5,411,485,931 $5,329,896,698 -1.5 $5,364,624,768 0.7 $5,433,837,221 1.3 $5,691,263,011 4.7 $6,170,736,191 8.4 $493.53

1915(c) Waivers: DD $496,170,680 $668,736,957 34.8 $760,066,949 13.7 $840,752,971 10.6 $1,034,735,228 23.1 $1,096,693,313 6.0 $89.73

1915(c) Waivers: A/D $468,324,582 $527,064,992 12.5 $576,157,116 9.3 $572,185,413 -0.7 $607,483,693 6.2 $688,086,049 13.3 $52.68

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $1,604,649,745 $1,515,712,078 -5.5 $1,168,560,752 -22.9 $993,662,457 -15.0 $1,111,504,892 11.9 $1,162,171,735 4.6 $96.39

Inpatient Hospital DSH $547,744,889 $544,593,055 -0.6 $547,132,275 0.5 $535,662,640 -2.1 $563,004,690 5.1 $0 -100.0 $48.82


Drugs $1,374,994,210 $727,595,784 -47.1 $376,055,838 -48.3 $277,855,091 -26.1 $303,747,713 9.3 $821,437,641 170.4 $26.34

Targeted Case Management $44,664,337 $23,149,071 -48.2 $22,663,060 -2.1 $15,253,785 -32.7 $38,297,376 151.1 $39,619,909 3.5 $3.32

ICF/MR: Public $661,648,682 $333,825,659 -49.5 $260,178,412 -22.1 $240,359,794 -7.6 $290,342,014 20.8 $307,422,289 5.9 $25.18


Total Medicaid $12,265,413,893 $11,967,880,245 -2.4 $12,500,378,181 4.4 $12,973,894,869 3.8 $14,079,843,197 8.5 $14,457,459,984 2.7 $1,220.95












Abbreviations:


Oklahoma Table 37

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $121,538,311 $125,060,741 2.9 $127,302,372 1.8 $126,917,256 -0.3 $126,206,862 -0.6 $123,591,517 -2.1 $34



Total Institutional $634,321,742 $645,095,281 1.7 $715,451,048 10.9 $753,231,952 5.3 $758,897,463 0.8 $715,974,337 -5.7 $205.91

Personal Care $15,584,422 $12,577,124 -19.3 $10,608,204 -15.7 $10,622,830 0.1 $11,747,333 10.6 $12,952,904 10.3 $3.19

Home Health $11,252,632 $13,922,582 23.7 $18,085,818 29.9 $16,439,822 -9.1 $18,990,636 15.5 $20,925,322 10.2 $5.15

1915(c) Waivers $333,767,569 $382,762,263 14.7 $438,765,034 14.6 $480,337,704 9.5 $507,627,003 5.7 $481,436,949 -5.2 $137.73

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $11,654 100.0 $760,265 6423.6 $1,605,835 111.2 $0.21



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $994,926,365 $1,054,357,250 6.0 $1,182,910,104 12.2 $1,260,643,962 6.6 $1,298,022,700 3.0 $1,232,895,347 -5.0 $352.18

1915(c) Waivers: DD $219,685,238 $243,783,214 11.0 $263,837,026 8.2 $273,909,314 3.8 $285,272,098 4.1 $278,705,555 -2.3 $77.40

1915(c) Waivers: A/D $114,082,331 $138,979,049 21.8 $174,928,008 25.9 $206,428,390 18.0 $222,354,905 7.7 $202,731,394 -8.8 $60.33

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $486,686,735 $495,386,189 1.8 $681,616,349 37.6 $674,013,927 -1.1 $806,414,872 19.6 $893,955,610 10.9 $218.80

Inpatient Hospital DSH $27,999,197 $34,054,028 21.6 $39,880,236 17.1 $47,560,655 19.3 $40,213,009 -15.4 $48,908,080 21.6 $10.91

Managed Care Premiums $138,532,081 $123,971,228 -10.5 $163,633,502 32.0 $162,404,643 -0.8 $149,803,499 -7.8 $172,157,964 14.9 $40.65

Drugs $397,011,007 $246,587,312 -37.9 $231,672,495 -6.0 $236,895,010 2.3 $282,116,452 19.1 $245,303,959 -13.0 $76.54


ICF/MR: Public $72,848,552 $74,909,522 2.8 $72,642,123 -3.0 $71,796,707 -1.2 $69,614,919 -3.0 $67,176,209 -3.5 $18.89


Total Medicaid $2,810,114,321 $2,964,715,837 5.5 $3,361,365,062 13.4 $3,527,006,417 4.9 $3,935,501,385 11.6 $4,123,753,482 4.8 $1,067.79












Abbreviations:


Oregon Table 38

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $0 $0 0.0 $22,407,372 100.0 $13,946,950 -37.8 $6,763,791 -51.5 $2,192,905 -67.6 $2

Mental Health Facility Services $40,721,995 $28,089,911 -31.0 $17,442,252 -37.9 $17,172,629 -1.5 $2,759,806 -83.9 $7,115,561 157.8 $0.72

Mental Health Facility Services-DSH $14,190,169 $16,983,011 19.7 $19,861,588 16.9 $19,975,090 0.6 $14,981,318 -25.0 $19,952,008 33.2 $3.92


Personal Care $34,136,172 $54,693,946 60.2 $72,691,155 32.9 $75,264,792 3.5 $28,074,338 -62.7 $7,954,178 -71.7 $7.34

Home Health $729,006 $547,367 -24.9 $461,841 -15.6 $775,276 67.9 $973,283 25.5 $920,116 -5.5 $0.25

1915(c) Waivers $576,497,057 $640,944,870 11.2 $683,351,077 6.6 $705,329,249 3.2 $890,534,207 26.3 $981,833,065 10.3 $232.94

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $14,930,376 $10,984,209 -26.4 $14,804,573 34.8 $16,741,110 13.1 $26,160,809 56.3 $29,537,857 12.9 $6.84



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $608,063 100.0 $0.00

HCBS - 1915(j) $25,807,007 $27,082,185 4.9 $22,579,900 -16.6 $203,296 -99.1 $14,198,583 6884.2 $7,499,040 -47.2 $3.71

