Classen_HealthEcon_Class23

Asaresultthereareessentially56differentmedicaidprogram

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Unformatted text preview: red, 2010 State Capacity for Health Coverage Federal share ranges 50% to 76%; 44% of all federal funds to states Summary of Medicaid Summary of Medicaid Joint federal­state program Began in 1965 Financing (Roughly $300 billion program) States can have own eligibility standards, benefits package, payment rates and program administration under broad federal guidelines. As a result, there are essentially 56 different Medicaid programs – one for each state, territory and the District of Columbia. Jointly financed by states and the federal government. Share paid by Feds is Federal Medical Assistance Percentage (FMAP). FMAP is matching rate inversely related to a state’s per capita income and can range between 50 to 76 percent. The federal share of administrative costs is 50 percent for all states. Federal spending (from general revenues) are determined by the number of people participating in the program and services provided. Averages roughly 62% of total Medicaid costs Federal Medical Assistance Percentages (FMAP), FY 2010 WA MT OR ID WY NV CA NE UT CO KS OK ND MN SD IA ILIL MO IN KY TN AR MS TX AK HI LA FL AL GA WI MI PA OH WV NY CT NJ DE MD DC MA RI VT NH ME VA VA NC AZ NM SC 71+ percent (6 states) 62 to <71 percent (20 states including DC) 51 to 61 percent (10 states) 50 percent (15 states) SOURCE: Federal Register, February 2, 2010 (Vol. 75, No. 21), pp 5325­5328, at http://frwebgate6.access.gpo.gov/cgi­bin/PDFgate.cgi?WAISdocID=985592272797+0+2+0&WAISaction=retrieve . Total State Spending and Federal Funds Provided to States, 2004 Over twenty-two percent of state total spending and over forty-four percent of federal funds provided to states were spent on Medicaid. Total State Spendin...
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