Medicaid Per Enrollee Spending: Variation Across States
| Appendix Table 1: Spending Per Full-Benefit Enrollee,1 FY 2011 | |||||
| State | Aged | Individuals with Disabilities | Adults | Children | Total |
| United States | $17,522 | $18,518 | $4,141 | $2,492 | $6,502 |
| Alabama | $18,473 | $10,142 | $3,899 | $2,156 | $4,976 |
| Alaska | $24,288 | $28,790 | $6,471 | $4,682 | $9,481 |
| Arizona | $16,145 | $22,040 | $6,460 | $3,052 | $7,167 |
| Arkansas | $20,484 | $14,023 | $3,198 | $2,458 | $6,258 |
| California | $12,019 | $20,080 | $2,855 | $2,475 | $6,108 |
| Colorado | $18,478 | $19,643 | $3,469 | $2,241 | $5,730 |
| Connecticut | $30,560 | $31,004 | $4,538 | $3,158 | $8,122 |
| Delaware | $27,666 | $22,972 | $5,430 | $2,942 | $6,661 |
| DC | $27,336 | $28,604 | $4,446 | $2,820 | $9,083 |
| Florida | $14,253 | $15,005 | $2,993 | $1,707 | $4,893 |
| Georgia | $14,142 | $10,639 | $4,215 | $2,023 | $4,245 |
| Hawaii | $18,439 | $17,035 | $3,765 | $2,062 | $5,506 |
| Idaho | $15,558 | $21,781 | $4,878 | $2,023 | $5,968 |
| Illinois | $11,431 | $16,689 | $3,184 | $2,123 | $4,682 |
| Indiana | $21,269 | $19,488 | $3,198 | $1,858 | $5,600 |
| Iowa | $21,163 | $20,242 | $2,056 | $2,116 | $5,908 |
| Kansas | $18,328 | $17,153 | $3,762 | $2,186 | $6,267 |
| Kentucky | $15,757 | $12,856 | $5,055 | $2,911 | $6,435 |
| Louisiana | $15,491 | $15,099 | $4,168 | $2,082 | $5,567 |
| Maine2 | $19,881 | $16,920 | $2,194 | $2,528 | $6,761 |
| Maryland | $23,491 | $23,798 | $5,385 | $2,765 | $7,878 |
| Massachusetts | $27,205 | $16,927 | $4,496 | $4,173 | $11,091 |
| Michigan | $17,599 | $15,109 | $3,913 | $1,926 | $5,485 |
| Minnesota | $25,030 | $26,890 | $3,863 | $3,461 | $8,057 |
| Mississippi | $18,592 | $12,960 | $3,983 | $2,403 | $5,913 |
| Missouri | $17,020 | $17,481 | $4,122 | $2,978 | $7,095 |
| Montana | $26,704 | $16,352 | $6,539 | $2,919 | $7,573 |
| Nebraska | $14,997 | $17,449 | $4,015 | $2,041 | $5,777 |
| Nevada | $13,226 | $15,706 | $2,367 | $1,940 | $4,010 |
| New Hampshire | $26,794 | $21,545 | $3,662 | $3,241 | $7,705 |
| New Jersey | $19,160 | $19,951 | $4,648 | $2,616 | $7,546 |
| New Mexico3 | N/A | $18,500 | $6,928 | $4,550 | $6,328 |
| New York | $28,336 | $33,808 | $5,339 | $2,707 | $10,307 |
| North Carolina | $10,518 | $15,060 | $4,360 | $2,355 | $5,450 |
| North Dakota | $31,155 | $28,692 | $3,652 | $2,531 | $8,645 |
| Ohio | $27,494 | $21,892 | $4,225 | $2,110 | $7,075 |
| Oklahoma | $12,315 | $15,010 | $3,551 | $2,461 | $5,107 |
| Oregon | $24,253 | $18,255 | $5,631 | $2,085 | $6,625 |
| Pennsylvania | $21,372 | $16,441 | $4,631 | $3,194 | $8,508 |
| Rhode Island | $16,998 | $21,417 | $5,778 | $4,290 | $9,541 |
| South Carolina | $12,256 | $12,830 | $4,449 | $2,008 | $5,188 |
| South Dakota | $16,374 | $19,156 | $4,356 | $2,503 | $5,841 |
| Tennessee | $15,745 | $14,680 | $4,852 | $2,470 | $5,607 |
| Texas | $14,739 | $17,709 | $4,371 | $3,010 | $5,668 |
| Utah | $11,763 | $19,718 | $3,326 | $2,260 | $5,135 |
| Vermont | $14,258 | $17,789 | $6,062 | $5,214 | $7,951 |
| Virginia | $16,367 | $18,952 | $4,781 | $2,696 | $6,477 |
| Washington | $16,183 | $16,208 | $4,756 | $2,111 | $5,318 |
| West Virginia | $23,243 | $12,993 | $4,284 | $2,506 | $6,821 |
| Wisconsin | $16,344 | $16,599 | $3,170 | $1,656 | $5,956 |
| Wyoming | $32,199 | $25,346 | $3,986 | $1,967 | $6,322 |
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[1] Enrollees were identified as having full benefits if for each month they were enrolled in Medicaid, they also received full benefits, or if they received Medicaid benefits through an alternative package of benchmark equivalent coverage.
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[2] Due to data quality issues, individuals with disabilities in Maine who were enrolled in Medicaid only in Q4 are not included in state or national payment per enrollee calculations.
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[3] Because New Mexico MSIS data 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.
