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 ½ 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