Table 1.
Characteristics of Adult Medicaid-Only Beneficiaries Who Initiated Long-Term Services and Supports: California, 2006-2007.
| Variables | HCBS |
Nursing facilitya |
Total |
|||
|---|---|---|---|---|---|---|
| n = 26 031 (81.7) | n = 5818 (19.3) | n = 31 849 | ||||
| Age, n (%) | ||||||
| <45 | 5373 | (20.6) | 858 | (14.7) | 6231 | (19.6) |
| 45-54 | 7945 | (30.5) | 1702 | (29.3) | 9647 | (30.3) |
| 55-64 | 9066 | (34.8) | 2558 | (44.0) | 11 624 | (36.5) |
| 65+ | 3647 | (14.0) | 700 | (12.0) | 4347 | (13.6) |
| Female, n (%) | 14 536 | (55.8) | 2455 | (42.2) | 16 991 | (53.3) |
| Race/ethnicity, n (%) | ||||||
| White | 10 260 | (39.4) | 2539 | (43.6) | 12 799 | (40.2) |
| Hispanic | 5162 | (19.8) | 1110 | (19.1) | 6272 | (19.7) |
| Black | 6119 | (23.5) | 1198 | (20.6) | 7317 | (23.0) |
| Asian | 2827 | (10.9) | 442 | (7.6) | 3269 | (10.3) |
| Other | 1663 | (6.4) | 529 | (9.1) | 2192 | (6.9) |
| 3 or more ADL limitations,b n (%) | 8495 | (32.6) | 3788 | (65.1) | 12 283 | (38.6) |
| Cognitive limitations,c n (%) | 8846 | (34.0) | 2760 | (47.4) | 11 606 | (36.4) |
| CDPS,d mean (SD) | 1.12 | (1.37) | 1.54 | (1.68) | 1.19 | (1.44) |
| Central nervous system condition,e n (%) | 2293 | (8.8) | 1044 | (17.9) | 3337 | (10.5) |
| Psychological condition,e n (%) | 2016 | (7.7) | 855 | (14.7) | 2871 | (9.0) |
| Substance use disorder,e n (%) | 2608 | (10.0) | 1115 | (19.2) | 3723 | (11.7) |
| Living alone, n (%) | 6085 | (23.4) | 1551 | (26.7) | 7636 | (24.0) |
| Homeless, n (%) | 389 | (1.5) | 447 | (7.7) | 836 | (2.6) |
| Medically needy, n (%) | 5122 | (19.7) | 2093 | (36.0) | 7215 | (22.7) |
Note. HCBS = home and community-based services; ADL = activities of daily living; CDPS = Chronic Illness and Disability Payment System.
P values <.0001 for all HCBS versus Nursing Facility recipient comparisons.
Limitations in ADL (bathing, dressing, toileting, transferring, eating, continence).
Limitations in Memory, Orientation, or Judgment requiring assistance, supervision, or cueing.
Chronic Illness and Disability Payment System tool consolidates diagnostic codes into 58 categories and assigns each a score that represents the incremental, prospective expenditure risk associated with that category. Higher scores reflect greater morbidity.16
Categorized from diagnostic codes, see Supplemental Materials Tables A3 to A5 for detailed categorization.