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Distribution of Medicaid Spending for Dual Eligibles by Service (in millions), 2005

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 Medicare PremiumsMedicare-Covered AcuteAcute Not Covered by MedicarePrescribed DrugsLong-Term CareTotal
United States7%13%4%18%58%100%
Alabama10%12%1%17%59%100%
Alaska4%10%4%22%59%100%
Arizona7%90%11%0%2%1100%
Arkansas13%15%7%14%50%100%
California9%16%2%21%51%100%
Colorado4%15%3%18%60%100%
Connecticut8%4%2%14%72%100%
Delaware5%9%3%11%72%100%
District of Columbia5%11%16%14%53%100%
Florida11%15%2%28%44%100%
Georgia7%19%3%20%51%100%
Hawaii9%12%2%17%60%100%
Idaho5%9%8%20%58%100%
Illinois5%9%4%31%51%100%
Indiana4%9%2%19%65%100%
Iowa10%8%5%18%59%100%
Kansas5%10%3%18%64%100%
Kentucky9%11%2%21%58%100%
Louisiana8%10%3%26%53%100%
Maine7%9%19%17%49%100%
Maryland6%14%2%17%61%100%
Massachusetts6%9%13%15%57%100%
Michigan6%22%2%15%54%100%
Minnesota4%19%3%9%66%100%
Mississippi5%12%7%26%49%100%
Missouri7%10%6%28%48%100%
Montana9%7%4%17%63%100%
Nebraska10%8%2%15%65%100%
Nevada9%18%3%16%54%100%
New Hampshire2%9%1%15%73%100%
New Jersey5%8%5%20%62%100%
New Mexico6%22%4%6%63%100%
New York4%12%3%12%68%100%
North Carolina7%8%5%27%53%100%
North Dakota2%8%1%13%76%100%
Ohio4%12%2%14%68%100%
Oklahoma7%10%2%23%58%100%
Oregon4%22%3%13%59%100%
Pennsylvania4%14%1%9%72%100%
Rhode Island3%14%5%16%61%100%
South Carolina7%17%2%25%49%100%
South Dakota6%9%1%18%65%100%
Tennessee8%12%1%38%41%100%
Texas10%8%10%22%50%100%
Utah3%19%1%30%46%100%
Vermont4%7%9%28%52%100%
Virginia7%9%1%20%63%100%
Washington6%7%4%21%63%100%
West Virginia7%7%2%20%64%100%
Wisconsin7%14%3%19%57%100%
Wyoming5%6%1%14%73%100%
(show/hide notes)
Notes: 

Medicare Acute includes services that Medicare may already cover in whole or part. Data are for Federal Fiscal Year (FY) 2005.

Sources: 

Urban Institute estimates based on data from the Medicaid Statistical Information System (MSIS) and Medicaid Financial Management Reports (CMS Form 64) prepared for the Kaiser Commission on Medicaid and the Uninsured. For more information, see "Dual Eligibles: Medicaid Enrollment and Spending for Medicare Beneficiaries in 2005"; available at http://www.kff.org/medicaid/7846.cfm.

Definitions: 

Dual Eligibles are individuals entitled to Medicare who are also eligible for some level of Medicaid benefits.

Footnotes: 
  1. Most expenditures for duals in Arizona are covered under the Arizona Long-Term Care System (ALTCS), which is a capitated program. These payments will be reflected in the Medicare acute category and can not be separated out for other service types.



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