Commissioner, Rhonda Medows, MD

Georgia PeachCare for Kids

Presentation to Academy Health

February 13, 2007

PeachCare for Kids Overview

• Separate Program from Medicaid

• Cover children up to 235% FPL ($47,000 for a family of 4)

• Monthly premiums range from $10 to $35 per child and no more than $70 per family

• Families may apply by mail or online

PeachCare for Kids

PeachCare for Kids Population by FPL - December 2006

8.54%

7.89%

59.03%

1.38%0.32%2.47%

3.44%

4.30%

5.85%

6.78%

100-150%

151-160%

161-170%

171-180%

181-190%

191-200%

201-210%

211-220%

221-230%

231-235%

Covering Uninsured Children in Georgia

• Georgia’s SCHIP program is the fourth largest in the country behind larger states of CA, NY, and TX.

• Enrollment – 273,17519% increase in average monthly enrollment since FY 2005

Medicaid and PeachCare Enrollment for Children

PeachCare

LIM Child

RSM Child

0

200,000

400,000

600,000

800,000

1,000,000

2000 2001 2002 2003 2004 2005 2006

FY 2005 to 2006:+14.7%

FY 2005 to 2006:+1.3%

FY 2005 to 2006:-1.5%

SCHIP Federal Allotment

$-

$50,000,000

$100,000,000$150,000,000

$200,000,000

$250,000,000

$300,000,000

$350,000,000$400,000,000

$450,000,000

$500,000,000

SFY 98 SFY 99 SFY 00 SFY 01 SFY 02 SFY 03 SFY 04 SFY 05 SFY 06 SFY 07 SFY 08

Allotment Prior Year Roll-Forward Expenditures

(in millions)

SFY AllotmentPrior Year Roll-

ForwardFederal

ExpendituresState Fiscal Year

DeficitFederal Fiscal Year

Deficit

SFY 04 $103.9 $241.0 $199.4 -0- -0-

SFY 05 $130.9 $168.2 $196.6 -0- -0-

SFY 06 $129.5 $102.4 $142.9 -0- -0-

SFY 07 $165.9 $ 89.0 $312.7 $ (57.8) ($131.2)

SFY 08 $165.9 n/a $337.1 $(171.2) ($171.7)

Federal Allotment Problems

Three major weaknesses in the SCHIP allotmentFormula:

– The Uninsured Count – No Effort of “Maintenance– Inconsistent Distribution of “left over” funds

Questions