Medical Assistance Program. Medical Assistance Program Highlights...1. Medical Assistance Program Caseload by Categories, SFY
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1 PAGE Medical Assistance Program Highlights...1 Medical Assistance Program Caseload by Categories, SFY Medical Assistance Clients by County and Zip Code...4
2 Medical Assistance Program Active medical-only cases not including cash-related medical are also known as Non-Grant Medical Programs. Highlights: The average monthly Medical Assistance caseload in SFY 2008 was 499,468. The composition of the Medical Assistance caseload in SFY 2008 was: Children s Medicaid, a monthly average of 180,275 (or 36.1%) Medicare Savings Program, a monthly average of 75,499 (or 15.1%) SSI Medicaid, a monthly average of 64,181 (or 12.8%) TANF-related Medicaid, a monthly average of 30,870 (or 6.2%) Pregnancy Medicaid, a monthly average of 30,001 (or 6.0%) Medical Assistance Page 1
3 MA Program Caseload by Categories SFY 2008 Source: ESA-ACES Data Program Type Description Avg. Monthly Caseload Children s Medicaid TANF-Related Medicaid Pregnancy Medicaid Post Pregnancy Family Planning Extension Newborn Medicaid Post-TANF Transitional Medicaid Alien Emergency Medicaid SSI Medicaid SSI-Related Medicaid Medicare Savings Program Children of low-income families (or non-needy relatives) under one year of age. Family income cannot exceed 200% of the Federal Poverty Level (FPL). Families eligible for TANF who choose not to receive any cash benefits. Native Americans on Tribal TANF receive TANF-related medical authorized by CSD field staff. Low-income pregnant women. Categorically Needy (CN) income limit is 185% of the FPL. Up to 10 months of automatic family planning coverage when the pregnancy ends. Automatic coverage for infants up to one year of age born to women who received Medicaid at the time of birth. Families automatically eligible for coverage when they leave TANF or TANF-related Medicaid due to increased earnings or child support collections. Federally funded program for immigrants who would qualify for full-scope Medicaid except for their alien status. Coverage is limited to emergency medical condition (pregnancy is considered an emergency medical condition). Aged, blind and disabled persons who receive Supplemental Security Income (SSI). The Social Security Administration determines eligibility for SSI using income rules based on Title XVI of the Social Security Act. Low-income aged, blind, or disabled persons who do not receive SSI cash benefits. Programs pay Medicare premiums, coinsurance, and deductibles for low-income Medicare beneficiaries. Income limits vary depending on program from 100% of FPL to 200% of FPL. 180,275 30,870 30,001 26,432 26,183 26, ,181 21,634 75,499 Medical Assistance Page 2
4 Healthcare for Workers with Disabilities Refugee Medical Assistance Long Term Care Medical Assistance Program Disabled persons who are working and who do not receive SSI. Premium amounts are based on income. Income cannot exceed 220% of the FPL. Refugees who do not qualify for cash assistance. Eligibility ends after the first eight months of residency in the U.S. Medical assistance to our most vulnerable populations, such as developmentally disabled individuals, adults and children inpatient psychiatric care, families in need of nursing home assistance, and hospice. 1, ,486 Note: Numbers include Regions 1 6 only. No WASHCAP numbers are included. Medical Assistance Page 3
5 Number of Medical Clients by Residential County in Washington State: January 2008 Whatcom San Juan 25,309 1,069 Skagit 18,214 Island Clallam 9,503 5,772 Snohomish 69,964 Jefferson Kitsap 3,207 23,273 King Grays Mason Harbor 7, ,870 12,430 Pacific Pierce Thurston 90,854 25,113 Lewis 3,272 13,422 Wahkiakum 462 Cowlitz 16,350 Clark 50,307 Skamania 1,167 Chelan 14,025 Kittitas 4,390 Yakima 60,094 Klickitat 3,350 Okanogan Douglas 5,558 Grant 20,099 Ferry 10,158 1,547 Lincoln 1,248 Stevens 7,356 Pend Oreille 2,185 Spokane 71,161 Adams Whitman 5,711 4,074 Franklin Garfield 16, WallaColumbia Benton Walla 605 Asotin 24,540 9,016 3,609 Source: ACES Data as of Februay 2008 Note: Medical reflects all coverage group codes. If a client is found to be in more than one county during the month (due to transition), then the client would be counted in each county they are found in. Provided by DSHS/ESA/OS/E-MAPS - Feb. 29, 2008 Number of Medical Clients by Density of Residential Zip Code in Washington State: January 2008 Whatcom San Juan Island Skagit Okanogan Ferry Stevens Pend Oreille Clallam Jefferson Mason Grays Harbor Kitsap Thurston Snohomish King Pierce Chelan Kittitas Douglas Grant Lincoln Adams Spokane Whitman Pacific Wahkiakum Lewis Cowlitz Yakima Benton Franklin Walla Walla Garfield Columbia Asotin Legend 1 Dot = 200 Medical.Medical WACounty Clark Skamania Klickitat Source: ACES Data as of Februay 2008 Note: Medical reflects all coverage group codes. If a client is found to be in more than one county during the month (due to transition), then the client would be counted in each county they are found in. Medical Assistance Page 4 Provided by DSHS/ESA/OS/E-MAPS - Feb. 29, 2008
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