Florida KidCare: An Overview - The Agency for Health Care ...
Florida KidCare: An Overview
Presented to the House Health Care Appropriations Committee
Beth Kidder, Deputy Secretary for Medicaid Agency for Health Care Administration
October 16, 2019
Florida KidCare Program
? Florida KidCare is the umbrella name for Florida's government-sponsored children's health coverage.
? It includes the Children's Health Insurance Program (CHIP) and Medicaid for children.
(Sections 409.810 ? 409.821, F.S.)
Title XIX Medicaid services for children
Title XXI Children's
Health Insurance Program
(CHIP)
Florida "KidCare" Program
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Over 2.3 Million Children are Enrolled in Florida KidCare
Medicaid: 2,064,520 children
CHIP: 264,387 children
Florida KidCare: >2.3 million children
Source: KidCare Enrollment Report ? September 2019. Note: Full-Pay
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program enrollees are included.
Florida KidCare: Core Federal Components
Medicaid (Title XIX)
CHIP (Title XXI)
Authorized by Congress:
1965
1997
Implemented in Florida:
1970
1998
Federal Match Rate/ Subsidy: 61.47%
84.53%
Who is covered under subsidized program:
Low income families and pregnant women, low income elderly, disable
Children in families with incomes below 200% FPL but too high to qualify for Medicaid
Funding:
Available for all state
Fixed annual federal allotment
expenditures that meet
federal program requirements
Federal Authorization:
Permanent
Needs periodic reauthorization
*NOTE: In the original CHIP program, Congress created an "enhanced" federal matching rate that is generally about 15 percentage points higher than the Medicaid rate, averaging 71% nationally. The ACA increased each state's enhanced federal match rate by 23 percentage points, not to exceed a total match rate of 100 percent, between FY 2016 and FY 2019. A plan to reduce the FMAP over the next two (2) years was created as part of the most recent CHIP reauthorization.
Federal Fiscal Year 2019-FMAP remains at 23 percentage point increase Federal Fiscal Year 2020-FMAP transitions to 11.5 percentage point increase Federal Fiscal Year 2021-the increase will be eliminated entirely, returning to the original enhanced federal medical assistance percentage, which has a current national average of 71%.
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Florida KidCare Consists of Four Programs & Four Partners
MediKids Title XXI
Florida Healthy Kids
Title XXI CHIP Program
Children's Medical Services (CMS) Plan
Title XXI Title XIX
Medicaid for Children
Title XIX
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