Choice of Setting and Provider

Indicators Best State US Average
PACE Enrollment Enrollment in Program of All-Inclusive Care for the Elderly (PACE), per 10,000 population, ages 55+ 27.5 6.5
NH Residents with Low Care Needs Percentage of nursing home residents with low care needs (race/ethnicity data available) 3.4% 8.8%
LTSS Worker Wage Competitiveness LTSS direct service worker wage shortfall compared to other entry level jobs $1.56
Medicaid LTSS Balance: Spending Percentage of Medicaid LTSS spending going to HCBS for older people and adults with physical disabilities 83.2% 53.3%
Self-Directed Program Enrollment Number of people enrolled in a self-directed HCBS program per 1,000 population with disabilities 168.0 35.8
Assisted Living Supply Assisted living and residential care units per 1,000 population ages 75+ 138 55
Adult Day Services Supply Adult day services total licensed capacity per 10,000 population ages 65+ 154 54
Home Health Aide Supply Home health and personal care aides per 100 population with an Activity of Daily Living (ADL) disability, ages 18+ 55.7 24.8
Indicators No Credit Partial Credit Full Credit
CAPABLE Availability Availability of the Community Aging in Place – Advancing Better Living for Elders (CAPABLE) restorative services model plus state and local policies that facilitate access to CAPABLE 44 States 0 States 7 States
LTSS Worker Wage Pass-Through State policies that require Medicaid providers to allocate a certain dollar amount or percentage of the rate they are paid to LTSS worker wages 30 States 0 States 21 States
Green House® Availability Number of residents in Green House® communities plus state and local policies that facilitate Green House® development 41 States 0 States 10 States
On this page

State Performance on Choice of Setting and Provider

In a high-performing LTSS system, a person-and family-centered approach allows for consumer choice and control of services (including self-directed models). A well-trained and adequately paid workforce is available to provide LTSS. Home and community-based services are widely available. Provider choice fosters equity, and consumers across communities have access to a range of culturally competent services and supports.


See what’s new in this edition…how did your state do?
Explore the LTSS State Scorecard

Stay up to date with LTSS. Receive News and Trends in your Inbox.