minnesota’s medicaid buy-in

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Minnesotas Medicaid Buy-In. Medical Assistance for Employed Persons with Disabilities (MA-EPD) Established July 1999 MN Statute: 256(B).057, subd. 9. Medical Assistance for Employed Persons with Disabilities. MA-EPD Goals. - PowerPoint PPT Presentation

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  • Minnesotas Medicaid Buy-InMedical Assistance for Employed Persons with Disabilities (MA-EPD)

    Established July 1999MN Statute: 256(B).057, subd. 9

  • MA-EPD GoalsThe goal of the program is to establish a continuum of access, regardless of earnings, to the full range of medical, mental health and long term care benefits,andPromote competitive employment and the economic self-sufficiency of people with disabilities.

  • BackgroundEligibility:Ages 16-64Certified disabled by SSA or SMRTBe employedMeet the asset limit ($20,000)Pay a monthly premium

    Services Covered:Comprehensive benefits under State Plan MN provides almost every optional services40% of MA-EPD enrollees are on MNs four 1915(c) waivers (CADI, CAC, TBI, DD)

  • General Enrollment Data Data Source: MMIS

    Chart1

    2144

    3289

    4234

    4993

    5417

    5826

    6155

    6482

    6442

    6300

    6074

    6098

    6203

    6305

    6485

    6611

    6588

    6553

    6312

    6285

    6095

    6317

    6445

    6531

    6569

    6642

    6700

    6677

    6689

    6723

    6844

    6946

    6952

    7009

    7167

    7200

    7348

    7425

    Number of Enrollees

    Month of Enrollment

    Number of Enrollees

    MA-EPD Enrollment from September 1999 to December 2008

    Chart Enrlmnt

    &L&9MAEPD Enrollment September 1999 - December 2008

    &L&9DSD&Z&F&P

    Chart Enrlmnt

    2144

    3289

    4234

    4993

    5417

    5826

    6155

    6482

    6442

    6300

    6074

    6098

    6203

    6305

    6485

    6611

    6588

    6553

    6312

    6285

    6095

    6317

    6445

    6531

    6569

    6642

    6700

    6677

    6689

    6723

    6844

    6946

    6952

    7009

    7167

    7200

    7348

    7425

    Number of Enrollees

    Month of Enrollment

    Number of Enrollees

    MA-EPD Enrollment from September 1999 to December 2008

  • DemographicsSource: MMIS

  • Enrollee EarningsSource: MN Dept. of RevenueMA-EPD Average monthly earned income Q3 2009: $541

    Chart3

    8072.10423452779444.5971370143

    8554.70411568419377.1955533098

    7611.525280898910010.9704251386

    7501.287262872610147.4716981132

    7794.736549165111284.7301808067

    1619a & 1619b

    MA-EPD

    Years

    Taxable Income in Dollars ($)

    Average Taxable Income (MA-EPD and SSI 1619ab) 2003-2007

    New Summary Tables

    MA-EPD vs 1619a&b Enrollee State Tax Information (2003-2007)

    IncomeMA-EPD1619a and 1619b

    CY 2003CY 2004CY 2005CY 2006CY 2007CY 2003CY 2004CY 2005CY 2006CY 2007

    Number of Enrollees*8,3968,0588,0988,2458,4583,5853,8964,7624,9885,127

    Number Who Paid State IncomeTax1,9561,9792,1642,1202,1579218991,0681,1071,078

    Percentage Who Paid State Income Tax23.30%24.56%26.72%25.71%25.50%25.69%23.07%22.43%22.19%21.03%

    Total Federal Taxable Income$18,473,632$18,557,470$21,663,740$21,512,640$24,341,163$7,434,408$7,690,679$8,129,109$8,303,925$8,402,726

    Total Federal Taxable Income_Adj to 2003 dollars$18,473,632$18,080,000$20,410,000$19,630,000$7,434,408$7,430,000$7,660,000$7,580,000

    Mean Federal Taxable Income$9,444.60$9,377.20$10,010.97$10,147.47$11,284.73$8,072.10$8,554.70$7,611.53$7,501.29$7,794.7419.48%

