Medicaid Moving Forward
| Table 1: Medicaid Enrollment by Group, FY 2011 | |||||||||
| State | Total | Aged | Disabled | Adult | Children | ||||
| Number | Number | % | Number | % | Number | % | Number | % | |
| United States | 68,039,600 | 6,411,400 | 9% | 10,055,800 | 15% | 18,639,200 | 27% | 32,931,900 | 48% |
| Alabama | 1,062,400 | 118,000 | 11% | 221,600 | 21% | 182,200 | 17% | 540,600 | 51% |
| Alaska | 138,600 | 9,500 | 7% | 18,000 | 13% | 31,400 | 23% | 79,800 | 58% |
| Arizona | 1,264,400 | 90,000 | 7% | 144,500 | 11% | 461,700 | 37% | 568,200 | 45% |
| Arkansas | 717,800 | 70,600 | 10% | 151,400 | 21% | 114,100 | 16% | 381,800 | 53% |
| California | 11,666,700 | 1,038,300 | 9% | 1,063,600 | 9% | 4,905,800 | 42% | 4,659,100 | 40% |
| Colorado | 745,100 | 51,500 | 7% | 94,900 | 13% | 161,100 | 22% | 437,600 | 59% |
| Connecticut | 786,100 | 108,300 | 14% | 82,000 | 10% | 277,400 | 35% | 318,300 | 40% |
| Delaware | 242,600 | 15,100 | 6% | 26,800 | 11% | 103,800 | 43% | 96,800 | 40% |
| DC | 233,600 | 18,800 | 8% | 38,400 | 16% | 92,400 | 40% | 84,000 | 36% |
| Florida | 3,703,400 | 470,200 | 13% | 573,700 | 15% | 762,000 | 21% | 1,897,500 | 51% |
| Georgia | 1,929,800 | 182,000 | 9% | 315,600 | 16% | 300,500 | 16% | 1,131,700 | 59% |
| Hawaii | 284,100 | 25,800 | 9% | 28,500 | 10% | 109,800 | 39% | 120,000 | 42% |
| Idaho | 271,900 | 19,200 | 7% | 43,700 | 16% | 39,100 | 14% | 169,600 | 62% |
| Illinois | 2,927,600 | 225,200 | 8% | 333,000 | 11% | 797,200 | 27% | 1,572,100 | 54% |
| Indiana | 1,231,700 | 93,000 | 8% | 188,500 | 15% | 252,200 | 20% | 698,100 | 57% |
| Iowa | 598,400 | 44,300 | 7% | 85,000 | 14% | 183,700 | 31% | 285,400 | 48% |
| Kansas | 394,400 | 37,700 | 10% | 77,400 | 20% | 54,900 | 14% | 224,300 | 57% |
| Kentucky | 947,100 | 98,300 | 10% | 242,400 | 26% | 144,600 | 15% | 461,800 | 49% |
| Louisiana | 1,285,400 | 117,100 | 9% | 237,300 | 18% | 252,200 | 20% | 678,800 | 53% |
| Maine | 375,900 | 67,300 | 18% | 75,800 | 20% | 106,800 | 28% | 126,000 | 34% |
| Maryland | 975,400 | 77,000 | 8% | 148,800 | 15% | 271,400 | 28% | 478,200 | 49% |
| Massachusetts | 1,508,900 | 154,900 | 10% | 345,200 | 23% | 618,600 | 41% | 389,400 | 26% |
| Michigan | 2,347,500 | 147,800 | 6% | 380,000 | 16% | 629,700 | 27% | 1,189,900 | 51% |
| Minnesota | 1,104,100 | 99,300 | 9% | 140,000 | 13% | 400,800 | 36% | 464,000 | 42% |
| Mississippi | 781,700 | 90,000 | 12% | 170,800 | 22% | 113,700 | 15% | 407,200 | 52% |
| Missouri | 1,148,800 | 96,300 | 8% | 215,800 | 19% | 234,700 | 20% | 602,000 | 52% |
| Montana | 128,800 | 11,000 | 9% | 21,600 | 17% | 20,500 | 16% | 75,700 | 59% |
| Nebraska | 276,300 | 24,700 | 9% | 40,400 | 15% | 47,500 | 17% | 163,800 | 59% |
| Nevada | 388,200 | 30,800 | 8% | 49,700 | 13% | 75,900 | 20% | 231,800 | 60% |
| New Hampshire | 171,500 | 16,300 | 10% | 31,900 | 19% | 22,700 | 13% | 100,600 | 59% |
| New Jersey | 1,055,900 | 151,400 | 14% | 176,300 | 17% | 141,700 | 13% | 586,500 | 56% |
| New Mexico | 576,100 | 42,800 | 7% | 67,900 | 12% | 115,800 | 20% | 349,600 | 61% |
| New York | 5,818,300 | 644,400 | 11% | 713,600 | 12% | 2,309,900 | 40% | 2,150,400 | 37% |
| North Carolina | 1,953,800 | 187,300 | 10% | 334,200 | 17% | 403,200 | 21% | 1,029,200 | 53% |
| North Dakota | 85,600 | 9,500 | 11% | 12,200 | 14% | 18,100 | 21% | 45,900 | 54% |
| Ohio | 2,247,300 | 179,700 | 8% | 383,000 | 17% | 554,500 | 25% | 1,130,000 | 50% |
| Oklahoma | 856,800 | 66,300 | 8% | 122,500 | 14% | 178,500 | 21% | 489,500 | 57% |
| Oregon | 729,500 | 62,900 | 9% | 103,700 | 14% | 210,200 | 29% | 352,700 | 48% |
| Pennsylvania | 2,531,200 | 251,800 | 10% | 640,800 | 25% | 528,700 | 21% | 1,109,900 | 44% |
| Rhode Island | 212,100 | 26,600 | 13% | 43,000 | 20% | 47,100 | 22% | 95,400 | 45% |
| South Carolina | 964,800 | 85,600 | 9% | 163,100 | 17% | 218,400 | 23% | 497,700 | 52% |
| South Dakota | 137,000 | 13,000 | 9% | 19,600 | 14% | 23,000 | 17% | 81,400 | 59% |
| Tennessee | 1,543,600 | 146,200 | 9% | 275,200 | 18% | 317,200 | 21% | 805,000 | 52% |
| Texas | 4,844,300 | 447,300 | 9% | 636,000 | 13% | 636,300 | 13% | 3,124,700 | 65% |
| Utah | 349,600 | 15,200 | 4% | 41,600 | 12% | 88,000 | 25% | 204,800 | 59% |
| Vermont | 200,000 | 22,300 | 11% | 25,700 | 13% | 83,200 | 42% | 68,800 | 34% |
| Virginia | 1,072,100 | 112,900 | 11% | 186,400 | 17% | 178,500 | 17% | 594,400 | 55% |
| Washington | 1,397,000 | 100,300 | 7% | 213,600 | 15% | 289,700 | 21% | 793,400 | 57% |
