This is a follow-up to yesterday’s What’s Wrong Wednesday: Community segregation still exists.

Here are the States that spent the least in the community in FY 2012 for A/PD, and therefore spent the most in the nursing homes.  The worst/least Medicaid expenditures in the community was North Dakota, followed by Kentucky, Alabama, New Jersey, South Dakota, Indiana, New Hampshire, Rhode Island — all spent less than 20% of their MA LTSS in the community for people with A/PD, and by definition therefore spent more than 80% in nursing homes.

Six of these “worst” A/PD states either have an exceptionally strong nursing home industry or the State elected officials have a particular dislike of Old Adults and People With Physical Disabilities.  Compare their community-based Medicaid expenditures for people with Developmental Disabilities versus Older Adults and People with Physical Disabilities.

Here are the States that spent the most in the community in FY 2012 for A/PD, and therefore spent the least in the nursing homes: Minnesota, Alaska, Washington, Oregon, California, District of Columbia, Texas and Wisconsin.  These States are the winners — virtually the same as in 2011.

Source:  State by State Medical Assistance FY 2012 LTSS Data for Aged and Disabled.  Information Bulletin #389 (May 2014). Steve Gold, The Disability Odyssey