Medicaid Enrollment Snapshot: December 2013

Issue Brief

1. 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.

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2. State Health Facts, Status of State Action on the Medicaid Expansion Decision, 2014. (Washington, DC: Kaiser Family Foundation, ) downloaded May 27, 2014. https://www.kff.org/medicaid/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/.

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3. Research and Analytic Studies Division, Medi-Cal Statistical Brief: Medi-Cal Monthly Eligibles Trend Report for January 2014. (California: Department of Health Care Services,) 2014. http://www.dhcs.ca.gov/dataandstats/statistics/Documents/RASB_Issue_Brief_Medi-Cal_Eligibles_Trend_Report_for_January_2014%20(Feb%202014).pdf.

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4. Colorado Department of Health Care Policy and Financing, Colorado Medicaid Will Enroll More Childless adults from Waitlist. (Colorado: Colorado State Government,) February 21, 2013. http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251855278811&ssbinary=true.

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5. Colorado Department of Health Care Policy and Financing, Medicaid Expansion Update. (Colorado: Colorado State Government,) December, 16 2013. http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251919771103&ssbinary=true.

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6. Artiga, Samantha. Profiles of Medicaid Outreach and Enrollment Strategies: The Cook County Early Expansion Initiative. (Washington, DC: Kaiser Family Foundation,) April 2014. https://www.kff.org/medicaid/issue-brief/profiles-of-medicaid-outreach-and-enrollment-strategies-the-cook-county-early-expansion-initiative/.

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7. The only exception was a small decline in enrollment in its Family Health Plus program, a long-standing 1115 waiver to extend coverage to adults with income up to 150% FPL; the state reduced eligibility for this program down to 138% FPL in January 2014 and had previously reported plans to use Medicaid funds to help further subsidize coverage for those previously covered under the program purchasing coverage through the state’s Marketplace.

   Vernon Smith, Kathleen Gifford, Eileen Ellis, Robin Rudowitz and Laura Snyder, Medicaid in a Historic Time of Transformation: Results from a 50-State Budget Survey for State Fiscal Years 2013 and 2014. (Washington, DC: Kaiser Family Foundation,) October 2013. https://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/.

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8. According to guidance issued by the state to counties in September 2013 (see below), the new MG category includes the following groups that are normally excluded from counts in this report: children with income between 100 and 133 percent FPL ages 6-18 who were previously eligible under CHIP (also known as stairstep children) and women enrolled in SelectPlan, the state’s family planning waiver. According to the memo, those that have submitted applications on or after October 1, 2013 will be enrolled under the new MG categories; it was not possible at the time of this report to separate out these two groups either reenrolled or newly enrolled from the others in this group.

   Tom Strickler, Director of Bureau Operations. Operations Memorandum #13-09-04: Medicaid Eligibility Rule Changes Under the Affordable Care Act (ACA). (Pennsylvania: Pennsylvania Department of Public Welfare,) September 27, 2013. http://services.dpw.state.pa.us/oimpolicymanuals/manuals/bop/ma/OPS1300904.pdf.

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9. Two states were not able to provide updated CHIP enrollment data for December 2013 – Missouri and North Dakota.

   Vern Smith, Laura Snyder and Robin Rudowitz. CHIP Enrollment Snapshot: December 2013. (Washington, DC: Kaiser Family Foundation,) May 2014.

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10. Medicaid & CHIP: March 2014 Monthly Applications, Eligibility Determinations, and Enrollment Report, (Washington, DC: Centers for Medicare and Medicaid Services,) May 1, 2014. http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/medicaid-moving-forward-2014.html#.

    In calculating these rates of growth, CMS excluded CT, DE, ND, ME and MO as they had not reported complete data for either the baseline period or for March 2014. Also, MI and NH were not included in the calculations for the rate of growth in expansion states as neither state had yet implemented their expansion (MI implemented in April 2014 while NH is planning to implement in July 2014.)

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Methodology

1. See Monthly Medicaid and CHIP reports, Medicaid Moving Forward 2014, Eligibility Data http://medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/medicaid-moving-forward-2014.html#.

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