Medicaid (Medical Assistance)

What is Medicaid?

Medicaid is a joint federal-state program that provides health coverage to certain categories of low-asset people, including children, pregnant women, parents of eligible children and people with disabilities. The program has a significant impact on Children's Hospitals and Clinics of Minnesota because Medicaid is the largest children's health program in the United States. Minnesota’s Medicaid program is called Medical Assistance and covers a broad range of health care services with few costs paid by the family. 

Why is Medicaid such an important issue for Children's?

Medicaid makes up approximately 42% of Children’s revenue. An average adult hospital receives between 5-10% Medicaid. As a result, cuts to Medicaid over the past several years have hit Children’s four to five times harder than most hospitals, disproportionately impacting health care for children. Over the course of the last decade, Children's Medicaid funding has been cut by more than $40 million. We bear the brunt of these cuts especially considering kids generate less than 20% of the healthcare costs of Medicaid, even though they constitues 50% of the program's enrollment.

What does Medicaid provide to children?

Medicaid covers all services identified as medically necessary including: physician and hospital visits, well child care, health screenings, and vision and dental care.

Why is Medicaid vital to kids at Children’s?

Children's hospitals across the country provide a significant amount of the care for Medicaid children and are major providers of outpatient care to children assisted by Medicaid. Most provide a full range of outpatient services to children on Medicaid including primary, specialty and emergency care.

What is the impact of cuts and what do we need?

At Children’s, we strive to provide the most innovative approaches to keeping kids healthy, but we are constantly being asked to do more with less. Additional cuts threaten our ability to invest in the approaches that will pay dividends in the future and ultimatley improve patient outcomes. We must protect Medicaid funding so our kids have access to the best possible care now and in the future.

You can help us make sure we can continue to provide these vital services: Advocate or donate on behalf of Children's today.

Where can I go for more information?

For more information on Medicaid, visit the links below:

Children’s Hospitals Association – Medicaid in Minnesota 
Minnesota Department of Human Services – Medical Assistance
Centers for Medicare & Medicaid Services
Minnesota Chapter American Academy of Pediatrics