11.08.2015 Views

COD E R E D

Download - Code Red: The Critical Condition of Health in Texas

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and Disabled group. 313 Medicaid eligibility for children ages 0 to 5 is 133 percent FPL. Eligibilityfor children ages 6 to 19 is 100 percent FPL. 314Medicaid Financing MethodColorado’s federal matching rate for Medicaid is 52.95 percent for fiscal year 2004, and 50percent for fiscal years 2005 and 2006. 315 The state portion of Medicaid funding comes fromgeneral revenue, sliding-scale premiums and copayments, a 2 percent provider tax, and a 1percent premium tax on health maintenance organizations, nonprofit health service plancorporations, and community integrated service networks. 316Total Medicaid spending in Colorado in FY 2003 was $2,567,544,672. 317 The average Medicaidspending per enrollee in FY 2000 was $4,624. This varied from an average of $1,662 spent oneach child to an average of $11,501 spent per enrollee in the blind and disabled group. 318Medicaid BenefitsMedicaid in Colorado offers outpatient hospital services and services at freestanding ambulatorysurgery centers, public and mental health clinics, federally qualified health centers, and ruralhealth clinics. It also offers inpatient hospital services. The following are types of benefitsoffered:• Eyeglasses and services for speech, hearing and language disorders.• Laboratory and X-ray services.• Medical equipment and supplies, prosthetic and orthotic devices.• Early and periodic screening, diagnosis, and treatment services; family planningservices; rehabilitation services (mental health and substance abuse).• Services by these health care providers: certified registered nurse anesthetist, dentistsproviding medical surgical services, nurse midwife, nurse practitioner, optometrist,physician, podiatrist.• Prescription drugs.• Ambulance services, non-emergency medical transportation services.• Home health services, hospice services, private duty nursing services, targeted casemanagement.• Institutional services: inpatient psychiatric services under age 21, inpatient hospitalnursing facility and intermediate care facility services for mental disease age 65 andolder, institutions for mental disease, intermediate care facilities for the mentallyretarded, nursing facility services. 319SCHIP CharacteristicsColorado has a separate SCHIP program. Statutorily, the program is called the Children’s BasicHealth Plan (CBHP) program, but publicly it is called Children’s Health Plan Plus or CHP+.CHP+ covers children ages 0-5 between 133 to 185 percent FPL and children ages 6-19between 100 to 185 percent FPL. 320 CHP+ also covered, for a short time, pregnant women 19years of age and older who were income-eligible, for medical care during their pregnancy plustwo months after birth. The prenatal program operated from October 2002 to May 2003 whenadditional enrollment was suspended for budgetary reasons. 321C-21

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