Medical Assistance for Employed Persons with Disabilities (MA-EPD) Semi Annual Data Report January June 2006 MA-EPD AT A GLANCE (JUNE 2006)

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1 Medical Assistance for Employed Persons with Disabilities () Semi Annual Data Report January June 2006 AT A GLANCE (JUNE 2006) Total Enrollment: 6677 Premium Information Enrollees with a premium: 6677 (100%) Date Source: MMIS Average billing amount per enrollee: $57.21 (N=6403) Data Source: MN Department of Human Services Special Recovery Unit Total amount billed for month: $366, (N=6403) Data Source: MN Department of Human Services Special Recovery Unit Total amount billed from January-June 2006: $2,184,109 (Average N=6429) Data Source: MN Department of Human Services Special Recovery Unit Income (June 2006) Income Range Total Monthly Earned Income Total Monthly Unearned Income Total Monthly Gross Income N % Less than $200 1, % 6 0.1% 0 0.0% $200-$399 1, % % 8 0.1% $400-$599 1, % % % $600-$799 1, % % % $800-$ % % % $1000-$ % % 3, % $1500-$ % % 1, % $2000-$ % % % Greater than $ % % % Zero or unknown % % % Total 6, % % % Total SSDI recipients % Source: UI and MAXIS, data includes monthly averaging. Note: Earned income could be wages from a job or self-employment. Department of Employment and Economic Development (DEED) income data are not available for all recipients, so income data were pulled from the MAXIS eligibility Statement of Need region for recipients whose income information is not found in the DEED UI data system. All types of unearned income were considered for this category, including Social Security payments, Veterans benefits, Unemployment Compensation, Workers Compensation, retirement funds, etc. In June 2006, 6,356 (95.2%) of enrollees had a SSDI record of payment. 1

2 Abstract The Medical Assistance for Employed Persons with Disabilities () program was introduced in July allows working people with disabilities to qualify for Medical Assistance (MA) under higher income and asset limits. is intended to encourage persons with disabilities to work and enjoy the financial benefits of being employed. It also allows more people with disabilities to become taxpayers and reduce their dependence on government programs. To qualify for, an individual must: Be certified disabled by either the Social Security Administration (SSA) or the State Medical Review Team (SMRT) Be at least 16 but under 65 years of age Be employed Meet the asset limit (currently $20,000) Pay a monthly premium. This report is based upon 2006 data. Quarterly comparison data is based upon the last month of the quarter. Quarter one is based on a snapshot of March data, and quarter two is based on a snapshot of June data. Topics addressed in the report include: Enrollment trends; Premium information; Earned and unearned income; and Medical insurance information. Data were compiled by Pathways to Employment staff via the Minnesota Department of Human Services Electronic Information System Data Warehouse unless otherwise noted. Report Summary Enrollment Enrollment appears consistent over the first half of However, there is a statistically significant increase in the average monthly enrollment in 2006 compared with 2005 by184 enrollees per month on average. Income While enrollment is slowly increasing over time, earnings remain relatively flat. The average income across all enrollees remains consistent, with no significant change over the course of the first six months of The average enrollee income in June 2006 ($ in 2005 dollars) was $17.80 greater than the average enrollee earned income in January 2005 ($479.58). This was not a statistically significant increase. This suggests two things: enrollees collectively are not increasing their earned income and the earnings distribution of new enrollees is similar to existing enrollees. Premiums In 2003, Minnesota implemented a policy requiring all enrollees to pay a monthly premium, with a minimum of $35.00 and greater based on a sliding fee scale. The average monthly premium paid January through June 2006 was $364,018 with a year to date total of $2,184,109. There was no significant change in the amount of premiums collected from

3 General Enrollment Data Monthly Enrollment September June Sep-99 Dec-99 Mar-00 Jun-00 Sep-00 Dec-00 Mar-01 Jun-01 Sep-01 Dec-01 Mar-02 Jun-02 Sep-02 Dec-02 Mar-03 Jun-03 Sep-03 Dec-03 Mar-04 Jun-04 Sep-04 Dec-04 Mar-05 Jun-05 Sep-05 Dec-05 Mar-06 Jun-06 Data Source: MMIS Enrollment Activity Summary (January through June 2006) Month 2006 New Closed Active January February March April May June Average Monthly/ Quarter One Average Monthly/ Quarter Two Data source: MMIS 3