    Mean Federal Taxable Income-Adjusted to 2003 dollars$9,445$9,133$943,177$926,115$8,072$8,333$7,172$6,846-3.44%

    Median Federal Taxable Income$4,145$3,815$3,909$3,973$4,274$4,625$5,204$4,184$4,145$4,282

    No return2,2781,9411,6781,6711,2941,0821,2481,5071,5691,384

    % no return27.13%24.09%20.72%20.27%15.30%30.18%32.03%31.65%31.46%26.99%

    Zero taxable income4,1624,1384,2564,4545,0071,5821,7492,1872,3122,665

    % zero taxable income49.57%51.35%52.56%54.02%59.20%44.13%44.89%45.93%46.35%51.98%

    % combined 0 & no return76.70%75.44%73.28%74.29%74.50%74.31%76.93%77.57%77.81%78.97%

    *Unduplicated count

    State Taxes PaidMA-EPD1619a and 1619b

    CY 2003CY 2004CY 2005CY 2006CY 2007CY 2003CY 2004CY 2005CY 2006CY 2007

    Number of Enrollees*8,3968,0588,0988,2458,4583,5853,8964,7624,9885,127

    Number Who Paid State IncomeTax1,9561,9792,1642,1202,1579218991,0681,1071,078

    Total Taxes Paid (After Tax Credits)$1,037,655$1,032,830$1,226,766$1,210,579$1,376,308$407,943$424,781$448,937$457,039$460,965

    Mean Taxes Paid Per Tax-paying Enrollee$530$522$567$571$638$443$473$420$413$428

    Mean Taxes Paid Per Tax-paying Enrollee-Adj to 2003 Dollars$530$508$534$521$443$460$396$377

    Mean Taxes Paid Per Eligible Enrollee$124$128$151$147$163$114$109$94$92$90

    Mean Taxes Paid Per Eligible Enrollee-Adj to 2003 Dollars$124$125$142$134$114$106$89$84

    No return2,2781,9411,6781,6711,2941,0821,2481,5071,5691,384

    Zero taxable income4,1624,1384,2564,4545,0071,5821,7492,1872,3122,665

    *Unduplicated count

    Quick Comparison of Enrollees to All MNsAll MN State Tax PayersMA-EPD1619a and 1619b

    CY 2003CY 2007CY 2003CY 2007CY 2003CY 2007

    Number of Enrollees8,3968,4583,5855,127

    Number of Payors2,032,8852,132,8771,9562,1579211,078

    Percent of Enrollees Who Paid State Income Tax23.3%25.5%25.7%21.0%

    Total Federal Taxable Income$113 billion$186 billion$18,473,632$24,341,163$7,434,408$8,402,726

    Median per Payor$26,504$30,454$4,145$4,274$4,625$4,282

    Median Adj to '03 dollars$26,504$26,954$4,145$4,625

    Total Taxes Paid$5.6 billion$7.4 billion$1,037,655$1,376,308$407,943$460,965

    Mean per Payor$2,754$3,484$530$638$443$428

    Median Adj to 2003 dollars$2,754$530$443

    Percent Change in Median (Adjusted to 2003 Dollars):

    Federal Taxable Income1.7%-12.5%-18.2%

    State Taxes Paid-100.0%-100.0%-100.0%

    &C&P of &N pages&R&Z&F&D

    New Summary Tables

    MA-EPD

    1619a & 1619b

    Year

    Enrollees

    Figure 2. Number of Enrollees (MA-EPD and SSI 1619ab) 2003-2007

    Summaries

    1619a & 1619b

    MA-EPD

    Years

    Taxable Income in Dollars ($)

    Average Taxable Income (MA-EPD and SSI 1619ab) 2003-2007

    Documentation

    MA-EPD vs 1619a&b Enrollee State Tax Information (2003-2006)