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $962,647,820 $1,059,695,559 10.1 $1,144,859,780 8.0 $1,169,052,931 2.1 $1,288,848,976 10.2 $1,542,985,044 19.7 $337.13

1915(c) Waivers: DD $325,377,712 $376,277,541 15.6 $412,514,880 9.6 $408,923,807 -0.9 $519,183,712 27.0 $578,602,644 11.4 $135.80

1915(c) Waivers: A/D $251,010,796 $264,551,853 5.4 $270,685,170 2.3 $296,352,338 9.5 $369,698,324 24.7 $401,487,989 8.6 $96.70

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $181,920,905 $181,445,791 -0.3 $168,208,322 -7.3 $178,178,348 5.9 $187,921,544 5.5 $289,560,785 54.1 $49.15

Inpatient Hospital DSH $25,285,758 $34,480,671 36.4 $40,325,046 16.9 $47,053,449 16.7 $53,204,811 13.1 $34,427,236 -35.3 $13.92

Managed Care Premiums $1,058,588,657 $1,015,223,743 -4.1 $971,386,806 -4.3 $1,168,211,440 20.3 $1,347,582,841 15.4 $1,668,493,416 23.8 $352.49

Drugs $201,254,149 $121,683,953 -39.5 $101,040,992 -17.0 $101,836,382 0.8 $110,713,030 8.7 $91,559,271 -17.3 $28.96

Targeted Case Management $93,428,675 $96,876,921 3.7 $105,413,152 8.8 $84,257,253 -20.1 $65,892,553 -21.8 $67,809,164 2.9 $17.24

ICF/MR: Public $0 $0 0.0 $22,407,372 100.0 $13,946,950 -37.8 $6,763,791 -51.5 $2,192,905 -67.6 $1.77


Total Medicaid $2,862,152,995 $2,879,682,550 0.6 $2,944,665,590 2.3 $3,206,343,946 8.9 $3,593,628,212 12.1 $4,086,684,424 13.7 $939.99













Abbreviations:


Pennsylvania Table 39

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $4,372,891,645 $3,938,590,712 -9.9 $3,798,184,903 -3.6 $3,935,891,213 3.6 $3,605,567,586 -8.4 $3,504,082,575 -2.8 $286.11

ICF/MR: Total $590,964,344 $570,626,110 -3.4 $584,411,017 2.4 $584,295,890 0.0 $620,380,762 6.2 $598,966,448 -3.5 $49


Mental Health Facility Services-DSH $324,025,553 $316,903,463 -2.2 $320,748,958 1.2 $322,438,624 0.5 $328,721,055 1.9 $238,544,102 -27.4 $26.08


Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $80,228,508 $88,423,635 10.2 $109,058,542 23.3 $116,663,239 7.0 $129,610,321 11.1 $141,318,645 9.0 $10.28

1915(c) Waivers $1,487,783,943 $1,691,240,163 13.7 $1,788,549,409 5.8 $1,862,055,110 4.1 $2,005,761,126 7.7 $2,434,265,091 21.4 $159.16

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $10,277,208 $13,490,475 31.3 $18,003,829 33.5 $71,088,585 294.9 $89,729,485 26.2 $113,035,456 26.0 $7.12



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $7,015,544,931 $6,773,691,736 -3.4 $6,727,301,693 -0.7 $6,966,458,925 3.6 $6,854,794,180 -1.6 $7,104,666,196 3.6 $543.94

1915(c) Waivers: DD $1,093,820,794 $1,238,777,770 13.3 $1,315,064,464 6.2 $1,336,268,786 1.6 $1,395,542,350 4.4 $1,737,913,672 24.5 $110.74

1915(c) Waivers: A/D $385,919,962 $440,133,420 14.0 $453,841,934 3.1 $495,348,948 9.1 $569,441,819 15.0 $648,855,595 13.9 $45.19

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $621,028,520 $642,445,287 3.4 $642,739,900 0.0 $615,931,103 -4.2 $611,429,612 -0.7 $632,803,988 3.5 $48.52

Inpatient Hospital DSH $472,808,541 $547,534,008 15.8 $540,263,559 -1.3 $475,113,269 -12.1 $472,396,882 -0.6 $433,386,883 -8.3 $37.49


Drugs $754,429,518 $329,922,340 -56.3 $217,021,416 -34.2 $223,035,622 2.8 $246,662,506 10.6 $222,254,255 -9.9 $19.57


ICF/MR: Public $285,024,540 $282,114,715 -1.0 $278,938,491 -1.1 $277,238,842 -0.6 $282,196,225 1.8 $281,837,656 -0.1 $22.39


Total Medicaid $15,877,055,868 $15,416,347,196 -2.9 $15,783,068,207 2.4 $16,236,846,910 2.9 $17,128,587,926 5.5 $18,574,214,904 8.4 $1,359.18












Abbreviations:


Rhode Island Table 40

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $294,427,160 $298,125,294 1.3 $299,966,521 0.6 $297,862,677 -0.7 $293,189,722 -1.6 $304,786,879 4.0 $277.26

ICF/MR: Total $7,067,988 $7,813,151 10.5 $7,810,448 0.0 $8,737,800 11.9 $11,424,253 30.7 $11,462,072 0.3 $11

Mental Health Facility Services $9,113,235 $9,759,305 7.1 $9,842,299 0.9 $8,028,149 -18.4 $5,342,942 -33.4 $5,272,633 -1.3 $5.05

Mental Health Facility Services-DSH $2,390,330 $2,397,833 0.3 $2,397,833 0.0 $2,397,833 0.0 $1,578,394 -34.2 $0 -100.0 $1.49

Total Institutional $312,998,713 $318,095,583 1.6 $320,017,101 0.6 $317,026,459 -0.9 $311,535,311 -1.7 $321,521,584 3.2 $294.61

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $3,655,134 $3,873,982 6.0 $5,187,521 33.9 $2,764,244 -46.7 $2,348,422 -15.0 $2,085,652 -11.2 $2.22

1915(c) Waivers $223,750,604 $239,191,724 6.9 $252,349,842 5.5 $263,209,155 4.3 $64,879,912 -75.4 $0 -100.0 $61.36

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $198,692,343 100.0 $0 -100.0 $187.90

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $540,404,451 $561,161,289 3.8 $577,554,464 2.9 $582,999,858 0.9 $577,455,988 -1.0 $361,937,303 -37.3 $546.08

