MARYLAND MEDICAID EXPENDITURES
FOR PHYSICALLY & AGE DISABLED PERSONS ONLY:

   INSTITUTION

  VS.

           COMMUNITY        

      

   Nursing Facilities vs.
 

 

 P/D & aged
Waivers


 Home Health



 Personal
Care
Option

 Expenditure
Ratio
Institutional    vs.   
Community   

FY 1995

$460 83% LTC

$3

$69M

$22 Million

$4.89 TO $1

FY 1999

$565M  87%

$3

$52M 

$29M

$6.97 TO $1

 

 

 

 

 

 

FY 2000

$625M  88%

$1M

$57M

$30M

$7.02 TO $1

 

 

 

 

 

 

FY 2001

$696M  88%

$5M

$61M

$31M

$7.17 TO $1

 

 

 

 

 

 

FY 2002

$762M  85%

$15M

$83M

$33M

$5.91 TO $1

 

 

 

 

 

 

FY 2003

$805M  81%

$53M

$103M

$30M

$4.33 TO $1

 

 

 

 

 

 

FY 2004

$869M  78% 

$70M

$114M

$30M

$4.06 TO $1

 

 

 

 

 

 

FY 2005

$895M  83%

$53M

$103M

$32M

$4.76 TO $1

Increase

 

 

 

 

 

 

 

 

 

 

 

1995 – 2005

 

 

 

 

 

 

94.5%

1666%

49%

45%

 

 

 

In FY 1995 84% of the total national LTC expenditures went to institutions (i.e., nursing facilities and ICM-MRs) and 16% went to community-based services (all waivers, home health care, and personal care options). 
In FY 1999, a small change occurred: 82% of the total national LTC expenditures went to institutions and went to community based services.  Maryland was 87%
to institutions and 13% to community based services.
By FY 2004, a change was very apparent: 74.9% of national LTC expenditures went to institutions and 25.1% went to community based services.  Maryland was 78% to institutions and 22% to the community.
By FY 2005, 63% of national LTC expenditures went to institutions and 37% went to community based services.  Maryland was 83% to 17%.