Using MSIS Data to Analyze Medicaid Eligibility and Managed Care Enrollment Patterns in 1999. Appendix C. MSIS Managed Care Table Footnotes

02/01/2003

Listed below are state-by-state footnotes that describe any known problems with the 1999 MSIS data. At the end of each footnote is a list of the state-level tables for which the footnote is relevant. The Annual (A) tables for 1999 are listed first, followed by the Monthly (M) tables that relate to December 1999. However, the numbering for the state tables differs from the numbering for the national tables. National tables 1-5 correspond to Annual (A) tables 1-5 for the states. National tables 6-14 correspond to Monthly (M) tables 1-9 for the states. An exhibit following the footnotes summarizes how the numbering corresponds for the national-level tables and the state-level tables.

Links to each state's tables are provided after the specific state name, as well as at the end of this page.

Alabama

  1. In October 1999, Alabama terminated its 1115 program. A: 1
  2. In October 1999, an HMO (Bay Health Plan in Mobile County) was discontinued. A: 3A-B, 4A-B, 5
  3. The "other" managed care plan type in Alabama is a prepaid plan network that covers only inpatient care. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9
  4. Although disparities exist between MSIS Medicaid managed care counts (for HMOs and PCCMs) and other sources, Alabama officials assert that the MSIS counts are more accurate. A:3A-B, 4A-B, 5

Alaska

  1. In Alaska, enrollment generally increased from month 1 to month 3 of each quarter and then decreased somewhat in month 1 of the next quarter. This recurring pattern of monthly enrollment within a quarter seems unlikely. The state's data should not be used for analysis of month-to-month enrollment, although it appears to be reliable at a more general level. A:1, 2A-B, 3A-B, 4A-B

Arizona

  1. Arizona underreported foster care children in the January - March period. A: 1, 2A-B
  2. Arizona used the "other" managed care plan type for new enrollees who had not yet selected a managed care plan. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9

Arkansas

  1. The Arkansas data on disabled dual eligibles are not reliable. M: 7B, 7D, 8B, 8D
  2. The adults in the Arkansas 1115 demonstration only qualified for family planning benefits. A:1
  3. Managed care enrollment was undercounted for Arkansas in MSIS 1999. Arkansas only reported PCCM enrollment for ARKids, a subset of PCCM enrollees. In addition, the state was not reporting any PHP enrollment. CMS managed care data indicated that 232,122 persons were enrolled in PHP plans in June, 1999. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9

California

  1. California introduced a very large 1115 waiver program (FPACT) in December, 1999, that only covered family planning benefits for working age women. A: 1, 2A-B
  2. CMS and MSIS data in 1999 differed with regard to how a small group of enrollees (<30,000/month) in hybrid PCCM plans and pilot managed care programs were reported. In CMS data, all of these enrollees were reported as enrolled in PCCMs. In MSIS, most (but not all) of the enrollees in hybrid PCCM plans and pilot managed care plans were reported into the "other" managed care plan type. However, a small subset of these enrollees were mistakenly reported into the PCCM plan type in MSIS. Another way in which California MSIS data differ from the CMS managed care data is that considerably more enrollees are reported for dental managed care enrollment in MSIS than the CMS report. A: 3A-B, 4A-B, 5; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9
  3. The "Other Combinations" grouping included enrollees who were dually enrolled in dental managed care and the pilot programs listed under PCCM plans. A: 4A-B; M: 2A-B, 4A-B, 6A-F, 8A-D

Colorado

  1. The reporting into the poverty-related disabled group (eligibility group 32) is not reliable for 1999 since about half of the persons reported into this group were enrolled in managed care plans. These individuals should have been reported into the other disabled group (eligibility group 42). The poverty-related disabled group in Colorado should only include those qualifying for restricted Medicaid benefits related to Medicare cost-sharing. A: 1; M: 3A-B, 4A-B, 5A-F, 6A-F, 7B, 7D, 8B, 8D

Connecticut

No footnotes.