1915(c) Waivers: DD $191,203,527 $203,867,004 6.6 $214,216,978 5.1 $220,553,736 3.0 $53,718,776 -75.6 $0 -100.0 $50.80

1915(c) Waivers: A/D $32,547,077 $35,324,720 8.5 $38,132,864 7.9 $42,655,419 11.9 $11,161,136 -73.8 $0 -100.0 $10.55

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $235,354,355 $258,552,938 9.9 $258,877,206 0.1 $235,859,654 -8.9 $198,142,844 -16.0 $196,901,738 -0.6 $187.38


Managed Care Premiums $324,771,026 $337,088,941 3.8 $259,071,797 -23.1 $389,909,933 50.5 $513,732,160 31.8 $566,660,328 10.3 $485.82

Drugs $129,212,814 $55,526,599 -57.0 $43,461,398 -21.7 $34,655,085 -20.3 $15,781,183 -54.5 $11,366,927 -28.0 $14.92

Targeted Case Management $9,407,217 $9,250,446 -1.7 $10,716,422 15.8 $11,468,438 7.0 $9,902,732 -13.7 $9,609,520 -3.0 $9.36

ICF/MR: Public $3,105,613 $4,095,308 31.9 $3,646,845 -11.0 $3,348,914 -8.2 $4,068,886 21.5 $3,811,662 -6.3 $3.85

ICF/MR: Private $3,962,375 $3,717,843 -6.2 $4,163,603 12.0 $5,388,886 29.4 $7,355,367 36.5 $7,650,410 4.0 $6.96ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $1,758,356,163 $1,778,279,673 1.1 $1,749,344,337 -1.6 $1,845,599,132 5.5 $1,890,737,724 2.4 $1,929,922,279 2.1 $1,788.01



Rhode Island's 2009 HCBS data for a Section 1115 Waiver were not reported by target population (DD or A/D).

Data for 2010 do not include managed care data for HCBS - 1115 & 1915(a).










Abbreviations:


South Carolina Table 41

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $506,621,835 $463,073,029 -8.6 $489,665,170 5.7 $503,057,848 2.7 $513,252,844 2.0 $570,714,864 11.2 $112.70

ICF/MR: Total $161,433,481 $161,278,523 -0.1 $157,179,948 -2.5 $154,255,458 -1.9 $166,524,666 8.0 $140,569,551 -15.6 $37


Mental Health Facility Services-DSH $68,814,096 $52,825,431 -23.2 $52,404,853 -0.8 $53,835,175 2.7 $52,761,795 -2.0 $48,582,838 -7.9 $11.59


Personal Care $4,746,784 $5,666,157 19.4 $6,877,421 21.4 $7,751,994 12.7 $9,817,657 26.6 $11,850,482 20.7 $2.16

Home Health $13,556,988 $11,775,735 -13.1 $9,819,545 -16.6 $11,991,471 22.1 $12,011,359 0.2 $8,828,261 -26.5 $2.64

1915(c) Waivers $281,789,956 $293,291,404 4.1 $311,759,971 6.3 $420,170,565 34.8 $457,565,191 8.9 $483,004,962 5.6 $100.47

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $9,045,396 $9,651,324 6.7 $9,902,778 2.6 $10,038,764 1.4 $12,180,910 21.3 $11,710,846 -3.9 $2.67



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $1,081,280,149 $1,037,516,268 -4.0 $1,074,523,389 3.6 $1,199,892,060 11.7 $1,280,775,924 6.7 $1,356,297,755 5.9 $281.23

1915(c) Waivers: DD $182,399,186 $190,216,315 4.3 $193,336,978 1.6 $274,965,183 42.2 $288,484,325 4.9 $306,629,515 6.3 $63.34

1915(c) Waivers: A/D $94,077,405 $98,754,506 5.0 $114,903,441 16.4 $141,466,885 23.1 $164,764,822 16.5 $170,922,239 3.7 $36.18

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $733,011,673 $781,926,136 6.7 $787,880,841 0.8 $763,797,626 -3.1 $923,679,579 20.9 $700,785,026 -24.1 $202.82

Inpatient Hospital DSH $372,563,497 $392,181,490 5.3 $391,194,227 -0.3 $388,174,855 -0.8 $418,343,049 7.8 $369,559,336 -11.7 $91.86

Managed Care Premiums $86,277,781 $122,169,659 41.6 $169,846,707 39.0 $346,026,930 103.7 $910,198,712 163.0 $1,277,839,692 40.4 $199.86

Drugs $513,479,142 $278,016,268 -45.9 $255,317,904 -8.2 $217,110,929 -15.0 $146,821,356 -32.4 $135,658,309 -7.6 $32.24


ICF/MR: Public $138,270,305 $160,157,347 15.8 $156,696,182 -2.2 $154,255,458 -1.6 $166,524,666 8.0 $140,569,551 -15.6 $36.56

ICF/MR: Private $23,163,176 $1,121,176 -95.2 $483,766 -56.9 $0 -100.0 $0 0.0 $0 0.0 $0.00ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $4,197,065,370 $4,070,300,879 -3.0 $4,164,004,373 2.3 $4,435,150,197 6.5 $5,096,649,968 14.9 $5,172,856,250 1.5 $1,119.10



Home health data decreased significantly in 2010, offset by private duty nursing expenditures. It is possible South Carolina reported private duty nursing spending under home health before 2010.










