Filling the need for trusted information on national health issues…

Medicaid Restructuring and Children with Special Health Care Needs

Table 1:  Distribution of Children with Special Health Care Needs by Household Income, 2009-2010.
Table 2:  Share of Children with Special Health Care Needs Covered by Medicaid/CHIP, 2009-2010.
Table 3: Medicaid/CHIP Children with Special Health Care Needs by SSI Status, 2009-2010

Table 1: Distribution of Children with Special Health Care Needs by Household Income, 2009-2010
State Total Children with Special Health Care Needs Federal Poverty Level (FPL) Range:
0-99% FPL 100%-199% FPL 200%-399% FPL 400% FPL or more
Alabama  200,367 32% 22% 26% 19%
Alaska  19,916 16% 25% 39% 19%
Arizona  241,067 23% 21% 29% 24%
Arkansas  139,580 36% 25% 25% 12%
California  997,157 17% 16% 30% 37%
Colorado  167,524 17% 13% 38% 31%
Connecticut  139,453 15% 15% 25% 44%
Delaware  36,143 13% 26% 30% 31%
DC  18,819 35% 17% 18% 28%
Florida  606,215 23% 27% 29% 21%
Georgia  411,526 24% 23% 25% 26%
Hawaii  35,022 15% 23% 37% 25%
Idaho  53,280 23% 28% 32% 16%
Illinois  452,574 20% 19% 29% 30%
Indiana  268,717 24% 19% 35% 21%
Iowa  105,815 22% 24% 32% 21%
Kansas  120,822 18% 23% 34% 24%
Kentucky  197,916 34% 25% 25% 16%
Louisiana  207,840 28% 23% 28% 20%
Maine  53,122 27% 29% 26% 18%
Maryland  211,442 14% 16% 28% 42%
Massachusetts  261,475 14% 16% 28% 42%
Michigan  430,222 26% 24% 25% 23%
Minnesota  179,162 17% 17% 34% 31%
Mississippi  124,905 40% 24% 21% 14%
Missouri  252,734 23% 27% 28% 20%
Montana  30,571 23% 30% 31% 16%
Nebraska  61,071 16% 24% 34% 25%
Nevada  82,108 15% 25% 37% 22%
New Hampshire  54,569 11% 21% 33% 34%
New Jersey  294,346 15% 14% 29% 42%
New Mexico  70,725 30% 27% 26% 18%
New York  660,565 24% 19% 25% 32%
North Carolina  389,439 23% 28% 25% 24%
North Dakota  19,748 15% 24% 37% 23%
Ohio  483,467 28% 24% 26% 21%
Oklahoma  161,799 24% 26% 29% 19%
Oregon  119,187 19% 23% 33% 25%
Pennsylvania  469,906 21% 21% 30% 28%
Rhode Island  39,170 24% 19% 31% 25%
South Carolina  177,157 27% 26% 26% 19%
South Dakota  24,415 24% 30% 32% 14%
Tennessee  255,692 30% 25% 23% 21%
Texas  919,876 22% 24% 25% 29%
Utah  112,278 13% 26% 37% 23%
Vermont  21,790 18% 23% 37% 21%
Virginia  296,668 19% 18% 28% 33%
Washington  235,920 18% 21% 31% 29%
West Virginia  70,609 32% 25% 28% 14%
Wisconsin  201,529 18% 22% 32% 26%
Wyoming  18,194 12% 29% 33% 24%
U.S. Total 11,203,616 22% 22% 29% 27%
NOTES:  Totals may not sum due to rounding.  100% FPL for a family of 3 in 2017 =  $20,420/year.  Medicaid/CHIP also includes Medicare and Medigap. SOURCE: National Survey of Children with Special Healthcare Needs (2009-10). 

 