| West Virginia | 438,500 | 43,400 | 10% | 123,400 | 28% | 63,900 | 15% | 207,900 | 47% |
| Wisconsin | 1,298,700 | 148,200 | 11% | 175,900 | 14% | 451,800 | 35% | 522,600 | 40% |
| Wyoming | 89,100 | 6,000 | 7% | 11,700 | 13% | 13,300 | 15% | 58,100 | 65% |
| SOURCE: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2011 MSIS. Because 2011 data were unavailable, 2010 MSIS data were used for Florida, Kansas, Maine, Maryland, Montana, New Mexico, New Jersey, Oklahoma, Texas, and Utah. For more detailed data notes, see: https://www.kff.org/medicaid/state-indicator/distribution-of-medicaid-enrollees-by-enrollment-group/ | |||||||||
| Table 2: Medicaid and CHIP Income Eligibility Limits for Children as a Percent of Federal Poverty Level (FPL), January 2015 | |||||||||
| State | Upper Income Eligibility Limit | Medicaid Ages 0-1 | Medicaid Ages 1-5 | Medicaid Ages 6-18 | Separate CHIP Ages 0-18 |
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| Medicaid Funding | CHIP Funding | Medicaid Funding | CHIP Funding | Medicaid Funding | CHIPFunding | ||||
| Alabama | 317% | 146% | 146% | 105% | 146% | 317% | |||
| Alaska | 208% | 182% | 208% | 182% | 208% | 182% | 208% | ||
| Arizona | 200% (closed) | 152% | 146% | 109% | 138% | 200% (closed) | |||
| Arkansas | 216% | 147% | 216% | 147% | 216% | 112% | 216% | ||
| California | 266% | 213% | 266% | 147% | 266% | 138% | 266% | ||
| Colorado | 265% | 147% | 147% | 113% | 147% | 265% | |||
| Connecticut | 323% | 201% | 201% | 201% | 323% | ||||
| Delaware | 217% | 199% | 217% | 147% | 105% | 138% | 217% | ||
| DC | 324% | 211% | 324% | 151% | 324% | 117% | 324% | ||
| Florida | 215% | 197% | 211% | 145% | 117% | 138% | 215% | ||
| Georgia | 252% | 210% | 154% | 118% | 138% | 252% | |||
| Hawaii | 313% | 196% | 313% | 144% | 313% | 138% | 313% | ||
| Idaho | 190% | 147% | 147% | 138% | 155% | 190% | |||
| Illinois | 318% | 147% | 113% | 147% | 113% | 147% | 318% | ||
| Indiana | 255% | 213% | 146% | 163% | 111% | 163% | 255% | ||
| Iowa | 380% | 245% | 380% | 172% | 127% | 172% | 307% | ||
| Kansas | 247% | 171% | 154% | 118% | 138% | 247% | |||
| Kentucky | 218% | 200% | 147% | 164% | 147% | 164% | 218% | ||
| Louisiana | 255% | 147% | 217% | 147% | 217% | 147% | 217% | 255% | |
| Maine | 213% | 196% | 162% | 162% | 213% | ||||
| Maryland | 322% | 199% | 322% | 138% | 322% | 138% | 322% | ||
| Massachusetts | 305% | 190% | 205% | 138% | 155% | 119% | 155% | 305% | |
| Michigan | 217% | 200% | 148% | 165% | 115% | 165% | 217% | ||
| Minnesota | 288% | 280% | 288% | 280% | 280% | ||||
| Mississippi | 214% | 199% | 148% | 112% | 138% | 214% | |||
| Missouri | 305% | 201% | 153% | 153% | 155% | 305% | |||
| Montana | 266% | 148% | 148% | 148% | 266% | ||||
| Nebraska | 218% | 167% | 218% | 150% | 218% | 138% | 218% | ||
| Nevada | 205% | 165% | 165% | 127% | 138% | 205% | |||
| New Hampshire | 323% | 201% | 323% | 201% | 323% | 201% | 323% | ||
| New Jersey | 355% | 199% | 147% | 112% | 147% | 355% | |||
| New Mexico | 305% | 245% | 305% | 245% | 305% | 195% | 245% | ||
| New York | 405% | 223% | 154% | 115% | 154% | 405% | |||
| North Carolina | 216% | 199% | 215% | 146% | 215% | 112% | 138% | 216% | |
| North Dakota | 175% | 152% | 152% | 116% | 138% | 175% | |||
| Ohio | 211% | 161% | 211% | 161% | 211% | 161% | 211% | ||
| Oklahoma | 210% | 174% | 210% | 156% | 210% | 120% | 210% | ||
| Oregon | 305% | 190% | 138% | 105% | 138% | 305% | |||
| Pennsylvania | 319% | 220% | 162% | 124% | 138% | 319% | |||
| Rhode Island | 266% | 195% | 266% | 147% | 266% | 114% | 266% | ||
| South Carolina | 213% | 199% | 213% | 148% | 213% | 138% | 213% | ||
| South Dakota | 209% | 152% | 187% | 145% | 187% | 116% | 187% | 209% | |
| Tennessee | 255% | 200% | 147% | 138% | 255% | ||||
| Texas | 206% | 203% | 149% | 114% | 138% | 206% | |||
| Utah | 205% | 144% | 144% | 110% | 138% | 205% | |||
| Vermont | 317% | 242% | 317% | 242% | 317% | 242% | 317% | ||
| Virginia | 205% | 148% | 148% | 114% | 148% | 205% | |||
| Washington | 317% | 215% | 215% | 215% | 317% | ||||
| West Virginia | 305% | 163% | 146% | 113% | 138% | 305% | |||
| Wisconsin | 306% | 306% | 191% | 138% | 156% | 306% | |||
| Wyoming | 205% | 159% | 159% | 124% | 138% | 205% | |||
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NOTES: Eligibility levels are based on the 2014 federal poverty level (FPL) for a family of three, and reflect MAGI-converted income standards and an income disregard equal to five percentage points of the FPL.