Delaware

  1. During 1999, Delaware changed how it was reporting children and adults into eligibility groups. As a result, any analysis of monthly enrollment patterns by eligibility group for children and adults would be difficult. A: 1
  2. Most of the adults in Delaware's 1115 demonstration qualified for full Medicaid benefits; however, a relatively small group of women (<100/month) only qualified for extended family planning benefits. A: 1

District of Columbia

  1. The District of Columbia extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles. M: 7B, 7D, 8B, 8D

Florida

  1. Florida extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles. M: 7B, 7D, 8B, 8D
  2. Florida generally coded enrollees in its MediPass plan as PCCMs. However, enrollees with mental health MediPass providers were coded to BHPs. Although MSIS reports approximately 11,000 fewer enrollees in BHPs than CMS reported in its PHP count, Florida officials assert that the MSIS numbers are accurate. A:3A-B, 4A-B, 5

Georgia

  1. In Georgia, enrollment generally decreased from month 1 to month 3 of each quarter and then increased somewhat in month 1 of the next quarter. This recurring pattern of monthly enrollment within a quarter seems unlikely. The state's data should not be used for analysis of month-to-month enrollment, although it appears to be reliable at a more general level. A:1, 2A-B, 3A-B, 4A-B
  2. CMS and MSIS managed care data for 1999 are not consistent. The MSIS data show about 20,000 persons in June, 1999 enrolled in a comprehensive HMO (the Grady HealthCare, Inc.), while CMS data counted the Grady enrollees under the PHP grouping. In addition, the CMS managed care report included about 2000 individuals in a Mental Health BHP that was not reported in MSIS because it is a 1915c waiver program. Finally, MSIS data showed fewer PCCM enrollees than CMS, but information was not available on which counts are more reliable. A:3A-B, 4A-B, 5
  3. Beginning in Q1 FY2000, GA reported an unlikely increase in enrollment in county code 009. The state has acknowledged that the code was incorrectly assigned for numerous records and is investigating why this occurred. M: 9

Hawaii

  1. Hawaii used more restrictive rules to determine Medicaid eligibility for SSI recipients, under the 209(b) provisions. A: 1
  2. Hawaii extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles. M: 7B, 7D, 8B, 8D
  3. MSIS managed care data showed lower enrollment in Medicaid HMOs than the CMS managed care report; however, Hawaii officials assert that the MSIS numbers are accurate. A:3A-B, 4A-B, 5

Idaho

  1. In October 1999, Idaho began to report some individuals into the SSI disabled group who were previously reported into the other disabled eligibility group. A: 1
  2. Dual eligibility among both the aged and the disabled was underreported in 1999. M: 7A-D, 8A-D

Illinois

  1. The "other" managed care plan type in Illinois included prepaid plans providing a different service package than comprehensive managed care plans. One of these plans was terminated in October, 1999, causing a drop in overall enrollment. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9
  2. Illinois used more restrictive rules to determine Medicaid eligibility for SSI recipients, under the 209(b) provisions. In addition, the state was not able to report all SSI recipients who enrolled in Medicaid into the aged SSI and disabled SSI eligibility groups in MSIS; SSI recipients are reported in other eligibility groups as well. A: 1

Indiana

  1. Indiana used more restrictive rules to determine Medicaid eligibility for SSI recipients, under the 209(b) provisions. A: 1
  2. The "Other Combinations" grouping included enrollees who were dually enrolled in HMOs and PCCMs. A: 4A-B; M: 2A-B, 4A-B, 6A-F, 8A-D

Iowa

No footnotes

Kansas

  1. In 1999, foster care children were underreported in the Kansas MSIS data, with only about half the foster care group identified. The remaining foster care children were reported into the other child eligibility group. A:1, 2A-B; M: 3A-B, 4A-B, 5A-F, 6A-F
  2. From January through April 1999 (when a separate state SCHIP program was being implemented), Kansas had problems separating children who should have been reported into the AFDC child and poverty-related child groups. As a result, the monthly enrollment patterns for these child eligibility groups are not reliable during this period. A: 1
  3. Kansas may have overreported managed care enrollment in 1999 MSIS. Both the HMO and PCCM enrollment numbers are about 26 percent greater than the comparable counts in the CMS managed care reports. Kansas officials are unable to explain why the difference occurred. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9
  4. In Kansas MSIS data, dually eligible aged enrollees were under-identified due to an MSIS coding problem. M: 7A, 7C

