Issues in Medicaid Managed Care

Federal participation goal for Medicaid screenings in 1995: 80%
FY 1995 47.0% of eligible children screened
FY 1996 38.5% of eligible children screened
FY 1997 35.3% of eligible children screened


Screening rates for older children are particularly low
6-14 years 15-20 years
FY 1995 38% eligible children screened 27% eligible children screened
FY 1996 31% eligible children screened 21% eligible children screened
FY 1997 20% eligible children screened 18% eligible children screened

 

In FY 1997, 65% of Michigan Children enrolled in Medical Assistance (338,261 individual children) did not receive any screen examination at all. Of these:
  • 174,209 were children ages 6-21 who did not receive a screen examination
  • 161,294 were toddlers -- ages 1 through 5 -- who did not receive a screening examination
  • 3,158 were infants who did not receive even one of the six required comprehensive screen examinations

 

Referrals for medically necessary corrective treatment through the EPSDT program is also decreasing.
FY 1995 522 referrals
FY 1996 754 referrals
FY 1997 0 referrals

Source: HCFA 2092 reporting

 

Access to Health Care Data

 

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