Filling the need for trusted information on national health issues…

Trending on kff Ebola Marketplaces Consumer Resources

Medicaid Per Enrollee Spending: Variation Across States

Appendix Table 1: Spending Per Full-Benefit Enrollee,* FY 2010
State
Aged
Individuals with Disabilities
Adults
Children
Total
United States
$16,947
$17,916
$3,919
$2,389
$6,253
Alabama
$17,774
$9,099
$3,982
$2,644
$5,147
Alaska
$23,015
$28,133
$6,359
$4,804
$9,334
Arizona
$14,837
$18,861
$5,985
$2,929
$6,217
Arkansas
$21,174
$13,988
$2,915
$2,268
$6,072
California
$10,101
$15,893
$2,032
$1,705
$4,770
Colorado
$17,561
$18,100
$3,143
$2,010
$5,517
Connecticut
$31,318
$30,834
$3,533
$3,339
$8,116
Delaware
$28,258
$22,595
$5,109
$2,818
$6,564
DC
$26,093
$26,276
$2,622
$2,506
$8,143
Florida
$14,253
$15,005
$2,993
$1,707
$4,893
Georgia
$16,026
$12,083
$3,780
$1,651
$4,151
Hawaii
$16,793
$15,723
$3,506
$1,996
$5,187
Idaho
$18,067
$19,290
$4,288
$1,936
$5,947
Illinois
$12,542
$19,143
$4,088
$2,629
$5,515
Indiana
$21,207
$19,394
$2,740
$1,575
$5,237
Iowa
$19,191
$19,687
$2,328
$2,106
$5,934
Kansas
$18,328
$17,153
$3,762
$2,186
$6,267
Kentucky
$15,641
$12,586
$4,812
$3,015
$6,409
Louisiana
$15,370
$15,966
$4,362
$2,156
$5,834
Maine**
$19,881
$16,920
$2,194
$2,528
$6,761
Maryland
$23,491
$23,798
$5,385
$2,765
$7,878
Massachusetts
$23,420
$17,416
$3,689
$3,246
$8,913
Michigan
$18,125
$14,826
$3,734
$1,910
$5,368
Minnesota
$24,360
$27,187
$4,213
$3,175
$8,675
Mississippi
$17,561
$12,114
$3,745
$2,246
$5,581
Missouri
$15,579
$15,678
$3,785
$3,278
$6,759
Montana
$26,704
$16,352
$6,539
$2,919
$7,573
Nebraska
$17,698
$19,009
$3,605
$2,477
$6,242
Nevada
$13,694
$16,326
$2,432
$2,116
$4,292
New Hampshire
$26,725
$20,371
$3,194
$2,797
$7,127
New Jersey
$19,160
$19,951
$4,648
$2,616
$7,546
New Mexico***
N/A
$18,500
$6,928
$4,550
$6,328
New York
$28,203
$33,552
$5,197
$2,648
$10,509
North Carolina
$11,951
$17,317
$4,839
$2,778
$6,332
North Dakota
$30,221
$28,573
$3,947
$2,474
$8,633
Ohio
$27,347
$19,917
$3,631
$1,748
$6,357
Oklahoma
$12,315
$15,010
$3,551
$2,461
$5,107
Oregon
$24,240
$18,708
$5,288
$2,218
$6,892
Pennsylvania
$20,023
$15,747
$4,050
$2,892
$7,900
Rhode Island
$14,529
$19,423
$4,903
$4,023
$8,559
South Carolina
$13,089
$13,853
$4,403
$2,169
$5,526
South Dakota
$18,869
$20,186
$4,502
$2,551
$6,156
Tennessee
$15,427
$14,206
$5,868
$2,786
$6,004
Texas
$14,739
$17,709
$4,371
$3,010
$5,668
Utah
$11,763
$19,718
$3,326
$2,260
$5,135
Vermont
$22,562
$20,930
$4,855
$3,683
$7,913
Virginia
$15,399
$17,899
$4,339
$2,696
$6,200
Washington
$16,226
$15,353
$4,675
$2,057
$5,189
West Virginia
$20,495
$12,331
$3,397
$2,371
$6,286
Wisconsin
$14,806
$16,161
$3,112
$1,625
$5,688
Wyoming
$30,465
$24,465
$3,767
$2,236
$6,395
* Enrollees were identified as having full benefits if for each month they were enrolled in Medicaid, they also received full benefits or received Medicaid benefits through an alternative package of benchmark equivalent coverage.
** Because New Mexico MSIS data for 2010 underreports spending for people in the CoLTS program, we are unable to report spending for the elderly in this state.  However, we do include this spending in state and national totals.
*** Due to data quality issues, individuals with disabilities in Maine who were enrolled in Medicaid only in Q4 of FY 2010 are not included in state or national payment per enrollee calculations.
Source:  Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2010 MSIS and CMS-64 reports.  Because 2010 data were unavailable, FY 2009 MSIS data were used for Colorado, Idaho, Missouri, North Carolina, and West Virginia.
