20.7% of Alabama’s total population (includes all eligibility categories)
46% of all deliveries in Alabama
37.9% of Alabama’s children (under 19)
19.7% of Alabama’s elderly (65 and above)
74% of nursing home days in Alabama
Total Medicaid Eligibles As a Percentage of Alabama’s Population Note: Includes individuals eligible for Plan First FY
Medicaid Children Under age 19 as a Percent of Alabama’s Child Population FY
Children in Working Families As of September 2005 Source: Obtained for MLIF and SOBRA populations based on information from Medicaid applications as filed.
What are the sources of health insurance coverage in Alabama? 3.7% 31.4% 53.7% 11.2% AL Rate UNK Individual Coverage 25.3% Public Program 62.6% Employer Sponsored Coverage 14.6% Uninsured US Rate (CPS 2001) Coverage
AL Uninsurance Rates by Age All rates reflect point in time data.
Eligible and Payment Distribution By Age FY 2005
Eligibles Percent Distribution by Race FY 2005
Cost Per Eligible FY 2005 By Category By Gender By Age
Economic Impact Hospital Care Primary Care Maternity Care Pharmacy MEDICAID
High Medicaid Counties FY 2005 These 12 counties have the highest concentration of Medicaid eligibles across the general population (30% or greater). Bullock 35% Lowndes 33% Butler 33% Macon 31% Conecuh 31% Marengo 30% Dallas 41% Perry 43% Greene 40% Sumter 39% Hale 32% Wilcox 46%
These 11 counties have the highest concentration of Medicaid eligibles across the children’s population (50% or greater). Bullock 66% Lowndes 55% Butler 56% Macon 50% Conecuh 56% Perry 63 % Dallas 65% Sumter 65% Greene 66% Wilcox 71% Hale 50% High Medicaid Counties FY 2005
In FY 2004, Medicaid paid approximately $3.7 billion to providers for various health care services rendered; $2.7 billion represents federal funds brought into the State.
In FY 2005, Medicaid paid approximately $3.9 billion to providers for various health care services rendered; $2.8 billion represents federal funds brought into the State.
Medicaid expenditures supported more than 84,323 jobs in various industries within the state. 1 1 Economic Impact of the Alabama Medicaid Agency on the Economy of the State of Alabama and its Counties, Amy K. Yarbrough, MSHA, MBA, Administrative Fellow, University of Alabama at Birmingham Economic Impact (continued)
November 1, 2003 a Preferred Drug List (PDL) was implemented, requiring that drug classes be reviewed by our Pharmacy and Therapeutics (P&T) Committee for clinical recommendations for inclusion into the PDL.
Medicaid is currently re-reviewing implemented classes into our PDL to ensure up-to-date clinical information is taken into consideration for PDL clinical decisions.
To ensure every child in Alabama enjoys optimal health by providing equal and timely access to quality, comprehensive oral health care, where prevention is emphasized promoting the total well-being of the child.
Three Primary Ways 1. Provider Electronic Solutions Free Software provided by EDS. Quick response time – one at time or in batches 2. Automated Voice Response Toll free Number 1-800-727-7848 Available 23 hrs/day, 7 days per week 3. Secure Website: