Table 1. Number of Aged Supplementary Medical Insurance Enrollees and Medicare Buy-Ins Ever Enrolled During 1978 and Number of Aged Medicaid Recipients, by State, 1978.
| Medicare (Ever enrolled) | Medicaid | |||||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Area of Residence | Total SMI Enrollment (000) |
Medicare “Buy-ins” (000) |
Buy-ins as Percent of SMI Enrollment | Medicaid Recipients (000) |
Does State Buy in all Medicaid Eligibles? | Buy-ins as Percent of Medicaid Recipients | Medicaid Recipients as Percent of SMI Enrollment | |
| U.S. Total1 | 24,703.7 | 2,818.6 | 11.4 | 3,365.3 | — | 83.8 | 13.6 | |
| Northeast | 6,022.0 | 484.6 | 8.0 | 783.4 | — | 61.9 | 13.0 | |
| New England | 1,504.4 | 129.7 | 8.6 | 308.4 | — | 42.1 | 20.5 | |
| Maine | 142.4 | 14.6 | 10.3 | 18.6 | No | 78.5 | 13.1 | |
| New Hampshire | 101.4 | 2.5 | 2.5 | 10.6 | No | 23.6 | 10.5 | |
| Vermont | 58.7 | 5.4 | 9.2 | 8.6 | No | 62.8 | 14.6 | |
| Massachusetts | 718.6 | 89.6 | 12.5 | 205.9 | No | 43.5 | 28.7 | |
| Rhode Island | 124.6 | 9.0 | 7.2 | 34.8 | No | 25.9 | 27.9 | |
| Connecticut | 358.6 | 8.6 | 2.4 | 29.9 | No | 28.8 | 8.3 | |
| Middle Atlantic | 4,517.6 | 354.9 | 7.9 | 475.0 | — | 74.7 | 10.5 | |
| New York | 2,160.1 | 204.3 | 9.5 | 312.6 | No | 65.4 | 14.5 | |
| New Jersey | 850.1 | 65.5 | 7.7 | 59.2 | Yes2 | 110.6 | 7.0 | |
| Pennsylvania | 1,507.5 | 85.1 | 5.6 | 103.2 | No | 82.5 | 6.8 | |
| North Central | 6,661.7 | 424.7 | 6.4 | 591.2 | — | 71.8 | 8.9 | |
| East North Central | 4,457.5 | 267.0 | 6.0 | 363.6 | — | 73.4 | 8.2 | |
| Ohio | 1,154.2 | 83.3 | 7.2 | 80.9 | Yes2 | 103.0 | 7.0 | |
| Indiana | 578.7 | 33.6 | 5.8 | 32.9 | Yes2 | 102.1 | 5.7 | |
| Illinois | 1,245.0 | 48.1 | 3.9 | 87.6 | No | 54.9 | 7.0 | |
| Michigan | 911.4 | 59.9 | 6.6 | 89.7 | No3 | 66.8 | 9.8 | |
| Wisconsin | 568.3 | 42.2 | 7.4 | 72.5 | No3 | 58.2 | 12.8 | |
| West North Central | 2,204.3 | 157.7 | 7.2 | 227.6 | — | 69.3 | 10.3 | |
| Minnesota | 480.9 | 16.6 | 3.5 | 60.9 | No | 27.3 | 12.7 | |
| Iowa | 392.6 | 32.2 | 8.2 | 32.2 | Yes2 | 100.0 | 8.2 | |
| Missouri | 643.2 | 65.6 | 10.2 | 72.3 | Yes2 | 90.7 | 11.2 | |
| North Dakota | 81.4 | 4.0 | 4.9 | 8.2 | No | 43.8 | 10.1 | |
| South Dakota | 91.7 | 5.9 | 6.4 | 11.6 | Yes2 | 50.9 | 12.6 | |
| Nebraska | 207.7 | 6.6 | 3.2 | 15.3 | No | 43.1 | 7.4 | |
| Kansas | 306.8 | 26.7 | 8.7 | 27.1 | Yes | 98.5 | 8.8 | |
| South | 7,935.7 | 1,252.7 | 15.8 | 1,313.4 | — | 95.4 | 16.6 | |
| South Atlantic | 4,016.7 | 532.1 | 13.2 | 525.4 | — | 101.3 | 13.1 | |
| Delaware | 57.9 | 3.8 | 6.6 | 5.8 | Yes2 | 65.5 | 10.0 | |
| Maryland | 368.5 | 42.1 | 11.4 | 42.6 | Yes | 98.8 | 11.6 | |
| District of Columbia | 68.5 | 13.1 | 19.1 | 10.7 | Yes | 122.4 | 15.6 | |
