ADAPT
TEN WORST RANKING
JULY, 2004

[logo of ADAPT Free Our People]

[Heading] Ten Worst Ranking
1. Mississippi
2. Nevada
3. Louisiana
4. Tennessee
5. Illinois
6. Georgia
7. Alabama
8. New Jersey
9. Florida
10. District of Columbia

[Heading] The next ten worst states:

Pennsylavnia
Indiana
Texas
Ohio
Iowa
Kentucky
Virginia
Nebraska
Arkansas
Missouri.

[Heading] ADAPT used three public sources of information to rank the states:

* Medstat-CMS 64 data on Medicaid Long Term Care Expenditures in FY 2003 (Oct 2002 through Sept. 2003) Released May 25, 2004

* National Study of Disability Finance, Preliminary data (2004)

*University of Colorado, Dept of Psychiatry. Advocate's Survey Assessment of their states services. (ADAPT, June 2004)

ADAPT's analysis weighed various long term care facilities based on published data and the evaluation of people with disabilities (old and young) of their state's provision of long term services and supports.

Some of the factors looked at in the ranking were:

*Institutional spending versus community spending ratio; (national ratio is 67% institutional-33% community)

*Nursing Home spending per capita;

*Community spending per capita;

*ICF-MR spending per capita;

*Ranking of State spending on Community Long Term Care.

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