Covering All Kids in Wisconsin. More than 9 in 10 children in Wisconsin have health insurance.

Covering All Kids in Wisconsin

More than 9 in 10 children in Wisconsin have health insurance

Uninsured Children in Wisconsin (1999 – 2006)

Source: WCCF Analysis of DHFS Family Health Survey Data

Children Uninsured All or Part Year

0

40,000

80,000

120,000

160,000

200,000

1999 2000 2001 2002 2003 2004 2005 2006

Year

Kid

s (

0-1

7)

Un

insu

red

Health Insurance for Children in Wisconsin (2006)

Uninsured

6%Private

Insurance / Employer-Sponsored

75%

Public Insurance

(MA or BadgerCare)

18%

BadgerCare Plus

• Covers “all” kids, regardless of income• Covers parents to 200% of FPL & pregnant

women to 300%• Consolidates and “streamlines” the various

categories of coverage• Removes many barriers to participation

CMS approved it on Nov. 27 – because the state didn’t seek FFP beyond 250%.

6

PregnantWomen

Children 0- 18

ParentsCaretaker Relatives

300%

200%

185%

150%

100%

44%

BadgerCare Plus Expansion

Current BadgerCare

Current Medicaid & Healthy Start

No Income Limit

BadgerCare Plus Covered Populations

Youth Exiting

Out-of-homeCare

No Income Limit

FPL

Self-Employed/Farmers

Wisconsin’s Uninsured Children (2006)

Source: WCCF analysis of 2006 Family Health Survey

Wisconsin has 98,000 uninsured children.

32%

Not Income Eligible for BadgerCare68%

Income Eligible for BadgerCare

Barriers to BadgerCare Participation

Source: WCCF analysis of DHFS data & LFB projections

Growth in Denials and Terminations for Not Meeting Federal Documentation Requirements

0

5,000

10,000

15,000

20,000

25,000

30,000

Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Sept.

Cu

mu

lati

ve

Nu

mb

er

of

Pe

op

le

De

nie

d o

r T

erm

ina

ted

citizenship or both identity

Barriers to BadgerCare Participation

Source: WCCF analysis of DHFS data & LFB projections

BadgerCare Enrollment : Estimated vs. Actual (July 2003 - June 2005)

60,000

70,000

80,000

90,000

100,000

110,000

120,000

130,000

Mo

nth

ly E

nro

llm

en

t

Initial LFBgrowthprojection

Projectionadjusted forbudgetchanges

Actualenrollment

Premium increase began

Employer verification implemented in mid-May

What Kids Will We Miss?

• Non-citizens (including legal immigrants in the US less than 5 years)

• Kids (and parents) in families with income over 150% of poverty who cannot afford to pay 20% of the premium (and other cost-sharing) for employer-sponsored coverage.

• Families who don’t realize they are eligible (However, eliminating the income cap allows WI to use a clear outreach message that should help us reach more low income families.)