Medicaid and MI Child are two different programs that provide children in the state of Michigan with the opportunity to have health care coverage. Medicaid is a federal health care coverage program that provides services to about 43 million children nationally; it is jointly funded by the federal government and each state. In Michigan, a child is automatically referred to the Healthy Kids Medicaid Program (Michigan’s child Medicaid program) if their family’s annual income is at or below 150 percent of the Federal Poverty Level, according to the Michigan Department of Community Health.
MI Child is Michigan’s version of the Child Health Insurance Program (CHIP), a federal initiative created by Congress in 1997 that is offered to uninsured children, ages 19 and below, of working parents. This program is also jointly funded by the federal government and states but its match rate, according to Medicaid.gov is typically about 15 percent higher than Medicaid; according to the Michigan League for Public Policy funding for this program is currently at risk. According to the Michigan League for Public Policy, this program was created to provide children with quality healthcare when their family earns too much to qualify for Medicaid but cannot afford private coverage. To qualify for MI Child, the child must have no comprehensive health insurance and the parents must have a gross adjusted income between 160-212 percent of the Federal Poverty Level, according to the MI Child Manual. For a family of four to be eligible for MI Child, the annual income limit is $47,700, according to the Michigan Department of Community Health.
In the maps below we see that there is a higher percentage of children covered by Medicaid in Southeastern Michigan than on MI Child. Also, while Wayne County had the highest percentage of children on Medicaid, Macomb County had the highest percentage of children with MI Child as their health insurance coverage plan. Overall though, each county had a higher percentage of children with Medicaid coverage than with MI Child coverage. This means that among those who applied for government health care coverage for their child, there was a higher percentage of families with income levels at or below 160 percent of the Federal Poverty Level than families with a gross income level between 160-212 percent of the Federal Poverty Level.
In the seven county region of Southeast Michigan, Wayne County had the highest percentage of children with Medicaid coverage in 2013, according to the Michigan League for Public Policy. In total, 55.5 percent of children aged 19 and under in Wayne County received Medicaid coverage in 2013. This amounted to about 258,000 children. The county with the second highest percentage of children receiving Medicaid coverage in the region in 2013 was St. Clair (42 percent or approximately 16,250 children).
Livingston County had the lowest percentage of children receiving Medicaid coverage with 18.5 percent in 2013. That same year, 40.8 percent of Michigan children received Medicaid coverage.
As noted, MI Child is Michigan’s version of the CHIP initiated by Congress in 1997 to provide healthcare to children who don’t qualify for Medicaid but whose families cannot afford private insurance. In the region, the percentage of children with MI Child coverage is smaller than those with Medicaid. For example, Macomb County had the highest percentage of children with MI Child coverage in the region in 2013 at 2.4 percent. During the same time period, 35.8 percent of Macomb County children received Medicaid coverage. Of the counties examined, Washtenaw County had the lowest percentage of children aged 19 and under receiving MI Child coverage in 2013 at .9 percent.