Medicaid Per Enrollee Spending: Variation Across States – Appendices – 8550
Appendix Table 1: Spending Per Full-Benefit Enrollee,* FY 2010
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State
|
Aged
|
Individuals with Disabilities
|
Adults
|
Children
|
Total
|
United States
|
$16,947
|
$17,916
|
$3,919
|
$2,389
|
$6,253
|
Alabama
|
$17,774
|
$9,099
|
$3,982
|
$2,644
|
$5,147
|
Alaska
|
$23,015
|
$28,133
|
$6,359
|
$4,804
|
$9,334
|
Arizona
|
$14,837
|
$18,861
|
$5,985
|
$2,929
|
$6,217
|
Arkansas
|
$21,174
|
$13,988
|
$2,915
|
$2,268
|
$6,072
|
California
|
$10,101
|
$15,893
|
$2,032
|
$1,705
|
$4,770
|
Colorado
|
$17,561
|
$18,100
|
$3,143
|
$2,010
|
$5,517
|
Connecticut
|
$31,318
|
$30,834
|
$3,533
|
$3,339
|
$8,116
|
Delaware
|
$28,258
|
$22,595
|
$5,109
|
$2,818
|
$6,564
|
DC
|
$26,093
|
$26,276
|
$2,622
|
$2,506
|
$8,143
|
Florida
|
$14,253
|
$15,005
|
$2,993
|
$1,707
|
$4,893
|
Georgia
|
$16,026
|
$12,083
|
$3,780
|
$1,651
|
$4,151
|
Hawaii
|
$16,793
|
$15,723
|
$3,506
|
$1,996
|
$5,187
|
Idaho
|
$18,067
|
$19,290
|
$4,288
|
$1,936
|
$5,947
|
Illinois
|
$12,542
|
$19,143
|
$4,088
|
$2,629
|
$5,515
|
Indiana
|
$21,207
|
$19,394
|
$2,740
|
$1,575
|
$5,237
|
Iowa
|
$19,191
|
$19,687
|
$2,328
|
$2,106
|
$5,934
|
Kansas
|
$18,328
|
$17,153
|
$3,762
|
$2,186
|
$6,267
|
Kentucky
|
$15,641
|
$12,586
|
$4,812
|
$3,015
|
$6,409
|
Louisiana
|
$15,370
|
$15,966
|
$4,362
|
$2,156
|
$5,834
|
Maine**
|
$19,881
|
$16,920
|
$2,194
|
$2,528
|
$6,761
|
Maryland
|
$23,491
|
$23,798
|
$5,385
|
$2,765
|
$7,878
|
Massachusetts
|
$23,420
|
$17,416
|
$3,689
|
$3,246
|
$8,913
|
Michigan
|
$18,125
|
$14,826
|
$3,734
|
$1,910
|
$5,368
|
Minnesota
|
$24,360
|
$27,187
|
$4,213
|
$3,175
|
$8,675
|
Mississippi
|
$17,561
|
$12,114
|
$3,745
|
$2,246
|
$5,581
|
Missouri
|
$15,579
|
$15,678
|
$3,785
|
$3,278
|
$6,759
|
Montana
|
$26,704
|
$16,352
|
$6,539
|
$2,919
|
$7,573
|
Nebraska
|
$17,698
|
$19,009
|
$3,605
|
$2,477
|
$6,242
|
Nevada
|
$13,694
|
$16,326
|
$2,432
|
$2,116
|
$4,292
|
New Hampshire
|
$26,725
|
$20,371
|
$3,194
|
$2,797
|
$7,127
|
New Jersey
|
$19,160
|
$19,951
|
$4,648
|
$2,616
|
$7,546
|
New Mexico***
|
N/A
|
$18,500
|
$6,928
|
$4,550
|
$6,328
|
New York
|
$28,203
|
$33,552
|
$5,197
|
$2,648
|
$10,509
|
North Carolina
|
$11,951
|
$17,317
|
$4,839
|
$2,778
|
$6,332
|
North Dakota
|
$30,221
|
$28,573
|
$3,947
|
$2,474
|
$8,633
|
Ohio
|
$27,347
|
$19,917
|
$3,631
|
$1,748
|
$6,357
|
Oklahoma
|
$12,315
|
$15,010
|
$3,551
|
$2,461
|
$5,107
|
Oregon
|
$24,240
|
$18,708
|
$5,288
|
$2,218
|
$6,892
|
Pennsylvania
|
$20,023
|
$15,747
|
$4,050
|
$2,892
|
$7,900
|
Rhode Island
|
$14,529
|
$19,423
|
$4,903
|
$4,023
|
$8,559
|
South Carolina
|
$13,089
|
$13,853
|
$4,403
