“In 2009, there were 23 States that spent more than 75% of their Medicaid LTC A/D on nursing homes.[NE, ME, CT, OH, WY, AL*, MI, NJ, AZ, FL, UT, HI*, IL*, KY, PA, NH, IN, MS, MD, SD, DE, ND, RI*].  *All data not reported.  These 23 States have not “rebalanced” their A/D expenditures and 10 years after Olmstead still are overwhelminingly institutionalized biased.”

Source: Steve Gold.  Rebalancing Medicaid’s Long-Term Care Expenditures: How Is Your State Doing?  Information Bulletin #323 (9/2010).