Medicaid Enrollment: June 2013 Data Snapshot
Total Enrollment
The Great Recession officially began in December 2007 and officially ended in July 2009 according to the National Bureau of Economic Research; however, the effects of the Great Recession continued well past this point.
Kaiser Commission on Medicaid and the Uninsured, The Uninsured: A Primer – Key Facts about Health Insurance on the Eve of Coverage Expansions. Kaiser Commission on Medicaid and the Uninsured, October 2013. http://www.kff.org/report-section/the-uninsured-a-primer-2013-3-how-and-why-has-the-number-of-uninsured-people-changed/.
Kaiser Commission on Medicaid and the Uninsured, Medicaid in a Historic Time of Transformation: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2013 and 2014. Kaiser Commission on Medicaid and the Uninsured, October 2013. http://www.kff.org/medicaid/report/medicaid-in-a-historic-time-of-transformation-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2013-and-2014/.
Non-Disabled, Non-Elderly Enrollees
Kaiser Commission on Medicaid and the Uninsured, The Uninsured: A Primer – Key Facts about Health Insurance on the Eve of Coverage Expansions. Kaiser Commission on Medicaid and the Uninsured, October 2013. http://www.kff.org/report-section/the-uninsured-a-primer-2013-3-how-and-why-has-the-number-of-uninsured-people-changed/.
Non-Disabled, Non-Elderly Adults
LIHP is comprised of two programs, the Medicaid Coverage Expansion (MCE) group with covers adults up to 133% FPL and the Health Care Coverage Initiative, which covers adults from 133 to 200% FPL. Fifty of the 58 counties were participating in the MCE as of January 2013 while only 5 counties were participating in the HCCI program at that point in time.
Centers for Medicare and Medicaid Services, Partnership Plan Medicaid Section 1115 Demonstration: Special Terms and Conditions. Department of Health and Human Services, April 2013. http://www.health.ny.gov/health_care/managed_care/appextension/docs/special_terms_and_conditions_04_2013.pdf
Retroactive eligibility was also eliminated for non-pregnant, non-disabled parents with incomes between 133 and 150 percent FPL. Kaiser Commission on Medicaid and the Uninsured, Medicaid Today; Preparing for Tomorrow: A Look at State Medicaid Program Spending, Enrollment and Policy Trends. Kaiser Commission on Medicaid and the Uninsured, October 2012. http://www.kff.org/medicaid/report/medicaid-today-preparing-for-tomorrow-a-look-at-state-medicaid-program-spending-enrollment-and-policy-trends-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2012-and-2013/.
Non-Disabled Children
For the purposes of this report, only children who are funded by Title XIX funds are included. Children funded under Title XXI are included in a separate report that looks at trends in CHIP enrollment: Kaiser Commission on Medicaid and the Uninsured, CHIP Enrollment: June 2013 Data Snapshot. Kaiser Commission on Medicaid and the Uninsured, January 2014. www.kff.org/medicaid/issue-brief/chip-enrollment-june-2013-data-snapshot.
Kaiser Commission on Medicaid and the Uninsured, Getting into Gear for 2014: Findings from a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2012-2013. Kaiser Commission on Medicaid and the Uninsured, January 2013. http://www.kff.org/medicaid/report/getting-into-gear-for-2014-findings-from-a-50-state-survey-of-eligibility-enrollment-renewal-and-cost-sharing-policies-in-medicaid-and-chip-2012-2013/.
Centers for Medicare and Medicaid Services, Partnership Plan Medicaid Section 1115 Demonstration: Special Terms and Conditions. Department of Health and Human Services, April 2013. http://www.health.ny.gov/health_care/managed_care/appextension/docs/special_terms_and_conditions_04_2013.pdf
Aged and Disabled
Kaiser Commission on Medicaid and the Uninsured, Medicaid Today; Preparing for Tomorrow: A Look at State Medicaid Program Spending, Enrollment and Policy Trends. Kaiser Commission on Medicaid and the Uninsured, October 2012. http://www.kff.org/medicaid/report/medicaid-today-preparing-for-tomorrow-a-look-at-state-medicaid-program-spending-enrollment-and-policy-trends-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2012-and-2013/.