Appendix Table 2: Average Growth Rate From FY 2000 To FY 2010 For Full-Benefit Enrollees*
State
Aged**
Individuals with Disabilities
Adults
Children
United States
3.74%
4.65%
5.63%
5.44%
Alabama
4.87%
4.53%
7.54%
8.21%
Alaska
8.55%
5.67%
6.15%
6.68%
Arizona
2.92%
7.29%
10.05%
8.74%
Arkansas
9.47%
5.92%
12.36%
6.14%
California
5.06%
4.82%
3.98%
4.00%
Colorado***
4.18%
3.77%
4.38%
0.84%
Connecticut
3.47%
3.79%
4.11%
4.83%
Delaware
5.45%
3.89%
7.19%
5.98%
DC
6.80%
6.31%
2.39%
2.81%
Florida
7.34%
6.12%
7.41%
5.64%
Georgia
6.68%
4.30%
6.40%
2.81%
Hawaii
6.11%
16.21%
6.22%
0.83%
Idaho***
3.77%
4.27%
8.00%
7.74%
Illinois
0.17%
3.03%
5.39%
5.75%
Indiana
4.72%
4.22%
4.46%
2.55%
Iowa
3.12%
3.15%
1.64%
4.08%
Kansas
3.08%
1.43%
5.33%
5.35%
Kentucky
4.54%
5.07%
7.83%
6.30%
Louisiana
7.92%
6.81%
9.01%
9.16%
Maine****
6.91%
2.06%
1.75%
0.39%
Maryland
5.49%
6.26%
9.91%
6.23%
Massachusetts
5.21%
2.73%
5.93%
5.97%
Michigan
-0.01%
4.52%
2.96%
2.72%
Minnesota
2.97%
4.46%
7.91%
6.20%
Mississippi
11.32%
6.94%
4.19%
6.15%
Missouri***
3.71%
4.57%
13.42%
9.77%
Montana
5.91%
4.88%
9.05%
5.99%
Nebraska
1.13%
3.27%
7.08%
5.69%
Nevada
5.02%
5.43%
4.21%
4.34%
New Hampshire
3.75%
0.00%
3.58%
2.34%
New Jersey
2.60%
3.89%
7.05%
5.11%
New Mexico*****
N/A
4.85%
14.41%
11.58%
New York
3.42%
4.67%
2.89%
3.09%
North Carolina***
5.16%
5.73%
9.24%
9.41%
North Dakota
5.37%
3.34%
6.07%
4.12%
Ohio
3.87%
4.59%
7.94%
5.22%
Oklahoma
5.27%
4.48%
9.90%
6.19%
Oregon
5.07%
5.22%
8.73%
2.59%
Pennsylvania
0.21%
5.82%
10.57%
4.95%
Rhode Island
1.16%
1.17%
10.01%
9.70%
South Carolina
5.88%
4.54%
9.60%
6.03%
South Dakota
4.97%
4.90%
8.44%
6.13%
Tennessee******
14.60%
7.24%
3.84%
4.69%
Texas
5.60%
4.74%
6.33%
8.44%
Utah
2.77%
3.15%
4.23%
1.58%
Vermont
7.83%
5.58%
10.76%
7.50%
Virginia
3.23%
5.20%
9.60%
9.86%
Washington
-1.52%
5.69%
4.73%
4.89%
West Virginia***
6.55%
4.79%
7.34%
7.25%
Wisconsin
-0.95%
2.37%
8.50%
2.90%
Wyoming
6.90%
5.63%
8.29%
7.04%
* Enrollees were identified as having full benefits if for each month they were enrolled in Medicaid, they also received full benefits or received Medicaid benefits through an alternative package of benchmark equivalent coverage.
** We have excluded prescription drug spending when calculating the average annual growth rate for aged enrollees.
*** Because 2010 data were unavailable, 2009 MSIS data were used for Colorado, Idaho, Missouri, North Carolina, and West Virginia.  We then calculated the average growth rate from FY 2000 to FY 2009 in these states.
**** Due to data quality issues, individuals with disabilities in Maine who were enrolled in Medicaid only in Q4 of FY 2010 are not included in state or national payment per enrollee calculations when calculating average growth rates.
***** Because New Mexico MSIS data for 2010 underreports spending for people in the CoLTS program, we are unable to calculate the average growth rate for the elderly in this state.  However, we do include this spending when calculating the average growth rate at national levels.
****** Due to data quality issues, we are unable to calculate spending per enrollee for the aged in Tennessee in FY 2000.  Instead, we have calculated the average growth rate from FY 2001 to FY 2010 in this state.
Source:  Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2000, 2001, 2009, & 2010 MSIS and CMS-64 reports.

Issue Brief