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Medicaid

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Federal Medical Assistance Percentages (Website)

Organization(s):  Assistant Secretary for Planning and Evaluation, HHS

The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount of Federal matching funds for State expenditures for assistance payments for certain social services, and State medical and medical insurance expenditures. The Social Security Act requires the Secretary of Health and Human Services to calculate and publish the FMAPs each year. For historical purposes, this web site lists recent FMAPs as well.

Published:  November, 2007

Availability:  Full HTML Version 

 

Federal Medical Assistance Percentages (FMAP), Fiscal Year 2008 (Report)

Organization(s):  Assistant Secretary for Planning and Evaluation, HHS

The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages are calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1 through September 30 of the indicated year. The "Federal Medical Assistance Percentages" and "Enhanced Federal Medical Assistance Percentages" are used in determining the amount of Federal matching for State medical assistance (Medicaid) and State Children's Health Insurance Program (SCHIP) expenditures, and Foster Care Maintenance and Adoption Assistance payments. Figures are given for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Published:  November, 2006

Availability:  Full HTML Version  Full PDF Version 

 

Historical and Projected Trends In Medicaid (Report)

Author(s):  ASPE Staff Paper

Organization(s):  ASPE staff

This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending. Information is presented on trends by major Medicaid eligibility category with some additional information by state.

Published:  October, 2006

Availability:  Full HTML Version  Full PDF Version 

 

Federal Medical Assistance Percentages (FMAP), Fiscal Year 2007 (Report)

Organization(s):  Assistant Secretary for Planning and Evaluation, HHS

The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages are calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1 through September 30 of the indicated year. The "Federal Medical Assistance Percentages" and "Enhanced Federal Medical Assistance Percentages" are used in determining the amount of Federal matching for State medical assistance (Medicaid) and State Children's Health Insurance Program (SCHIP) expenditures, and Foster Care Maintenance and Adoption Assistance payments. Figures are given for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Published:  November, 2005

Availability:  Full HTML Version  Full PDF Version 

 

Estimating the Number of Individuals in the U.S. Without Health Insurance (Report)

Author(s):  Cathi Callahan, Jim Mays, George Greenberg, Rob Stewart

Organization(s):  Acturarial Research Corporation (ARC)

The Census Bureau's Current Population Survey (CPS) has long served as the most widely-cited source of statistics on the nation's uninsured. But over time, the CPS has undergone several methodological changes that create some inconsistency in the time series of uninsured date. This report presents the Acturarial Research Corporation's (ARC) adjustments to the CPS to create a consistent time series.

Published:  April, 2005

Availability:  Full HTML Version  Full PDF Version 

 

TRIM3's 2001 Baseline Simulation of the Medicaid and SCHIP Eligibility and Enrollment: Methods and Results, (Report)
TRIM3 Microsimulation Project Technical Paper

Author(s):  Linda Giannarelli, Paul Johnson, Sandi Nelson, and Meghan Williamson

Organization(s):  Urban Institute

The TRIM microsimulation model produces a baseline of Medicaid and SCHIP eligibility and enrollment using adjustments that correct for the undercount in program participation on the Current Population Survey (CPS). This report presents a detailed explanation of the TRIM mmethodology.

Published:  April, 2005

Availability:  Full HTML Version  Full PDF Version 

 

Analysis of the Joint Distribution of Disproportionate Share Hospital Payments (Report)

Author(s):  Barbara Wynn, Theresa Coughlin, Serhiy Bondarenko, and Brian Bruen

Organization(s):  RAND under contract with the Urban Institute

The Medicare and Medicaid programs distribute extra payments to hospitals that treat a disproportionate share of indigent patients. The disproportionate share hospital (DSH) payment policies differ substantially between the two programs and, under Medicaid, across states as well. State-reported information on Medicaid DSH payments to individual hospitals permits for the first time a national examination of the joint distribution of Medicare and Medicaid funds and how well the funds are targeted toward vulnerable safety net hospitals. This report provides the results of our analyses to: 1) examine the distribution of both Medicare and Medicaid DSH funds across hospitals, 2) assess alternative criteria that could be used to identify safety net hospitals, 3) develop measures of hospital financial vulnerability to identify those safety hospitals that are under most financial pressure, and 4) explore the extent to which alternative allocation policies to the current Medicare and Medicaid DSH payment mechanisms would improve the distribution of funds to those safety net hospitals that are most vulnerable.

Published:  September, 2002

Availability:  Full HTML Version  Full PDF Version  Executive Summary 

 

Emerging Practices in Medicaid Primary Care Case Management Programs (Report)

Author(s):  Joanne Rawlings-Sekunda, Deborah Curtis, Neva Kaye

Organization(s):  National Academy for State Health Policy

Primary care case management (PCCM) is a system of managed care used by state Medicaid agencies in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. States began enrolling beneficiaries in their PCCM programs by the mid-1980s to increase access and reduce inappropriate emergency room and other high cost care. As PCCM programs have matured, state goals have changed from simply expanding access to better management of the quality of care provided.

Published:  June, 2001

Availability:  Full HTML Version  Full PDF Version  Executive Summary 

 

Welfare Leavers and Medicaid Dynamics: Five States in 1995 (Report)
Final Report

Author(s):  Marilyn Ellwood and Carol Irvin

Organization(s):  Mathematica Policy Research

This study builds on previous research by examining the relationship between Medicaid expenditure levels for people leaving welfare and the likelihood of continued Medicaid enrollment for five states in 1995.

Published:  April, 2000

Availability:  Full HTML Version  Executive Summary 

 

Medicaid Billings for IDEA Services: (Report)
Analysis and Policy Implications of Site Visit Results

Author(s):  S. Bachman and S. Flanagan

Organization(s):  Medstat Group

Since 1988, states have been accessing Medicaid to help pay for health-related special education services. In this report, we present the findings of a study undertaken to understand more about the nature and extent of State practices with respect to billing Medicaid for health-related services provided under Individuals with Disabilities Education Act (IDEA).

Published:  June, 1999

Availability:  Full HTML Version  Full PDF Version 

 
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