SOURCE: Based on a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured with the Georgetown University Center for Children and Families, 2015, available at https://www.kff.org/medicaid/report/modern-era-medicaid-findings-from-a-50-state-survey-of-eligibility-enrollment-renewal-and-cost-sharing-policies-in-medicaid-and-chip-as-of-january-2015/
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| Table 3: Medicaid Income Eligibility Limits for Pregnant Women and Other Adults as a Percent of Federal Poverty Level (FPL), January 2015 | |||
| State | Pregnant Women | Parents with Dependent Children | Childless Adults |
| Alabama | 146% | 18% | 0% |
| Alaska | 205% | 146% | 0% |
| Arizona | 161% | 138% | 138% |
| Arkansas | 214% | 138% | 138% |
| California | 213% | 138% | 138% |
| Colorado | 200% | 138% | 138% |
| Connecticut | 263% | 201% | 138% |
| Delaware | 217% | 138% | 138% |
| DC | 211% | 221% | 215% |
| Florida | 196% | 34% | 0% |
| Georgia | 225% | 38% | 0% |
| Hawaii | 196% | 138% | 138% |
| Idaho | 138% | 27% | 0% |
| Illinois | 213% | 138% | 138% |
| Indiana | 213% | 24% | 0% |
| Iowa | 380% | 138% | 138% |
| Kansas | 171% | 38% | 0% |
| Kentucky | 200% | 138% | 138% |
| Louisiana | 138% | 24% | 0% |
| Maine | 214% | 105% | 0% |
| Maryland | 264% | 138% | 138% |
| Massachusetts | 205% | 138% | 138% |
| Michigan | 200% | 138% | 138% |
| Minnesota | 283% | 138% | 138% |
| Mississippi | 199% | 28% | 0% |
| Missouri | 201% | 23% | 0% |
| Montana | 162% | 51% | 0% |
| Nebraska | 199% | 55% | 0% |
| Nevada | 165% | 138% | 138% |
| New Hampshire | 201% | 138% | 138% |
| New Jersey | 199% | 138% | 138% |
| New Mexico | 255% | 138% | 138% |
| New York | 223% | 138% | 138% |
| North Carolina | 201% | 45% | 0% |
| North Dakota | 152% | 138% | 138% |
| Ohio | 205% | 138% | 138% |
| Oklahoma | 138% | 46% | 0% |
| Oregon | 190% | 138% | 138% |
| Pennsylvania | 220% | 138% | 138% |
| Rhode Island | 195% | 138% | 138% |
| South Carolina | 199% | 67% | 0% |
| South Dakota | 138% | 53% | 0% |
| Tennessee | 200% | 103% | 0% |
| Texas | 203% | 19% | 0% |
| Utah | 144% | 46% | 0% |
| Vermont | 213% | 138% | 138% |
| Virginia | 148% | 45% | 0% |
| Washington | 198% | 138% | 138% |
| West Virginia | 163% | 138% | 138% |
| Wisconsin | 306% | 100% | 100% |
| Wyoming | 159% | 58% | 0% |
|
NOTES: Eligibility levels are based on the 2014 federal poverty level (FPL) for a family of three for parents of dependent children, and for an individual for childless adults. Income eligibility limits reflect MAGI-converted income standards and an income disregard equal to five percentage points of the FPL.
SOURCE: Based on a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured with the Georgetown University Center for Children and Families, 2015, available at https://www.kff.org/medicaid/report/modern-era-medicaid-findings-from-a-50-state-survey-of-eligibility-enrollment-renewal-and-cost-sharing-policies-in-medicaid-and-chip-as-of-january-2015/. Data updated to reflect state Medicaid expansion decisions as of February, 2015.
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| Table 4: Medicaid Spending by Group (in $ millions), FY 2011 | ||||||||||
| State | Total | Aged | Disabled | Adult | Children | |||||
| $ | $ | % | $ | % | $ | % | $ | % | ||
| United States | $397,635 | $85,355 | 21% | $168,817 | 42% | $61,059 | 15% | $82,401 | 21% | |
| Alabama | $4,367 | $987 | 23% | $1,770 | 41% | $441 | 10% | $1,170 | 27% | |
| Alaska | $1,313 | $220 | 17% | $513 | 39% | $203 | 15% | $377 | 29% | |
| Arizona | $8,878 | $1,136 | 13% | $3,170 | 36% | $2,830 | 32% | $1,741 | 20% | |
| Arkansas | $3,779 | $918 | 24% | $1,750 | 46% | $187 | 5% | $924 | 24% | |
| California | $52,129 | $12,199 | 23% | $21,385 | 41% | $7,770 | 15% | $10,775 | 21% | |
| Colorado | $4,231 | $873 | 21% | $1,803 | 43% | $570 | 13% | $984 | 23% | |
| Connecticut | $5,868 | $1,587 | 27% | $2,015 | 34% | $1,260 | 21% | $1,006 | 17% | |
| Delaware | $1,443 | $204 | 14% | $455 | 32% | $503 | 35% | $282 | 20% | |
| DC | $2,073 | $383 | 18% | $1,035 | 50% | $417 | 20% | $238 | 11% | |
| Florida | $17,257 | $4,136 | 24% | $7,316 | 42% | $2,338 | 14% | $3,467 | 20% | |
| Georgia | $7,703 | $1,384 | 18% | $2,769 | 36% | $1,254 | 16% | $2,296 | 30% | |
| Hawaii | $1,545 | $425 | 27% | $459 | 30% | $413 | 27% | $247 | 16% | |
| Idaho | $1,550 | $198 | 13% | $808 | 52% | $200 | 13% | $343 | 22% | |
| Illinois | $13,108 | $2,236 | 17% | $5,227 | 40% | $2,308 | 18% | $3,338 | 25% | |
| Indiana | $6,473 | $1,394 | 22% | $2,876 | 44% | $904 | 14% | $1,300 | 20% | |
| Iowa | $3,286 | $702 | 21% | $1,606 | 49% | $376 | 11% | $601 | 18% | |
| Kansas | $2,621 | $573 | 22% | $1,271 | 48% | $228 | 9% | $549 | 21% | |
| Kentucky | $5,623 | $944 | 17% | $2,611 | 46% | $723 | 13% | $1,345 | 24% | |
| Louisiana | $6,259 | $1,009 | 16% | $3,096 | 49% | $733 | 12% | $1,420 | 23% | |
| Maine | $2,234 | $582 | 26% | $1,085 | 49% | $243 | 11% | $325 | 15% | |
| Maryland | $7,400 | $1,331 | 18% | $3,359 | 45% | $1,258 | 17% | $1,452 | 20% | |
| Massachusetts | $13,153 | $3,274 | 25% | $5,798 | 44% | $2,538 | 19% | $1,540 | 12% | |
| Michigan | $11,895 | $2,277 | 19% | $5,409 | 45% | $1,935 | 16% | $2,274 | 19% | |
| Minnesota | $8,287 | $1,694 | 20% | $3,581 | 43% | $1,426 | 17% | $1,586 | 19% | |
| Mississippi | $4,170 | $931 | 22% | $1,785 | 43% | $464 | 11% | $989 | 24% | |
| Missouri | $7,454 | $1,416 | 19% | $3,540 | 47% | $705 | 9% | $1,793 | 24% | |
| Montana | $949 | $256 | 27% | $363 | 38% | $100 | 10% | $231 | 24% | |
| Nebraska | $1,592 | $365 | 23% | $703 | 44% | $190 | 12% | $334 | 21% | |
| Nevada | $1,447 | $221 | 15% | $596 | 41% | $181 | 12% | $450 | 31% | |
| New Hampshire | $1,244 | $299 | 24% | $536 | 43% | $83 | 7% | $326 | 26% | |
| New Jersey | $9,222 | $2,730 | 30% | $4,057 | 44% | $738 | 8% | $1,698 | 18% | |
| New Mexico | $3,286 | N/A | N/A | $1,035 | 31% | $629 | 19% | $1,549 | 47% | |
| New York | $51,788 | $13,932 | 27% | $21,565 | 42% | $10,616 | 20% | $5,675 | 11% | |
| North Carolina | $10,211 | $1,715 | 17% | $4,616 | 45% | $1,446 | 14% | $2,435 | 24% | |
| North Dakota | $714 | $226 | 32% | $305 | 43% | $66 | 9% | $116 | 16% | |
| Ohio | $15,406 | $3,569 | 23% | $7,110 | 46% | $2,342 | 15% | $2,385 | 15% | |
| Oklahoma | $4,231 | $661 | 16% | $1,736 | 41% | $563 | 13% | $1,271 | 30% | |
| Oregon | $4,310 | $983 | 23% | $1,543 | 36% | $1,064 | 25% | $720 | 17% | |
| Pennsylvania | $19,773 | $4,397 | 22% | $9,950 | 50% | $1,884 | 10% | $3,542 | 18% | |
| Rhode Island | $1,961 | $368 | 19% | $886 | 45% | $270 | 14% | $437 | 22% | |
| South Carolina | $4,636 | $885 | 19% | $1,968 | 42% | $783 | 17% | $1,000 | 22% | |
| South Dakota | $751 | $142 | 19% | $309 | 41% | $97 | 13% | $204 | 27% | |
| Tennessee | $7,957 | $1,257 | 16% | $3,214 | 40% | $1,501 | 19% | $1,986 | 25% | |
| Texas | $27,011 | $4,492 | 17% | $10,204 | 38% | $2,222 | 8% | $10,093 | 37% | |
| Utah | $1,795 | $178 | 10% | $851 | 47% | $272 | 15% | $493 | 27% | |
| Vermont | $1,258 | $143 | 11% | $388 | 31% | $370 | 29% | $357 | 28% | |