Abbreviations:


South Dakota Table 42

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $21,296,554 $20,785,289 -2.4 $20,148,861 -3.1 $22,366,550 11.0 $23,336,646 4.3 $24,523,880 5.1 $29


Mental Health Facility Services-DSH $751,299 $751,299 0.0 $558,884 -25.6 $751,299 34.4 $751,299 0.0 $648,496 -13.7 $0.93


Personal Care $1,421,726 $1,405,738 -1.1 $1,375,064 -2.2 $1,509,701 9.8 $1,706,709 13.0 $1,743,977 2.2 $2.10

Home Health $5,976,085 $6,618,025 10.7 $6,942,234 4.9 $7,141,040 2.9 $8,781,916 23.0 $11,061,019 26.0 $10.83

1915(c) Waivers $81,596,289 $85,727,882 5.1 $91,821,804 7.1 $98,710,587 7.5 $105,207,291 6.6 $110,200,637 4.7 $129.76

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $241,610,352 $252,011,030 4.3 $260,589,884 3.4 $272,610,427 4.6 $285,703,921 4.8 $328,993,837 15.2 $352.37

1915(c) Waivers: DD $74,284,039 $78,028,845 5.0 $82,538,713 5.8 $87,939,299 6.5 $92,498,047 5.2 $97,307,392 5.2 $114.08

1915(c) Waivers: A/D $7,312,250 $7,699,037 5.3 $9,283,091 20.6 $10,771,288 16.0 $12,709,244 18.0 $12,893,245 1.4 $15.67

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $0 $318,692 100.0 $624,071 95.8 $624,529 0.1 $1,498,552 139.9 $0 -100.0 $1.85

Managed Care Premiums $8,835,264 $9,756,471 10.4 $8,116,226 -16.8 $1,100 -100.0 $901 -18.1 $200 -77.8 $0.00

Drugs $66,890,660 $37,863,951 -43.4 $31,754,944 -16.1 $36,294,257 14.3 $27,129,341 -25.3 $34,001,565 25.3 $33.46


ICF/MR: Public $21,296,554 $20,785,289 -2.4 $20,148,861 -3.1 $22,366,403 11.0 $23,336,646 4.3 $24,523,880 5.1 $28.78

ICF/MR: Private $0 $0 0.0 $0 0.0 $147 100.0 $0 -100.0 $0 0.0 $0.00ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $612,798,453 $605,206,043 -1.2 $617,373,056 2.0 $671,124,456 8.7 $715,071,358 6.5 $784,075,626 9.6 $881.92












Abbreviations:


Tennessee Table 43

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $906,528,315 $1,055,146,629 16.4 $1,063,716,319 0.8 $1,040,896,033 -2.1 $975,022,948 -6.3 $623,733,112 -36.0 $154.98

ICF/MR: Total $285,121,731 $267,447,879 -6.2 $243,129,310 -9.1 $241,018,741 -0.9 $267,505,167 11.0 $225,405,648 -15.7 $43

Mental Health Facility Services $926,334 $311,049 -66.4 $14,621,385 4600.7 $19,598,716 34.0 $1,214,388 -93.8 $13,385,190 1002.2 $0.19

Mental Health Facility Services-DSH $0 $0 0.0 -$352,688 100.0 $0 -100.0 $349,231 100.0 $0 -100.0 $0.06

Total Institutional $1,192,576,380 $1,322,905,557 10.9 $1,321,114,326 -0.1 $1,301,513,490 -1.5 $1,244,091,734 -4.4 $862,523,950 -30.7 $197.75

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $3,020 $0 -100.0 $0 0.0 $313,548,000 100.0 $242,356,000 -22.7 $0 -100.0 $38.52

1915(c) Waivers $388,935,846 $404,689,699 4.1 $604,541,900 49.4 $627,298,371 3.8 $662,787,121 5.7 $678,741,437 2.4 $105.35

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $11,856,676 $10,748,244 -9.3 $11,338,956 5.5 $7,184,348 -36.6 $11,090,078 54.4 $13,724,639 23.8 $1.76



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $400,795,542 $415,437,943 3.7 $615,880,856 48.2 $948,030,719 53.9 $916,233,199 -3.4 $692,466,076 -24.4 $145.64

Total LTSS $1,593,371,922 $1,738,343,500 9.1 $1,936,995,182 11.4 $2,249,544,209 16.1 $2,160,324,933 -4.0 $1,554,990,026 -28.0 $343.39

1915(c) Waivers: DD $379,433,623 $394,641,245 4.0 $588,496,177 49.1 $585,014,834 -0.6 $579,163,471 -1.0 $586,612,752 1.3 $92.06

1915(c) Waivers: A/D $9,502,223 $10,048,454 5.7 $16,045,723 59.7 $42,283,537 163.5 $83,623,650 97.8 $92,128,685 10.2 $13.29

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $533,030,164 $606,414,513 13.8 $470,367,820 -22.4 $433,315,841 -7.9 $446,109,909 3.0 $822,880,801 84.5 $70.91

Inpatient Hospital DSH $0 $0 0.0 $153,565,060 100.0 $217,559,114 41.7 $123,404,932 -43.3 $151,397,218 22.7 $19.62

Managed Care Premiums $3,092,564,606 $2,844,897,303 -8.0 $3,132,866,878 10.1 $3,582,833,201 14.4 $3,688,019,760 2.9 $4,949,731,471 34.2 $586.22

Drugs $1,569,216,253 $376,958,300 -76.0 $465,997,724 23.6 $449,923,504 -3.4 $443,967,685 -1.3 $371,462,559 -16.3 $70.57


ICF/MR: Public $156,114,870 $193,619,743 24.0 $154,691,137 -20.1 $150,893,362 -2.5 $182,951,738 21.2 $133,903,948 -26.8 $29.08


Total Medicaid $7,490,667,511 $6,278,930,778 -16.2 $6,929,828,481 10.4 $7,338,634,266 5.9 $7,393,496,557 0.7 $8,561,323,865 15.8 $1,175.21



Data for 2005 - 2007, and 2010 do not include managed care data for home health.










Abbreviations:


Texas Table 44

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $1,715,175,351 $1,833,379,594 6.9 $1,881,397,029 2.6 $1,947,506,929 3.5 $2,151,980,785 10.5 $2,307,456,190 7.2 $86.88

ICF/MR: Total $871,155,434 $888,932,716 2.0 $906,152,352 1.9 $959,803,212 5.9 $1,018,428,254 6.1 $974,081,321 -4.4 $41

Mental Health Facility Services $26,112,088 $23,324,056 -10.7 $19,168,682 -17.8 $24,910,964 30.0 $26,955,341 8.2 $24,161,566 -10.4 $1.09


Total Institutional $2,898,483,637 $3,032,702,434 4.6 $3,092,734,608 2.0 $3,219,761,192 4.1 $3,489,877,972 8.4 $3,598,212,669 3.1 $140.89

Personal Care $779,380,703 $808,218,214 3.7 $791,190,075 -2.1 $1,085,339,563 37.2 $1,255,806,388 15.7 $1,043,579,240 -16.9 $50.70