|
$2,169
|
$5,526
|
South Dakota
|
$18,869
|
$20,186
|
$4,502
|
$2,551
|
$6,156
|
Tennessee
|
$15,427
|
$14,206
|
$5,868
|
$2,786
|
$6,004
|
Texas
|
$14,739
|
$17,709
|
$4,371
|
$3,010
|
$5,668
|
Utah
|
$11,763
|
$19,718
|
$3,326
|
$2,260
|
$5,135
|
Vermont
|
$22,562
|
$20,930
|
$4,855
|
$3,683
|
$7,913
|
Virginia
|
$15,399
|
$17,899
|
$4,339
|
$2,696
|
$6,200
|
Washington
|
$16,226
|
$15,353
|
$4,675
|
$2,057
|
$5,189
|
West Virginia
|
$20,495
|
$12,331
|
$3,397
|
$2,371
|
$6,286
|
Wisconsin
|
$14,806
|
$16,161
|
$3,112
|
$1,625
|
$5,688
|
Wyoming
|
$30,465
|
$24,465
|
$3,767
|
$2,236
|
$6,395
|
* Enrollees were identified as having full benefits if for each month they were enrolled in Medicaid, they also received full benefits or received Medicaid benefits through an alternative package of benchmark equivalent coverage.
** Because New Mexico MSIS data for 2010 underreports spending for people in the CoLTS program, we are unable to report spending for the elderly in this state. However, we do include this spending in state and national totals.
*** Due to data quality issues, individuals with disabilities in Maine who were enrolled in Medicaid only in Q4 of FY 2010 are not included in state or national payment per enrollee calculations.
Source: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2010 MSIS and CMS-64 reports. Because 2010 data were unavailable, FY 2009 MSIS data were used for Colorado, Idaho, Missouri, North Carolina, and West Virginia.
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Appendix Table 2: Average Growth Rate From FY 2000 To FY 2010 For Full-Benefit Enrollees*
|
||||
State
|
Aged**
|
Individuals with Disabilities
|
Adults
|
Children
|
United States
|
3.74%
|
4.65%
|
5.63%
|
5.44%
|
Alabama
|
4.87%
|
4.53%
|
7.54%
|
8.21%
|
Alaska
|
8.55%
|
5.67%
|
6.15%
|
6.68%
|
Arizona
|
2.92%
|
7.29%
|
10.05%
|
8.74%
|
Arkansas
|
9.47%
|
5.92%
|
12.36%
|
6.14%
|
California
|
5.06%
|
4.82%
|
3.98%
|
4.00%
|
Colorado***
|
4.18%
|
3.77%
|
4.38%
|
0.84%
|
Connecticut
|
3.47%
|
3.79%
|
4.11%
|
4.83%
|
Delaware
|
5.45%
|
3.89%
|
7.19%
|
5.98%
|
DC
|
6.80%
|
6.31%
|
2.39%
|
2.81%
|
Florida
|
7.34%
|
6.12%
|
7.41%
|
5.64%
|
Georgia
|
6.68%
|
4.30%
|
6.40%
|
2.81%
|
Hawaii
|
6.11%
|
16.21%
|
6.22%
|
0.83%
|
Idaho***
|
3.77%
|
4.27%
|
8.00%
|
7.74%
|
Illinois
|
0.17%
|
3.03%
|
5.39%
|
5.75%
|
Indiana
|
4.72%
|
4.22%
|
4.46%
|
2.55%
|
Iowa
|
3.12%
|
3.15%
|
1.64%
|
4.08%
|
Kansas
|
3.08%
|
1.43%
|
5.33%
|
5.35%
|
Kentucky
|
4.54%
|
5.07%
|
7.83%
|
6.30%
|
Louisiana
|
7.92%
|
6.81%
|
9.01%
|
9.16%
|
Maine****
|
6.91%
|
2.06%
|
1.75%
|
0.39%
|
Maryland
|
5.49%
|
6.26%
|
9.91%
|
6.23%
|
Massachusetts
|
5.21%
|
2.73%
|
5.93%
|
5.97%
|
Michigan
