Infographic: Medicaid’s Role for Children with Special Health Care Needs

Medicaid's Role for Children with Special Health Needs
Table 1: State Indicators of Medicaid’s Role for Children with Special Health Care Needs
State Per Enrollee Spending for Children with Disabilities, 2011 Optional Eligibility Pathways
Katie Beckett State Plan Option, 2015 Family Opportunity Act Buy-In for Children with Significant Disabilities, 2015 1915(c) Waiver for Children with Disabilities, 2013
Expanded Medicaid/Republican Governor
Arizona $32,303 No No Yes
Arkansas $14,317 No No Yes
Illinois $12,534 No No Yes
Indiana $14,827 No No No
Iowa $21,263 No Yes Yes
Kentucky $12,442 No No No
Maryland $20,678 No No Yes
Massachusetts $10,351 Yes No Yes
Michigan $16,994 Yes No Yes
Nevada $12,391 Yes No No
New Hampshire $53,557 Yes No No
New Jersey $18,759 No No No
New Mexico $21,966 No No Yes
North Dakota $18,360 No Yes Yes
Ohio $15,499 No No No
Vermont $42,030 Yes No Yes
State Average $21,142 5/16 2/16 10/16
Expanded Medicaid/Democratic or Independent Governor
Alaska $32,734 Yes No Yes
California $24,909 No No Yes
Colorado $17,834 No Yes Yes
Connecticut $17,273 No No Yes
Delaware $20,091 Yes No No
DC $21,952 No No No
Hawaii $21,472 No No No
Louisiana $11,264 No Yes Yes
Minnesota $25,425 Yes No No
Montana $21,203 No No Yes
New York $20,082 No No Yes
Oregon $18,737 No No Yes
Pennsylvania $16,634 No No Yes
Rhode Island $30,043 Yes No Yes
Washington $17,152 No No Yes
West Virginia $14,045 Yes No No
State Average $20,678 5/16 2/16 11/16
Did Not Expand Medicaid/Republican Governor
Alabama $11,020 No No No
Florida $13,373 No No Yes
Georgia $7,829 Yes No Yes
Idaho $23,073 Yes No Yes
Kansas $14,282 No No Yes
Maine $22,424 No No No
Mississippi $11,963 Yes No No
Missouri $20,759 No No Yes
Nebraska $17,451 Yes No Yes
Oklahoma $14,460 Yes No Yes
South Carolina $13,366 Yes No Yes
South Dakota $16,689 Yes No No
Tennessee $6,945 No No No
Texas $18,261 No Yes Yes
Utah $21,683 No No Yes
Wisconsin $9,950 Yes No Yes
Wyoming $18,684 No No Yes
State Average $15,424 8/17 1/17 12/17
Did Not Expand Medicaid/Democratic Governor
North Carolina $17,971 No No Yes
Virginia $15,418 No No No
State Average $16,695 0/2 0/2 1/2
NOTE: Children with disabilities represent a smaller subset of children with special health care needs.

Kaiser Family Foundation and Urban Institute analysis based on FY 2011 and 2011 MSIS and CMS-64 reports

MaryBeth Musumeci, Medicaid and Children with Special Health Care Needs (Washington, DC: Kaiser Family Foundation, January 2017),

MaryBeth Musumeci and Katherine Young, State Variation in Medicaid Per Enrollee Spending for Seniors and People with Disabilities (Washington, DC: Kaiser Family Foundation, May 2017),

Molly O’Malley Watts, Elizabeth Cornachione, and MaryBeth Musumeci, Medicaid Financial Eligibility for Seniors and People with Disabilities in 2015 (Washington, DC: Kaiser Family Foundation, March 2016),

National Survey of Children with Special Health Care Needs,

Terrence Ng, et al., Medicaid Home and Community-Based Services Programs: 2013 Data Update (Washington, DC: Kaiser Family Foundation, October 2016),



KFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270 | Email Alerts: | |

The independent source for health policy research, polling, and news, KFF is a nonprofit organization based in San Francisco, California.