| Virginia | $6,673 | $1,292 | 19% | $2,990 | 45% | $787 | 12% | $1,604 | 24% | |
| Washington | $6,975 | $1,217 | 17% | $3,022 | 43% | $1,071 | 15% | $1,665 | 24% | |
| West Virginia | $2,769 | $614 | 22% | $1,361 | 49% | $274 | 10% | $521 | 19% | |
| Wisconsin | $7,031 | $2,204 | 31% | $2,760 | 39% | $1,234 | 18% | $833 | 12% | |
| Wyoming | $544 | $125 | 23% | $254 | 47% | $51 | 9% | $113 | 21% | |
| SOURCE: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2011 MSIS and CMS-64 reports. For more detailed data notes, see: https://www.kff.org/medicaid/state-indicator/medicaid-spending-by-enrollment-group/ | ||||||||||
| Table 5: Medicaid Spending Per Enrollee by Group, FY 2011 | |||||
| State | Total | Aged | Disabled | Adult | Children |
| United States | $5,790 | $13,249 | $16,643 | $3,247 | $2,463 |
| Alabama | $4,111 | $8,358 | $7,989 | $2,420 | $2,163 |
| Alaska | $9,474 | $23,321 | $28,554 | $6,467 | $4,720 |
| Arizona | $7,022 | $12,628 | $21,940 | $6,131 | $3,064 |
| Arkansas | $5,264 | $12,994 | $11,564 | $1,638 | $2,420 |
| California | $4,468 | $11,749 | $20,106 | $1,584 | $2,313 |
| Colorado | $5,679 | $16,943 | $19,008 | $3,539 | $2,250 |
| Connecticut | $7,465 | $14,652 | $24,567 | $4,541 | $3,161 |
| Delaware | $5,949 | $13,439 | $16,968 | $4,843 | $2,909 |
| DC | $8,875 | $20,430 | $26,958 | $4,506 | $2,837 |
| Florida | $4,434 | $8,532 | $12,130 | $2,880 | $1,716 |
| Georgia | $3,992 | $7,604 | $8,775 | $4,174 | $2,028 |
| Hawaii | $5,438 | $16,432 | $16,128 | $3,765 | $2,062 |
| Idaho | $5,700 | $10,324 | $18,510 | $5,098 | $2,025 |
| Illinois | $4,477 | $9,926 | $15,696 | $2,895 | $2,123 |
| Indiana | $5,256 | $14,991 | $15,255 | $3,585 | $1,862 |
| Iowa | $5,491 | $15,865 | $18,893 | $2,048 | $2,106 |
| Kansas | $5,996 | $13,643 | $14,829 | $3,745 | $2,212 |
| Kentucky | $5,937 | $9,607 | $10,769 | $5,000 | $2,913 |
| Louisiana | $4,869 | $8,616 | $13,049 | $2,907 | $2,092 |
| Maine | $5,968 | $8,932 | $14,386 | $2,189 | $2,526 |
| Maryland | $7,046 | $16,591 | $20,962 | $4,231 | $2,778 |
| Massachusetts | $8,717 | $21,129 | $16,798 | $4,103 | $3,956 |
| Michigan | $5,067 | $15,403 | $14,234 | $3,073 | $1,911 |
| Minnesota | $7,506 | $17,053 | $25,573 | $3,557 | $3,419 |
| Mississippi | $5,335 | $10,347 | $10,450 | $4,084 | $2,430 |
| Missouri | $6,488 | $14,706 | $16,401 | $3,005 | $2,978 |
| Montana | $7,140 | $22,543 | $16,226 | $4,707 | $2,958 |
| Nebraska | $5,763 | $14,794 | $17,413 | $3,996 | $2,041 |
| Nevada | $3,728 | $7,169 | $11,991 | $2,379 | $1,942 |
| New Hampshire | $7,254 | $18,341 | $16,771 | $3,662 | $3,243 |
| New Jersey | $8,309 | $17,646 | $22,124 | $4,687 | $2,621 |
| New Mexico | $5,803 | N/A | $15,234 | $5,565 | $4,551 |
| New York | $8,901 | $21,620 | $30,221 | $4,596 | $2,639 |
| North Carolina | $5,226 | $9,157 | $13,810 | $3,587 | $2,366 |
| North Dakota | $8,338 | $23,810 | $25,136 | $3,651 | $2,536 |
| Ohio | $6,855 | $19,858 | $18,565 | $4,223 | $2,110 |
| Oklahoma | $4,782 | $10,085 | $13,820 | $2,973 | $2,462 |
| Oregon | $5,908 | $15,626 | $14,878 | $5,064 | $2,041 |
| Pennsylvania | $7,811 | $17,462 | $15,526 | $3,564 | $3,191 |
| Rhode Island | $9,247 | $13,820 | $20,601 | $5,741 | $4,585 |
| South Carolina | $4,805 | $10,346 | $12,068 | $3,583 | $2,009 |
| South Dakota | $5,485 | $10,916 | $15,759 | $4,213 | $2,502 |
| Tennessee | $5,155 | $8,595 | $11,679 | $4,731 | $2,467 |
| Texas | $5,278 | $9,751 | $15,259 | $3,263 | $3,016 |
| Utah | $4,890 | $11,624 | $19,597 | $2,889 | $2,261 |
| Vermont | $6,291 | $6,405 | $15,081 | $4,449 | $5,193 |
| Virginia | $6,224 | $11,447 | $16,042 | $4,411 | $2,698 |
| Washington | $4,993 | $12,140 | $14,147 | $3,696 | $2,099 |
| West Virginia | $6,315 | $14,155 | $11,031 | $4,283 | $2,506 |
| Wisconsin | $5,414 | $14,866 | $15,693 | $2,731 | $1,594 |
| Wyoming | $6,110 | $20,726 | $21,700 | $3,877 | $1,954 |
| SOURCE: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2011 MSIS and CMS-64 reports. For more detailed data notes, see: https://www.kff.org/medicaid/state-indicator/medicaid-spending-per-enrollee/ | |||||