Home Health $219,144,888 $237,617,531 8.4 $226,723,874 -4.6 $236,179,151 4.2 $272,321,643 15.3 $313,438,516 15.1 $10.99

1915(c) Waivers $888,064,926 $992,628,012 11.8 $1,080,559,179 8.9 $1,276,006,903 18.1 $1,416,959,629 11.0 $1,540,209,034 8.7 $57.20

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $23,490,511 $25,388,758 8.1 $26,010,361 2.4 $29,729,886 14.3 $29,944,220 0.7 $32,972,526 10.1 $1.21



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $2,167,384 100.0 $0.00


Total LTSS $4,808,564,665 $5,096,554,949 6.0 $5,217,218,097 2.4 $5,847,016,695 12.1 $6,464,909,852 10.6 $6,644,690,767 2.8 $260.99

1915(c) Waivers: DD $422,256,285 $481,968,763 14.1 $574,696,976 19.2 $712,311,550 23.9 $788,701,467 10.7 $870,840,543 10.4 $31.84

1915(c) Waivers: A/D $449,774,263 $493,108,283 9.6 $481,568,157 -2.3 $514,562,993 6.9 $559,082,983 8.7 $583,806,823 4.4 $22.57

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $3,253,332,436 $3,161,612,580 -2.8 $3,836,185,783 21.3 $3,699,521,743 -3.6 $4,267,888,409 15.4 $4,491,434,864 5.2 $172.30

Inpatient Hospital DSH $1,187,940,822 $1,195,237,420 0.6 $1,181,236,795 -1.2 $1,199,763,414 1.6 $1,329,038,964 10.8 $1,389,671,170 4.6 $53.65


Drugs $1,679,968,531 $1,199,439,000 -28.6 $1,151,484,969 -4.0 $1,174,717,025 2.0 $1,339,768,022 14.1 $1,282,646,983 -4.3 $54.09

Targeted Case Management $205,093,565 $226,420,514 10.4 $252,641,922 11.6 $228,442,350 -9.6 $50,837,937 -77.7 $64,086,142 26.1 $2.05

ICF/MR: Public $564,624,729 $593,085,698 5.0 $619,122,061 4.4 $656,619,270 6.1 $719,774,855 9.6 $666,043,605 -7.5 $29.06

ICF/MR: Private $306,530,705 $295,847,018 -3.5 $287,030,291 -3.0 $303,183,942 5.6 $298,653,399 -1.5 $308,037,716 3.1 $12.06ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $17,997,602,359 $18,293,937,446 1.6 $19,965,650,490 9.1 $21,769,846,583 9.0 $24,121,412,682 10.8 $26,038,896,497 7.9 $973.79



Data for 2005 - 2007, and 2010 do not include managed care data for nursing homes, personal care, and 1915(c) waivers.










Abbreviations:


Utah Table 45

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $142,433,539 $144,679,024 1.6 $163,109,155 12.7 $162,277,227 -0.5 $149,561,957 -7.8 $158,455,942 5.9 $53.78

ICF/MR: Total $57,513,532 $60,702,442 5.5 $58,133,589 -4.2 $72,082,048 24.0 $67,815,625 -5.9 $57,404,313 -15.4 $24

Mental Health Facility Services $13,045,038 $12,586,656 -3.5 $13,966,298 11.0 $15,283,225 9.4 $16,337,365 6.9 $16,505,883 1.0 $5.87

Mental Health Facility Services-DSH $934,553 $934,583 0.0 $934,587 0.0 $934,586 0.0 $89,866 -90.4 $934,587 940.0 $0.03

Total Institutional $213,926,662 $218,902,705 2.3 $236,143,629 7.9 $250,577,086 6.1 $233,804,813 -6.7 $233,300,725 -0.2 $84.08

Personal Care $1,053,296 $1,324,122 25.7 $1,394,164 5.3 $1,303,214 -6.5 $1,576,452 21.0 $2,042,767 29.6 $0.57

Home Health $9,285,545 $9,418,363 1.4 $10,586,797 12.4 $15,287,619 44.4 $10,516,480 -31.2 $8,988,327 -14.5 $3.78

1915(c) Waivers $120,375,174 $130,525,981 8.4 $127,197,380 -2.6 $175,079,918 37.6 $165,594,306 -5.4 $181,778,259 9.8 $59.55

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $130,714,015 $141,268,466 8.1 $139,178,341 -1.5 $191,670,751 37.7 $177,687,238 -7.3 $205,232,069 15.5 $63.90

Total LTSS $344,640,677 $360,171,171 4.5 $375,321,970 4.2 $442,247,837 17.8 $411,492,051 -7.0 $438,532,794 6.6 $147.97

1915(c) Waivers: DD $112,076,753 $121,847,180 8.7 $116,607,619 -4.3 $149,755,316 28.4 $135,974,849 -9.2 $149,980,409 10.3 $48.90

1915(c) Waivers: A/D $4,944,847 $5,037,677 1.9 $7,653,807 51.9 $21,001,422 174.4 $24,151,453 15.0 $25,631,527 6.1 $8.68

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $15,475,716 $18,472,471 19.4 $21,776,849 17.9 $19,591,385 -10.0 $24,901,332 27.1 $25,914,531 4.1 $8.95

Managed Care Premiums $186,305,010 $176,487,567 -5.3 $178,291,797 1.0 $165,134,717 -7.4 $283,316,658 71.6 $353,017,491 24.6 $101.88

Drugs $174,791,633 $109,310,179 -37.5 $104,004,868 -4.9 $103,039,462 -0.9 $90,940,594 -11.7 $100,542,049 10.6 $32.70


ICF/MR: Public $32,171,233 $30,649,798 -4.7 $28,271,061 -7.8 $41,223,148 45.8 $39,251,880 -4.8 $25,841,386 -34.2 $14.11


Total Medicaid $1,390,461,986 $1,472,629,125 5.9 $1,403,045,568 -4.7 $1,538,543,830 9.7 $1,642,534,255 6.8 $1,711,646,896 4.2 $590.65












Abbreviations:


Vermont Table 46

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $944,808 $0 -100.0 $0 0.0 $1,183,582 100.0 $1,226,274 3.6 $0 -100.0 $2

