Medicaid provides health coverage to millions of Americans, including adults with disabilities and seniors.
This brief examines access to services and supports for two groups of survey respondents who used Medicaid-funded long-term services and supports (LTSS): Medicaid beneficiaries who are age 65 and older (including individuals with physical disabilities) and Medicaid beneficiaries who are age 18 to 64 with physical disabilities. We use data from the National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey to assess the experiences of Medicaid beneficiaries from June 2017 to May 2018. The survey focuses on demographics, health status, service use, and experience with Medicaid home- and community-based services (HCBS). We stratify the results by race and ethnicity, dually eligible status, and age to understand how access, health status, and service use may differ by type of demographic characteristic within the aging and physical disability communities. The data, which include responses from 16 states using different sampling methods, reveal notable disparities in mobility, service utilization, and HCBS experiences across various demographic groups.
In this brief, we aggregate the NCI-AD state-level data to report national numbers; however, due to each state’s unique population sampling criteria and survey exclusion methodology, the aggregated data may not be generalizable to the entire population of adults with disabilities and seniors.
