Medical Assistance Program PAGE Medical Assistance Program by cgz15130

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									                                         Medical Assistance Program


                                                                                                                           PAGE

Medical Assistance Program Highlights ............................................................................................ 1


Medical Assistance Program Caseload by Categories, SFY 2009 .................................................... 2


Medical Assistance Clients by County and Zip Code, June 2009 ..................................................... 4
 
               Medical Assistance Program


Medical      This section summarizes medical-only cases. These cases do not
             include cash-related medical and are also known as Non-Grant
Assistance   Medical Assistance Programs.
Program

             Highlights:

                   The average monthly Medical Assistance caseload in SFY
                   2009 was 560,987.

                   Examples of the average monthly composition of the
                   Medical Assistance caseload in SFY 2009 include:

                       Children’s Medicaid, a monthly average of 195,160 (or
                       34.8%)

                       SSI Medicaid, a monthly average of 106,125 (or 18.9%)

                       Medicare Savings Program, a monthly average of
                       84,368 (or 15.0%)

                       TANF-related Medicaid, a monthly average of 32,418
                       (or 5.8%)

                       Pregnancy Medicaid, a monthly average of 29,418 (or
                       5.2%)




             ESA Program Briefing Book 2009
               Medical Assistance – Page 1
                                         Medical Assistance Program

               Non-Grant Medical Assistance Program Caseload by Categories
                                        SFY 2009
                                               Source: ESA-ACES Data

     Program Type                                         Description                      Avg. Monthly
                                                                                            Caseload1


     Children’s Medicaid              Children of low-income families (or non-needy          195,160
                                      relatives) under one year of age. Family income
                                      cannot exceed 200% of the Federal Poverty
                                      Level (FPL).

     SSI Medicaid                     Aged, blind and disabled persons who receive           106,125
                                      Supplemental Security Income (SSI). The Social
                                      Security Administration determines eligibility for
                                      SSI using income rules based on Title XVI of
                                      the Social Security Act.

     Medicare Savings                 Programs pay Medicare premiums,                         84,368
     Program                          coinsurance, and deductibles for low-income
                                      Medicare beneficiaries. Income limits vary
                                      depending on program from 100% of FPL to
                                      200% of FPL.

     TANF-Related                     Families eligible for TANF who choose not to            32,418
     Medicaid                         receive any cash benefits. Native Americans on
                                      Tribal TANF receive TANF-related medical
                                      authorized by CSD field staff.

     Pregnancy Medicaid               Low-income pregnant women. Categorically                29,418
                                      Needy (CN) income limit is 185% of the FPL.

     Newborn Medicaid                 Automatic coverage for infants up to one year of        25,823
                                      age born to women who received Medicaid at
                                      the time of birth.

     Post Pregnancy                   Up to 10 months of automatic family planning            24,919
     Family Planning                  coverage when the pregnancy ends.
     Extension

     Post-TANF                        Families automatically eligible for coverage            22,595
     Transitional Medicaid            when they leave TANF or TANF-related
                                      Medicaid due to increased earnings or child
                                      support collections.

     SSI-Related Medicaid             Low-income aged, blind, or disabled persons             21,922
                                      who do not receive SSI cash benefits.




1
    Caseload numbers include Regions 1-6, and WASHCAP numbers are included.

                                     ESA Program Briefing Book 2009
                                       Medical Assistance – Page 2
                    Medical Assistance Program

Long Term Care    Medical assistance to our most vulnerable            11,894
                  populations, such as developmentally disabled
                  individuals, adults and children inpatient
                  psychiatric care, families in need of nursing
                  home assistance, and hospice.

Healthcare for    Disabled persons who are working and who do          1,307
Workers with      not receive SSI. Premium amounts are based
Disabilities      on income. Income cannot exceed 220% of the
                  FPL.

Alien Emergency   Federally funded program for immigrants who           543
Medicaid          would qualify for full-scope Medicaid except for
                  their alien status. Coverage is limited to
                  emergency medical condition (pregnancy is not
                  considered an emergency medical condition).

Refugee Medical   Refugees who do not qualify for cash                  152
Assistance        assistance. Eligibility ends after the first eight
                  months of residency in the U.S.




