12:00 am
December 5, 2013
This week’s Healthplanfinder enrollment update shows significant increases in enrollment in qualified (private) health plans, newly eligible Medicaid, and immediate coverage Medicaid. Total enrollment through the exchange is now up to 176,468 (through November 28). Of those, 18,131 are in qualified health plans (10.3 percent). (According to the Seattle Times, “Officials project that about 130,000 residents will purchase qualified health plans by Jan. 1, 2014, and that 280,000 will enroll by Jan. 1, 2015.”)
A total of 158,337 have been enrolled in Medicaid since Oct. 1. 66,484 are enrolled for immediate coverage — these are people who are currently eligible for Medicaid but who hadn’t previously signed up, as well as re-enrollments (Medicaid requires its clients to verify their eligibility annually). These enrollments are funded under the normal federal match of 50 percent.
91,853 are enrolled for coverage beginning in January. They are newly eligible under the Affordable Care Act’s Medicaid expansion. As such, the federal match will be 100 percent for three years (decreasing to 90 percent by 2020). The enrollment number includes an automated transfer of 28,034 presumptive Supplemental Security Income (SSI) and Medical Care Services (MCS) clients (formally known as Disability Lifeline). This transfer is part of a bridge waiver the Health Care Authority received a few years ago in order to move people onto Medicaid. The presumptive SSI group will only receive a 75 percent federal match.
The chart below shows the enrollments that have occurred each week; the presumptive SSI/MCS transfer is clearly a big part of the story this week. Even setting that aside, though, enrollments in each category are up.
Apple Health (that’s the state Medicaid program’s new name) has a more detailed enrollment report here. It shows the break out of the immediate coverage group among family medical, pregnancy medical, children’s medical, and CHIP. It also shows the newly eligible numbers by county and shows how many of each category had previous coverage.
Categories: Budget , Categories , Health.