Initial Medicaid Implementation: Before Medicaid was passed, the state began a program for elderly low-income individuals through the Kerr-Mills program. The state started the program in 1964 only one year before the passage of Medicaid. Mississippi initially began their Medicaid program on January 1, 1970, the “deadline” to begin their Medicaid program, or the day the Kerr-Mills funding ended. The initial plan had modest benefits as Mississippi historically has had lower state funding and government oversight.
Key Medicaid Political Issues: Mississippi has a largely poor and rural population with a proportion of adults with high chronic diseases. The state receives the largest proportions of federal dollars (an FMAP of 74.17%) for the Medicaid program with the state only contributing 16 cents for every Medicaid dollar spent in the state. In 2011 the legislature authorized a program called MississippiCAN or the Coordinated Access Network which is the state’s managed care program. Approximately 65% of Medicaid beneficiaries participate in a MississippiCAN plan, lower than the national average. The program includes behavioral health services and covers individuals on Medicaid outside of the elderly and disabled populations. Prior to the establishment of the MississippiCAN program, managed care only covered 8% of beneficiaries.
Medicaid Expansion Implementation: Mississippi hasn’t expanded their Medicaid program. Following the coverage expansions of 2014 the state saw an enrollment growth of approximately 10% due to the welcome mat effect. In 2017 the state proposed a Medicaid work requirement to CMS for their parent and certain medically necessity adult populations. In 2017 Mississippi became the first state to receive a 10-year 1115 waiver that provides family planning services at higher income levels. The courts have prevented the state from barring Planned Parenthood from receiving these funds but challenges are ongoing.
General facts about Mississippi Medicaid:
Medicaid program name: Medicaid
CHIP Program name: CHIP
Separate or combined CHIP: Separate CHIP
Medicaid Enrollment: 640,000 (2018 estimate)
Total Medicaid Spending: $5.5 billion (FY 2017 estimate)
Share of total population covered by Medicaid: 24%
Share of Children covered by Medicaid: 50% (estimate)
Share of Medicaid that is Children and Adults: 65%
Share of Spending on Elderly and people with disabilities: 68%
Share of Nursing Facility Residents covered by Medicaid: 75%
Expansion state: No
Number of people in expansion: N/A
Work Requirement: No* under review by CMS