Important Facts About Medicaid

Medicaid provides health insurance for 3 in every 10 American children

Largest children’s health program

Primary source of health care for low-come families, elderly, & disabled

Over ˝ of Medicaid enrollees are children

Most children receiving Medicaid (75%) live in families with at least one working parent

Medicaid is a joint program with costs shared by federal & state government

Medicaid serves over 24 million children

Each state establishes its own standards for Medicaid eligibility, benefits package, & provider payment rates, within federal guidelines that set certain minimum standards and benefits

Children covered by Medicaid must have access to the same care & services as children with private insurance

Over 2/3 of pediatricians accept Medicaid; 1/3 of pediatricians help enroll additional eligible children

The federal government reimburses New Jersey for at least 50% of its Medicaid expenditures

Why is Medicaid important?

Critical health care safety net for millions of low-income children

Covers all services that doctor or health care professional identifies as "medically necessary" including:

Physician & hospital visits

Well-child visits & health care

Health screenings

Vision care & dental services

Medicaid in New Jersey

22% of New Jersey’s children are enrolled in Medicaid

1 in 9 New Jersey children is uninsured (226,990 children)

The cost to NJ of each Medicaid-eligible child is just $1,936 on average

NJ will lose $10 in federal funding for every $10 it cuts from State Medicaid

Sources of Medicaid in NJ

Early Periodic Screening, Diagnosis & Treatment

State Children’s Health Insurance Program (SCHIP) (in NJ, this is Family Care-Children’s Program)

Temporary Assistance to Needy Families

Children with disabilities & special health care needs