Role of Census Data in Medicaid and CHIP Programs

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Explore how Census data influences Medicaid and CHIP programs, including funding allocations, programmatic modifications, and more. Learn about the impact on budgeting, eligibility, and the importance of accurate demographic data for effective policy implementation.

  • Census Data
  • Medicaid
  • CHIP
  • Health Services
  • Policy

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  1. Medicaid & CHIP Role of Census Data Suling Homsy, MPP, PhD Senior Executive Policy Advisor Health and Human Services Office of Policy and Rules

  2. Impact Perspective Medicaid and CHIP $61.8 Billion Budget

  3. Use of Census Data Medicaid is an entitlement program There is no cap on federal funding to provide eligible services to eligible persons Federal Medicaid Assistance Percentage (FMAP) is derived from each state s average per capita income CMS updates the rate annually TX Medicaid FMAP FFY 2019 FMAP is 58.19 percent FFY 2020 FMAP is 60.89 percent

  4. Use of Census Data CHIP is not an entitlement program Federal funds are capped Like Medicaid, the match rate is derived from each state s per capita income and changes annually States are allotted a portion of the total federal funds based on a formula then receive federal matching funds up to that allotment TX CHIP FMAP - 93.73 percent

  5. Programmatic Modifications An accurate count by income and demographic characteristics allows us to assess: Number of insured and uninsured Cost of coverage Assess policy modifications and estimate costs

  6. Thank you Suling Homsy Suling.homsy@hhsc.state.tx.us

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