Kentucky

  1. CMS and MSIS show somewhat different counts for HMO and PCCM enrollment in June, 1999, but information is not available on which numbers are more reliable. The "other" managed care plan type in Kentucky was a special capitation plan for transportation benefits; this transportation plan type was not reported in CMS data. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9
  2. The Kentucky data on disabled dual eligibles are not reliable. M: 7B, 7D, 8B, 8D

Louisiana

  1. In 1999, Louisiana MSIS data only identified about 87 percent of the aged as dual eligibles, a somewhat lower than expected proportion. M: 7A, 7C, 8A, 8C
  2. Managed care in Louisiana was undercounted in 1999 MSIS. Louisiana did not identify any PCCM enrollees in MSIS data in 1999; however, the state has indicated that about 44,000 Medicaid enrollees participated in a hybrid PCCM plan each month, as reported in the CMS managed care data. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9

Maine

  1. Maine extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles. M: 7B, 7D, 8B, 8D
  2. CMS and MSIS show somewhat different counts for HMO and PCCM enrollment in June, 1999, but information is not available on which numbers are more reliable. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9

Maryland

  1. In November and December, 1999, Maryland enrolled approximately 60,000 individuals whose Medicaid benefits had been improperly terminated in 1997 (during the implementation of welfare reform). For administrative convenience, the state decided to report these individuals into the medically needy disabled eligibility group. These individuals should have been reported into the AFDC or other eligibility groups (14, 15, 44 or 45). This error was eventually corrected in MSIS data, but not in time for these tables. A: 1, 2A-B; M: 3A-B, 4A-B, 5A-F, 6A-F, 7B, 7D, 8B, 8D
  2. In 1999, Maryland MSIS data only identified about 89 percent of the aged and 20 percent of the disabled as dual eligibles, both somewhat lower than expected proportions. The state reported that it was experiencing delays in establishing dual eligibility status. M: 7A-D, 8A-D

Massachusetts

  1. Throughout 1999, Massachusetts underreported foster care children in MSIS data. A:1, 2A-B; M: 3A-B, 4A-B, 5A-F, 6A-F
  2. Massachusetts extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles. M: 7B, 7D, 8B, 8D
  3. The "Other Combinations" grouping includes enrollees who were dually enrolled in HMOs and PCCMs (and possibly BHPs), or were enrolled in both PACE and BHPs. A: 4A-B; M: 2A-B, 4A-B, 6A-F, 8A-D

Michigan

  1. Michigan's 1999 MSIS enrollment data did not include BHP enrollment. This error will eventually be corrected in MSIS data, but not in time for these tables. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9
  2. PCCM enrollment in Michigan phased out in April, 1999. A: 3A-B, 4A-B
  3. Michigan extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles. M: 7B, 7D, 8B, 8D

Minnesota

  1. Throughout 1999, the eligibility group assignment in Minnesota is not reliable, except to the extent individuals are identified as aged, disabled, children (including foster care children) or adults. The state only recently discovered a long-standing coding error in its MSIS data related to income, and income is a critical variable to the assignment of individuals across the eligibility groups. A: 1, 2A-B; M: 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D

Mississippi

  1. HMO enrollment in Mississippi was terminated in November, 1999. A: 3A-B, 4A-B, 5
  2. Mississippi extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles. M: 7B, 7D, 8B, 8D

Missouri

  1. In February 1999, Missouri began full implementation of an 1115 program for adults. A: 1
  2. Missouri undercounted managed care enrollment until October 1999 in MSIS. The CMS data for June, 1999 on HMO enrollment are more reliable than the MSIS data. A: 3A-B, 4A-B, 5

Montana

  1. CMS administrative data indicate that Montana had PHP enrollment of about 70,000 in June 1999. Montana officials assert that these CMS numbers are incorrect and are an artifact of old, incorrect managed care data. A:3A-B, 4A-B, 5

Nebraska

  1. Because Nebraska was converting to a new eligibility system in 1999, the state was unable to report about 5,000-6,000 eligibles each month into the appropriate MSIS eligibility group. A:1, 2A-B; M: 3A-B, 4A-B, 5A-F, 6A-F
  2. Nebraska extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles M: 7B, 7D, 8B, 8D

Nevada

No footnotes.

