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MONTANA HEALTH CARE FORUM CONFERENCE NOVEMBER 28, 2012 PRESENTATION BY: REBECCA KELLENBERG, MPP KELLENBERG CONSULTING, LLC The Medicaid Program: An Overview.

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Presentation on theme: "MONTANA HEALTH CARE FORUM CONFERENCE NOVEMBER 28, 2012 PRESENTATION BY: REBECCA KELLENBERG, MPP KELLENBERG CONSULTING, LLC The Medicaid Program: An Overview."— Presentation transcript:

1 MONTANA HEALTH CARE FORUM CONFERENCE NOVEMBER 28, 2012 PRESENTATION BY: REBECCA KELLENBERG, MPP KELLENBERG CONSULTING, LLC The Medicaid Program: An Overview

2 Who Qualifies for Medicaid? To qualify for Medicaid, a person must meet financial criteria and also belong to one of Medicaid’s categorically eligible groups:  Children  Pregnant women  Adults with dependent children  People with severe disabilities  Seniors

3 Montana Income Levels for Medicaid and CHIP Eligibility

4 Medicaid provides benefits that reflect the needs of the populations it serves

5 Health Coverage Improves Access to Care: Percent of Children With a Usual Source of Care or Saw a Doctor in the Last Six Months, 2009

6 How is Medicaid Paid For? A State and Federal Partnership

7 Medicaid Provides Support for Providers and Services in the Health Care System

8 Aged, Blind and Disabled account for 66% of Expenditures in Montana Source: The Montana Medicaid Program: Report to 2011 Legislature

9 Nationally, the top 5% of enrollees account for more than half of Medicaid Spending, 2009

10 Changes in Medicaid Costs Per Enrollee, 2000-2009

11 Summary Medicaid plays an important role in providing health coverage to children, pregnant women, elderly and disabled. Through a state and federal partnership, Medicaid finances a broad spectrum of health care services. More than half of Medicaid dollars are spent on aged, blind and disabled populations. Medicaid is a lean program, especially given its important role in providing coverage for a low- income, high risk population.

12 Contact Info Rebecca Kellenberg, M.P.P. Kellenberg Consulting, LLC Missoula, MT 406-529-9825 rebecca.kellenberg@gmail.com


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