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By Ben Bearden Director, Medicaid Program January 11, 2005

LOUISIANA MEDICAID PROGRAM DEPARTMENT OF HEALTH AND HOSPITALS Presentation to the Children’s Cabinet Advisory Board. By Ben Bearden Director, Medicaid Program January 11, 2005. LOUISIANA MEDICAID PROGRAM Enrollees and Payments - SFY 2003/04. Medicaid Enrollees SFY 2003/04.

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By Ben Bearden Director, Medicaid Program January 11, 2005

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  1. LOUISIANA MEDICAID PROGRAMDEPARTMENT OF HEALTH AND HOSPITALSPresentation to the Children’s CabinetAdvisory Board By Ben Bearden Director, Medicaid Program January 11, 2005

  2. LOUISIANA MEDICAID PROGRAMEnrollees and Payments - SFY 2003/04

  3. Medicaid Enrollees SFY 2003/04 Based on MDW as of August 2004

  4. Medicaid Payments - SFY 2003/04 Based on MDW as of August 2004

  5. Medicaid Payment per Enrollee SFY 2003/04 Based on MDW as of August 2004

  6. LOUISIANA MEDICAID PROGRAM($ in millions)

  7. Childrens’ Budget Continue……

  8. New and Expansions requested for Children Targeted Case Management 433,269 Chidrens Choice Waiver 349,323 EPSDT Dental 876,838 Psych. Residential Treatment 9,207,000 Total New/Expansions requested 10,866,430

  9. New and Expansions requested for Children

  10. Children Enrolled in LaCHIP and Louisiana Medicaid 652,759 315,271

  11. Monthly Growth in LaCHIP & Medicaid Children (2003 & 2004)

  12. Uninsured Children in Louisiana and Other Southern States* • South Carolina 9% • Alabama 10% • Arkansas 11% • Mississippi 12% • Georgia 13% • Louisiana 14% • Texas 22% * Based on 2003 CPS data (most current information available) and taken from Kaiser State Health Facts

  13. Counting Louisiana’s Uninsured Children • 2003 LSU Louisiana Household Insurance Survey (LHIS) results-- • 60,000 uninsured children > 200% of poverty (some are SCHIP eligible) • 77,000 uninsured children < 200 % of poverty (all are SCHIP or Medicaid eligible) • Enrollment has increased by 50,000 children since 2003 survey ended • Follow-up survey beginning February 2005 to measure changes

  14. Medicaid/SCHIP Eligibility of Children > 200% FPL • Census Bureau definition of “household” differs from federal Medicaid definition • Medicaid “household” • Child • Child’s legal and/or natural parent(s) living in home • May include minor siblings • Medicaid income deductions result in eligibility for some children < 200% FPL • $90 for each employed person • Child care and child support paid • Educational income • Income of anyone other than legal/natural parent

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