The report was released in June 2018 by IBM Watson Health. This annual report outlines Medicaid expenditures for all long-term services and supports (LTSS), including institutional services and home- and community-based services (HCBS), by service category and state. This report covers trends in total LTSS expenditures, LTSS as a percentage of total Medicaid spending, HCBS as a percentage of total Medicaid LTSS, and more . . .