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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
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TABLE E-2
State Program Characteristics
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| 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% |
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| 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% |
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| 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% |
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| California |
46 |
51% |
Mixed |
non-UP |
$7.50/dose |
Yes |
78% |
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| Los Angeles |
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67% |
| San Diego |
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73.5% |
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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.
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