Mental Health Facility Services $185,997 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total Institutional $104,892,604 $101,406,779 -3.3 $110,756,913 9.2 $116,537,348 5.2 $117,811,847 1.1 $115,111,802 -2.3 $189.58

Personal Care $13,873,254 $0 -100.0 $0 0.0 $17,855,477 100.0 $19,476,649 9.1 $3,429,340 -82.4 $31.34

Home Health $7,624,194 $1,979,757 -74.0 $1,306,111 -34.0 $6,541,188 400.8 $6,689,523 2.3 $2,368,010 -64.6 $10.76

1915(c) Waivers $134,456,011 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) $0 $33,740,283 100.0 $42,608,088 26.3 $183,465,666 330.6 $188,773,945 2.9 $0 -100.0 $303.77

PACE $0 $0 0.0 $167,824 100.0 $1,371,360 717.1 $2,993,012 118.3 $3,668,653 22.6 $4.82



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $155,953,459 $35,720,040 -77.1 $44,082,023 23.4 $209,233,691 374.6 $217,933,129 4.2 $9,499,239 -95.6 $350.69

Total LTSS $260,846,063 $137,126,819 -47.4 $154,838,936 12.9 $325,771,039 110.4 $335,744,976 3.1 $124,611,041 -62.9 $540.27

1915(c) Waivers: DD $93,730,942 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

1915(c) Waivers: A/D $33,914,925 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $123,527,080 100.0 $128,746,127 4.2 $0 -100.0 $207.18

HCBS 1115 & 1915(a) - A/D $0 $33,740,283 100.0 $42,608,088 26.3 $52,519,965 23.3 $51,497,379 -1.9 $0 -100.0 $82.87

Inpatient Hospital Care $59,950,193 $2,052,157 -96.6 $2,876,539 40.2 $2,802,870 -2.6 $2,812,401 0.3 $4,343,487 54.4 $4.53

Inpatient Hospital DSH $35,205,323 $36,233,885 2.9 $35,963,346 -0.7 $35,902,422 -0.2 $36,548,781 1.8 $36,548,781 0.0 $58.81

Managed Care Premiums $34,188,355 $786,300,073 2199.9 $801,942,418 2.0 $840,952,806 4.9 $907,573,389 7.9 $1,006,545,222 10.9 $1,460.45

Drugs $139,675,827 $6,264,582 -95.5 $1,649,084 -73.7 $1,868,970 13.3 $1,905,976 2.0 $1,698,248 -10.9 $3.07

Targeted Case Management $15,772,863 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $29,872 100.0 $0.00

ICF/MR: Public $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

ICF/MR: Private $944,808 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $869,364,903 $977,187,397 12.4 $1,013,320,192 3.7 $1,073,150,538 5.9 $1,146,195,375 6.8 $1,244,974,576 8.6 $1,844.43



Data for 2005 - 2007, and 2010 do not include managed care data for nursing homes, ICF/MR, personal care, home health, and HCBS - 1115 & 1915(a).










Abbreviations:


Virginia Table 47

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $245,354,875 $249,477,839 1.7 $231,039,099 -7.4 $279,463,502 21.0 $288,251,873 3.1 $270,359,227 -6.2 $37

Mental Health Facility Services $294,241,247 $393,266,514 33.7 $494,226,095 25.7 $308,661,220 -37.5 $144,899,879 -53.1 $123,411,157 -14.8 $18.43

Mental Health Facility Services-DSH $4,675,525 $4,907,855 5.0 $5,235,334 6.7 $6,648,533 27.0 $7,129,293 7.2 $6,284,784 -11.8 $0.91

Total Institutional $1,227,942,112 $1,355,550,606 10.4 $1,453,521,510 7.2 $1,339,524,191 -7.8 $1,209,261,186 -9.7 $1,202,951,472 -0.5 $153.80

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $3,351 100.0 $0 -100.0 $0.00

Home Health $4,932,595 $4,579,478 -7.2 $4,893,931 6.9 $6,257,014 27.9 $6,790,450 8.5 $6,961,666 2.5 $0.86

1915(c) Waivers $495,069,144 $528,593,523 6.8 $631,262,045 19.4 $752,171,647 19.2 $865,226,819 15.0 $964,130,963 11.4 $110.05

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $7,203,662 100.0 $11,082,658 53.8 $17,781,351 60.4 $1.41



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $1,727,943,851 $1,888,723,607 9.3 $2,089,677,486 10.6 $2,105,156,514 0.7 $2,092,364,464 -0.6 $2,191,825,452 4.8 $266.12

1915(c) Waivers: DD $291,768,427 $320,190,342 9.7 $372,276,032 16.3 $431,365,433 15.9 $466,514,983 8.1 $487,023,781 4.4 $59.33

1915(c) Waivers: A/D $202,609,609 $207,712,770 2.5 $258,260,543 24.3 $320,124,301 24.0 $397,944,926 24.3 $476,458,871 19.7 $50.61

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $136,511,574 $122,066,561 -10.6 $196,404,565 60.9 $185,207,931 -5.7 $144,608,800 -21.9 $192,435,368 33.1 $18.39

Managed Care Premiums $992,911,238 $1,146,272,186 15.4 $1,192,729,988 4.1 $1,264,116,747 6.0 $1,333,815,580 5.5 $1,653,367,886 24.0 $169.64

Drugs $460,677,062 $194,224,227 -57.8 $146,193,809 -24.7 $144,292,015 -1.3 $135,446,289 -6.1 $133,101,293 -1.7 $17.23


ICF/MR: Public $207,250,565 $208,485,016 0.6 $193,131,934 -7.4 $230,844,182 19.5 $228,103,410 -1.2 $211,109,222 -7.5 $29.01


Total Medicaid $4,469,565,923 $4,626,060,820 3.5 $4,995,823,038 8.0 $5,374,240,521 7.6 $5,806,447,263 8.0 $6,438,438,743 10.9 $738.50












Abbreviations:


Washington Table 48

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $583,299,081 $555,539,675 -4.8 $592,401,664 6.6 $575,916,301 -2.8 $581,051,909 0.9 $578,606,382 -0.4 $87.09

ICF/MR: Total $124,981,179 $125,497,391 0.4 $114,863,753 -8.5 $150,372,473 30.9 $155,556,383 3.4 $141,460,725 -9.1 $23


