Long-Term Services and Supports Measures and Dashboard Data
The Department of Health Care Services (DHCS) Long-Term Services and Supports (LTSS) Data Dashboard is an initiative of the [Home and Community Based Services Spending Plan](https://www.dhcs.ca.gov/provgovpart/Pages/HCBS.aspx). The initiative's primary goal is to create a public-facing LTSS data dashboard to track demographic, utilization, quality, and cost data related to LTSS services. This dashboard will link statewide long-term care and home and community-based services (HCBS) data with the goal of increased transparency to make it possible for regulators, policymakers, and the public to be informed while the state continues to expand, enhance, and improve the quality of LTSS in all home, community, and congregate settings. The first iteration of the LTSS Dashboard was released in December 2022 as an Open Data Portal file with 40 measures pertaining to LTSS beneficiaries, which includes ten different demographics, plan-related dimensions, and dual stratification. The December 2023 Data Release includes 16 new measures on the Medi-Cal LTSS Dashboard and Open Data Portal (Select “View Underlying Data”); and additional measures and dimensions, including dual stratification, will be added to the Open Data Portal in 2024. Note: The LTSS Dashboard measures are based on certified eligible beneficiaries who were enrolled in Medi-Cal for one or more months during the reporting interval. Most of the DHCS LTSS dashboard measures report the annual number of certified eligible Medi-Cal beneficiaries who have used LTSS services within a year. Other departments may report on these programs differently. For example, the Department of Social Services (CDSS) reports monthly [IHSS recipient/consumer](https://www.cdss.ca.gov/inforesources/ihss/program-data) counts. The California Department of Aging (CDA) reports monthly [CBAS Medi-Cal participants](https://aging.ca.gov/Providers_and_Partners/Community-Based_Adult_Services/Center_Overview/). DHCS’ annual utilization / enrollment counts of IHSS and CBAS beneficiaries are larger than CDSS/CDA's monthly counts because of data source differences and new enrollment or program attrition over time. Monthly snap-shot measures (average monthly utilization) for IHSS and CBAS have been added to the LTSS Dashboard to align with CDSS and CDA monthly reporting. Refer to the [LTSS-Dashboard (ca.gov)](https://www.dhcs.ca.gov/services/Pages/LTSS-Dashboard.aspx) program page for: 1) a Fact Sheet with highlights from the initial data release including changes over time in use of Home and Community-Based Services as well as select demographic information; 2) the Measure Specifications document – that describes business rules and inclusion/exclusion criteria related to age groups, plan types, aid code, geographic, or other important program/waiver-specific eligibility criteria; and 3) User guide – that shows how to navigate the Open Data Portal data file with specific examples.
Data files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
All resource data | Download | ZIP | 12/16/24 |
Medi-Cal Long-Term Services and Support Annual Data Summary file of statewide annual rates for 2017 – 2022 as of December 2024. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. Please note: Absolute change is calculated as the difference between 2017 and 2022 unless there is a * before the value. In this case, the absolute change is calculated as the difference between 2019 and 2022 because data was not available for those measures in 2017 and 2018. | Download | CSV | 12/16/24 |
Medi-Cal Long-Term Services and Supports Data Statewide and stratified rates from 2017- 2022 as of December 2024. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. | Download | CSV | 12/16/24 |
Medi-Cal Long-Term Services and Supports Data 2022 Legacy file of statewide and stratified rates for 2022. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. | Download | CSV | 08/07/24 |
Medi-Cal Long-Term Services and Supports Data 2021 Legacy file of statewide and stratified rates for 2021. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. | Download | CSV | 08/07/24 |
Medi-Cal Long-Term Services and Supports Data 2020 Legacy file of statewide and stratified rates for 2020. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. | Download | CSV | 08/07/24 |
Medi-Cal Long-Term Services and Supports Data 2019 Legacy file of statewide and stratified rates for 2019. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. | Download | CSV | 08/07/24 |
Medi-Cal Long-Term Services and Supports Data 2018 Legacy file of statewide and stratified rates for 2018. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. | Download | CSV | 08/07/24 |
Medi-Cal Long-Term Services and Supports Data 2017 Legacy file of statewide and stratified rates for 2017. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. | Download | CSV | 08/07/24 |
Medi-Cal Long-Term Services and Supports Data (Archived) Legacy file of statewide and stratified annual rates for 2017 - 2021 based on 2022 data. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. DHCS is making LTSS data available using a phased approach. The initial iteration of the LTSS data was released in December 2022 with 40 measures describing beneficiaries who used various LTSS services. Data include annual rates stratified by ten different demographic and health plan-related dimensions between 2017 and 2021. Additional measures will be added in 2023. Refer to the [LTSS-Dashboard (ca.gov)](https://www.dhcs.ca.gov/services/Pages/LTSS-Dashboard.aspx) program page for additional resources. | Download | CSV | 08/07/24 |
Medi-Cal Long-Term Services and Support Annual Data (Archived) Legacy summary file of statewide annual rates for 2017 – 2021 based on 2022 data. Long-Term Services and Support (LTSS) refers to critical long-term care (LTC) facilities and home and community-based service (HCBS) programs that support older adults and people with disabilities through the Medi-Cal (California’s version of Medicaid) program. The LTSS Annual Data file reports the values of the overall measures in the Medi-Cal LTSS data detail file between 2017 and 2021 and the 5-year absolute and percentage change/difference. Refer to the [LTSS-Dashboard (ca.gov)](https://www.dhcs.ca.gov/services/Pages/LTSS-Dashboard.aspx) program page for additional resources. | Download | CSV | 08/07/24 |
Supporting files
| Data title and description | Access data | File details | Last updated |
|---|---|---|---|
LTSS Value Set Reference Table Code Descriptions The value set reference table maps the data elements and codes used in the Medi-Cal Long-Term Services and Supports (LTSS) Data’s business rules that were used to generate the LTSS measures to their descriptive labels. | Download | XLS | 08/07/24 |