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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