Joint Application: Medicaid & CHIP - Kaiser State Health Facts

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Medicaid & CHIP

Medicaid Spending

Total Medicaid Spending

Spending by Service, FY2007

Spending on Acute Care, FY2007

Spending on Long Term Care, FY2007

Growth in Medicaid Spending, FY90-FY07

Payments by Enrollment Group, FY2006

Medicaid Payments per Enrollee, FY2006

Federal Matching Rate and Multiplier

Federal/State Share of Spending, FY2007

Federal DSH Allotments

Medicaid Spending by Residence, 95-04

State Medicaid Spending

State Medicaid Spending, SFY2008

Temporary Federal Medicaid Relief

ARRA Medicaid Grant Funds (2 Qtrs.)

ARRA Federal Matching Rate

ARRA Medicaid Grant Funds (Total)

Federal DSH Allotments under ARRA

Part D Clawback Savings under ARRA

Medicaid Budget Actions

Medicaid Cost Containment, FY2009

Medicaid Cost Containment, FY2010

Positive Medicaid Policy Actions, FY2009

Positive Medicaid Policy Actions, FY2010

Medicare Drug Benefit: Clawback Payments

Baseline Dual Eligible Enrollment

Baseline FFS Drug Payments for Duals

Esimated Annual Clawback Payments

Per-Capita Monthly Clawback Amounts

Medicaid Physician Fees

Medicaid Fee Index

Medicaid-to-Medicare Fee Index

Change in Medicaid Fees

Medicaid Enrollment

Total Medicaid Enrollment

Medicaid Enrollment as a % of Total Pop

Distribution by Enrollment Group, FY2006

Monthly Medicaid Enrollment

Medicaid Enrollment % Change - June

Monthly Enrollment % Change - Dec

Monthly Medicaid Enrollment - Children

Monthly Enrollment % Change - Children

Monthly Medicaid Enrollment - Adults

Monthly Enrollment % Change - Adults

June Medicaid Enrollment: 01-09

Dec Medicaid Enrollment: 01-08

Children's Medicaid and CHIP Eligibility

Income Eligibility-- Medicaid

Income Disregards -- Medicaid

Income Eligibility -- Separate CHIP Prog

Income Disregards -- CHIP Program

Medicaid/CHIP Eligibility

Income Eligibility- Low Income Adults

Income Eligibility-- Pregnant Women

Income Eligibility- Aged/Blind/Disabled

Income Eligibility Nursing Home Services

SSI Beneficiaries

Total SSI Beneficiaries

SSI Beneficiaries as % of Population

Distribution of Total SSI by Age

Aged SSI as % of Population Ages 65+

SSI with Disabilities

SSI with Disabilities as % of Population

Medicaid Medically Needy

Income Eligibility- Medically Needy

Total Enrollment

Enrollment by Eligibility Category

Medically Needy Total Spending

Spending by Eligibility Category

Total per Enrollee Spending

Per Enrollee Spending by Category

Medicaid Managed Care

Total Medicaid MC Enrollment

Medicaid Managed Care as a % of Medicaid

Enrollment by Medicaid MC Plan Type

Dual Eligible Enrollment by MC Plan Type

Medicaid Managed Care Capitation Rates

Births Financed by Medicaid

Total Medicaid Births

As Percent of State Births

Enrollment Practices for Pregnant Women

Presumptive Eligibility

Enrollment Practices for Children

Joint Application: Medicaid & CHIP

Face-to-Face Interview:Medicaid & CHIP

Asset Test: Medicaid & CHIP

Presumptive Eligibility:Medicaid/CHIP

Income Verification: Medicaid/CHIP

Renewal Practices for Children

Joint Renewal: Medicaid/CHIP

Face-to-Face Interview: Medicaid/CHIP

12-Mo.Continuous Eligibility:Medi/CHIP

Premiums and Co-Payments for Children

Premiums and Co-Payments

CHIP

Total CHIP Spending

Monthly CHIP Enrollment

Monthly CHIP Enrollment % Change

CHIP Enrollment by FPL

CHIP Program Name and Type

Federal Matching Rate

Federal CHIP Allotments, FY2009

Home and Community-Based Services

Total HCBS Waivers

Participants by HCBS Waiver Type

Expenditures by HCBS Waiver Type

Aged & Aged/Disabled Participants

Aged & Aged/Disabled HCBS Expenditures

Waiting Lists for HCBS Waivers, 2007

Waiting Lists for HCBS Waivers, 2008

Home Health Participants

Home Health Expenditures

Personal Care Participants

Personal Care Expenditures

Individual Budget-Based Models of LTC

Health Care Fraud

States With a False Claims Act

State Health Care Fraud Laws

