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In federal fiscal year 2012, Medicaid funded an estimated 61% of total national spending on long-term services and supports (LTSS) for individuals with functional impairments, disabilities, or illness leading to inability to perform activities of daily living (ADLs) or instrumental activities of daily living (IADLs). Total LTSS spending in 2012 totaled $219.9 billion; Medicaid paid $134.1 billion for institutional care or home- and community-based services (HCBS). Medicaid’s majority share of the national LTSS expenditure from 2010 to 2012 remained steady. In fiscal year 2010, Medicaid LTSS spending totaled $129.3 billion, about 62.2% of . . .
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