Demographics
| State Affiliation | State Population (2011) | Uninsured Population (FY2010) |
Total Medicaid Enrollment (FY2010) |
MC Enrollment (FY2011) |
CHIP Enrollment (FY2010) |
| Connecticut |
3,529,100 |
320,133 |
712,350 |
571,020 |
21,033 |
| Maine |
1,311,400 |
133,065 |
410,743 |
267,012 |
32,994 |
| Massachusetts |
6,526,500 |
285,717 |
1,690,693 |
1,067,929 |
142,279 |
| New Hampshire |
1,298,400 |
145,013 |
167,560 |
221,168 |
10,630 |
| Rhode Island |
1,036,800 |
126,184 |
216,302 |
183,433 |
23,253 |
| Vermont |
620,000 |
49,880 |
196,412 |
112,831 |
7,026 |
Notes: Percentages may not sum to 100% due to rounding effects. For more details, see “Notes to Topics Based on the Current Population Survey (CPS)” at http://www.statehealthfacts.kff.org/methodology. Population and demographic data on are based on analysis of the Census Bureau’s March 2011 and 2012 Current Population Surveys (CPS; Annual Social and Economic Supplements) and may differ from other population estimates published yearly by the Census Bureau. U.S. and state population data displayed on this site are restricted to the non-institutionalized, civilian (not active duty military) population; state data represent 2-year averages.
Sources: Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau’s March 2011 and 2012 Current Population Survey (CPS: Annual Social and Economic Supplements). U.S. Census Bureau, 2010 American Community Survey, Table S2701, available at:http://www.census.gov/hhes/www/hlthins/data/acs/aff-2010.html
Spending
| State Affiliation | Federal Matching Rate FY2012 | Medicaid Payments Per Enrollee FY2010 |
Spending on Acute Care FY2009 |
Spending on Long Term Care FY2009 |
Average Annual Growth in Medicaid Spending (2007-2009) |
| Connecticut |
50.00% |
$7,561 |
$2,379,225,894 |
$3,333,013,744 |
17.8% |
| Maine |
63.27% |
$5,968 |
$1,690,381,633 |
$776,152,002 |
12.4% |
| Massachusetts |
50.00% |
$6,841 |
$8,820,234,886 |
$3,660,409,543 |
10.1% |
| New Hampshire |
50.00% |
$6,748 |
$523,403,426 |
$572,468,950 |
6.7% |
| Rhode Island |
52.12% |
$8,229 |
$1,194,365,473 |
$576,629,934 |
4.7% |
| Vermont |
57.58% |
$6,158 |
$546,291,968 |
$391,992,978 |
3.8% |
Sources: Urban Institute and Kaiser Commission on Medicaid
Notes: FY2012: Effective from October 1, 2011 to September 30, 2012
Duals (Medicare)
| State Affiliation | Duals Eligible Enrollment (2007) | Duals as a % of Aged & Disabled Medicaid Enrollees (2007) | Spending per Dual Eligibility Long-Term Care (2007) |
State Medicaid Spending on Prescribed Drugs (2007) |
(In Millions)*Annual Payments based on Revised NHE (2006)Connecticut
100,257
75%
$1,970
37
$112,079,205
88,600
76%
$626
11
$40,889,787
250,744
43%
$2,865
37
$216,797,916
27,773
74%
$408
4
$27,632,378
39,236
60%
$516
6
$37,654,242
31,217
75%
$335
10
$16,672,538
*Notes: These are original and revised annual state “clawback” payments from CMS based on December 2005 actual enrollment of Medicaid and Medicare dual eligibles. They represent the payment amounts that states will be assessed to finance a portion of Medicare Part D for each dual eligible during 2006. The newly updated National Health Expenditures (NHE) growth rate in per capita prescription drug spending between 2003 and 2006 was used by CMS in the calculation of the new clawback figures. The total percentage reduction in annual payments is -9.66%. For more details about the Clawback, see KCMU”s “The ”Clawback:” State Financing of Medicare Drug Coverage,” available athttp://www.kff.org/medicaid/7118a.cfm.
