Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending

Table 1: Children with Special Health Care Needs Covered by Medicaid/CHIP by State, 2017
State Total Children with Special Health Care Needs Share with Medicaid/CHIP* Share with Medicaid/CHIP as Only Source of Coverage
Alabama 260,000 49% 44%
Alaska 33,400 48% 38%
Arizona 252,900 58% 43%
Arkansas 161,200 63% 54%
California 1,144,500 43% 42%
Colorado 230,400 25% 20%
Connecticut 160,200 45% 38%
Delaware 47,400 33% 28%
DC 21,100 62% 53%
Florida 830,300 51% 46%
Georgia 530,000 54% 49%
Hawaii 40,400 35% 30%
Idaho 79,200 56% 41%
Illinois 575,800 36% 32%
Indiana 328,800 42% 29%
Iowa 144,000 46% 34%
Kansas 148,300 55% 47%
Kentucky 236,800 55% 50%
Louisiana 252,300 46% 36%
Maine 58,200 43% 32%
Maryland 266,400 22% 19%
Massachusetts 276,500 40% 29%
Michigan 453,000 48% 33%
Minnesota 224,000 47% 38%
Mississippi 169,800 67% 61%
Missouri 280,600 47% 45%
Montana 45,300 64% 60%
Nebraska 86,000 38% 37%
Nevada 111,600 47% 47%
New Hampshire 54,600 35% 31%
New Jersey 320,600 37% 31%
New Mexico 89,300 57% 44%
New York 614,200 50% 47%
North Carolina 470,600 50% 42%
North Dakota 29,500 26% 18%
Ohio 547,500 45% 36%
Oklahoma 222,300 54% 46%
Oregon 162,900 49% 38%
Pennsylvania 505,500 55% 33%
Rhode Island 42,600 56% 52%
South Carolina 226,600 61% 44%
South Dakota 35,000 45% 33%
Tennessee 289,200 39% 37%
Texas 1,075,100 57% 38%
Utah 143,000 15% 8%
Vermont 23,500 54% 45%
Virginia 391,500 38% 31%
Washington 305,300 38% 33%
West Virginia 89,600 45% 43%
Wisconsin 212,600 48% 39%
Wyoming 28,000 34% 25%
US Total 13,327,400 47% 39%
NOTES: Includes non-institutionalized children ages 0-17. *Includes those with Medicaid/CHIP as sole source of coverage and those with both Medicaid/CHIP and private insurance.
SOURCE: Kaiser Family Foundation analysis of the 2017 National Survey of Children’s Health, Topical File.
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