| Group |
Income Eligibility |
| Children |
200% FPL |
| Pregnant Women |
185% FPL |
| Parents |
50% FPL |
| Childless Adults |
35% FPL |
| SSI Disabled |
74% FPL |
Medicaid, SCHIP, and Federal Authority2
HIFA Waiver - In 2004, the state received approval from CMS to expand health insurance coverage to childless adults with incomes at or below 35 percent FPL by utilizing unspent SCHIP funds. The Adults Benefits Waiver program was designed to provide new beneficiaries with a benefits package that is less broad than Michigan 's standard Medicaid or SCHIP coverage. In order to meet the HIFA requirements for coordinating with private insurance, Michigan is also offering to those beneficiaries with access to employer-sponsored insurance a voucher that is equal in value to the state's cost of providing service. Enrollment in the employer-sponsored plan is in lieu of receiving benefits through the state program.
Other
Three-Share - Michigan communities pioneered the "third-share" programs which share the cost of a premium between the employee, the employer, and the community. This initiative provides low cost health insurance to small employers and their workers. As of October 2006, several Michigan counties have such programs in operation including the best known three-share program called the Muskegon Community Health Project.
Information presented in the profile was summarized in December 2006 from a review of state Web sites and reports, and through contacts with state officials. In most cases the profiles were reviewed by state officials; however, it is possible that states have implemented strategies that are not reflected in this profile. |
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| 1 This overview provides a general description of state coverage levels under their Medicaid and SCHIP programs, including coverage through waivers, as of October 2006. Health Management Associates researched eligibility information from state web sites, data from state reports, and verified through contacts with state officials during the fall of 2006. This does not reflect the specific eligibility categories or requirements. This is not intended to be a substitute for eligibility information provided by each state. Individuals interested in applying for these programs should contact the state directly for specific eligibility requirements. |
2 The profile only includes Medicaid and SCHIP waivers intended to make comprehensive expansions to the uninsured. At this time, the profiles do not include Family Planning, Pharmacy Plus waivers, or long-term care waivers. |
3 Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau's March 2005 and 2006 Current Population Survey. |
| 4 Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends. 2004 Medical Expenditure Panel Survey-Insurance Component. |
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