Mental Health Facility Services-DSH $115,008,432 $115,008,432 0.0 $114,733,073 -0.2 $110,763,960 -3.5 $120,336,661 8.6 $125,845,257 4.6 $18.04

Total Institutional $851,489,144 $825,711,699 -3.0 $853,690,776 3.4 $892,277,964 4.5 $883,749,044 -1.0 $872,653,929 -1.3 $132.46

Personal Care $242,064,627 $276,087,647 14.1 $320,525,081 16.1 $374,710,703 16.9 $417,563,708 11.4 $405,457,986 -2.9 $62.59

Home Health $28,986,949 $29,160,564 0.6 $27,292,406 -6.4 $28,181,224 3.3 $29,442,640 4.5 $21,052,462 -28.5 $4.41

1915(c) Waivers $692,889,533 $746,094,515 7.7 $797,841,143 6.9 $893,409,789 12.0 $992,411,172 11.1 $1,043,417,645 5.1 $148.75

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $7,006,281 $7,583,794 8.2 $6,977,314 -8.0 $8,793,189 26.0 $9,354,837 6.4 $10,375,506 10.9 $1.40



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $970,947,390 $1,058,926,520 9.1 $1,152,635,944 8.8 $1,305,094,905 13.2 $1,448,772,357 11.0 $1,480,303,599 2.2 $217.16

Total LTSS $1,822,436,534 $1,884,638,219 3.4 $2,006,326,720 6.5 $2,197,372,869 9.5 $2,332,521,401 6.2 $2,352,957,528 0.9 $349.62

1915(c) Waivers: DD $351,976,061 $378,744,669 7.6 $400,857,498 5.8 $448,879,761 12.0 $496,809,467 10.7 $531,167,045 6.9 $74.47

1915(c) Waivers: A/D $340,913,472 $367,349,846 7.8 $396,983,645 8.1 $444,530,028 12.0 $495,601,705 11.5 $512,250,600 3.4 $74.29

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $659,865,609 $532,101,532 -19.4 $595,611,559 11.9 $678,873,376 14.0 $709,119,241 4.5 $666,861,387 -6.0 $106.29

Inpatient Hospital DSH $233,321,201 $188,219,621 -19.3 $182,966,405 -2.8 $211,005,114 15.3 $218,601,190 3.6 $243,120,255 11.2 $32.77

Managed Care Premiums $1,394,115,306 $1,316,092,336 -5.6 $1,281,608,542 -2.6 $1,509,610,116 17.8 $1,598,760,256 5.9 $1,720,259,077 7.6 $239.64

Drugs $509,557,283 $291,397,566 -42.8 $251,334,263 -13.7 $273,025,632 8.6 $259,978,660 -4.8 $248,895,306 -4.3 $38.97

Targeted Case Management $30,836,798 $28,245,469 -8.4 $35,007,790 23.9 $16,804,315 -52.0 $0 -100.0 $0 0.0 $0.00

ICF/MR: Public $120,536,403 $120,792,719 0.2 $110,009,261 -8.9 $145,494,814 32.3 $150,685,095 3.6 $135,973,382 -9.8 $22.59


Total Medicaid $5,750,587,964 $5,487,143,857 -4.6 $5,735,178,132 4.5 $6,372,692,192 11.1 $6,828,029,204 7.1 $6,868,178,826 0.6 $1,023.45












Abbreviations:


West Virginia Table 49

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $55,415,967 $56,047,320 1.1 $57,353,867 2.3 $60,128,913 4.8 $63,958,052 6.4 $62,594,827 -2.1 $35


Mental Health Facility Services-DSH $23,291,631 $20,377,467 -12.5 $18,911,628 -7.2 $18,684,131 -1.2 $18,873,019 1.0 $18,887,044 0.1 $10.36


Personal Care $25,910,371 $34,084,674 31.5 $37,722,272 10.7 $37,522,294 -0.5 $38,234,748 1.9 $42,140,453 10.2 $20.99

Home Health $31,064,694 $26,539,881 -14.6 $27,890,825 5.1 $31,197,648 11.9 $35,133,313 12.6 $38,713,984 10.2 $19.29

1915(c) Waivers $253,573,411 $244,269,777 -3.7 $268,511,312 9.9 $288,140,460 7.3 $321,187,686 11.5 $336,966,436 4.9 $176.35

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $817,587,997 $821,815,416 0.5 $871,358,434 6.0 $922,711,626 5.9 $986,176,103 6.9 $1,126,178,421 14.2 $541.47

1915(c) Waivers: DD $189,615,794 $185,800,118 -2.0 $209,675,493 12.9 $219,893,087 4.9 $237,413,199 8.0 $245,100,113 3.2 $130.35

1915(c) Waivers: A/D $63,957,617 $58,469,659 -8.6 $58,835,819 0.6 $68,247,373 16.0 $83,774,487 22.8 $91,866,323 9.7 $46.00

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $59,410,552 $55,084,959 -7.3 $54,330,656 -1.4 $53,979,213 -0.6 $54,548,725 1.1 $55,087,700 1.0 $29.95


Drugs $312,748,697 $202,101,002 -35.4 $191,398,913 -5.3 $200,465,944 4.7 $171,973,384 -14.2 $159,735,932 -7.1 $94.42

Targeted Case Management $10,656,917 $8,929,138 -16.2 $7,417,557 -16.9 $5,903,559 -20.4 $4,194,816 -28.9 $3,800,983 -9.4 $2.30

ICF/MR: Public $26,726 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total Medicaid $2,238,213,522 $2,106,485,390 -5.9 $2,170,574,098 3.0 $2,277,859,957 4.9 $2,445,701,870 7.4 $2,525,451,503 3.3 $1,342.84












Abbreviations:


Wisconsin Table 50

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident

Nursing Home Services $954,567,674 $964,489,815 1.0 $918,983,035 -4.7 $800,019,128 -12.9 $1,171,162,843 46.4 $917,550,554 -21.7 $207.26

ICF/MR: Total $194,049,379 $171,019,578 -11.9 $131,157,781 -23.3 $38,708,515 -70.5 $280,691,095 625.1 $145,075,365 -48.3 $50

Mental Health Facility Services $33,802,313 $30,286,573 -10.4 $27,391,504 -9.6 $25,858,044 -5.6 $28,526,492 10.3 $21,655,391 -24.1 $5.05