| Virginia | 472.0 | 61.0 | 12.9 | 61.0 | Yes | 100.0 | 12.9 | |
| West Virginia | 233.6 | 22.2 | 9.5 | 32.6 | No | 68.1 | 14.0 | |
| North Carolina | 568.1 | 84.4 | 14.9 | 89.2 | Yes | 94.6 | 15.7 | |
| South Carolina | 266.6 | 61.1 | 22.9 | 56.5 | Yes2 | 108.1 | 21.2 | |
| Georgia | 486.1 | 117.5 | 24.2 | 122.5 | Yes2 | 95.9 | 25.2 | |
| Florida | 1,495.4 | 126.9 | 8.5 | 104.5 | Yes2 | 121.4 | 7.0 | |
| East South Central | 1,597.1 | 352.1 | 22.0 | 322.3 | — | 109.2 | 20.2 | |
| Kentucky | 403.4 | 62.3 | 15.4 | 68.7 | No | 90.7 | 17.0 | |
| Tennessee | 495.1 | 85.9 | 17.4 | 70.1 | No | 122.5 | 14.2 | |
| Alabama | 420.8 | 117.3 | 27.9 | 101.6 | Yes2 | 115.5 | 24.1 | |
| Mississippi | 277.8 | 86.6 | 31.2 | 81.9 | Yes2 | 105.7 | 29.5 | |
| West South Central | 2,321.9 | 368.5 | 15.9 | 465.7 | — | 79.1 | 20.1 | |
| Arkansas | 300.1 | 72.8 | 24.3 | 64.9 | Yes | 112.2 | 21.6 | |
| Louisiana4 | 364.0 | 0 | — | 102.5 | — | — | 28.2 | |
| Oklahoma | 360.0 | 44.9 | 12.5 | 54.8 | No | 81.9 | 15.2 | |
| Texas | 1,297.4 | 250.9 | 19.3 | 243.5 | Yes2 | 103.0 | 18.8 | |
| West | 4,062.3 | 656.7 | 16.2 | 677.5 | — | 96.9 | 16.7 | |
| Mountain | 984.8 | 90.6 | 9.2 | 82.0 | — | 110.5 | 8.3 | |
| Montana | 84.1 | 7.9 | 9.4 | 7.3 | Yes | 108.2 | 8.7 | |
| Idaho | 90.6 | 6.4 | 7.1 | 11.3 | Yes2 | 56.6 | 12.5 | |
| Wyoming4 | 37.1 | 0 | — | 2.1 | — | — | 5.7 | |
| Colorado | 237.4 | 32.2 | 13.6 | 35.9 | Yes2 | 89.7 | 15.1 | |
| New Mexico | 106.7 | 16.8 | 15.7 | 12.0 | Yes2 | 140.0 | 11.2 | |
| Arizona5 | 270.0 | 16.4 | 6.1 | — | — | — | — | |
| Utah | 101.5 | 6.3 | 6.2 | 8.9 | Yes | 70.8 | 8.8 | |
| Nevada | 57.4 | 4.6 | 8.0 | 4.5 | Yes2 | 102.2 | 7.8 | |
| Pacific | 3,077.5 | 566.1 | 18.4 | 595.5 | — | 95.1 | 19.4 | |
| Washington | 411.9 | 42.9 | 10.4 | 45.0 | Yes | 95.3 | 10.9 | |
| Oregon4 | 288.2 | 0 | — | 19.4 | — | — | 6.7 | |
| California | 2,300.5 | 513.6 | 22.3 | 518.5 | Yes | 99.1 | 22.5 | |
| Alaska6 | 8.7 | 0 | — | 1.5 | — | — | 17.2 | |
| Hawaii | 68.2 | 9.7 | 14.2 | 11.1 | Yes | 87.4 | 16.3 | |
1
Includes residence unknown.
2
No “Medically needy” program.
3
Modified buy-in agreement in 1981 to include the medically needy.
4
State does not buy in for Part B (SMI) coverage.
5
No Medicaid Program, State buys-in for Supplemental Security Income (SSI) recipients.
6
Entered into Buy-in agreement effective October, 1982.
SOURCES: Health Care Financing Administration: Bureau of Data Management and Strategy, Office of Statistics and Data Management, Data from the Medicare Statistical System, and Office of Financial and Actuarial Analysis, Data from the Medicaid Data File; Bureau of Program Operations. Data on State buy-ins for Medicaid eligibles.