Table 1:

Definitions and Sources of Measures of HCBS Generosity

Variables	Numerator	Numerator source	Denominator	Denominator source
HCBS spending
Percent of state LTSS spending that goes to HCBS Mean: 44 Std Dev: 13	This variable is directly reported in the data source	Improving the Balance: The Evolution of Medicaid Expenditures for Long-Term Services and Supports (LTSS), FY 1981–2014; Table [State Number] A-2 Long Term Services and Support Percentages for [State] Truven Health Analytics	NA	NA
HCBS spending per participant Mean: $16886 Std Dev: $6443	This variable is directly reported in the data source	KFF annual report on Medicaid Home and Community Based Services Waivers; Table 3A: Total Medicaid HCBS Average Expenditures Per Person Served, by State	NA	NA
HCBS Spending per capita among 65+ population Mean: $629.63 Std Dev: $499.10	Total HCBS spending for Aged/Disabled group	Improving the Balance: The Evolution of Medicaid Expenditures for Long-Term Services and Supports (LTSS), FY 1981–2014; Table [State] A-1. Long Term Services and Support Expenditures	65+ population	Census data
HCBS participation
HCBS participants as a percent of Population Mean: 1.0 Std Dev: 0.4	Total Medicaid HCBS Participants, by State (includes Medicaid home health state plan services, Medicaid personal care state plan services, and Medicaid § 1915(c) HCBS waivers)	KFF annual report on Medicaid Home and Community Based Services Waivers; Table 1A: Total Medicaid HCBS Participants, by State	Total State Population	Census data
HCBS participants as a percent of Medicaid population Mean: 5 Std Dev: 2	Total Medicaid HCBS Participants, by State (includes Medicaid home health state plan services, Medicaid personal care state plan services, and Medicaid § 1915(c) HCBS waivers)	KFF annual report on Medicaid Home and Community Based Services Waivers; Table 1A: Total Medicaid HCBS Participants, by State	Number of Medicaid Enrollees	For 2006, 2008, 2010: CMS MSIS Tables; Table 1 - Fiscal Year 2006 Medicaid Eligibles, Beneficiaries, and Payments For 2012: MACStats: Medicaid and CHIP Data Book; Exhibit 14 Medicaid Enrollment by State, Eligibility Group, and Dually Eligible Status
Other HCBS policies
Number of people on waitlist for HCBS Aged/Aged+Disabled per Population 65+ Mean: 0.003 Std Dev: 0.008	Waiting List Enrollment for Medicaid 1915 (c)	KFF annual report on Medicaid Home and Community Based Services Waivers From: Table 11: Waiting Lists for Medicaid § 1915(c) HCBS Waivers, by State and by Enrollment Group	65+ population	Census data
Waiver slots targeting A/AD as per Population 65+ Mean: 0.03 Std Dev: 0.02	Annual number of slots targeting Aged/AD	1915(c) waiver applications (hand collected)	65+ population	Census data