| Table 6: Medicaid Spending by Type of Service (in $ millions), FY 2013 | |||||||
| State | Total | Acute Care | Long-Term Care | DSH Payments | |||
| $ | $ | % | $ | % | $ | % | |
| United States | $438,233 | $298,840 | 68% | $123,016 | 28% | $16,377 | 4% |
| Alabama | $5,039 | $3,135 | 62% | $1,432 | 28% | $471 | 9% |
| Alaska | $1,356 | $815 | 60% | $520 | 38% | $22 | 2% |
| Arizona | $8,438 | $8,219 | 97% | $45 | 1% | $173 | 2% |
| Arkansas | $4,207 | $2,703 | 64% | $1,443 | 34% | $61 | 1% |
| California | $61,904 | $45,018 | 73% | $14,766 | 24% | $2,120 | 3% |
| Colorado | $5,092 | $3,332 | 65% | $1,566 | 31% | $194 | 4% |
| Connecticut | $6,726 | $3,469 | 52% | $2,983 | 44% | $273 | 4% |
| Delaware | $1,563 | $1,418 | 91% | $133 | 9% | $11 | 1% |
| DC | $2,288 | $1,449 | 63% | $782 | 34% | $56 | 2% |
| Florida | $18,561 | $13,499 | 73% | $4,727 | 25% | $335 | 2% |
| Georgia | $8,960 | $6,203 | 69% | $2,327 | 26% | $430 | 5% |
| Hawaii | $1,630 | $1,489 | 91% | $117 | 7% | $25 | 2% |
| Idaho | $1,672 | $1,092 | 65% | $556 | 33% | $24 | 1% |
| Illinois | $15,658 | $10,640 | 68% | $4,571 | 29% | $447 | 3% |
| Indiana | $7,968 | $4,703 | 59% | $2,927 | 37% | $338 | 4% |
| Iowa | $3,709 | $1,984 | 53% | $1,670 | 45% | $55 | 1% |
| Kansas | $2,578 | $1,863 | 72% | $639 | 25% | $77 | 3% |
| Kentucky | $5,822 | $3,970 | 68% | $1,636 | 28% | $216 | 4% |
| Louisiana | $7,147 | $4,199 | 59% | $2,181 | 31% | $767 | 11% |
| Maine | $2,887 | $2,013 | 70% | $837 | 29% | $37 | 1% |
| Maryland | $7,781 | $5,373 | 69% | $2,274 | 29% | $134 | 2% |
| Massachusetts | $13,166 | $9,340 | 71% | $3,827 | 29% | $0 | 0% |
| Michigan | $12,386 | $9,239 | 75% | $2,760 | 22% | $388 | 3% |
| Minnesota | $8,919 | $5,681 | 64% | $3,191 | 36% | $46 | 1% |
| Mississippi | $4,736 | $3,099 | 65% | $1,419 | 30% | $218 | 5% |
| Missouri | $8,951 | $5,962 | 67% | $2,286 | 26% | $703 | 8% |
| Montana | $1,007 | $614 | 61% | $376 | 37% | $18 | 2% |
| Nebraska | $1,834 | $1,015 | 55% | $773 | 42% | $45 | 2% |
| Nevada | $1,823 | $1,325 | 73% | $417 | 23% | $81 | 4% |
| New Hampshire | $1,203 | $576 | 48% | $585 | 49% | $41 | 3% |
| New Jersey | $10,606 | $5,648 | 53% | $3,659 | 35% | $1,298 | 12% |
| New Mexico | $3,295 | $2,914 | 88% | $356 | 11% | $25 | 1% |
| New York | $54,420 | $32,358 | 59% | $18,640 | 34% | $3,423 | 6% |
| North Carolina | $11,915 | $8,999 | 76% | $2,299 | 19% | $617 | 5% |
| North Dakota | $784 | $298 | 38% | $485 | 62% | $1 | 0% |
| Ohio | $16,803 | $10,056 | 60% | $6,098 | 36% | $649 | 4% |
| Oklahoma | $4,796 | $3,497 | 73% | $1,257 | 26% | $42 | 1% |
| Oregon | $5,111 | $3,541 | 69% | $1,493 | 29% | $77 | 1% |
| Pennsylvania | $21,092 | $12,489 | 59% | $7,755 | 37% | $847 | 4% |
| Rhode Island | $1,920 | $1,443 | 75% | $348 | 18% | $130 | 7% |
| South Carolina | $4,907 | $3,258 | 66% | $1,191 | 24% | $457 | 9% |
| South Dakota | $766 | $465 | 61% | $300 | 39% | $1 | 0% |
| Tennessee | $8,716 | $7,652 | 88% | $984 | 11% | $80 | 1% |
| Texas | $28,339 | $22,518 | 79% | $5,594 | 20% | $227 | 1% |
| Utah | $2,130 | $1,631 | 77% | $470 | 22% | $29 | 1% |
| Vermont | $1,474 | $1,312 | 89% | $124 | 8% | $37 | 3% |
| Virginia | $7,291 | $4,592 | 63% | $2,513 | 34% | $186 | 3% |
| Washington | $8,171 | $5,497 | 67% | $2,308 | 28% | $367 | 4% |
| West Virginia | $3,024 | $1,680 | 56% | $1,269 | 42% | $75 | 2% |
| Wisconsin | $7,106 | $5,264 | 74% | $1,841 | 26% | $1 | 0% |
| Wyoming | $554 | $288 | 52% | $265 | 48% | $0 | 0% |
|
NOTES: Expenditures do not include administrative costs, accounting adjustments, or the U.S. Territories. Total Medicaid spending including these factors was $456.0 billion in FY 2013. “DSH” refers to disproportionate share hospital payments. For more detailed data notes, see https://www.kff.org/medicaid/state-indicator/distribution-of-medicaid-spending-by-service/
SOURCE: Urban Institute estimates based on data from CMS-64 reports.