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Source: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2011 MSIS and CMS-64 reports. Because 2011 data were unavailable, FY 2010 MSIS data were used for Florida, Kansas, Maine, Maryland, Montana, New Mexico, New Jersey, Oklahoma, Texas, and Utah.
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| Appendix Table 2: Average Growth Rate From FY 2000 To FY 2011 For Full-Benefit Enrollees1 | ||||
| State | Aged2 | Individuals with Disabilities | Adults | Children |
| United States | 3.71% | 4.53% | 5.63% | 5.33% |
| Alabama | 4.81% | 5.14% | 6.63% | 5.46% |
| Alaska | 8.29% | 5.37% | 5.74% | 5.80% |
| Arizona | 3.44% | 8.12% | 9.86% | 8.32% |
| Arkansas | 8.25% | 5.39% | 12.12% | 6.34% |
| California | 6.31% | 6.61% | 6.86% | 7.20% |
| Colorado3 | 3.89% | 3.85% | 4.50% | 1.69% |
| Connecticut | 2.92% | 3.49% | 6.11% | 3.85% |
| Delaware | 4.74% | 3.69% | 7.11% | 5.84% |
| DC | 6.63% | 6.54% | 7.20% | 3.65% |
| Florida | 7.34% | 6.12% | 7.41% | 5.64% |
| Georgia | 4.88% | 2.71% | 6.85% | 4.46% |
| Hawaii | 6.45% | 15.47% | 6.32% | 1.05% |
| Idaho3 | 1.64% | 4.63% | 7.75% | 6.71% |
| Illinois | -0.67% | 1.48% | 2.53% | 3.19% |
| Indiana | 4.30% | 3.87% | 5.52% | 3.87% |
| Iowa | 3.76% | 3.12% | 0.35% | 3.75% |
| Kansas | 3.08% | 1.43% | 5.33% | 5.35% |
| Kentucky | 4.22% | 4.80% | 7.57% | 5.38% |
| Louisiana | 7.26% | 5.64% | 7.71% | 7.95% |
| Maine4 | 6.91% | 2.06% | 1.75% | 0.39% |
| Maryland | 5.49% | 6.26% | 9.91% | 6.23% |
| Massachusetts | 6.17% | 2.21% | 7.29% | 7.85% |
| Michigan | -0.29% | 4.28% | 3.13% | 2.55% |
| Minnesota | 2.95% | 3.94% | 6.32% | 6.45% |
| Mississippi | 10.83% | 6.94% | 4.39% | 6.23% |
| Missouri3 | 3.81% | 4.76% | 11.72% | 6.99% |
| Montana | 5.91% | 4.88% | 9.05% | 5.99% |
| Nebraska | -0.49% | 2.17% | 7.46% | 3.33% |
| Nevada | 4.19% | 4.56% | 3.57% | 3.13% |
| New Hampshire | 3.42% | 0.51% | 4.54% | 3.50% |
| New Jersey | 2.60% | 3.89% | 7.05% | 5.11% |
| New Mexico5 | N/A | 4.85% | 14.41% | 11.58% |
| New York | 3.15% | 4.31% | 2.88% | 3.01% |
| North Carolina3 | 3.01% | 3.35% | 6.48% | 6.03% |
| North Dakota | 5.15% | 3.07% | 4.76% | 3.96% |
| Ohio | 3.52% | 5.06% | 8.68% | 6.54% |
| Oklahoma | 5.27% | 4.48% | 9.90% | 6.19% |
| Oregon | 4.59% | 4.50% | 8.52% | 1.78% |
| Pennsylvania | 0.80% | 5.69% | 10.91% | 5.44% |
| Rhode Island | 2.52% | 1.97% | 10.70% | 9.42% |
| South Carolina | 4.71% | 3.40% | 8.80% | 4.73% |
| South Dakota | 3.17% | 3.95% | 7.32% | 5.38% |
| Tennessee6 | 13.29% | 6.85% | 1.50% | 2.97% |
| Texas | 5.60% | 4.74% | 6.33% | 8.44% |
| Utah | 2.77% | 3.15% | 4.23% | 1.58% |
| Vermont | 2.81% | 3.52% | 11.97% | 10.22% |
| Virginia | 3.51% | 5.26% | 9.65% | 8.92% |
| Washington | -1.37% | 5.68% | 4.45% | 4.68% |
| West Virginia3 | 6.53% | 4.40% | 8.22% | 6.43% |
| Wisconsin | 0.13% | 2.40% | 7.88% | 2.81% |
| Wyoming | 6.80% | 5.45% | 8.07% | 5.14% |
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[1] Enrollees were identified as having full benefits if for each month they were enrolled in Medicaid, they also received full benefits, or if they received Medicaid benefits through an alternative package of benchmark equivalent coverage.
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[2] Due to the shift in drug costs for the dually eligible from Medicaid to Medicare Part D as of 2006, we have excluded prescription drug spending when calculating the average annual growth rate for aged enrollees.
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[3] Because 2011 data were unavailable, 2010 MSIS data were used for Florida, Kansas, Maine, Maryland, Montana, New Mexico, New Jersey, Oklahoma, Texas, and Utah.
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[4] Due to data quality issues, individuals with disabilities in Maine who were enrolled in Medicaid only in Q4 are not included in state or national payment per enrollee calculations when calculating average growth rates.
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[5] Because New Mexico MSIS data underreported 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 in state and national totals.
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[6] 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 2011 in this state.
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Source: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from FY 2000, 2001, 2010, & 2011 MSIS and CMS-64 reports.
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