4 Disability Type for Enrollees Disability Type June 2006 N % Mental Health % Physical, Sensory, and Chronic/Long-term Illness % Mental Retardation and Related Conditions (MR/RC) % Traumatic Brain Injury (TBI), HIV/AIDS 184 3% Total % Data source: MMIS Data is based on categories of service and claims for the quarter. Waiver Status for Enrollees Waiver Type Number Enrollees with Waivers December-2005 March-2006 June-2006 N % Community Alternative Care (CAC) % 6 0.1% 6 0.1% Traumatic Brain Injury Waiver (TBI) % % % Community Alternatives for Disabled Individuals (CADI) % % % Mental Retardation or Related Conditions (MR/RC) % % % No Waiver % % % Total % % % Data Source: MMIS Note: Data represent a monthly snapshot. 4

5 Monthly Gross Earned Income for Enrollees Income Range Total Monthly Earned Income March June Less than $200 1, % 1, % $200-$399 1, % 1, % $400-$599 1, % 1, % $600-$799 1, % 1, % $800-$ % % $1000-$ % % $1500-$ % % $2000-$ % % Greater than $ % % Zero or unknown % % Total 6, % 6, % Data Source: UI and MAXIS Monthly Gross Unearned Income for Enrollees Monthly Unearned Income Amount March 2006 June 2006 Less than $ % 6 0.0% $200-$ % % $400-$ % % $600-$799 1, % % $800-$999 1, % % Greater than $1,000 2, % 2, % Zero or unknown % % Total % % Total SSDI recipients 6, % % Data Source: MAXIS (Includes: SSI, SSDI, Veterans benefits, Unemployment compensation, retirement funds, etc.) Monthly Gross Total Income for Enrollees Monthly Total Income (Earned +Unearned) Amount March 2006 June 2006 Less than $ % % $200-$ % % $400-$ % % $600-$ % % $800-$ % % $1000-$1499 3, % 3, % $1500-$1999 1, % 1, % $2000-$ % % Greater than $ % % Zero or unknown 1 0.0% 1 0.0% Total % % Data Source: UI and MAXIS 5

6 Premium Billing January through June 2006 (in dollars) Month/ Year Total Billed Average Billing Amount/Enrollee Number of Enrollees Billed September 2005 $364, $ ,342 December 2005 $369, $ ,408 January 2006 $359, $ ,473 February 2006 $361, $ ,411 March 2006 $365, $ ,443 April 2006 $365, $ ,435 May 2006 $365, $ ,411 June 2006 $366, $ ,403 Average/Month $364, $ ,429 Year to date 2006 $2,184, Data Source: Minnesota Department of Human Services Special Recovery Unit. NOTE: In 2003 a policy change required all enrollees to pay a monthly premium; the policy took effect in January 2004 due to the billing cycle. Premiums are based on the sliding fee scale or a minimum of $35, whichever is greater. Medicare Status Medicare Coverage of Enrollees No Medicare Coverage Year 2006 N Medicare Coverage September % % December % % January % % December % % Data Source: MAXIS Third Party Liability Coverage Total Year 2006 Enrollees No TPL Coverage TPL Coverage N September ,659 5, % % December ,642 5, % % March ,700 5, % % June ,677 5, % % Data Source: MMIS Supported Employment Supported Employment of Enrollees Total Month/ Year Enrollees Supported Employment No Supported Employment N September , % 6, % December , % 6, % March , % 6, % June , % 6, % Total January- June , % 7, % Supported employment in this table refers to services received through Medical Assistance. 6

7 Geographic Distribution The distribution of enrollees is consistently more urban than rural with a greater number of enrollees in or near the major regional cities: Minneapolis, St. Paul, Duluth, Rochester, St. Cloud, Mankato, Moorhead, and Bemidji. Overall, there tends to be very little fluctuation in enrollment by region. Region March 2006 June 2006 General Location in the State % % Northwest Corner % % Northwest Region % % Northeast Corner % % West Central Region % % Central Region % % Southwest Region % % Central Region % % Southwest Corner % % South Central Region % % Southeast Corner % % Twin Cities Area * % % Out of State Total % % Data Source: MMIS 7

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