|
|||||||
| Table 7: Federal Medical Assistance Percentages (FMAP), FY 2011-2015 | ||||||
| State | FY 2011 | FY 2012 | FY2013 | FY2014 | FY2015 | Federal Funds Sent to State per Dollar of State Medicaid Spending, FY 2015 |
| Alabama | 68.50% | 68.60% | 68.50% | 68.12% | 68.99% | $2.22 |
| Alaska | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| Arizona | 65.90% | 67.30% | 65.70% | 67.23% | 68.46% | $2.17 |
| Arkansas | 71.40% | 70.70% | 70.20% | 70.10% | 70.88% | $2.43 |
| California | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| Colorado | 50.00% | 50.00% | 50.00% | 50.00% | 51.01% | $1.04 |
| Connecticut | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| Delaware | 53.20% | 54.20% | 55.70% | 55.31% | 53.63% | $1.16 |
| DC | 70.00% | 70.00% | 70.00% | 70.00% | 70.00% | $2.33 |
| Florida | 55.50% | 56.00% | 58.10% | 58.79% | 59.72% | $1.48 |
| Georgia | 65.30% | 66.20% | 65.60% | 65.93% | 66.94% | $2.02 |
| Hawaii | 51.80% | 50.50% | 51.90% | 51.85% | 52.23% | $1.09 |
| Idaho | 68.90% | 70.20% | 71.00% | 71.64% | 71.75% | $2.54 |
| Illinois | 50.20% | 50.00% | 50.00% | 50.00% | 50.76% | $1.03 |
| Indiana | 66.50% | 67.00% | 67.20% | 66.92% | 66.52% | $1.99 |
| Iowa | 62.60% | 60.70% | 59.60% | 57.93% | 55.54% | $1.25 |
| Kansas | 59.10% | 56.90% | 56.50% | 56.91% | 56.63% | $1.31 |
| Kentucky | 71.50% | 71.20% | 70.60% | 69.83% | 69.94% | $2.33 |
| Louisiana | 63.60% | 61.10% | 61.20% | 60.98% | 62.05% | $1.64 |
| Maine | 63.80% | 63.30% | 62.60% | 61.55% | 61.88% | $1.62 |
| Maryland | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| Massachusetts | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| Michigan | 65.80% | 66.10% | 66.40% | 66.32% | 65.54% | $1.90 |
| Minnesota | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| Mississippi | 74.70% | 74.20% | 73.40% | 73.05% | 73.58% | $2.79 |
| Missouri | 63.30% | 63.50% | 61.40% | 62.03% | 63.45% | $1.74 |
| Montana | 66.80% | 66.10% | 66.00% | 66.33% | 65.90% | $1.93 |
| Nebraska | 58.40% | 56.60% | 55.80% | 54.74% | 53.27% | $1.14 |
| Nevada | 51.60% | 56.20% | 59.70% | 63.10% | 64.36% | $1.81 |
| New Hampshire | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| New Jersey | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| New Mexico | 69.80% | 69.40% | 69.10% | 69.20% | 69.65% | $2.29 |
| New York | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| North Carolina | 64.70% | 65.30% | 65.50% | 65.78% | 65.88% | $1.93 |
| North Dakota | 60.40% | 55.40% | 52.30% | 50.00% | 50.00% | $1.00 |
| Ohio | 63.70% | 64.20% | 63.60% | 63.02% | 62.64% | $1.68 |
| Oklahoma | 64.90% | 63.90% | 64.00% | 64.02% | 62.30% | $1.65 |
| Oregon | 62.90% | 62.90% | 62.40% | 63.14% | 64.06% | $1.78 |
| Pennsylvania | 55.60% | 55.10% | 54.30% | 53.52% | 51.82% | $1.08 |
| Rhode Island | 53.00% | 52.10% | 51.30% | 50.11% | 50.00% | $1.00 |
| South Carolina | 70.00% | 70.20% | 70.40% | 70.57% | 70.64% | $2.41 |
| South Dakota | 61.30% | 59.10% | 56.20% | 53.54% | 51.64% | $1.07 |
| Tennessee | 65.90% | 66.40% | 66.10% | 65.29% | 64.99% | $1.86 |
| Texas | 60.60% | 58.20% | 59.30% | 58.69% | 58.05% | $1.38 |
| Utah | 71.10% | 71.00% | 69.60% | 70.34% | 70.56% | $2.40 |
| Vermont | 58.70% | 57.60% | 56.00% | 55.11% | 54.01% | $1.17 |
| Virginia | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
| Washington | 50.00% | 50.00% | 50.00% | 50.00% | 50.03% | $1.00 |
| West Virginia | 73.20% | 72.60% | 72.00% | 71.09% | 71.35% | $2.49 |
| Wisconsin | 60.20% | 60.50% | 59.70% | 59.06% | 58.27% | $1.40 |
| Wyoming | 50.00% | 50.00% | 50.00% | 50.00% | 50.00% | $1.00 |
|
NOTES: FMAPs displayed here apply to spending associated with beneficiaries who qualify for Medicaid under pre-ACA eligibility criteria. The FMAP for spending associated with newly eligible adults is 100% through FY 2016, declining gradually to 90% by 2020. For more detailed data notes, see: https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/
SOURCE: Kaiser Commission on Medicaid and the Uninsured calculations based on FY 2011‐2015 FMAPs published in the Federal Register as follows: FY 2011 FMAP – Vol. 76, No. 107, pp. 32204‐32207; FY 2012 FMAP – Vol. 75, No. 217, pp. 69082‐69084; FY 2013 FMAP – Vol. 76, No. 230, pp. 74061‐74063; FY 2014 FMAP – Vol. 77, No. 23, pp 71420-71423; FY 2015 FMAP – Vol. 79, No. 13, pp.3385-3388.
