Georgia PeachCare for Kids
description
Transcript of Georgia PeachCare for Kids
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