MaineCare Caseload, Count of Members, SFY 2012 - SFY 2017 Maine Department of Health and Human Services - Finance SFY 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2015 2016 2016 2016 2016 2016 2016 2016 2016 2016 2016 2016 2016 2017 2017 2017 2017 2017 2017 2017 2017 SF PER 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 MO 7/1/11 8/1/11 9/1/11 10/1/11 11/1/11 12/1/11 1/1/12 2/1/12 3/1/12 4/1/12 5/1/12 6/1/12 7/1/12 8/1/12 9/1/12 10/1/12 11/1/12 12/1/12 1/1/13 2/1/13 3/1/13 4/1/13 5/1/13 6/1/13 7/1/13 8/1/13 9/1/13 10/1/13 11/1/13 12/1/13 1/1/14 2/1/14 3/1/14 4/1/14 5/1/14 6/1/14 7/1/14 8/1/14 9/1/14 10/1/14 11/1/14 12/1/14 1/1/15 2/1/15 3/1/15 4/1/15 5/1/15 6/1/15 7/1/15 8/1/15 9/1/15 10/1/15 11/1/15 12/1/15 1/1/16 2/1/16 3/1/16 4/1/16 5/1/16 6/1/16 7/1/16 8/1/16 9/1/16 10/1/16 11/1/16 12/1/16 1/1/17 2/1/17 Traditional Medicaid 1 251,756 252,163 250,207 251,932 252,087 253,016 241,530 243,780 241,720 241,764 241,794 241,404 240,225 240,857 240,176 239,893 239,071 239,052 238,974 241,593 247,354 248,607 249,014 248,206 249,598 246,891 245,742 245,206 243,662 242,479 254,243 258,227 257,217 255,583 254,901 253,523 250,840 249,220 247,726 245,835 243,777 242,316 239,407 238,121 238,971 239,044 237,005 236,190 236,629 236,517 236,910 235,858 235,329 233,006 232,858 233,814 231,380 230,742 229,801 228,700 227,062 226,162 225,584 224,704 223,452 222,966 222,261 221,503 Medicaid Expansion 2 10,307 10,434 10,588 10,874 10,741 10,943 10,385 10,216 9,912 10,106 10,076 10,219 10,021 9,984 10,130 10,153 10,235 10,295 10,299 9,774 6,311 5,654 5,403 5,414 5,505 5,515 5,707 5,891 5,940 5,958 4,679 4,448 4,799 4,998 5,273 5,471 5,708 5,859 6,067 6,328 6,467 6,571 6,700 6,532 6,576 6,620 6,488 6,449 6,483 6,581 6,637 6,711 6,816 6,803 6,737 6,898 6,823 6,924 6,909 6,960 6,907 6,933 6,896 6,982 7,004 7,057 6,953 6,878 "Cub Care" 2 5,854 5,841 5,834 5,825 5,829 5,817 5,664 5,725 5,668 5,608 5,642 5,619 5,545 5,553 5,529 5,564 5,575 5,612 5,608 5,568 5,154 5,080 4,987 4,909 4,864 4,783 4,740 4,737 4,704 4,640 4,520 4,413 4,348 4,459 4,489 4,496 4,449 4,371 4,377 4,426 4,385 4,422 4,271 4,317 4,213 4,123 4,116 4,051 3,935 3,896 3,882 3,911 3,860 4,049 4,127 4,140 4,029 4,075 4,016 4,024 4,021 4,051 4,087 4,171 4,207 4,188 4,195 4,143 101% FPL To 150% FPL3 21,641 21,809 22,059 22,566 21,884 21,977 20,709 20,736 20,471 20,854 20,768 21,020 21,225 21,178 21,233 21,244 21,122 21,149 21,177 20,619 17,077 16,227 15,621 15,667 15,545 15,255 15,163 15,163 15,131 14,661 4,478 339 189 154 121 100 83 72 62 46 34 30 24 21 10 10 8 151% FPL To 200% FPL3 7,692 7,752 7,713 7,862 7,850 7,929 6,969 6,990 6,932 6,867 6,874 6,827 6,752 6,728 6,676 6,759 6,726 6,752 6,711 6,477 1,740 780 19 10 0 0 0 0 Childless Adult Waiver4 16,257 15,853 18,957 18,819 18,496 18,023 15,231 14,846 14,308 13,888 13,460 13,029 12,820 12,388 12,050 11,532 11,074 10,749 10,378 10,116 9,857 9,603 9,335 9,058 8,792 8,544 8,303 8,068 7,806 7,439 4 Medicare Savings Program Only and DEL 43,292 43,610 43,871 43,437 43,667 43,940 43,959 44,162 44,174 44,202 44,266 44,313 44,411 44,373 44,434 44,527 44,642 44,775 44,893 44,908 43,316 43,552 43,780 43,871 43,817 43,888 43,892 43,933 43,993 44,111 43,292 43,077 42,986 42,874 42,815 42,690 42,439 42,372 42,200 37,228 37,121 36,879 36,840 36,590 36,495 36,417 36,165 35,770 35,662 35,653 35,695 35,648 35,545 35,451 35,251 35,308 35,167 35,170 35,135 35,168 35,157 35,114 35,060 34,919 34,792 34,695 34,478 34,304 CUB CARE Children with family incomes above 150% and up to and including 200% of FPL. PARENT EXP 101-150% FPL Persons who function as the primary caretakers of dependent children and whose income is above 100% and up to and including 150% of FPL TOTAL 356,799 357,462 359,229 361,315 360,554 361,645 344,447 346,455 343,185 343,289 342,880 342,431 340,999 341,061 340,228 339,672 338,445 338,384 338,040 339,055 330,809 329,503 328,159 327,135 328,121 324,876 323,547 322,998 321,236 319,288 311,216 310,504 309,539 308,068 307,599 306,280 303,519 301,894 300,432 293,863 291,784 290,218 287,242 285,581 286,265 286,214 283,782 282,460 282,709 282,647 283,124 282,128 281,550 279,309 278,973 280,160 277,399 276,911 275,861 274,852 273,147 272,260 271,627 270,776 269,455 268,906 267,887 266,828 Effective January 1 2014, parents/caretakers relatives with income >100% FPL are no longer eligible for MaineCare coverage. Roughly 75% of these people moved to transitional medicaid and 25% moved into new aid codes. During Jan 2015, the transitional costs are expected to roll off. PARENT EXP 151-200% FPL Persons who function as the primary caretakers of dependent children and whose income is above 150% and up to and including 200% of FPL Effective March 1 2013, parents/caretakers relatives with income >133% FPL were are no longer eligible for MaineCare coverage. Roughly 75% of these people moved to transitional medicaid and 25% moved into new aid codes. During Mar 2014, the transitional costs are expected to roll off. NON-CAT EXP 125% FPL MSP & DEL Persons who are over 21 and under 65, not disabled, not the primary caretakers of dependent children, and whose income is not more than 125% of FPL This group lost eligibiliy Jan 1 2014 and cannot flow into other services including Transitional Medicaid. Persons eligible for Medicaid, but not for "full benefits" (e. g., QMBY, SLMB, QI) who meet the criteria for participation in DEL and/ or Maine Rx Note - there were four members in aid category 1H that were reporting to Traditional group but should have been reported as "Other", or not MaineCare. This grouping was noticed and adjusted in the Nov 2013 Caseload and has an impact of four members.