|
-0.01%
|
4.52%
|
2.96%
|
2.72%
|
Minnesota
|
2.97%
|
4.46%
|
7.91%
|
6.20%
|
Mississippi
|
11.32%
|
6.94%
|
4.19%
|
6.15%
|
Missouri***
|
3.71%
|
4.57%
|
13.42%
|
9.77%
|
Montana
|
5.91%
|
4.88%
|
9.05%
|
5.99%
|
Nebraska
|
1.13%
|
3.27%
|
7.08%
|
5.69%
|
Nevada
|
5.02%
|
5.43%
|
4.21%
|
4.34%
|
New Hampshire
|
3.75%
|
0.00%
|
3.58%
|
2.34%
|
New Jersey
|
2.60%
|
3.89%
|
7.05%
|
5.11%
|
New Mexico*****
|
N/A
|
4.85%
|
14.41%
|
11.58%
|
New York
|
3.42%
|
4.67%
|
2.89%
|
3.09%
|
North Carolina***
|
5.16%
|
5.73%
|
9.24%
|
9.41%
|
North Dakota
|
5.37%
|
3.34%
|
6.07%
|
4.12%
|
Ohio
|
3.87%
|
4.59%
|
7.94%
|
5.22%
|
Oklahoma
|
5.27%
|
4.48%
|
9.90%
|
6.19%
|
Oregon
|
5.07%
|
5.22%
|
8.73%
|
2.59%
|
Pennsylvania
|
0.21%
|
5.82%
|
10.57%
|
4.95%
|
Rhode Island
|
1.16%
|
1.17%
|
10.01%
|
9.70%
|
South Carolina
|
5.88%
|
4.54%
|
9.60%
|
6.03%
|
South Dakota
|
4.97%
|
4.90%
|
8.44%
|
6.13%
|
Tennessee******
|
14.60%
|
7.24%
|
3.84%
|
4.69%
|
Texas
|
5.60%
|
4.74%
|
6.33%
|
8.44%
|
Utah
|
2.77%
|
3.15%
|
4.23%
|
1.58%
|
Vermont
|
7.83%
|
5.58%
|
10.76%
|
7.50%
|
Virginia
|
3.23%
|
5.20%
|
9.60%
|
9.86%
|
Washington
|
-1.52%
|
5.69%
|
4.73%
|
4.89%
|
West Virginia***
|
6.55%
|
4.79%
|
7.34%
|
7.25%
|
Wisconsin
|
-0.95%
|
2.37%
|
8.50%
|
2.90%
|
Wyoming
|
6.90%
|
5.63%
|
8.29%
|
7.04%
|
* Enrollees were identified as having full benefits if for each month they were enrolled in Medicaid, they also received full benefits or received Medicaid benefits through an alternative package of benchmark equivalent coverage. ** We have excluded prescription drug spending when calculating the average annual growth rate for aged enrollees. *** Because 2010 data were unavailable, 2009 MSIS data were used for Colorado, Idaho, Missouri, North Carolina, and West Virginia. We then calculated the average growth rate from FY 2000 to FY 2009 in these states. **** Due to data quality issues, individuals with disabilities in Maine who were enrolled in Medicaid only in Q4 of FY 2010 are not included in state or national payment per enrollee calculations when calculating average growth rates. ***** Because New Mexico MSIS data for 2010 underreports spending for people in the CoLTS program, we are unable to calculate the average growth rate for the elderly in this state. However, we do include this spending when calculating the average growth rate at national levels. ****** Due to data quality issues, we are unable to calculate spending per enrollee for the aged in Tennessee in FY 2000. Instead, we have calculated the average growth rate from FY 2001 to FY 2010 in this state. Source: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2000, 2001, 2009, & 2010 MSIS and CMS-64 reports. |