|
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| Table 8: Selected Measures of Health Need among Adults | ||||||
| State | Uninsured Adults <100% FPL1 |
% Adults with | % of Population Living in Primary CareHPSAs5 |
|||
| Number | % | Disabilities2 | Diabetes3 | Poor Mental Health4 | ||
| United States | 25,694,900 | 37% | 10.1% | 6.2% | 33.7% | 19.2% |
| Alabama | 415,300 | 47% | 14.9% | 11.1% | 34.8% | 37.0% |
| Alaska | 39,800 | N/A | 10.4% | 6.3% | 32.7% | 17.5% |
| Arizona | 733,900 | 43% | 9.8% | 8.1% | 35.2% | 42.2% |
| Arkansas | 275,600 | 42% | 15.3% | 9.2% | 35.9% | 12.3% |
| California | 3,221,300 | 37% | 7.8% | 8.9% | 36.8% | 16.1% |
| Colorado | 322,400 | 36% | 8.4% | 6.0% | 35.3% | 17.7% |
| Connecticut | 239,000 | 28% | 8.2% | 6.4% | 34.9% | 11.0% |
| Delaware | 64,700 | 13% | 10.4% | 7.7% | 32.9% | 22.6% |
| DC | 81,600 | 13% | 9.7% | 8.0% | 37.3% | 38.7% |
| Florida | 1,690,800 | 46% | 9.9% | 8.7% | 34.2% | 24.1% |
| Georgia | 848,600 | 45% | 10.5% | 9.8% | 31.6% | 20.8% |
| Hawaii | 93,900 | 20% | 8.2% | 7.8% | 27.5% | 3.5% |
| Idaho | 123,400 | 38% | 11.0% | 7.7% | 36.7% | 29.9% |
| Illinois | 985,800 | 34% | 8.5% | 8.2% | 38.5% | 27.0% |
| Indiana | 431,800 | 28% | 10.8% | 9.1% | 36.2% | 25.8% |
| Iowa | 189,400 | 37% | 9.6% | 6.9% | 29.6% | 21.4% |
| Kansas | 196,900 | 35% | 10.8% | 8.0% | 30.0% | 23.3% |
| Kentucky | 480,700 | 39% | 15.3% | 10.1% | 37.0% | 18.6% |
| Louisiana | 455,500 | 36% | 13.5% | 10.3% | 34.7% | 43.3% |
| Maine | 94,700 | 21% | 13.6% | 7.4% | 34.2% | 6.6% |
| Maryland | 331,300 | 27% | 8.2% | 8.9% | 33.0% | 17.9% |
| Massachusetts | 494,900 | N/A | 8.9% | 7.2% | 35.8% | 7.3% |
| Michigan | 886,900 | 33% | 11.6% | 9.2% | 35.9% | 17.3% |
| Minnesota | 400,400 | 23% | 8.2% | 6.2% | 30.1% | 7.3% |
| Mississippi | 376,800 | 33% | 15.3% | 11.3% | 32.7% | 57.7% |
| Missouri | 482,800 | 40% | 12.6% | 8.0% | 32.3% | 27.5% |
| Montana | 82,100 | N/A | 10.3% | 6.2% | 32.1% | 26.0% |
| Nebraska | 107,800 | 36% | 8.2% | 7.1% | 30.4% | 1.6% |
| Nevada | 269,500 | 59% | 10.3% | 8.1% | 33.4% | 18.7% |
| New Hampshire | 67,700 | 37% | 9.6% | 7.0% | 32.9% | 3.7% |
| New Jersey | 542,000 | 35% | 7.7% | 8.3% | 31.3% | 0.3% |
| New Mexico | 248,000 | 41% | 13.1% | 8.1% | 33.0% | 42.3% |
| New York | 1,654,300 | 22% | 8.4% | 8.4% | 35.1% | 17.2% |
| North Carolina | 957,600 | 52% | 11.3% | 9.3% | 30.4% | 12.7% |
| North Dakota | 40,500 | N/A | 8.3% | 6.9% | 31.1% | 26.5% |
| Ohio | 975,200 | 32% | 11.9% | 9.4% | 32.2% | 10.2% |
| Oklahoma | 314,900 | 34% | 13.6% | 10.1% | 34.3% | 25.5% |
| Oregon | 370,800 | 31% | 11.7% | 7.2% | 40.2% | 23.5% |
| Pennsylvania | 914,100 | 31% | 11% | 8.7% | 35.5% | 5.0% |
| Rhode Island | 76,300 | 22% | 10.4% | 6.8% | 35.3% | 14.4% |
| South Carolina | 431,500 | 44% | 12.1% | 9.9% | 33.9% | 27.3% |
| South Dakota | 45,200 | N/A | 10.0% | 6.4% | 26.8% | 21.9% |
| Tennessee | 659,700 | 34% | 13.4% | 10.2% | 28.5% | 18.0% |
| Texas | 2,273,100 | 56% | 10.0% | 9.8% | 28.2% | 19.4% |
| Utah | 121,500 | N/A | 8.5% | 7.1% | 38.5% | 19.0% |
| Vermont | 31,800 | N/A | 11.0% | 5.8% | 34.8% | 0.0% |
| Virginia | 482,200 | 41% | 8.4% | 8.1% | 30.1% | 14.6% |
| Washington | 493,000 | 38% | 10.1% | 7.4% | 37.3% | 19.0% |
| West Virginia | 195,600 | 30% | 16.8% | 10.7% | 32.0% | 17.0% |
| Wisconsin | 341,800 | 31% | 9.2% | 7.1% | 35.7% | 14.4% |
| Wyoming | 40,600 | 37% | 9.8% | 6.6% | 30.7% | 25.6% |
| SOURCES: 1-Kaiser Family Foundation estimates based on the Census Bureau’s March 2014 Current Population Survey (CPS: Annual Social and Economic Supplements). 2-Erickson, W., Lee, C., & von Schrader, S. (2014). 2012 Disability Status Report: United States. Ithaca, NY: Cornell University Employment and Disability Institute(EDI). 3-Centers for Disease Control and Prevention: National Diabetes Surveillance System. Available online at: http://www.cdc.gov/diabetes/data/. 4-Kaiser Family Foundation analysis of Behavioral Risk Factor Surveillance System Survey Data (BRFSS), 2014. 5- KCMU calculations based on HRSA Primary Care Health Professional Shortage Area statistics for 2014 and Urban Institute tabulations of 2012 and 2013 ASEC Supplement to the CPS. | ||||||