In both FY 2012 and 2013, Florida also increased the average private pay nursing home rate divisor, in effect reducing the number of penalty months for individuals to receive institutional and HCBS waiver services. Kaiser Commission on Medicaid and the Uninsured, Medicaid in a Historic Time of Transformation: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2013 and 2014. Kaiser Commission on Medicaid and the Uninsured, October 2013. http://www.kff.org/medicaid/report/medicaid-in-a-historic-time-of-transformation-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2013-and-2014/.
Kaiser Commission on Medicaid and the Uninsured, Medicaid Today; Preparing for Tomorrow: A Look at State Medicaid Program Spending, Enrollment and Policy Trends. Kaiser Commission on Medicaid and the Uninsured, October 2012. http://www.kff.org/medicaid/report/medicaid-today-preparing-for-tomorrow-a-look-at-state-medicaid-program-spending-enrollment-and-policy-trends-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2012-and-2013/.
Kaiser Commission on Medicaid and the Uninsured, Medicaid in a Historic Time of Transformation: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2013 and 2014. Kaiser Commission on Medicaid and the Uninsured, October 2013. http://www.kff.org/medicaid/report/medicaid-in-a-historic-time-of-transformation-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2013-and-2014/.
Kaiser Commission on Medicaid and the Uninsured, Medicaid Today; Preparing for Tomorrow: A Look at State Medicaid Program Spending, Enrollment and Policy Trends. Kaiser Commission on Medicaid and the Uninsured, October 2012. http://www.kff.org/medicaid/report/medicaid-today-preparing-for-tomorrow-a-look-at-state-medicaid-program-spending-enrollment-and-policy-trends-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2012-and-2013/.
Previous reports had erroneously included the General Assistance groups in the Families, Children, and Pregnant Women counts; this enrollment group was moved to the Aged and Disabled count in this report for June 2013 and all previous data points.
Conclusion
Kaiser Commission on Medicaid and the Uninsured, Medicaid in a Historic Time of Transformation: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2013 and 2014. Kaiser Commission on Medicaid and the Uninsured, October 2013. http://www.kff.org/medicaid/report/medicaid-in-a-historic-time-of-transformation-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2013-and-2014/.
Appendix B: Adult Expansions
Enrollment into Michigan’s Adult Benefit Waiver program was opened from April 1, 2013 to April 30, 2013. http://www.michigan.gov/documents/mdch/MSA_13-03_411563_7.pdf
Arizona’s enrollment freeze did not violate the MOE provisions enacted under the ACA as the enrollment freeze was enacted as part of a waiver renewal, one of the exceptions to the MOE provisions.
“Status of State Action on the Medicaid Expansion Decision as of December 11, 2013,” Kaiser Family Foundation State Health Facts, accessed December 17, 2013, https://www.kff.org/medicaid/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/.
Center for Medicare and Medicaid Services, Missouri 1115 waiver extension letter, September 27, 2013. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/mo/mo-gateway-to-better-health-ca.pdf.
Center for Medicare and Medicaid Services, Louisiana 1115 waiver extension letter, September 30, 2013. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/la/la-gnoch-ca.pdf.
Center for Medicare and Medicaid Services, Idaho 1115 waiver extension letter, September 24, 2013. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/id/id-childless-adults-ca.pdf.
Center for Medicare and Medicaid Services, Louisiana 1115 waiver extension letter, September 6, 2013. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ok/ok-soonercare-ca.pdf
Center for Medicare and Medicaid Services, Louisiana 1115 waiver extension letter, September 3, 2013. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/in/in-healthy-indiana-plan-ca.pdf
