The Centers for Medicare & Medicaid Services (CMS) is pleased to share information on the following topics:
- 2012 Medicaid Expenditures for Long-Term Services and Supports Report
- ACL/CMS/VHA Funding Opportunity Announcement for Planning Grants
- New Public Data Resources on Chronic Conditions Among Medicare Beneficiaries
2012 Medicaid Expenditures for Long-Term Services and Supports Report
CMS is pleased to announce the release of the 2012 Medicaid Expenditures for Long-Term Services and Supports Report. Federal Fiscal Year (FFY) 2012 marked the second consecutive year with little or no growth in national Medicaid spending for long-term services and supports (LTSS). Total Medicaid LTSS spending was $140 billion in FFY 2012, virtually unchanged from FFY 2011. Average annual growth from FFY 2010 to FFY 2012 was 0.4 percent, compared to 6.2 percent from FFY 2000 to FFY 2010.
Key highlights include the percent of total LTSS spent on home and community-based services (HCBS) increased from 48.7 percent in FFY 2011 to 49.5 percent in 2012. The shifting balance was attributable to both an increase in HCBS spending of 2.4 percent and a decrease in spending for institutional services of -2.3 percent. The national average masks differences across population groups. HCBS accounted for 70 percent of spending in programs targeting people with developmental disabilities, 39 percent of spending in programs targeting older people or people with physical disabilities, and 35 percent of spending in programs targeting people with serious mental illness or serious emotional disturbance. HCBS spending for all three populations increased relative to institutional services in FFY 2012, but the historical difference in HCBS spending across the groups remained constant. New Medicaid State Plan authorities authorized in 2006 and 2010 (Section 1915(i), Section 1915(j), Community First Choice, and Health Homes) were noticeable in the data for FFY 2012 but continue to represent a small portion of HCBS spending. The growth of managed care is also noticeable in FFY 2012, accounting for 6.6% of LTSS spending. For access to the full report visit:
ACL/CMS/VHA Funding Opportunity Announcement for Planning Grants
CMS is pleased to announce the release of a Funding Opportunity Announcement (FOA) that was jointly issued by the U.S. Administration for Community Living, the CMS and the Veterans Health Administration to assist states in the planning of a No Wrong Door (NWD) System that will make it easier for all populations in need of long term services and supports (LTSS) to learn about and access the services and supports they need. While most states have made great strides in developing programs to improve consumer access to LTSS using various federal grants and authorities, including Aging and Disability Resource Center grants, Money Follows the Person grants, and the Balancing Incentive Program, this opportunity reflects a full vision across these programs on the functional and operational capacity of a NWD System for all populations and all payers.
Specifically, funds under this FOA are being made available to support state-led 12-month planning projects to identify the actions the state would need to take to successfully implement a NWD System as described in this FOA. States eligible to compete for funding under this FOA include all states, except the 8 states currently receiving Part A ADRC Grants (CT, MD, MA, NH, OR, VT, WA, WI). Any state agency can serve as the grantee under this FOA. Funding applications are due July 15th. . We encourage all eligible states to apply. Awards are expected to be made in September to about 35 states.