New Hampshire

  1. Managed care HMO enrollment may be underreported in MSIS 1999, since the MSIS HMO enrollment numbers are less than half the level reported to CMS in Medicaid managed care reports for June, 1999. Enrollment in the Tufts Health Plan was reported in CMS data, but not MSIS. A: 3A-B, 4A-B; M: 1A-B, 2A-B. 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9
  2. New Hampshire used more restrictive rules to determine Medicaid eligibility for SSI recipients, under the 209(b) provisions. This may explain why relatively few SSI children were reported in the MSIS data. M: 5A-F, 6A-F

New Jersey

  1. New Jersey extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles M: 7B, 7D, 8B, 8D
  2. The "other" managed care plan type in New Jersey is a capitated pharmaceutical program for persons in long term care. However, the monthly counts for "other" managed care are not reliable except for February, March, May and June, 1999. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9

New Mexico

  1. New Mexico implemented an 1115 waiver in March, 1999 for its M-CHIP program. A: 1, 2A-B

New York

  1. New York was not able to identify QMB-only and SLMB-only poverty-related enrollees who would be reported into eligibility groups 31-32. In addition, the state did not report any adults into eligibility group 45 (other adults). A: 1, 2A-B, 3A-B, 4A-B, 5; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D
  2. New York's managed care data in MSIS may not be reliable for the first part of 1999. From March to April, HMO enrollment decreased by over one-third, and PCCM enrollment decreased by over half. In addition, the MSIS enrollment numbers for BHPs and PCCMs were not consistent with other CMS data on managed care enrollment for June, 1999. A: 3A-B, 4A-B, 5; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9
  3. In 1999, Medicaid enrollees in the boroughs of New York City were not assigned FIPS county codes. Instead, they were all reported together in a row labeled NYC at the end of Table 9. M: 9

North Carolina

  1. North Carolina reported <1,000 individuals into the unknown eligibility group each month until November. These individuals were refugees who did not qualify as regular Title XIX enrollees. A: 1
  2. North Carolina terminated its AFDC-U (unemployed parent) coverage effective November, 1999. A: 1
  3. North Carolina reported its 1915b Carolina Alternatives contract as a comprehensive managed care plan in MSIS, while this plan was reported as a PHP in CMS managed care data. Enrollment in this plan expired effective July, 1999. A: 3A-B, 4A-B, 5
  4. North Carolina extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles M: 7B, 7D, 8B, 8D
  5. The "Other Combinations" grouping included enrollees who were dually enrolled in HMOs and PCCMs. A: 4A-B; M: 2A-B, 4A-B, 6A-F, 8A-D

North Dakota

No footnotes

Ohio

No footnotes

Oklahoma

  1. Foster care children are underreported in Oklahoma MSIS data during 1999, because the state was unable to identify foster care children on Medicaid qualifying under the Title IV-E provisions. A:1, 2A-B; M: 3A-B, 4A-B, 5A-F, 6A-F
  2. Oklahoma's enrollment in uniform groups 14-15 and 44-45 fluctuated during the last 6 months of 1999. This may have been caused by difficulties with TANF delinking. A:1
  3. The "other" managed care plan type in Oklahoma is a hybrid PCCM in which the capitation fee to physicians also covers a limited number of common office procedures and lab work. Enrollment in this plan is reported as a PCCM in the CMS managed care reports. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9

Oregon

  1. Some disparity exists between the June 1999 CMS and MSIS managed care enrollment numbers for HMOs and PCCMs. It appears as if there was an error in the data reported to CMS. The MSIS numbers are consistent with data from the state's website in FY99. A:3A-B, 4A-B, 5
  2. The "Other Combinations" grouping includes enrollees who were either only enrolled in PACE, or enrolled in both PACE and a BHP or dental managed care. A: 4A-B; M: 2A-B, 4A-B, 6A-F, 8A-D

Pennsylvania

  1. Pennsylvania extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles M: 7B, 7D, 8B, 8D
  2. Information on dual eligible status was not available in 1999 for Pennsylvania. M: 7A-D, 8A-D
  3. In July and August, 1999, enrollment in eligibility groups 14 and 15 increased when Pennsylvania reinstated some persons improperly terminated from Medicaid as a result of welfare reform. In addition, the state began reporting into eligibility groups 16 and 17. A: 1, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F
  4. Managed care enrollment may be underreported in MSIS 1999, since Pennsylvania failed to report any PCCM enrollment. According to CMS managed care reports, about 154,000 persons were enrolled in Medicaid PCCM plans in June, 1999. A: 3A-B, 4A-B; M: 1A-B, 2A-B. 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9