Table 2: Share of Children with Special Health Care Needs Covered by Medicaid/CHIP, 2009-2010
State Total Children with Special Health Care Needs Share with Medicaid/CHIP Only Share with Medicaid/CHIP and Private Insurance
Alabama  200,367 45% 6%
Alaska  19,916 25% 14%
Arizona  241,067 33% 9%
Arkansas  139,580 56% 9%
California  997,157 27% 8%
Colorado  167,524 24% 5%
Connecticut  139,453 27% 7%
Delaware  36,143 35% 7%
DC  18,819 47% 12%
Florida  606,215 41% 5%
Georgia  411,526 37% 6%
Hawaii  35,022 23% 4%
Idaho  53,280 36% 10%
Illinois  452,574 36% 8%
Indiana  268,717 34% 9%
Iowa  105,815 33% 9%
Kansas  120,822 24% 6%
Kentucky  197,916 45% 7%
Louisiana  207,840 48% 8%
Maine  53,122 49% 10%
Maryland  211,442 26% 5%
Massachusetts  261,475 24% 11%
Michigan  430,222 39% 7%
Minnesota  179,162 26% 7%
Mississippi  124,905 52% 8%
Missouri  252,734 38% 4%
Montana  30,571 36% 5%
Nebraska  61,071 28% 6%
Nevada  82,108 27% 5%
New Hampshire  54,569 31% 7%
New Jersey  294,346 23% 5%
New Mexico  70,725 43% 12%
New York  660,565 34% 9%
North Carolina  389,439 43% 5%
North Dakota  19,748 21% 12%
Ohio  483,467 35% 11%
Oklahoma  161,799 42% 8%
Oregon  119,187 29% 6%
Pennsylvania  469,906 35% 18%
Rhode Island  39,170 33% 12%
South Carolina  177,157 41% 8%
South Dakota  24,415 37% 11%
Tennessee  255,692 41% 10%
Texas  919,876 35% 6%
Utah  112,278 14% 6%
Vermont  21,790 47% 11%
Virginia  296,668 24% 5%
Washington  235,920 30% 8%
West Virginia  70,609 47% 9%
Wisconsin  201,529 30% 12%
Wyoming  18,194 35% 7%
U.S. Total 11,203,616 36% 8%
NOTE: Medicaid/CHIP also includes Medicare and Medigap. SOURCE: National Survey of Children with Special Healthcare Needs (2009-10).

 

Table 3: Medicaid/CHIP Children with Special Health Care Needs by SSI Status, 2009-2010
State Total Medicaid/CHIP Children with Special Health Care Needs Share Receiving SSI Share Without SSI
Alabama 102,630 19% 81%
Alaska 7,708 8% 92%
Arizona 102,127 17% 83%
Arkansas 90,428 30% 70%
California 348,461 18% 82%
Colorado 48,673 12% 88%
Connecticut 46,353 14% 87%
Delaware 15,291 13% 87%
DC 10,974 22% 78%
Florida 275,726 20% 80%
Georgia 175,744 18% 82%
Hawaii 9,325 11% 89%
Idaho 24,811 19% 81%
Illinois 195,785 17% 83%
Indiana 113,576 22% 78%
Iowa 44,160 14% 86%
Kansas 36,222 15% 85%
Kentucky 101,350 27% 73%
Louisiana 116,360 17% 83%
Maine 31,161 12% 88%
Maryland 65,537 * *
Massachusetts 90,137 12% 88%
Michigan 198,266 14% 86%
Minnesota 58,084 11% 89%
Mississippi 74,998 21% 79%
Missouri 106,676 20% 80%
Montana 12,647 18% 82%
Nebraska 20,454 18% 89%
Nevada 26,536 * *
New Hampshire 20,534 10% 90%
New Jersey 81,067 16% 84%
New Mexico 39,196 17% 83%
New York 282,675 20% 80%
North Carolina 189,666 18% 82%
North Dakota 6,512 13% 87%
Ohio 222,117 20% 80%
Oklahoma 80,877 12% 88%
Oregon 42,259 21% 79%
Pennsylvania 250,033 19% 81%
Rhode Island 17,521 15% 85%
South Carolina 87,409 19% 81%
South Dakota 11,707 * *
Tennessee 130,388 14% 86%
Texas 373,041 23% 77%
Utah 22,447 15% 85%
Vermont 12,727 10% 90%
Virginia 87,246 26% 74%
Washington 89,744 17% 83%
West Virginia 39,422 17% 83%
Wisconsin 84,559 19% 81%
Wyoming 7,716 * *
U.S. Total 4,729,061 18% 82%
NOTES: *Data not reported because estimates based on sample sizes too small to meet standards for reliability or precision (relative standard error > 30%).  Omitted states are included in U.S. total.  Medicaid/CHIP also includes Medicare and Medigap. SSI = Supplemental Security Income. Medicaid/CHIP children who do not receive SSI include those who are eligible through another disability-related pathway (such as Katie Beckett/TEFRA or an HCBS waiver) and those who are eligible based on low family income; according to other analyses, most of this group are eligible based on low family income. Percentages may not sum due to rounding.  SOURCE: National Survey of Children with Special Healthcare Needs (2009-10).
Issue Brief

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/KaiserFamFound

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.