Health Conditions, Utilization, and
Expenditures of Children in Foster Care

APPENDIX B
DETAILED EXPENDITURE TABLES

TABLE B.1A
AVERAGE MONTHLY MEDICAID EXPENDITURES,
BY CATEGORY OF MEDICAID ELIGIBILITY:
CALIFORNIA, 1994
  Category of Medicaid Eligibility
  All Children(a)
(N=2,891,620
Foster Care
(N=99,468)
Adoption Assistance
(N=18,495)
AFDC
(N=1,523,080)
SSI
(N=60,705)
All services (mean) $76.02 $154.49 $35.72 $50.28 $521.15
Institutional services (subtotal) 40.58 81.20 16.10 18.39 311.64
  • Inpatient hospital services
37.75 73.06 13.18 18.33 218.46
  • Inpatient psychiatric services
0.96 5.63 2.66 0.05 20.37
  • Institutional care facilities for mentally retarded
1.14 2.08 0.26 0.00 43.87
  • All other nursing facilities
0.74 0.43 0.00 0.01 28.93
Outpatient services (subtotal) 22.02 33.10 7.67 21.49 58.32
  • Physician services
7.60 10.04 2.12 7.14 28.68
  • Dental services
4.59 4.37 2.51 5.22 5.43
  • Other practitioners' services
0.78 6.73 0.96 0.55 5.14
  • Outpatient hospital services
3.47 5.07 1.07 2.96 13.68
  • Clinic services
2.09 3.22 0.45 1.87 3.08
  • Family planning services
0.16 0.34 0.04 0.15 0.16
  • Rural health clinic services
0.62 0.54 0.16 0.72 0.71
  • EPSDT services
2.71 2.78 0.38 2.88 1.43
Ancillary services (subtotal) 13.41 40.19 11.95 10.40 151.20
  • Home health services
0.54 1.23 0.02 0.06 18.71
  • Lab and x-ray services
2.32 3.75 0.82 2.09 10.15
  • Prescribed drugs
5.04 6.55 3.26 4.91 40.70
  • Equipment and supplies
1.25 1.73 0.82 0.78 24.18
  • Transportation
0.35 0.47 0.09 0.27 1.91
  • Case management
0.01 0.04 0.01 0.00 0.53
  • All other services
3.91 26.43 6.92 2.28 55.02
SOURCE:  HCFA State Medicaid Research Files.
NOTE:  Numbers may not sum to total due to rounding.
a.  Includes children in other categories of Medicaid eligibility.

Table B.1B

Table B.1C

Table B.2A

Table B.2B

Table B.2C

Table B.3

Table B.4A
Average Monthly Medicaid Expenditures Among Children in Foster Care,
by Type of Health Condition:
California, 1994
Services No Condition
(N=31,513)
Any Condition
(N=67,955)
Physical Condition Only
(N=14,014)
Mental Condtion Only
(N=11,652)
Both Physical and Mental Conditions
(N=5,847)
All services (mean) $55.13 $368.75 $341.63 $300.47 $569.83
Institutional services (subtotal) 26.57 199.00 223.14 120.57 297.45
  Inpatient hospital services 25.39 175.84 218.93 93.01 237.60
  Inpatient psychiatric services 1.18 15.22 0.81 23.04 34.17
  Institutional care facilities for the mentally retarded 0.00 6.58 1.21 4.51 23.54
  All other nursing facilities 0.00 1.37 2.18 0.00 2.13
Outpatient services (subtotal) 16.54 68.80 59.89 65.59 102.52
  Physician services 3.71 23.770 25.30 15.62 35.99
  Dental services 3.93 5.34 5.23 5.42 5.44
  Other practitioners' services 2.46 15.94 7.24 21.02 26.68
  Outpatient hospital services 2.14 11.39 10.69 8.79 18.29
  Clinic services 1.55 6.81 4.93 7.32 10.30
  Family planning services 0.21 0.62 0.46 0.59 1.08
  Rural health clinic services 0.30 1.07 1.16 0.86 1.25
  EPSDT services 2.26 3.91 4.88 2.96 3.50
Ancillary services (subtotal) 12.01 100.96 58.60 117.32 169.86
  Home health services 0.18 3.50 5.85 0.02 4.82
  Lab and x-ray services 1.51 8.56 7.85 6.53 14.33
  Prescribed drugs 2.16 16.02 18.40 9.08 24.13
  Equipment and supplies 0.54 4.29 6.00 1.58 5.59
  Transportation 0.11 1.23 1.32 0.66 2.16
  Case management 0.00 0.12 0.21 0.00 0.15
  All other services 7.51 67.23 18.97 99.45 118.69
SOURCE: HCFA State Medicaid Research Files.
NOTE: Numbers may not sum to total due to rounding.

Table B.4B

Table B.5

Table B.6


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