Rhode Island

  1. The adults in the Rhode Island 1115 demonstration only qualified for family planning benefits. A:1, 2A-B 2. Medicaid enrollees living out of state were reported under county FIPS code 000. M: 9

South Carolina

  1. Beginning in October, 1999, South Carolina reported SSI disabled persons age 65 and over as "disabled." Prior to this, they were reported as SSI aged. A: 1
  2. South Carolina extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles M: 7B, 7D, 8B, 8D
  3. South Carolina's Physicians Enhanced Program (PEP) is a hybrid managed care program reported into the "other" managed care plan type. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9
  4. MSIS reported 6,000 fewer enrollees in South Carolina's "Other" managed care plans than CMS records. This difference occured because the State did not regard its "high-risk channeling project" enrollees to be in managed care, while CMS did because the project requires capitated payments. A:3A-B, 4A-B

South Dakota

  1. Managed care enrollment is underreported, since a large proportion of Medicaid enrollees in South Dakota were enrolled in a dental managed care plan throughout 1999 according to state officials. However, this enrollment was not reported in MSIS until 2000. A: 3A-B, 4A-B; M: 1A-B, 2A-B. 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9

Tennessee

  1. Until October, 1999, about 4,000 persons under age 65 were incorrectly reported into the aged poverty-related eligibility group (group 31) each month. This change accounts for part, but not all, of the decline in this group in October. A: 1

Texas

  1. CMS and MSIS managed care data are consistent with regard to PCCM enrollment in June, 1999, but MSIS shows more enrollees in HMOs than CMS. Information is not available on which source is more reliable with regard to HMO enrollment. A: 3A-B, 4A-B
  2. In July, 1999, Texas began enrolling persons on Medicaid in a BHP plan. A: 3A-B, 4A-B
  3. Texas reported persons eligible for extended Medicaid benefits as a result of a TANF 1115 waiver into eligibility group 55. A:1, 2A-B; M:3A-B, 4A-B

Utah

  1. Approximately 30,000 children each month were assigned to the other child eligibility group (group 44) during 1999 who should have been assigned to the poverty-related child group (group 34). A: 1; M: 3A-B, 4A-B
  2. Utah extends full Medicaid benefits to the aged and disabled with income <100 percent of the federal poverty level (FPL). As a result, the disabled poverty-related group included both dual eligibles and persons who were not dual eligibles M: 7B, 7D, 8B, 8D
  3. CMS and MSIS managed care data are consistent with regard to PCCM enrollment in June, 1999, but CMS shows more enrollees in HMOs than MSIS. Information is not available on which source is more reliable with regard to HMO enrollment. A: 3A-B, 4A-B

Vermont

  1. Vermont has an 1115 waiver that extends eligibility (with full benefits) to various groups of children and adults. In addition, aged and disabled dual eligibles, who ordinarily would only qualify for Medicare cost-sharing, also receive limited pharmacy benefits under the waiver. A: 1, 2A-B; M: A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D
  2. Vermont implemented a PCCM program in October, 1999. A: 3A-B, 4A-B, 5
  3. CMS and MSIS managed care data are not consistent with regard to HMO enrollment in June, 1999, but the MSIS data are believed to be more reliable. A: 3A-B, 4A-B, 5

Virginia

  1. In April, 1999, the mix of HMOs changed somewhat, and overall enrollment in HMOs increased. PCCM enrollment declined by about the same number. A: 3A-B, 4A-B, 5
  2. Most persons in county codes 975-997 were in institutions. M: 9

