Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas

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Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.

Emmaline Keesee, Laura M. Keohane

The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208

06/2026

Access · Health disparities · Home and community-based services · Medicaid · Rural-urban differences · Statistics and data