Table 3. Service utilization and program expenditures of the New Jersey AIDS-specific Medicaid waiver program1.
Service | Percent of total program expenditures2 ($10,899,906) |
Average expenditures per person (n = 538) |
Percent of enrollees using service3 (n = 538) |
Average paid per user of each service |
---|---|---|---|---|
Total average cost per person | — | $20,260 | — | — |
Waivered services | 16 | $3,266 | 100 | — |
Case management | 3 | 548 | 92 | $548 |
Private duty nursing | 8 | 1,715 | 20 | 8,465 |
Personal care assistants | 3 | 443 | 13 | 3,501 |
Medical day care | <1 | 70 | 3 | 2,366 |
Home drug abuse treatment | <1 | 9 | 2 | 257 |
Family-based foster care | <1 | 43 | 5 | 789 |
Group home foster care | 2 | 438 | 2 | 26,165 |
State plan services | 84 | $16,994 | 98 | — |
Pharmacy | 16 | 3,280 | 94 | 3,481 |
Physician | 2 | 340 | 79 | 429 |
Inpatient hospital | 50 | 10,212 | 57 | 18,013 |
Outpatient hospital | 4 | 733 | 69 | 1,066 |
Independent clinic | <1 | 90 | 20 | 442 |
Home health agency (visiting nurse, physical therapy, etc.) | 6 | 1,231 | 58 | 2,117 |
Medical supplies and equipment | 4 | 860 | 64 | 1,349 |
Transportation | 1 | 179 | 40 | 451 |
Independent laboratory | <1 | 13 | 20 | 67 |
Dental | <1 | 37 | 18 | 206 |
Optometric | <1 | 5 | 13 | 36 |
Optical appliance | <1 | 3 | 10 | 33 |
Durable medical equipment | <1 | 3 | 1 | 305 |
Psychology | <1 | 8 | 1 | 683 |
Podiatry | <1 | <1 | 1 | 37 |
Chiropractor | <1 | 1 | <1 | 225 |
Based on claims for services provided March 1, 1987, through January 1, 1989, for clients enrolled by November 30, 1988.
Includes both waiver and State plan expenditures for program participants. Percents may not total 100 because of rounding.
Percents do not total 100 because of multiple response categories.
NOTES: AIDS is acquired immunodeficiency syndrome. (n = 538) is number of people in the population.
SOURCE: New Jersey State Department of Human Services, Division of Budget and Accounting, Bureau of Data Processing: Data from Medicaid claims file.