Medicaid-to-Medicare Fee Index - Kaiser State Health Facts

Kaiser Family Foundation

Kaiser Health News

Kaiser Family Foundation

Medicaid & CHIP

Medicaid Spending

Total Medicaid Spending, FY2008

Spending by Service, FY2008

Spending on Acute Care, FY2008

Spending on Long Term Care, FY2008

Growth in Medicaid Spending, FY90-FY07

Payments by Enrollment Group, FY2007

Medicaid Payments per Enrollee, FY2007

Federal Matching Rate and Multiplier

Federal/State Share of Spending, FY2008

Federal DSH Allotments

Medicaid Spending by Residence, 95-04

State Medicaid Spending

State Medicaid Spending, SFY2008

Medicaid Expansion in Health Reform

Increase in Enrollment and Spending

Temporary Federal Medicaid Relief

ARRA Federal Matching Rate

Federal DSH Allotments under ARRA

Part D Clawback Savings under ARRA

Per-Capita Clawback Rates under ARRA

ARRA FMAP Grant Awards

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, FY2007

Medicaid Enrollment as a % of Pop, FY07

Distribution by Enrollment Group, FY2007

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

Enrollment in Comprehensive MC

Medicaid Managed Care as a % of Medicaid

Comprehensive MC 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

Trends in Monthly CHIP Enrollment

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

Medicaid-to-Medicare Fee Index, 2008

Note: You can also click on a column header to rank by that column.
Click again to reverse the order.

	All Services	Primary Care	Obstetric Care	Other Services

United States	0.72	0.66	0.93	0.72

Alabama	0.89	0.78	1.21	0.75
Alaska	1.40	1.40	1.41	1.38
Arizona	1.06	0.97	1.28	1.03
Arkansas	0.89	0.78	0.89	1.17
California	0.56	0.47	0.64	0.69
Colorado	0.86	0.87	0.89	0.80
Connecticut	0.99	0.78	1.74	0.59
Delaware	1.00	1.00	1.00	0.99
District of Columbia	0.58	0.47	0.91	0.45
Florida	0.63	0.55	0.99	0.59
Georgia	0.90	0.86	1.00	0.86
Hawaii	0.73	0.64	0.86	0.76
Idaho	1.03	1.03	1.03	1.02
Illinois	0.63	0.57	0.82	0.64
Indiana	0.69	0.61	0.93	0.74
Iowa	0.96	0.89	1.08	0.99
Kansas	0.93	0.94	0.93	0.92
Kentucky	0.86	0.80	1.14	0.79
Louisiana	0.92	0.90	0.95	0.94
Maine	0.63	0.53	0.84	0.66
Maryland	0.87	0.82	1.09	0.82
Massachusetts	0.88	0.78	1.16	0.79
Michigan	0.63	0.59	0.76	0.55
Minnesota	0.76	0.58	0.84	1.11
Mississippi	0.87	0.84	0.98	0.89
Missouri	0.72	0.65	0.77	0.80
Montana	1.03	0.96	1.19	1.01
Nebraska	1.01	0.82	1.19	1.24
Nevada	1.04	0.93	1.28	1.03
New Hampshire	0.73	0.67	0.97	0.57
New Jersey	0.37	0.41	0.30	0.37
New Mexico	1.07	0.98	1.26	1.07
New York	0.43	0.36	0.67	0.31
North Carolina	0.95	0.95	0.95	0.95
North Dakota	1.02	1.01	1.03	1.02
Ohio	0.69	0.66	0.84	0.65
Oklahoma	1.00	1.00	1.00	1.00
Oregon	0.90	0.78	1.26	0.78
Pennsylvania	0.73	0.62	1.73	0.51
Rhode Island	0.42	0.36	0.49	0.47
South Carolina	0.93	0.86	1.75	0.86
South Dakota	0.95	0.85	1.09	1.05
Tennessee	NA	NA	NA	NA
Texas	0.74	0.68	0.87	0.83
Utah	0.82	0.76	0.97	0.77
Vermont	0.95	0.91	1.03	0.93
Virginia	0.90	0.88	1.02	0.81
Washington	0.93	0.92	1.21	0.62
West Virginia	0.85	0.77	1.24	0.77
Wisconsin	0.85	0.67	1.04	1.05
Wyoming	1.43	1.17	2.13	1.23

(show/hide notes)

Notes:

The Medicaid-to-Medicare fee index measures each state's physician fees relative to Medicare fees in each state. The Medicaid data are based on surveys sent by the Urban Institute to the forty-nine states and the District of Columbia that have a fee-for-service (FFS) component in their Medicaid programs (only Tennessee does not). These fees represent only those payments made under FFS Medicaid. Medicare fees were calculated by the Urban Institute using the 2008 Clinical Diagnostic Fee Schedule and the relative value units (RVUs), conversion factor, and geographic adjusters as published in the Federal Register. The Medicaid-to-Medicare fee index is a weighted sum of the ratios of each state's Medicaid fee for a given service to the Medicare fee, using 2000 expenditure weights.

Sources:

Stephen Zuckerman, Aimee Williams, and Karen Stockley, "Medicaid Physician Fees Grew By More Than 15 Percent From 2003 to 2008, Narrowing Gap With Medicare Physician Payment Rates," Health Affairs, April 2009; available at http://www.kff.org/medicaid/kcmu042809oth.cfm.