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Table E-2 | Calling the Shots: Immunization Finance Policies and Practices | Committee on Immunization Finance Policies and Practices | Division of Health Care Services and Division of Health Promotion and Disease Prevention | Institute of Medicine

TABLE E-2
State Program Characteristics

 
State % in Medicaid Managed Carea FMAPb SCHIP Programc State Vaccine Purchase Medicaid Vaccine Admin. Fee First $ Coverage Required for Private Insurers 1998 Statewide Immunization Rates 1998 Metro Area Immunization Rates for Children ¾ FPLd
Maine 11 66% Mixed UPe $5.00 No 89%  
New Jersey 59 50% Mixed non-UP $11.50 in MCOf rates, passed thru Yes 85% Newark: 71.4%
North Carolina 69 63% Sep. plan UP $13.71/1 dose; double for > 2 No 84%  
Alabama 71 69% Mixed non-UP $8.00/dose No 84% Jefferson County: 90.5%
Michigan 68 54% Mixed Partial state purchase (for uninsured) $7/injection; $3/oral HMOs only 79% Detroit: 72%
Texas 25 62% Mixed Partial state purchase (for uninsured) $5.00 Yes for plans since 1/98; no small employers 75% Houston: 55%;
Dallas: 69%
Washington 91 52% Sep. plan UP $5.00 No 81%  
California 46 51% Mixed non-UP $7.50/dose Yes 78%  
Los Angeles               67%
San Diego               73.5%
 

    a1998 Managed Care Enrollment, www.hcfa.gov/medicaid/mcstat98.htm.

    bFMAP = Federal Medical Assistance Percentage, or federal matching rate for Medicaid service expenditures, at www.hcfa.gov.medicaid.

    cSCHIP Plan Activity Map, 4/24/2000, at www.hcfa.gov/init/chip-map.htm.

    dFPL = federal poverty level.

    eUP = universal purchase.

    fMCO = managed care organization.