Table 1.

State Temporary Assistance for Needy Families (TANF) and Medicaid Program Characteristics

	TANF Program Characteristics				Medicaid Program Characteristics
									Percent of Medicaid Enrollees in Managed Care
	Month and Year Implemented	Cash Diversion Policy	Family Cap Policy	Time Limit (in Months) for Cash Assistance	Welfare- Related Income Limit (% of FPL)	Expansion- Related Income Limit (% of FPL)	Managed Care for Welfare-Related	Managed Care for Expansion-Related	1996 (%)	1999 (%)
Alaska	July 1997	Yes	No	60	95	166	NA	NA	0.0	0.0
Florida	October 1996	Yes	Yes	24	28	185	1996: statewide voluntary PCCM or HMO 1997–1999: statewide mandatory PCCM or HMO	Excluded	63.7	60.3
Maine	November 1996	Yes	No	60	51	185	1996: mandatory PCCM in 5 counties 1997–1999: mandatory PCCM in 7 counties and voluntary HMO in 9 counties	Same as welfare-related	0.8	14.1
New York*	December 1996	No	No	60	58	185	1996: Voluntary PCCM or HMO in some counties 1997–1999: mandatory PCCM or HMO in same set of counties	Same as welfare-related	23.5	29.2
Oklahoma	October 1996	No	Yes	60	60	150	Mandatory PCCM or HMO depending on county	Excluded	19.4	52.1
South Carolina	October 1996	No	Yes	24	48	185	Voluntary HMO in some counties	Same as welfare-related	0.6	4.7
Washington	January 1997	Yes	No	60	50	185	Mandatory HMO; Native Americans can choose between PCCM or HMO	Same as welfare-related	99.8	99.9
West Virginia	January 1997	Yes	No	60	23	150	Mandatory HMO	Same as welfare-related	30.4	43.4

Sources: Information on the state TANF programs come from Rose, Gretchen, Welfare Rules Databook, State TANF Policies as of July 1999, The Urban Institute, Assessing the New Federalism, Washington, DC, November 2000. Available at: http://newfederalism.urban.org/WRD/WRDCodingManual.HTML and Crouse, Gil, State Implementation of Major Changes to Welfare Policies, 1992–1998, Office of Human Services Policy, Assistance Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, 1999. Available at: http://aspe.hhs.gov/hsp/Waiver-Policies99/policy_CEA.htm. The welfare-related and expansion-related eligibility category income limits come from the National Governors' Association and direct state contact; the FPL for a family of three in 1996 was $12,980. Information on states' Medicaid managed care options come from Centers for Medicare and Medicaid Services. National Summary of State Medicaid Managed Care Programs as of June 30, 2000. Available at http://www.cms.hhs.gov/MedicaidDataSourcesGenInfo/Downloads/descstprograms00.pdf. Percentages of Medicaid enrollees in managed care come from Centers for Medicare and Medicaid Services. 1996 Medicaid Managed Care Enrollment Report. Available at: http://www.cms.hhs.gov/MedicaidDataSourcesGenInfo/Downloads/mmcer96.pdf and Centers for Medicare and Medicaid Services. 1999 Medicaid Managed Care Enrollment Report. Available at: http://www.cms.hhs.gov/MedicaidDataSourcesGenInfo/Downloads/mmcer99.pdf.

TANF, Temporary Assistance to Needy Families; FPL, federal poverty level; HMO, health maintenance organization; PCCM, primary care case management.

^*Excludes New York City.