Sources: Urban Institute estimates based on data from the Medicaid Statistical Information System (MSIS) and Medicaid Financial Management Reports (CMS Form 64) prepared for the Kaiser Commission on Medicaid and the Uninsured. Available at: http://www.kff.org/medicaid/7846.cfm.
An Update on the Clawback: Revised Health Spending Data Change State Financial Obligations for the New Medicare Drug Benefit, Table 2, Kaiser Commission on Medicaid and the Uninsured (KCMU), March 2006. Available athttp://www.kff.org/medicaid/7481.cfm.
Definitions
Dual Eligibles are individuals entitled to Medicare who are also eligible for some level of Medicaid benefits.
CMS: The Centers for Medicare and Medicaid Services
Clawback: The mechanism through which the states will help finance the new Medicare drug benefit is commonly referred to as the “clawback,” the statutory term for which is “phased-down state contribution.”
NHE: The National Health Expenditures growth rate in per capita prescripton drug spending between 2003 and 2006 is used to calculate the state contribution for dual eligibles in Medicare Part D. For details about the NHE from CMS, seehttp://www.cms.hhs.gov/NationalHealthExpendData/“.
KCMU: The Kaiser Commission on Medicaid and the Uninsured
MMIS Procurement (As of April 27, 2012)
| State Affiliation | MMIS Vendor | MMIS Status | Medicaid Procurement Website |
||
| Connecticut |
Current – HP Enterprise Svcs |
Current – HP Enterprise Svcs |
|||
| Maine |
Current – Molina Information Sysems (MMIS) through 12/31/14 |
Current – Molina Information Systems |
|||
| Massachusetts |
State Operated Contract end with option years(6/1/15)* |
Current – State Operated Option years 4 |
|||
| New Hampshire |
Current -HP Enterprise Svcs |
Current – HP Enterprise Svcs * 23-month contract ext |
|||
| Rhode Island |
Current – HP Enterprise Svcs |
Current – HP Enterprise Svcs Update |
|||
| Vermont |
Current-HP Enterprise Svcs |
Current – HP Enterprise Svcs MMIS RFP issueded December 2010 |
Waivers
| State Affiliation | MR/MD (2007) | Aged (2007) | Aged & Disabled (2007) |
Physically Disabled (2007) |
Children |
| Connecticut |
234 |
N/A |
12,587 |
741 |
N/A |
| Maine |
2,750 |
N/A |
1,300 |
186 |
N/A |
| Massachusetts |
11,978 |
8,934 |
N/A |
N/A |
N/A |
| New Hampshire |
2,651 |
3,128 |
N/A |
N/A |
N/A |
| Rhode Island |
3,394 |
946 |
2,279 |
120 |
N/A |
| Vermont |
N/A |
N/A |
N/A |
N/A |
N/A |
Waivers (continued)
| State Affiliation | HIV/AIDS | Mental Health | TBI/SCI (2007) | Total All Waivers (2007) |
|
| Connecticut |
N/A |
N/A |
360 |
13,588 |
|
| Maine |
N/A |
N/A |
N/A |
4,236 |
|
| Massachusetts |
N/A |
N/A |
90 |
21,008 |
|
| New Hampshire |
N/A |
N/A |
118 |
5,922 |
|
| Rhode Island |
N/A |
N/A |
N/A |
6,738 |
|
| Vermont |
N/A |
N/A |
N/A |
N/A |
Sources: The Kaiser Commission on Medicaid and the Uninsured (KCMU) and The University of California at San Francisco’s (UCSF) analysis based on The Centers for Medicare & Medicaid Services (CMS) Form 372, December 2009, Table 5. “Medicaid 1915(c) Home and Community-Based Service Programs: Data Update” available athttp://www.kff.org/medicaid/7720.cfm.
Definitions
N/A: No waiver offered. 1915(c) Home and Community-Based Service
Waiver: Serves as one of three main ways a state can provide Medicaid home and community-based services. The other two are Personal Care Services and the Home Health Benefit.
MR/DD: Mental Retardation and Developmental Disabilities
TBI/SCI: Traumatic Brain and Spinal Cord Injury