Related To Medicaid & CHIP: Demographics and the Economy State Budgets

Distribution of General Fund Spending

Health Coverage & Uninsured Nonelderly With Medicaid

Distribution by Age

Distribution by Employment Status

Distribution by FPL

Distribution by Gender

Distribution by Race/Ethnicity

Rate by Employment Status

Rate by Race/Ethnicity

Coverage Changes Among Nonelderly

% Point Change in Medicaid, 07-08

Health Status Smoking

Cessation Treatment Under Medicaid

HIV/AIDS Other HIV/AIDS-Related Policies

State Medicaid Expansion Efforts

Medicare Dual Eligibles

Duals Medicaid Spending by Service

Duals Share of Medicaid Spending

Spending per Dual Eligible

State Spending on Services for Duals

Dual Eligible Enrollment

Duals as a % of Medicare Enrollees

Duals as a % of Medicaid Enrollees

Aged/Disabled % of Medicaid Enrollees

Dual Eligible Rx Drug Spending, FY03

Rx Spending as % of Duals Spending, FY03

Coverage of Part D Excluded Drugs

Medicare Savings Programs

Income Eligibility- QMB

Income Eligibility- SLMB

Income Eligibility-QI

SSDI Beneficiaries

Total SSDI Beneficiaries

SSDI Beneficiaries as % of Population

Providers & Service Use Nursing Facilities

Number of Nursing Facility Residents

Residents by Primary Payer Source

Number of Nursing Facilities

Nursing Facilities by Ownership Type

Number of Nursing Facility Beds

Beds by Certification Category

Number of Special Care Beds

Nursing Facility Occupancy Rates

Nurse Hours per Resident Day

Avg # of Nursing Facility Deficiencies

% Nursing Facilites with Deficiencies

% of Facilities w/ Serious Deficiencies

% of Nursing Homes with No Deficiencies

Top Ten Nursing Facility Deficiencies

Resident and Family Groups

Women's Health Family Planning Under Medicaid

Emergency Contraceptive Pill

Infertility Care

STD Testing and Treatment

Family Planning Services Waivers

Perinatal Services Under Medicaid

Genetic Screening

Genetic Counseling

Support Services

Education Services

Other Services Under Medicaid

Breast/Cervical Cancer Under Medicaid

Abortion Under Medicaid

Has Joint Application Under Medicaid for Children and Separate CHIP Program, December 2009

Joint Application: Medicaid & SCHIP

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	Joint Application: Medicaid & SCHIP	Notes

United States	36 Yes

Alabama	Yes
Alaska	NA
Arizona	Yes
Arkansas	NA
California	Yes
Colorado	Yes
Connecticut	Yes
Delaware	Yes
District of Columbia	NA
Florida	Yes
Georgia	Yes
Hawaii	NA
Idaho	Yes
Illinois	Yes
Indiana	Yes
Iowa	No
Kansas	Yes
Kentucky	Yes
Louisiana	Yes
Maine	Yes
Maryland	NA
Massachusetts	Yes
Michigan	Yes
Minnesota	NA
Mississippi	Yes
Missouri	Yes
Montana	Yes	Montana implemented a joint application for Medicaid and CHIP in October 2009.
Nebraska	NA
Nevada	No	In Nevada, families that use the CHIP application but are found to be eligible for Medicaid must complete a Medicaid addendum before eligibility can be determined.
New Hampshire	Yes
New Jersey	Yes
New Mexico	NA
New York	Yes
North Carolina	Yes
North Dakota	Yes
Ohio	NA
Oklahoma	NA
Oregon	Yes
Pennsylvania	Yes	Pennsylvania uses Medicaid and CHIP applications that solicit “common data elements” in collecting information for Medicaid and CHIP, thus making Medicaid and CHIP applications interchangeable.
Rhode Island	NA
South Carolina	Yes
South Dakota	Yes
Tennessee	No
Texas	Yes
Utah	Yes
Vermont	Yes
Virginia	Yes
Washington	Yes
West Virginia	Yes
Wisconsin	NA
Wyoming	Yes

(show/hide notes)

Notes:	Data as of December 2009.
Sources:	A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009. Data based on a national survey conducted by the Center on Budget and Policy Priorities for the Kaiser Commission on Medicaid and the Uninsured, December 2009. Available at http://www.kff.org/medicaid/7855.cfm. 2009 HHS Poverty Guidelines: http://aspe.hhs.gov/poverty/09poverty.shtml.
Definitions:	Joint application: a single application is used for children's Medicaid and the CHIP-funded separate program. CHIP: Children's Health Insurance Program. NA: Not Applicable because state does not have separate CHIP program.