                  ESA Program Briefing Book 2009
                    Medical Assistance – Page 3
                                                                         Medical Assistance Program
                   Number of Medical Clients by Residential County in Washington State: June 2009

                                                                                Whatcom
                                   San Juan                                           21,337                                                                                                                                             Pend
                                      923                                                                                                      Okanogan                                Ferry                                             Oreille
                                                                                        Skagit                                                                                                                     Stevens
                                                                                                                                                     9,002                            1,437
                                                                                        16,891                                                                                                                                               2,051
                                               Island
                                               4,956                                                                                                                                                               6,615
            Clallam                                                                Snohomish
               7,891                                                                  62,848                           Chelan
                  Jefferson                                                                                                                          Douglas
                                                  Kitsap                                                                12,500
                                                                                                                                                                                                                                    Spokane
                        2,686                           20,874                     King                                                            5,156                                  Lincoln
                                                                                                                                                                                                                                     62,473
                     Grays Mason                                                                                                                                                           975
                                                                              151,887
                     Harbor 7,078                                                                                                                           Grant
                                                                                                                      Kittitas
                                                                          Pierce                                                                            19,741                        Adams                              Whitman
                             10,995              Thurston                                                             3,386
                                                                              82,624                                                                                                      5,590                                     2,882
                                                      21,756
                           Pacific                            Lewis
                                                                                                                     Yakima                                              Franklin                                            Garfield
                            2,796                               11,909                                                                                                                                                              248
                                                                                                                     55,518                                              16,792
                                                       Cowlitz                                                                                          Benton                            Walla Columbia
                                                                              Skamania                                                                                                                   Asotin
                   Wahkiakum                             15,389                                                                                                                           Walla
                                                                                                                                                            23,770                                                     459                       3,123
                                                                                 1,046                                                                                                    7,524
                          381                                                                                    Klickitat
                                                              Clark                                                  3,097
                                                             46,234



Source : ACES Dat a as of July 2009
Note : Medical reflect s all coverage group codes. If a client is found t o be in more t han one count y during t he mont h (due t o t ransit ion), t hen t he
       client would be count ed in each count y t hey are found in.


                                                                                                                                                   Provided by DSHS/ESA/OS/E-MAPS - Oct. 16, 2009
 


           Number of Medical Clients by Density of Residential Zip Code in Washington State: June 2009
                                                               ! !                !
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                                                               !        !! !                                                               Okanogan
                                                              !      ! ! !!
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                                                                                      Skagit                                !                                                     Ferry
                                                                ! ! !! !!
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                                                                                                                             ! ! !! ! !!             !     !
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                                                                                                                                                              !!         !  !     !    !     Columbia     !!!
                                          !!
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                                         ! !!!                                                                                         ! !!
                                                                                                                                   ! ! !! Benton !! ! ! ! ! !!
                                     ! ! !   !
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                                                  ! Cowlitz
                                                  !!!
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                                                                                                                                                                            Walla Walla
                                                                                                                                                                                   !!
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                                                                                                                                                                                                            Asotin
                                                                                                                                                                                                            !
                                                            !                 !                                                                  !                                         !
                                                      !! !
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                                                                                                                                                                     !!            !
                                                                                                                                                                                  ! !! !
                                                                                                                                                                                 ! !!!
                                                                                                                                                                                                        !        !
                  Legend
                                                         !                   Skamania                                   !
                                                                                                                                 !
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                                                                                                                                                               ! !                   !        !
                                                         !      !                                             !                                                  !
                                                        !        !                                                                               !
                  Medical Clients                               !
                                                          ! !                                       !
                                                       !      ! !! !
                                                              !!
                                                               !
                                                               !                     !      !
                                                                                               !             !   Klickitat
                   !       1 Dot = 300                 ! !!
                                                       ! ! ! ! !
                                                        ! ! Clark               !                      !
                                                        ! !!! ! ! !
                                                         ! !!!
                                                        ! !!!!! ! ! ! !
                                                         !!! !!!
                                                            !
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                                                             !               !                                          !
                           med_cnt                      !!!!!!!!!
                                                          !!! !
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                                                            !!
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                     !
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                                                                         !                               !
                           WA_County



                       Source: ACES Data as of July 2009
                       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 - Oct. 16, 2009




                                                                  ESA Program Briefing Book 2009
                                                                    Medical Assistance – Page 4

								
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