TABLE 3.
Mapping of Restricted MRX Categories to CDPS
| MRX | MRX description | CDPS mapping | SSI N | TANF adult N | TANF child N |
|---|---|---|---|---|---|
| MRX1 | Anti-coagulants | CARM | 45,668 | 1506 | 62,293 |
| MRX2 | Cardiac | CAREL | 507,791 | 39,823 | 1,230,917 |
| MRX3 | Psychosis/bipolar/depression | PSYL | 486,185 | 253,063 | 1,151,716 |
| MRX4 | Diabetes | DIA2 | 202,757 | 30,113 | 443,812 |
| MRX5 | Hemophilia/von Willebrands | HEMEH | 211 | 444 | 195 |
| MRX6 | Hepatitis | INFM | 5563 | 53 | 10,005 |
| MRX7 | HIV | INFM | 10,646 | 1061 | 31,818 |
| MRX8 | Infections, high | INFH | 5318 | 935 | 6856 |
| MRX9 | Inflammatory/autoimmune | SKCM | 13,284 | 6150 | 34,048 |
| MRX10 | Malignancies | CANM | 18,260 | 4671 | 26,921 |
| MRX11 | Multiple sclerosis/paralysis | CNSH | 3849 | 206 | 5159 |
| MRX12 | Parkinsons/tremor | CNSL | 57,954 | 2192 | 53,765 |
| MRX13 | Rare diseases | MRX13 | 429 | 302 | 224 |
| MRX14 | Seizure disorders | CNSL | 60,805 | 25,400 | 50,393 |
| MRX15 | Tuberculosis | INFL | 2024 | 1845 | 5988 |
Source: Authors’ analyses of data from 3 national Medicaid Managed Care plans.
MRX indicates Medicaid Rx model; SSI, disabled Medicaid beneficiaries; TANF Child, children (age<19) eligible under temporary aid to need families or other family categories; TANF adult, adults (age 19+) eligible under temporary aid to need families or other family categories or Medicaid expansion.