Washington

  1. In Washington, enrollment generally declined from month 1 to month 3 of each quarter and then increased somewhat in month 1 of the next quarter. This recurring pattern of monthly enrollment within a quarter seems unlikely. The state's data should not be used for analysis of month-to-month enrollment, although it appears to be reliable at a more general level. A: 1, 2A-B
  2. Managed care in Washington was undercounted in the 1999 MSIS data. Washington failed to report its behavioral health plan enrollment into MSIS in 1999, estimated to cover most Medicaid enrollees each month. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D, 9
  3. HMO managed care enrollment generally increased from month 1 to month 3 of each quarter and then decreased somewhat in month 1 of the next quarter. This recurring pattern of monthly HMO enrollment within a quarter seems unlikely. The state's data should not be used for analysis month-to-month HMO enrollment, although it appears to be reliable at a more general level. A: 3A-B, 4A-B

West Virginia

  1. In November 1999, HMO enrollment decreased, when one HMO plan was terminated. A: 3A-B, 4A-B, 5
  2. In 1999, West Virginia only identified about 20 percent of the disabled as dual eligibles, a somewhat lower than expected proportion. M: 7B, 7D, 8B, 8D
  3. The 728 people in September, 1999 with an "unknown" managed care plan status resulted from a coding error. A: 3A-B, 4A-B
  4. The "Other Combinations" grouping includes enrollees who were dually enrolled in HMOs and PCCMs. A: 4A-B; M: 2A-B, 4A-B, 6A-F, 8A-D

Wisconsin

  1. Wisconsin began implementation of its 1115 Badger Care demonstration for children and adults during 1999. A: 1
  2. The "other" managed care plan type in Wisconsin was for a capitated program covering short-term, physician-ordered nursing home stays for persons with physical, developmental or emotional disabilities. A: 3A-B, 4A-B; M: 1A-B, 2A-B, 3A-B, 4A-B, 5A-F, 6A-F, 7A-D, 8A-D 9
  3. Wisconsin used special county codes reported here as 999 (unknown) to identify Medicaid enrollees in juvenile correction agencies, Relief to Needy Indian Person agencies, Division of Family and Children Service agencies or disabled children qualifying under the so-called "Katie Beckett" provisions. M: 9
  4. Some inconsistencies in the MSIS and CMS managed care counts for PCCM, BHP and other managed care enrollment for June, 1999 may have occurred because of differences in how the groups were reported. A: 3A-B, 4A-B, 5

Wyoming

No footnotes.

 

TABLE NUMBERS FOR THE NATIONAL- AND STATE-LEVEL TABLES
Table Title National-Level
Table
Number
State-Level
Table
Number
Medicaid Enrollment by Eligibility Group and Month in 1999 1: A-B Calendar Year (CY) 1
Duration of Medicaid Enrollment (in Months) for Persons Ever Enrolled in 1999 by Eligibility Group 2: A-B CY 2: A-B
Medicaid Managed Care Enrollment by Plan Type and Month in 1999 3: A-B CY 3: A-B
Medicaid Managed Care Enrollment by Plan Type Combination and Month in 1999 4: A-C CY 4: A-C
Duration of HMO and PCCM Enrollment (in Months) for Persons Continuously Enrolled 12 Months in Medicaid in 1999 5 CY 5
Medicaid Managed Care Enrollment by Plan Type and Age Group in December, 1999 6: A-B December 1: A-B
Medicaid Managed Care Enrollment by Plan Type Combination and Age Group in December, 1999 7: A-B December 2: A-B
Medicaid Managed Care Enrollment by Plan Type and Eligibility Group in December, 1999 8: A-B December 3: A-B
Medicaid Managed Care Enrollment by Plan Type Combination and Eligibility Group in December, 1999 9: A-B December 4: A-B
Medicaid Managed Care Enrollment for Disabled Persons and Children in Foster Care by Age Cohort, Gender and Plan Type in December, 1999 10: A-F December 5: A-F
Medicaid Managed Care Enrollment for Disabled Persons and Children in Foster Care by Age Cohort, Gender and Plan Type Combination in December, 1999 11: A-F December 6: A-F
Medicaid Managed Care Enrollment for Persons in Aged and Disabled Eligibility Groups by Dual Eligible Status and Plan Type in December, 1999 12: A-D December 7: A-D
Medicaid Managed Care Enrollment for Persons in Aged and Disabled Eligibility Groups by Dual Eligible Status and Plan Type Combination in December, 1999 13: A-D December 8: A-D
Medicaid Managed Care Enrollment by Plan Type and County in December, 1999 Not applicable December 9

 

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