Forty-five percent of the more than 4.8 million beneficiaries of Medicaid long-term services and supports were aged 65 or more years in 2012, according to a new report issued by the Centers for Medicare & Medicaid Services.

Forty-eight percent of older Medicaid LTSS beneficiaries received only home- and community-based services, 46% received only institutional services and 6% received both, according to the report, which is dated Sept. 16 but was publicly released Nov. 2. The greatest number of older-adult Medicaid LTSS beneficiaries received services in California, which had 388,194 such beneficiaries. The highest percentage of older-adult Medicaid LTSS beneficiaries lived in Minnesota, where 13.4% received such services.

In general, older adults were more likely to receive institutional services than were younger LTSS beneficiaries, according to the report.

The analysis did not include data from two states, Kansas and Maine, nor did it include data from comprehensive managed care plans.