Mental Health Facility Services-DSH $6,019,295 $2,312,242 -61.6 $1,649,413 -28.7 $4,237,724 156.9 $3,945,475 -6.9 $0 -100.0 $0.70

Total Institutional $1,188,438,661 $1,168,108,208 -1.7 $1,079,181,733 -7.6 $868,823,411 -19.5 $1,484,325,905 70.8 $1,084,281,310 -27.0 $262.68

Personal Care $160,755,832 $191,172,851 18.9 $202,905,019 6.1 $197,904,074 -2.5 $198,677,929 0.4 $172,079,138 -13.4 $35.16

Home Health $53,777,877 $54,449,294 1.2 $53,054,275 -2.6 $70,030,851 32.0 $82,337,753 17.6 $57,835,317 -29.8 $14.57

1915(c) Waivers $391,683,874 $666,149,439 70.1 $692,498,519 4.0 $1,060,301,338 53.1 $1,346,237,186 27.0 $462,872,340 -65.6 $238.24

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Non-Institutional $606,217,583 $911,771,584 50.4 $948,457,813 4.0 $1,328,236,263 40.0 $1,627,252,868 22.5 $692,786,795 -57.4 $287.97

Total LTSS $1,794,656,244 $2,079,879,792 15.9 $2,027,639,546 -2.5 $2,197,059,674 8.4 $3,111,578,773 41.6 $1,777,068,105 -42.9 $550.65

1915(c) Waivers: DD $263,919,248 $481,539,808 82.5 $501,263,843 4.1 $571,641,464 14.0 $754,703,303 32.0 $323,016,327 -57.2 $133.56

1915(c) Waivers: A/D $113,252,335 $155,887,650 37.6 $158,166,780 1.5 $456,224,272 188.4 $556,694,650 22.0 $109,934,548 -80.3 $98.52

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Inpatient Hospital Care $293,048,004 $297,424,806 1.5 $286,428,095 -3.7 $244,734,286 -14.6 $559,302,945 128.5 $448,701,792 -19.8 $98.98


Managed Care Premiums $954,677,430 $1,174,925,473 23.1 $1,298,655,082 10.5 $1,185,333,476 -8.7 $2,819,081,365 137.8 $2,609,400,660 -7.4 $498.89

Drugs $655,706,569 $372,499,377 -43.2 $280,935,452 -24.6 $271,172,106 -3.5 $330,405,503 21.8 $484,493,364 46.6 $58.47


ICF/MR: Public $117,938,588 $115,410,883 -2.1 $93,479,394 -19.0 $6,997,050 -92.5 $248,002,801 3444.4 $118,199,371 -52.3 $43.89

ICF/MR: Private $76,110,791 $55,608,695 -26.9 $37,678,387 -32.2 $31,711,465 -15.8 $32,688,294 3.1 $26,875,994 -17.8 $5.78ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $4,899,517,714 $4,903,430,227 0.1 $4,918,686,230 0.3 $4,611,323,795 -6.2 $7,123,295,337 54.5 $6,637,581,088 -6.8 $1,260.59













Abbreviations:


WyomingTable 51

Service Type

FY 2005 FY 2006

Percent

Change

05-06 FY 2007

Percent

Change

06-07 FY 2008

Percent

Change

07-08 FY 2009

Percent

Change

08-09

FY 2010

Preliminary

Statistics

Percent

Change

09-10


Per State Resident


ICF/MR: Total $18,335,225 $18,287,371 -0.3 $20,006,774 9.4 $18,312,242 -8.5 $17,520,919 -4.3 $18,503,355 5.6 $32



Total Institutional $96,417,274 $100,742,553 4.5 $110,054,802 9.2 $115,542,604 5.0 $120,505,610 4.3 $114,614,659 -4.9 $221.36

Personal Care $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Home Health $6,386,895 $6,144,008 -3.8 $6,261,200 1.9 $6,981,915 11.5 $7,714,547 10.5 $9,145,439 18.5 $14.17

1915(c) Waivers $89,483,224 $95,532,163 6.8 $104,138,892 9.0 $113,395,882 8.9 $116,774,981 3.0 $114,263,727 -2.2 $214.51

HCBS 1115 & 1915(a) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

PACE $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00



HCBS - 1915(i) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Personal Care - 1915(j) $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Total LTSS $192,287,393 $202,418,724 5.3 $220,454,894 8.9 $235,920,401 7.0 $244,995,138 3.8 $238,023,825 -2.8 $450.04

1915(c) Waivers: DD $76,593,348 $81,367,670 6.2 $87,809,440 7.9 $94,205,037 7.3 $95,985,544 1.9 $90,206,601 -6.0 $176.32

1915(c) Waivers: A/D $9,442,904 $9,630,000 2.0 $11,133,093 15.6 $13,133,474 18.0 $14,580,888 11.0 $17,161,029 17.7 $26.78

HCBS 1115 & 1915(a) - DD $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

HCBS 1115 & 1915(a) - A/D $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00


Inpatient Hospital DSH $0 $483,563 100.0 $105,108 -78.3 $129,242 23.0 $292,145 126.0 $801,851 174.5 $0.54

Managed Care Premiums $5,862 $6,093 3.9 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Drugs $37,751,932 $28,603,156 -24.2 $23,557,089 -17.6 $25,351,270 7.6 $28,096,799 10.8 $22,535,951 -19.8 $51.61


ICF/MR: Public $18,335,225 $9,732,838 -46.9 $20,006,774 105.6 $18,312,242 -8.5 $17,520,919 -4.3 $18,503,355 5.6 $32.18

ICF/MR: Private $0 $8,554,533 100.0 $0 -100.0 $0 0.0 $0 0.0 $0 0.0 $0.00ICF/MR: Supplemental $0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0 0.0 $0.00

Total Medicaid $410,919,701 $421,933,774 2.7 $433,138,167 2.7 $485,661,759 12.1 $526,205,230 8.3 $537,772,041 2.2 $966.59












Abbreviations:


Documents

RESEARCH PAPER MEDICAID EXPENDITURES FOR LONG-TERM SERVICES AND SUPPORTS: 2011 … · 2014. 11. 20. · Medicaid Expenditures for Long-Term Services and Supports 1 MEDICAID EXPENDITURES