Affordable Care Act:
Federal Income Eligibility Levels in 2014 Private Insurance $92,200*
Health Benefit Exchange
Optional ACA Medicaid Expansion to 138%
(family of 4)
$31,809* (family of 4)
Medicaid
Current Ohio Medicaid Eligibility
Federal Exchange Eligibility
* The 2012 poverty threshold is $11,170 for an individual and $23,050 for a family of four. **Over age 65 coverage is provided through Medicare, not the Exchange.
Central Ohio FQHC Collaborative: 2014 Medicaid Expansion Planning estimated adult Medicaid eligibles up to 138% FPL with no regular source of health care
0 - 499
500 - 999
1,000 – 1,499
1,500 – 1,999
2,000+
= FQHC health center
= New FQHC 2014
Central Ohio FQHC Collaborative: 2014 Medicaid Expansion Planning estimated adult Medicaid eligibles up to 138% FPL with no regular source of health care
0 - 499
500 - 999
1,000 – 1,499
1,500 – 1,999
2,000+
= FQHC health center =Hospital/ED
= New FQHC 2014
= Sliding Fee Primary Care Site
Central Ohio FQHC Collaborative: 2014 Medicaid Expansion Planning estimated adult Medicaid eligibles up to 138% FPL with no regular source of health care
If Medicaid is expanded in Ohio to ACA levels…. ~46,300 eligibles in Franklin County with no regular source of health care Workforce estimates (FTE)* +29 physical health + 8 behavioral health + 11 vision + 11 dental •Based on FQHC staffing model Note: Ohio Medicaid expansion will be determined as part of biennial budget. Draft budget will be released in early February and final budget by July 1, 2013 500 - 999 1,000 – 1,499 1,500 – 1,999 2,000+ 0 - 499
= FQHC health center =Hospital/ED
= New FQHC 2014
= Sliding Fee Primary Care Site
2014 Medicaid Expansion Planning Methodology Overview A. B. C. D. E. F. G. H. I. J. K. L. M. N. O.
Franklin County ZIP codes including ZIP codes partially in Franklin County Projected 2016 ZIP code population. Source: Nielsen Company 2011 percentage of families below poverty level. Source: Nielsen Company Projected 2016 ZIP code population below poverty level (B. x C.) Projected total 2016 Franklin County population below poverty level (total of D.) Distribution of ZIP code population below poverty level (D. / E.) Projected 2016 Franklin County population (total of B.) Projected 2016 Franklin County population above poverty level (G. – E.) Projected 2016 Franklin County population between 100% and 138% FPL (H. x 6%) Source: Community Research Partners - Columbus and Franklin County Poverty Profile December 19, 2007 Distribution of ZIP code population projected at 100% - 138% poverty level (F. x I.) Projected 2016 ZIP code population below 138% poverty level (J. + D.) Total current FQHC patients. Source: Franklin County FQHC patient counts Projected 2016 Franklin County residents below 138% poverty level less current FQHC patients (K. – L.) Estimated 23% of uninsured have no usual source of health care. Source: Preliminary Findings from the 2010 Ohio Family Health Survey March 2011 Projected new FQHC Medicaid patients (M. x N.)