Between Fiscal Year (FY) 1993 and FY 2004, the average per person annual expenditure for Medicaid long-term service and supports (LTSS) provided to persons with intellectual and developmental disabilities (ID/DD) through the Medicaid Intermediate Care Facility (ICF/MR) and Home and Community-Based Services (HCBS) programs grew from $48,505 per person to $51,826 per person. Per person LTSS expenditures were computed by dividing total LTSS expenditures for the fiscal year by the total service recipients on June 30 of that year. The 6.8% increase in average per person Medicaid LTSS expenditures between FY 1993 and FY 2004 was less than one quarter of the 28.0% increase in the Consumer Price Index (CPI). It was about one eighth of the 54% growth in Medical Care Index reported by the Bureau of Labor Statistics (U.S. Bureau of the Census, 2005). In CPI-adjusted dollars, the annual cost per Medicaid...

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