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Medicaid & CHIP 
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Distribution of Medicaid Spending by Service, FY2007

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 Acute CareLong Term CareDisproportionate Share Hospital PaymentsTotal
United States60.9%34.1%5.0%100.0%
Alabama57.8%31.9%10.3%100.0%
Alaska61.0%37.4%1.6%100.0%
Arizona73.6%124.2%12.2%100.0%
Arkansas62.4%36.1%1.5%100.0%
California63.3%31.4%5.3%100.0%
Colorado55.1%38.9%6.0%100.0%
Connecticut39.2%53.6%7.2%100.0%
Delaware63.9%35.6%0.5%100.0%
District of Columbia68.3%26.3%5.4%100.0%
Florida67.2%30.5%2.4%100.0%
Georgia72.6%21.5%5.8%100.0%
Hawaii66.3%33.7%0.0%100.0%
Idaho63.1%35.1%1.7%100.0%
Illinois73.4%25.1%1.6%100.0%
Indiana59.8%33.8%6.5%100.0%
Iowa51.5%46.9%1.6%100.0%
Kansas56.1%41.8%2.1%100.0%
Kentucky66.5%29.3%4.2%100.0%
Louisiana51.8%30.9%17.3%100.0%
Maine62.7%35.3%2.1%100.0%
Maryland62.4%35.4%2.2%100.0%
Massachusetts72.6%31.2%-3.8%100.0%
Michigan69.9%25.1%4.9%100.0%
Minnesota53.4%45.0%1.5%100.0%
Mississippi59.4%34.7%5.8%100.0%
Missouri64.6%24.5%10.9%100.0%
Montana56.3%41.9%1.8%100.0%
Nebraska54.4%43.8%1.8%100.0%
Nevada64.0%29.5%6.5%100.0%
New Hampshire38.7%43.7%17.5%100.0%
New Jersey45.1%39.9%15.0%100.0%
New Mexico71.5%27.8%0.7%100.0%
New York51.5%43.0%5.5%100.0%
North Carolina65.8%29.8%4.4%100.0%
North Dakota36.6%63.1%0.3%100.0%
Ohio51.3%39.6%9.1%100.0%
Oklahoma63.8%35.0%1.2%100.0%
Oregon64.7%33.4%1.9%100.0%
Pennsylvania55.5%40.2%4.3%100.0%
Rhode Island66.6%33.3%0.1%100.0%
South Carolina65.1%24.3%10.7%100.0%
South Dakota57.9%41.9%0.2%100.0%
Tennessee70.3%28.5%1.2%100.0%
Texas69.1%23.9%7.0%100.0%
Utah71.4%27.0%1.6%100.0%
Vermont48.2%46.5%5.3%100.0%
Virginia54.6%41.8%3.6%100.0%
Washington62.3%32.6%5.1%100.0%
West Virginia57.1%39.4%3.4%100.0%
Wisconsin55.9%42.9%1.2%100.0%
Wyoming49.1%50.9%0.0%100.0%
(show/hide notes)
Notes: 

All spending includes state and federal expenditures. Expenditures include benefit payments and disproportionate share hospital payments; do not include administrative costs, accounting adjustments, or the U.S. Territories. Total spending including these additional items was about $331.8 billion in FY2007. Figures may not sum to totals due to rounding.

Sources: 

Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on data from Centers for Medicare and Medicaid Services-64 reports, March 2009.

Definitions: 

Acute care services include inpatient, physician, lab, X-ray, outpatient, clinic, prescription drugs, family planning, dental, vision, other practitioners' care, payments to managed care organizations, and payments to Medicare.
Long-term care services include nursing facilities, intermediate care facilities for the mentally retarded, mental health, home health services, and personal care support services.

Federal Fiscal Year: Unless otherwise noted, years proceeded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. For example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.

Footnotes: 
  1. Of $5.3 billion in prepaid/managed care expenditures reported by Arizona, 71% was assumed to pay for acute care and 29% was assumed to pay for long-term care. These proportions are based on data from the "2007 AHCCCS Financial Statement." For further details see http://www.ahcccs.state.az.us/Publications/Reports/FinancialStatements/FY2007FinancialStatements.pdf.



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