    IncomeMA-EPD1619a and 1619bMA-EPD1619a and 1619b

    CY 2003CY 2004CY 2005CY 2006CY 2003CY 2004CY 2005CY 2006CY 2003CY 2004CY 2005CY 2006CY 2003CY 2004CY 2005CY 2006

    Number of Enrollees*8,3968,0588,0988,2453,5853,8964,7624,988

    Number Who Paid State IncomeTax1,9561,9792,1642,1209218991,0681,107

    Percentage Who Paid State Income Tax23.30%24.56%26.72%25.71%25.69%23.07%22.43%22.19%

    Total Federal Taxable Income$18,473,632$18,557,470$21,663,740$21,512,640$7,434,408$7,690,679$8,129,109$8,303,925MTTI adj to 2003 $$18.4718.0820.4119.637.437.497.667.58

    Mean Federal Taxable Income$9,445$9,377$10,011$10,147$8,072$8,555$7,612$7,501MFTI adj to 2003 $$$9,445$9,133$943,1779261.158,0728,3337,1726,846

    Median Federal Taxable Income$4,145$3,815$3,909$3,973$4,625$5,204$4,184$4,145

    No return2,2781,9411,6781,6711,0821,2481,5071,569

    Zero taxable income4,1624,1384,2564,4541,5821,7492,1872,312

    % with no return or zero taxable income76.70%75.44%73.28%74.29%74.31%76.93%77.57%77.81%

    *Unduplicated count

    About a quarter of MA-EPD enrollees paid state taxes each year, from 2003-2006. A slighlty smaller percentage of 1619a&b enrollees paid state taxes.

    Average Federal taxable income for MAEPD increased from $9,445 to $10,147 from 2003 to 2006. Over the same time span, average Federal taxable income for 1619a&b decreased from $8,072 to $7,501.

    In 2006, median Federal taxable income was less than half ($3,973) of the mean, pointing to a subset of high-earners. During the same year, median Federal taxable income for 16191&b recipients was about half of the mean ($4,145 compared to $7,501).

    Note that the number of enrollees who had zero or a negative taxable income is nearly half the number of enrollees in both MAEPD and 1619a&b.

    When compared to Figure 25 (p. 41) in the Fall 2005 MAEPD Program Evaluation, these results are often quite different. For instance, Percentage Who Paid State Income Tax is about 25% for MAEPD recipients, compared to about 66% from the Program Evaluation.

    State Taxes PaidMA-EPD1619a and 1619b

    CY 2003CY 2004CY 2005CY 2006CY 2003CY 2004CY 2005CY 2006

    Number of Enrollees*8,3968,0588,0988,2453,5853,8964,7624,988

    Number Who Paid State IncomeTax1,9561,9792,1642,1209218991,0681,107

    Total Taxes Paid (After Tax Credits)$1,037,655$1,032,830$1,226,766$1,210,579$407,943$424,781$448,937$457,039

    Mean Taxes Paid Per Tax-paying Enrollee$530$522$567$571$443$473$420$413

    Mean Taxes Paid Per Tax-paying Enrollee-Adj to 2003 Dollars$530$508$534$521$443$460$396$377

    Mean Taxes Paid Per Eligible Enrollee$124$128$151$147$114$109$94$92

    Mean Taxes Paid Per Eligible Enrollee-Adj to 2003 Dollars$124$125$142$134$114$106$89$84

    No return2,2781,9411,6781,6711,0821,2481,5071,569

    Zero taxable income4,1624,1384,2564,4541,5821,7492,1872,312

    *Unduplicated count

    Average amount of taxes paid by MAEPD enrollees increased during 2003 - 2006. When adjusted to 2003 dollars, however, buying value of the taxes paid decreased. For example, mean taxes paid per tax-paying enrollee decreased from $530 in 2003, to $521 in 2

    Mean amount of taxes paid by 1619 a&b recipients decreased, from a mean per enrollee of $114 in 2003, to $89 in 2006 (adj to 2003 dollars)

    Note that the number of enrollees who had zero or a negative taxable income is nearly half the number of enrollees in both MAEPD and 1619a&b.

    GroupMetric20032006

    ALL MNTotal Taxes pd$5,597,892,591$6,837,920,843M