[NYAPRS Enews] $4.3B Boost to Help States Pay for Drugs for Dual Eligibles (w Chart)

[Harvey Rosenthal]

NYAPRS Note: Re-sent with chart. 

 

Secretary Sebelius Announces $4.3 Billion in Financial Relief to State
Medicaid Programs

February 18, 2010

 

Under the American Recovery and Reinvestment Act of 2009 (ARRA), the
federal government provides an enhanced Medicaid match (FMAP) to states
from October 1, 2008 - December 31, 2010.  Today HHS Secretary Kathleen
Sebelius announced that HHS will apply the ARRA enhanced federal match
(FMAP) to state "clawback payments," providing $4.3 billion in financial
relief to states by reducing the amount states will pay the federal
government ("clawback payments) to offset the cost of Medicare coverage
for prescription drugs for state residents eligible for both Medicare
and Medicaid (dual eligibles). 

 

This temporary adjustment in the clawback payments will be applied for
the period October 1, 2008 through December 31, 2010.  States make
clawback payments monthly and CMS is currently reprogramming its billing
system to calculate the new, reduced payments owed by states. The
savings, which are retroactive to October 2008, will be deducted from
what states otherwise would have owed going forward. The table below
shows each state's estimated savings. Column B shows the state's
obligation under the pre-ARRA formula with column C showing the newly
calculated payment, column D the total estimated savings to the state. 

 


State (A)

Total Q1 FY 09 Thru Q1 FY 11 Clawback Based on Reg. FMAP (B)

Total Q1 FY 09 Thru Q1 FY 11 Clawback Based on ARRA FMAP (C)

Total State Savings/Fed. Cost Q1 FY 09 Thru Q1 FY 11 (D)


Alabama

$150,247,579

$106,425,199

$43,822,379


Alaska

$48,317,314

$38,286,755

$10,030,558


Arizona

$153,759,854

$108,954,983

$44,804,871


Arkansas

$87,089,886

$62,440,556

$24,649,330


California

$2,913,864,100

$2,238,430,401

$675,433,698


Colorado

$192,319,003

$150,066,687

$42,252,316


Connecticut

$296,665,054

$230,615,556

$66,049,498


Delaware

$34,099,374

$26,386,737

$7,712,637


District of Columbia

$25,602,876

$17,959,629

$7,643,248


Florida

$1,015,370,655

$732,819,868

$282,550,787


Georgia

$256,830,737

$186,189,524

$70,641,213


Hawaii

$60,409,856

$43,814,638

$16,595,218


Idaho

$46,562,615

$32,122,245

$14,440,370


Illinois

$875,508,052

$675,854,129

$199,653,923


Indiana

$209,694,287

$151,629,223

$58,065,064


Iowa

$162,359,071

$127,106,244

$35,252,826


Kansas

$113,478,227

$89,157,121

$24,321,107


Kentucky

$182,471,045

$127,408,848

$55,062,197


Louisiana

$203,392,153

$126,178,376

$77,213,777


Maine

$103,581,677

$75,744,571

$27,837,106


Maryland

$238,997,062

$187,197,783

$51,799,278


Massachusetts

$612,833,627

$480,102,616

$132,731,011


Michigan

$386,791,612

$285,445,457

$101,346,155


Minnesota

$360,083,533

$278,777,119

$81,306,414


Mississippi

$102,735,712

$65,989,013

$36,746,699


Missouri

$407,283,149

$299,443,677

$107,839,472


Montana

$28,771,325

$20,110,737

$8,660,588


Nebraska

$95,393,763

$76,664,267

$18,729,497


Nevada

$62,310,316

$45,031,768

$17,278,548


New Hampshire

$71,136,363

$56,982,733

$14,153,631


New Jersey

$696,147,055

$543,196,366

$152,950,689


New Mexico

$47,436,153

$33,768,936

$13,667,217


New York

$1,882,163,731

$1,474,399,935

$407,763,796


North Carolina

$552,941,188

$400,670,852

$152,270,335


North Dakota

$22,440,556

$18,259,530

$4,181,026


Ohio

$581,726,147

$430,246,974

$151,479,172


Oklahoma

$154,134,582

$106,156,483

$47,978,098


Oregon

$147,332,690

$108,155,974

$39,176,716


Pennsylvania

$1,000,611,930

$771,650,285

$228,961,645


Rhode Island

$97,366,309

$74,159,944

$23,206,365


South Carolina

$168,667,834

$117,154,008

$51,513,826


South Dakota

$31,593,895

$25,104,607

$6,489,288


Tennessee

$442,828,611

$321,494,820

$121,333,791


Texas

$777,317,414

$567,316,054

$210,001,360


Utah

$57,174,136

$39,826,114

$17,348,022


Vermont

$49,485,228

$36,881,632

$12,603,596


Virginia

$390,311,646

$304,575,535

$85,736,111


Washington

$359,451,673

$273,090,100

$86,361,573


West Virginia

$71,905,352

$48,544,797

$23,360,555


Wisconsin

$476,178,882

$358,970,479

$117,208,403


Wyoming

$23,393,068

$18,935,147

$4,457,921


TOTAL

$17,528,567,954

$13,215,895,031

$4,312,672,922

 

 

 

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