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ADULT HOME COHORTS*

TOTAL MEDICAID EXPENDITURES

RECIPIENT COUNT

TOTAL MEDICAID EXPENDITURES PER RECIPIENT

PC EXPENDITURES

PC RECIPIENT COUNT

PC EXPENDITURES PER RECIPIENT

HOUR EQUIVALENT UNITS PER RECIPIENT

19 97

Adult home residents in 9 counties where 14 limited license adult homes reside

17,900,059

1,357

13,191

380,763

102

3,733

313.2

19 99

Adult home residents in 9 counties where 14 limited license adult homes reside

20,538,513

1,435

14,313

506,354

99

5,115

393.4

20 01

Adult home residents in 9 counties where 14 limited license adult homes reside

36,899,222

2,139

17,251

682,755

159

4,294

354.8

20 03

Adult home residents in 9 counties where 14 limited license adult homes reside

25,530,556

1,311

19,474

372,136

118

3,154

277.7

higher average personal care and inpatient expenditures, while LLHCSA recipients have higher average home care and nursing home expenditures. LLHCSA recipient average home health services expenditures are 2.76 times higher than those of comparison group members, while LLHCSA recipient’s nursing home expenditures are 1.29 times higher. On the other hand, non-LLHCSA recipient average expenditures for personal care services are 1.74 times higher than their LLHCSA counterparts, and comparison group average inpatient expenditures are 1.94 times higher than was the case for LLHCSA recipients. Overall, per member per month (PMPM) expenditures for the non-LLHCSA recipients are $2,514 while those of the LLHCSA recipients are $2,475, indicating very similar overall levels of expenditures.

Table 4 addresses the issue of whether the expenditures, number of hours and the number of recipients receiving personal care services in adult homes and enriched housing programs changed compared to the prior two years before implementing this section.

Table 4

COMPARISON OF MEDICAID UTLIZATION (TOTAL AND PERSONAL CARE) FOR 1997, 1999, 2001, AND 2003 ADULT HOME RESIDENTS IN 9 COUNTIES* THAT HAVE OPERATING LLHCSAs

NOTES: (*) The nine (9) recipient counties, in which the 14 limited license adult homes reside, are: Chautauqua, Chemung, Erie, Fulton, Madison, Onondaga, Otsego, Montgomery, and Nassau.

9

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