Medicaid Enrollees, Expenditures, and Reported EPDST Utilization

Medicaid Enrollees, Expenditures, and Reported EPSDT Utilization for Children Under 21, FY 2004
State Medicaid Enrollees* Per Enrollee Expenditure** Participation Ratio***

Idaho, Illinois, Pennsylvania and West Virginia enrollee and participation ratio data are based on FY 2003.

NR = Not reported

*Unduplicated number of individuals under age 21 determined to be eligible for EPSDT services (FY 2004 416 Report). ↑
**Represents total Medicaid vendor payments divided by Medicaid eligibles under 21 (FY 2004 MSIS Report). ↑
***The ratio of Medicaid eligibles receiving any initial and periodic screening services to the number of eligibles who should have received such services.↑
Alabama 491,853 $1,880.18 47%
Alaska 88,347 $4,493.54 51%
Arizona 670,534 $2,279.82 61%
Arkansas 379,001 $2,130.60 25%
California 6,071,277 $1,352.43 39%
Colorado 303,090 $1,953.42 48%
Connecticut 274,773 $2,134.73 61%
Delaware 79,449 $2,706.08 32%
District of Columbia 90,822 $3,493.72 73%
Florida 1,626,835 $1,877.67 56%
Georgia 1,109,058 $1,821.56 50%
Hawaii 121,477 $1,842.34 67%
Idaho 145,333 $2,061.55 33%
Illinois 1,146,996 $1,487.99 73%
Indiana 593,195 $1,828.82 54%
Iowa 228,738 $2,391.59 100%
Kansas 212,357 $2,434.86 87%
Kentucky 318,008 $2,537.93 44%
Louisiana 733,403 $1,537.94 64%
Maine NR $5,275.23 NR
Maryland 493,167 $2,606.13 54%
Massachusetts 480,203 $3,459.01 74%
Michigan 1,006,133 $1,837.88 42%
Minnesota 400,984 $3,138.35 100%
Mississippi 460,033 $1,600.98 32%
Missouri 684,632 $1,734.64 63%
Montana 65,113 $2,536.63 54%
Nebraska 157,025 $2,201.22 52%
Nevada 150,620 $1,617.51 38%
New Hampshire NR $2,483.13 NR
New Jersey 534,765 $2,223.72 54%
New Mexico 329,214 $2,415.37 49%
New York 2,113,319 $2,708.01 94%
North Carolina 858,750 $2,348.96 72%
North Dakota 43,893 $2,144.94 41%
Ohio 1,154,022 $2,005.30 47%
Oklahoma NR $1,672.24 NR
Oregon 273,778 $1,971.84 55%
Pennsylvania 941,719 $2,603.95 57%
Rhode Island 112,508 $4,034.41 54%
South Carolina 640,690 $1,818.43 33%
South Dakota 83,268 $2,282.76 43%
Tennessee 775,232 $1,864.99 47%
Texas 2,712,573 $1,876.39 62%
Utah 172,342 $1,986.96 49%
Vermont 73,351 $2,993.23 84%
Virginia 494,199 $1,785.67 56%
Washington 661,357 $1,515.80 55%
West Virginia 216,516 $1,916.62 50%
Wisconsin 467,934 $1,585.51 65%
Wyoming 52,770 $2,124.46 36%

Sources: Centers for Medicare & Medicaid Services. Annual EPSDT participation report, FY 2004 (Form CMS-416). Baltimore, MD: The Centers. June 2006. http://www.cms.hhs.gov/MedicaidEarlyPeriodicScrn/03_StateAgencyResponsibilities.asp, accessed 9/20/07.
Centers for Medicare & Medicaid Services, Center for Medicaid and State Operations. Fiscal Year 2004 National MSIS Tables. Rev. 6/22/07. [Tables 5 & 19] http://www.cms.hhs.gov/MedicaidDataSourcesGenInfo/02_MSISData.asp, accessed 9/20/07.

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