MONTANA HEALTH CARE FORUM CONFERENCE

NOVEMBER 28, 2012

PRESENTATION BY:

REBECCA KELLENBERG, MPP

KELLENBERG CONSULTING, LLC

The Medicaid Program: An Overview

Who Qualifies for Medicaid?

To qualify for Medicaid, a person must meet financial criteria and also belong to one of Medicaid’s categorically eligible groups: Children Pregnant women Adults with dependent children People with severe disabilities Seniors

Montana Income Levels for Medicaid and CHIP Eligibility

250%

150%

55% 32% 0%

Montana Medicaid Annual Income Eligibility Thresholds - Family of 3

Medicaid provides benefits that reflect the needs of the populations it serves

Health Coverage Improves Access to Care: Percent of Children With a Usual Source of Care or Saw a Doctor in the Last Six Months, 2009

How is Medicaid Paid For?A State and Federal Partnership

Medicaid Provides Support for Providers and Services in the Health Care System

Aged, Blind and Disabled account for 66% of Expenditures in Montana

Source: The Montana Medicaid Program: Report to 2011 Legislature

Nationally, the top 5% of enrollees account for more than half of Medicaid Spending, 2009

Changes in Medicaid Costs Per Enrollee, 2000-2009

Summary

Medicaid plays an important role in providing health coverage to children, pregnant women, elderly and disabled.

Through a state and federal partnership, Medicaid finances a broad spectrum of health care services.

More than half of Medicaid dollars are spent on aged, blind and disabled populations.

Medicaid is a lean program, especially given its important role in providing coverage for a low-income, high risk population.

Contact Info

Rebecca Kellenberg, M.P.P.Kellenberg Consulting, LLC

Missoula, MT406-529-9825

rebecca.kellenberg@gmail.com