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An Essential Guide To Idaho's Medicaid Program

Background

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This page is no longer being updated. For ongoing coverage of this topic, go to Boise State Public Radio’s website.

In the world of social programs, Medicaid is one of the hardest to understand.  It’s something of a catch-all program for low-income people, covering broad and divergent needs. Included are healthy children and adults with eligible dependent children, people with disabilities or special health needs, and the elderly. Eligibility is income-based and it varies according the category of qualification for the program.

During the state’s 2011 fiscal year, more than three quarters of the funding allocated to the Department of Health and Welfare’s budget went to Medicaid. The program received about $1.55 billion in federal and state funding, with 74 percent of those dollars coming from the federal government.

Enrollment in Idaho’s Medicaid program has grown substantially in recent years. The average monthly Medicaid enrollment was fairly stable between 2006 and 2008.  It grew by about 3.5 percent.  But in the last three years, the program’s enrollment has grown nearly 21 percent.  Ballooning from about 185,000 in 2008 to 228,897 in 2012.

With state budget shortfalls and increasing Medicaid enrollment, the Idaho legislature has sought to curb Medicaid spending.  The most recent cut, approved in the 2011 legislative session, totaled nearly $35 million in state spending.  The Idaho Department of Health and Welfare has  summarized the specifics of that cut.

Here’s a chart showing Idaho’s Medicaid enrollment over the last six years:

Check out this chart showing how much the federal government and Idaho are spending on Medicaid each year (in Billions of dollars):

Latest Posts

Medicaid Cuts May Prove Hard to Reverse

Medicaid service providers and advocates for people who receive Medicaid voice many concerns about the nearly $35 million cut in state spending approved by the Idaho Legislature early this year.  Underlying their anxiety about provider layoffs and service reductions for adult Medicaid recipients is the fact that all of the changes approved in the last […]

Essential StateImpact: Top Five Stories of the Week

Here’s a look back at the five most commented, clicked and viewed stories of the week.  In case you missed something, we put them all in one handy place: Six Months In, Evaluating the Effects of a Medicaid Cut: Idaho’s Medicaid program is dealing with a $100 million cut.  The economic and personal reverberations are […]

Idaho’s Medicaid Program by the Numbers

To understand the challenges Idaho’s Medicaid program has faced in recent years, it’s important to understand the numbers. As we noted in earlier reporting, Medicaid enrollment has grown by more than 20 percent since 2008. Source: Idaho Department of Health and Welfare The result is greater spending.  As the graph below illustrates, state Medicaid expenditures […]

Six Months In, Evaluating The Effects Of A Medicaid Cut

It’s relatively simple to describe the Medicaid cut approved by the Idaho Legislature early this year.  State leaders made about $35 million in targeted cuts.  That meant fewer federal matching dollars, and a total funding loss of nearly $100 million to the state’s Medicaid program.  The economic and personal reverberations are more difficult to tally, […]

Idaho’s Rising Medicaid Enrollment Drives Costs

Bruce Vladeck, who directed the federal Medicare and Medicaid programs for four years in the 1990s, summed up the Medicaid program this way.  “Medicaid isn’t rocket science,” he said.  “It’s harder and more expensive.”  Years later, a poster echoing those words hangs in Idaho Medicaid Administrator Paul Leary’s office. It’s true that in the world […]

Idaho in Top Ten for Cuts in Mental Health Spending

StateImpact Idaho is beginning to look at the effects of the $34 million Medicaid cut that the Idaho Legislature passed last session.  Related to that, a new report from the National Alliance on Mental Illness (NAMI) tallies the state-by-state changes in general fund appropriations for state mental health agencies since 2009.  According to the report, […]

Idaho Could Follow Other States in Pursuing Drug Tests for Welfare Recipients

The New York Times is drawing attention to the large number of states that have this year considered implementing drug testing for people who receive public assistance. “[Thirty-six] states considered drug testing for recipients of cash assistance from the major welfare program, Temporary Assistance for Needy Families, according to the National Conference of State Legislatures; […]

U.S. Poverty Rate at Highest Level in Years

Some bad news today from the U.S. Census Bureau.  The most recent poverty numbers show that the national rate grew to 15.1 percent in 2010. “Another 2.6 million people slipped below the poverty line in 2010, meaning 46.2 million people now live in poverty in the United States, the highest number in the 52 years […]

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