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Pharmaceutical Benefits Under State Medical Assistance Programs, 2007

Pharmaceutical Benefits Under State Medical Assistance Programs, 2007

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Overview of Pharmaceutical Benefits Under State Medical Assistance Programs from 2007.
Overview of Pharmaceutical Benefits Under State Medical Assistance Programs from 2007.

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Published by: National Pharmaceutical Council on Nov 26, 2008
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05/16/2014

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Pharmaceutical Benefits Under State Medical  Assistance Programs
2007
Published by the National Pharmaceutical Council, Inc. 1894 Preston White Drive Reston, VA 20191-5433
 © 
2007 by the National Pharmaceutical Council
 
 This compilation of data on State Medical Assistance Programs (Title XIX) presents a general overview of the characteristics of State programs, together with detailed information on the  pharmaceutical benefits provided. The data collection effort covers all States with Medicaid programs and the District of Columbia. Information for this compilation was acquired from multiple sources, including a survey of Medicaid  prescription drug programs administered for the National Pharmaceutical Council by United BioSource Corporation with assistance from Total Compensation Solutions. Additional assistance was provided by StateScape and Hmetrix. While we have checked all secondary data in the book for consistency relative to the original source, we have not validated the original data reported by the Centers for Medicare and Medicaid Services (CMS) and other organizations. The data in this compilation were compiled under the direction of David Goldenberg, Ph.D., with assistance from Errica Philpott, Steven Heath, Stanley Weintraub, Edward Steinhouse, J.D., Elizabeth Segall, Vishal Gupta, and Michael Sanky of United BioSource Corporation. Paul Gavejian, Michael Steele, and Matthew Leach of Total Compensation Solutions prepared and conducted the 2007 survey. George Chalissery and Hmetrix were responsible for aggregating the data on number of prescriptions and drug expenditures by therapeutic category. David Schulz at StateScape provided updated information on State officials, State professional societies, and State pharmaceutical assistance  programs. As always, Gary Persinger and Kimberly Westrich of the National Pharmaceutical Council  provided valuable input and support.
 
National Pharmaceutical Council Pharmaceutical Benefits 2007 i
TABLE OF CONTENTS
SECTION 1: INTRODUCTION
 .......................................................................................................... 1-1
 SECTION 2: THE MEDICAID PROGRAM
..................................................................................... 2-1
Medicaid Program Overview
 .................................................................................................... 2-3
 -
Total Medicaid Eligibles by Maintenance Assistance Status, 2004 ........................ 2-11
-
 
Total Medicaid Eligibles by Age Group, 2004........................................................ 2-12
-
 
Total Medicaid Eligibles by Gender, 2004 .............................................................. 2-13
-
 
Total Medicaid Eligibles by Race/Ethnicity 2004 ................................................... 2-14
-
 
Total Medicaid Eligibles by Basis of Eligibility, 2004 ........................................... 2-15
-
 
Total Medicaid Eligibles per 1000 Population, 2004 .............................................. 2-16
-
 
Total Net U.S. Medical Assistance Expenditures by Type of Service, FY 2004 and FY 2005 ............................................................................................. 2-17
-
 
Federal Medical Assistance Percentages (FMAP), FY 2007 and FY 2008 ............ 2-18
-
 
Medicaid Total Net Expenditures and Eligibles, 2004 ............................................ 2-19
-
 
Total Medicaid Program Expenditures, 2005 .......................................................... 2-20
-
 
Total SCHIP Enrollment, 2005 ............................................................................... 2-21
-
 
Total SCHIP Enrollment, 2006 ............................................................................... 2-22
-
 
Total SCHIP Expenditures, 2005 ............................................................................ 2-23
-
Total Medicaid/Medicare Dual Eligibles by Dual Eligibility Type, 2004 .............. 2-24
-
Total Medicaid Medical Vendor Payments and Dual Eligibility Status, 2004 ....... 2-26
Medicaid Managed Care Enrollment
................................................................................... 2-29
 -
 
Medicaid Managed Care Enrollment, As of June 30, 2006 ..................................... 2-31
-
 
Pharmaceutical Benefits Under Managed Care Plans ............................................. 2-32
-
 
Medicaid Managed Care Enrollment Trends, 2001-2006 ....................................... 2-33
-
 
Medicaid Managed Care Plan Type, As of June 30, 2006 ...................................... 2-34
-
 
Medicaid Managed Enrollment by Plan Type, As of June 30, 2006 ....................... 2-35
-
 
Medicaid Managed Care Enrollment by Payment Arrangement, As of June 30, 2006 ................................................................................................. 2-36
Medicaid Managed Care Waivers
 .......................................................................................... 2-37
-
 
Section 1915(b) and 1115 Waivers ......................................................................... 2-39
SECTION 3: STATE CHARACTERISTICS
.................................................................................... 3-1
-
Age Demographics, 2006 .......................................................................................... 3-5
-
 
Race Demographics, 2006 ......................................................................................... 3-6
-
 
Hispanic Demographics, 2006 ................................................................................... 3-7
-
 
Insurance Status-Populations, 2006 ........................................................................... 3-8
-
 
Insurance Status-Percentages, 2006 .......................................................................... 3-9
-
Poverty Status-Populations, 2006 ............................................................................ 3-10
-
 
Poverty Status-Percentages, 2006............................................................................ 3-11
-
 
Employment Status, 2006 ........................................................................................ 3-12
-
 
Medicaid/Medicare Certified Facilities, 2006 ......................................................... 3-13
-
 
Licensed Pharmacies, As of June 30, 2006 ............................................................. 3-14
-
 
Physicians, 2005 ...................................................................................................... 3-16
-
 
Other Providers, 2004/2006 ..................................................................................... 3-17

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