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Medicaid spending for long-term services and supports (LTSS) in 2016, totaled $167 billion, up 4.5% over the 2015 spending of $159 billion. In 2016, Medicaid home-and community-based services (HCBS) accounted for 57% of LTSS spending, totaling $94 billion and institutional services accounted for 43% of spending, totaling $72 billion. In 2015, Medicaid home-and community-based services (HCBS) accounted for 54% of LTSS spending, totaling $86 billion, and institutional services accounted for 46% of spending, totaling $74 billion. In fiscal year 2016, states reported $39 billion in managed LTSS (MLTSS) expenditures, up 24% from $32 billion . . .
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