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About the Medicaid Chart Book by the UMC Medicaid Workgroup oseda.missouri

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About the Medicaid Chart Book by the UMC Medicaid Workgroup oseda.missouri

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    1. About the Medicaid Chart Book by the UMC Medicaid Workgroup http://oseda.missouri.edu/medicaid/ Amy Lake lakea@missouri.edu or 573-882-5412 Extension Community Development Centra Teleconference March 8, 2006

    2. Missouri Medicaid Chart Book

    3. Medicaid Reform Commission http://www.senate.mo.gov/medicaidreform/ “The Commission is charged with reforming, redesigning and restructuring a new Medicaid program for the 21st Century.” Chair: Senator Charlie Shields Members: Rep. Allen Icet; Rep. David Sater; Rep. Raymond 'Ray' Weter; Rep. Margaret Donnelley; Rep. Yaphett S. El-Amin; Senator Michael Gibbons; Senator Chuck Purgason; Senator Rita Heard Days; Senator Pat Dougherty Gary Sherman (Director, Dept. Social Services) Dorn Schuffman (Director, Dept. Mental Health) Julie Eckstein (Director, Dept. of Health and Senior Services) Medicaid Reform Commission’s Final Report: http://www.senate.mo.gov/medicaidreform/MedicaidReformCommFinal-122205.pdf

    4. 4 Acknowledgments

    5. Medicaid Basics Joint Federal and State program Public health insurance for low-income children and persons with disbilities Medicaid costs are shared with Federal govt SCHIP (State Children’s Health Insurance Program) Eligibility in MO (income limits)

    6. Medicaid Basics $5.7 billion = Total Medicaid Expenditures in Missouri (SFY 2004) $3.7 billion in Federal Funds $2.0 billion in Missouri funds (GR and other)

    9. MO Medicaid Changes Estimated 120,000 people affected by changes since July 1, 2005 (and Sept. 1, 2005) Medicaid eligibility changes/ reductions: People with disabilities (working, transitional, Permanently and Totally Disabled) and Old Age Low income parents (eligibility reduced from 75% Federal Poverty Level to 22% FPL) Medical services and equipment reduced Increased cost sharing for recipients = increased monthly premiums and increased “spend downs”

    10. 10

    11. 11 Mandatory1 Medicaid Benefits

    12. 12 Number of States1 Providing Optional2 Medicaid Benefits

    13. 13 FY2004 Medicaid Federal Medical Assistance Percentage (FMAP) Rates

    14. 14 FY2004 SCHIP Enhanced1 Federal Medical Assistance Percentage Rates

    15. 15

    16. 16

    17. 17 Percent of the Population Enrolled in Medicaid, 2001

    18. 18 Per Capita Medicaid Expenditures, 2003

    19. 19

    20. 20

    21. 21

    22. 22

    23. 23

    24. 24 Missouri Medicaid Enrollees by County, Feb 2005

    25. 25 Percentage of Children Eligible for Medicaid Benefits, Feb 2005

    26. 26 Percentage of Adults Eligible for Medicaid Benefits, Feb 2005

    27. 27 Percentage of the Elderly Eligible for Medicaid Benefits, Feb 2005

    28. 28 Percentage of Total Population Eligible for Blind/Disabled Medicaid Benefits, FY2004

    29. 29 Total Medicaid Expenditures by County, FY2004

    30. 30 Medicaid Expenditures per Capita by County, FY2004

    31. 31 Pharmacy Medicaid Expenditures per Capita by County, FY2004

    32. 32 Number of Persons Affected by Changes in Medicaid Provisions, FY2006

    33. 33 Percent of County Population Affected by Changes in Medicaid Provisions, FY2006

    34. 34 Estimated Medicaid Expenditure Reduction due to Changes in Medicaid Provisions, FY2006

    35. Missouri Medicaid Chart Book

    38. Things to consider… Significant program changes are happening both in Medicaid in MO and in Medicare Part D (prescription drug program) nationally Rural populations tend to be older and sicker than urban counter parts Rural health care providers depend heavily on Medicare and Medicaid Health care providers are spending time and resources helping individuals find ways to pay

    39. Things to consider… Lack of insurance leads to… Lack of ability to pay for preventative care and maintenance drugs (ex. insulin for diabetics) More ER visits Hospitals / providers called on to provide more free / un-reimbursed care Economic issues: inability to work / lost productivity, increased medical /bad debt

    40. Things to consider… Rural areas tend to have fewer options for employer-based health insurance Health insurance companies tend to levy high premiums, deductibles, exclusions on farmers and small businesses

    41. Health Professional Shortage Areas HPSAs

    42. Other Resources Poverty at Issue Aug 2005 by Brenda Procter http://extension.missouri.edu/cfe/poverty/news05/medicaid/changes.htm Medicaid Reform Commission http://www.senate.mo.gov/medicaidreform/ Missouri Hospital Association http://web.mhanet.com/asp/Governmental_Relations/Medicaid.asp Dept of Social Services Reading Room Statistics http://www.dss.mo.gov/rr_stats.htm Dept of Social Services http://www.dss.mo.gov/pr_health.htm MU Center for Health Policy http://healthpolicy.missouri.edu/publications.htm MO Information For Community Assessment (MICA) DHSS http://www.dhss.mo.gov/MICA/nojava.html Missouri Foundation For Health http://www.mffh.org/policy_medbasics.html Centers for Medicare and Medicaid Services http://www.cms.hhs.gov/

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