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Office of Program Policy Analysis and Government Accountability

Medicaid Reform: Beneficiaries Earn Enhanced Benefits Credits But Spend Only a Small Proportion, Report No. 08-45, July 2008
Full report in PDF format

  • The Medicaid Reform enhanced benefits account program rewards beneficiaries for participating in activities that can improve their health. Beneficiaries can earn credits up to $125 per year which are maintained in individual enhanced benefits accounts. Beneficiaries can earn these credits in a variety of ways including keeping doctor appointments, taking preventive measures such as mammograms and immunizations, and participating in disease management or other activities to improve their health such as smoking cessation and weight-loss programs. Beneficiaries can redeem their credits at participating Medicaid pharmacies to purchase health-related products. From September 2006 through April 2008, beneficiaries had earned credits totaling nearly $13.8 million and had redeemed about $1.6 million (11.4%) of this amount for health-related products.
  • Stakeholders are concerned that some Reform beneficiaries are unaware of the program or may find it difficult to redeem earned credits. In addition, the program design may not adequately support long-term change in healthy behaviors. While the Agency for Health Care Administration has taken steps to improve beneficiaries’ awareness, additional operational and program design challenges remain.

Which Government Program Summaries contain related information?

Medicaid Health Care Services
Agency for Health Care Administration

What other OPPAGA-related materials are available?

  • Report No. 09-29 Medicaid Reform: Legislature Should Delay Expansion Until More Information Is Available to Evaluate Success,published in June 2009.
  • Report No. 08-64 Medicaid Reform: Reform Provider Network Requirements Same as Traditional Medicaid; Improvements Needed to Ensure Beneficiaries Have Access to Specialty Providers,published in November 2008
  • Report No. 08-46 Medicaid Reform: Choice Counseling Goal Met, But Some Beneficiaries Experience Difficulties Selecting a Health Plan That Best Meets Their Needs, published in July 2008.
  • Report No. 08-40 Medicaid Reform: Two-Thirds of the Initial Pilot Counties’ Beneficiaries Are Enrolled in Reform Plans, published in June 2008.
  • Report No. 08-38 Medicaid Reform: More Managed Care Options Available; Differences Limited by Federal and State Requirements, published in June 2008.
  • Report No. 08-37 Medicaid Reform: Few Beneficiaries Have Participated in the Opt-Out Program, published in June 2008.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
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