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Medicaid SpendingState Medicaid SpendingTemporary Federal Medicaid ReliefMedicaid Budget ActionsMedicare Drug Benefit: Clawback PaymentsMedicaid Physician FeesMedicaid EnrollmentChildren's Medicaid and CHIP EligibilityMedicaid/CHIP EligibilitySSI BeneficiariesMedicaid Medically NeedyMedicaid Managed CareBirths Financed by MedicaidEnrollment Practices for Pregnant WomenEnrollment Practices for ChildrenRenewal Practices for ChildrenCHIPHome and Community-Based ServicesHealth Care FraudEstimated Annual "Clawback" Payments, 2006
| Annual Payments based on Original NHE | Annual Payments based on Revised NHE | Difference (Revised Payment-Original Payment) | |
|---|---|---|---|
| United States | $7,311,736,748 | $6,605,675,559 | $-706,061,189 |
| Alabama | $65,599,530 | $59,264,881 | $-6,334,648 |
| Alaska | $19,040,841 | $17,202,153 | $-1,838,687 |
| Arizona | $57,615,285 | $52,051,639 | $-5,563,646 |
| Arkansas | $33,815,887 | $30,550,440 | $-3,265,447 |
| California | $1,172,151,995 | $1,058,962,604 | $-113,189,391 |
| Colorado | $72,876,673 | $65,839,304 | $-7,037,369 |
| Connecticut | $124,059,021 | $112,079,205 | $-11,979,816 |
| Delaware | $14,025,128 | $12,670,785 | $-1,354,343 |
| District of Columbia | $10,975,558 | $9,915,699 | $-1,059,860 |
| Florida | $479,984,275 | $433,634,375 | $-46,349,900 |
| Georgia | $130,993,456 | $118,344,013 | $-12,649,443 |
| Hawaii | $22,175,070 | $20,033,724 | $-2,141,346 |
| Idaho | $18,066,946 | $16,316,883 | $-1,750,063 |
| Illinois | $333,221,963 | $301,044,232 | $-32,177,731 |
| Indiana | $99,283,770 | $89,696,387 | $-9,587,382 |
| Iowa | $66,174,915 | $59,784,704 | $-6,390,211 |
| Kansas | $48,756,251 | $44,048,082 | $-4,708,170 |
| Kentucky | $81,122,635 | $73,288,990 | $-7,833,644 |
| Louisiana | $82,793,438 | $74,798,452 | $-7,994,986 |
| Maine | $45,260,376 | $40,889,787 | $-4,370,589 |
| Maryland | $92,240,710 | $83,333,444 | $-8,907,266 |
| Massachusetts | $239,970,806 | $216,797,916 | $-23,172,890 |
| Michigan | $188,540,434 | $170,333,941 | $-18,206,493 |
| Minnesota | $109,733,219 | $99,136,780 | $-10,596,438 |
| Mississippi | $76,553,279 | $69,160,877 | $-7,392,402 |
| Missouri | $191,708,376 | $173,195,969 | $-18,512,407 |
| Montana | $12,238,192 | $11,056,405 | $-1,181,787 |
| Nebraska | $41,619,392 | $37,600,396 | $-4,018,996 |
| Nevada | $22,496,284 | $20,323,920 | $-2,172,364 |
| New Hampshire | $30,585,921 | $27,632,378 | $-2,953,543 |
| New Jersey | $271,291,722 | $245,094,314 | $-26,197,409 |
| New Mexico | $18,845,259 | $17,025,458 | $-1,819,801 |
| New York | $779,819,148 | $704,515,557 | $-75,303,591 |
| North Carolina | $247,898,287 | $223,959,876 | $-23,938,411 |
| North Dakota | $5,458,968 | $4,931,821 | $-527,148 |
| Ohio | $230,584,176 | $208,317,710 | $-22,266,466 |
| Oklahoma | $55,382,475 | $50,034,441 | $-5,348,034 |
| Oregon | $63,234,635 | $57,128,354 | $-6,106,281 |
| Pennsylvania | $399,667,987 | $361,073,866 | $-38,594,121 |
| Rhode Island | $41,678,993 | $37,654,242 | $-4,024,751 |
| South Carolina | $77,385,665 | $69,912,883 | $-7,472,782 |
| South Dakota | $12,956,089 | $11,704,978 | $-1,251,111 |
| Tennessee | $283,931,372 | $256,513,410 | $-27,417,962 |
| Texas | $303,361,506 | $274,067,264 | $-29,294,242 |
| Utah | $21,471,442 | $19,398,042 | $-2,073,400 |
| Vermont | $18,454,617 | $16,672,538 | $-1,782,078 |
| Virginia | $166,965,498 | $150,842,399 | $-16,123,099 |
| Washington | $145,340,530 | $131,305,656 | $-14,034,874 |
| West Virginia | $30,780,689 | $27,808,337 | $-2,972,351 |
| Wisconsin | $145,195,338 | $131,174,484 | $-14,020,854 |
| Wyoming | $8,358,727 | $7,551,563 | $-807,164 |
| Guam | NA | NA | NA |
| Puerto Rico | NA | NA | NA |
| Virgin Islands | NA | NA | NA |
| Notes: | These are original and revised annual state "clawback" payments from CMS based on December 2005 actual enrollment of Medicaid and Medicare dual eligibles. They represent the payment amounts that states will be assessed to finance a portion of Medicare Part D for each dual eligible during 2006. The newly updated National Health Expenditures (NHE) growth rate in per capita prescription drug spending between 2003 and 2006 was used by CMS in the calculation of the new clawback figures. The total percentage reduction in annual payments is -9.66%. For more details about the Clawback, see KCMU''s "The ''Clawback:'' State Financing of Medicare Drug Coverage," available at http://www.kff.org/medicaid/7118a.cfm. |
| Sources: | An Update on the Clawback: Revised Health Spending Data Change State Financial Obligations for the New Medicare Drug Benefit, Table 2, Kaiser Commission on Medicaid and the Uninsured (KCMU), March 2006. Available at http://www.kff.org/medicaid/7481.cfm. |
| Definitions: | CMS: The Centers for Medicare and Medicaid Services Clawback: The mechanism through which the states will help finance the new Medicare drug benefit is commonly referred to as the "clawback," the statutory term for which is "phased-down state contribution." NHE: The National Health Expenditures growth rate in per capita prescripton drug spending between 2003 and 2006 is used to calculate the state contribution for dual eligibles in Medicare Part D. For details about the NHE from CMS, see http://www.cms.hhs.gov/NationalHealthExpendData/". KCMU: The Kaiser Commission on Medicaid and the Uninsured |
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