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State Spending for Services Used by Dual Eligibles (in millions), 2005

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 Medicare PremiumsMedicare-Covered AcuteOther Acute CarePrescribed DrugsLong-Term CareTotal
United States$3,689$7,550$2,075$10,385$33,454$57,152
Alabama$51$60$7$89$302$509
Alaska$6$13$5$27$73$124
Arizona$35$4641$5$1$91$513
Arkansas$45$53$24$48$171$342
California$685$1,213$179$1,533$3,798$7,407
Colorado$24$85$17$106$350$581
Connecticut$94$48$26$171$853$1,191
Delaware$9$15$5$18$122$169
District of Columbia$5$12$17$15$57$107
Florida$291$371$60$709$1,102$2,532
Georgia$78$214$31$215$562$1,100
Hawaii$16$21$4$30$108$180
Idaho$6$11$9$23$69$118
Illinois$107$200$80$654$1,091$2,132
Indiana$36$88$23$175$609$931
Iowa$47$36$22$87$281$473
Kansas$18$39$12$67$244$379
Kentucky$42$54$8$99$277$479
Louisiana$43$49$13$136$275$516
Maine$19$26$53$49$138$284
Maryland$55$133$23$160$587$959
Massachusetts$124$201$284$344$1,278$2,232
Michigan$109$372$34$259$910$1,683
Minnesota$51$271$37$124$942$1,425
Mississippi$19$44$25$93$175$356
Missouri$81$114$67$304$532$1,099
Montana$9$7$4$17$63$99
Nebraska$29$26$6$44$198$303
Nevada$15$31$6$28$93$174
New Hampshire$6$27$3$43$213$292
New Jersey$87$156$96$382$1,187$1,908
New Mexico$11$41$7$12$120$191
New York$432$1,173$314$1,206$6,600$9,725
North Carolina$100$123$69$399$772$1,463
North Dakota$2$8$1$14$79$104
Ohio$89$283$57$328$1,628$2,384
Oklahoma$26$35$9$86$216$372
Oregon$17$96$12$58$258$440
Pennsylvania$145$506$25$321$2,621$3,618
Rhode Island$12$48$18$53$207$338
South Carolina$33$81$11$123$235$483
South Dakota$6$9$1$17$62$95
Tennessee$83$130$13$406$438$1,071
Texas$243$179$238$512$1,196$2,369
Utah$5$26$2$40$62$134
Vermont$6$10$13$41$76$146
Virginia$71$94$15$209$651$1,039
Washington$68$71$42$221$675$1,077
West Virginia$16$18$4$48$151$238
Wisconsin$79$161$38$229$683$1,191
Wyoming$4$5$1$11$55$75
(show/hide notes)
Notes: 

Medicare-Covered Acute includes acute care 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 "Rethinking Medicaid's Financing Role for Medicare Enrollees"; available at http://www.kff.org/medicaid/7862.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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