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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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LOUISIANA MEDICAID PROGRAMDEPARTMENT OF HEALTH AND HOSPITALSPresentation to the Children’s CabinetAdvisory Board

By

Ben Bearden

Director, Medicaid Program

January 11, 2005


Louisiana medicaid program enrollees and payments sfy 2003 04
LOUISIANA MEDICAID PROGRAMEnrollees and Payments - SFY 2003/04


Medicaid enrollees sfy 2003 04
Medicaid Enrollees SFY 2003/04

Based on MDW as of August 2004


Medicaid payments sfy 2003 04
Medicaid Payments - SFY 2003/04

Based on MDW as of August 2004


Medicaid payment per enrollee sfy 2003 04
Medicaid Payment per Enrollee SFY 2003/04

Based on MDW as of August 2004




New and expansions requested for children
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





Uninsured children in louisiana and other southern states
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


Counting louisiana s uninsured children
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


Medicaid schip eligibility of children 200 fpl
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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